Richfield Healthcare And Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.43 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 40 beds and averages 35.1 residents a day — about 88% occupied, or roughly 5 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.43 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.64 hrs/resident/day on weekends vs 4.48 on weekdays — 19% thinner on weekends. RN hours go from 1.05 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

• Potential for harm · E2026-01-22 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, and staff interview, it was determined that the facility failed to provide recommended pneumococcal immunizations for three of five residents reviewed for immunizations (Residents 1, 9, 12).Findings include: Clinical record review revealed the facility admitted Resident 1 on November 2, 2023. Documentation in Resident 1's clinical record revealed she received two pneumococcal vaccines prior to her admission (Pneumovax 23 and Prevnar 13). Review of Resident 1's pneumococcal consent dated November 2, 2023, revealed Resident 1's representative wanted the facility to administer Resident 1 the pneumococcal vaccine. Clinical record review revealed the facility admitted Resident 9 on April 17, 2023. Documentation in Resident 9's clinical record revealed she received two pneumococcal vaccines prior to her admission (Pneumovax 23 and Prevnar 13). Review of Resident 9's pneumococcal consent dated April 18, 2023, revealed Resident 9's representative wanted the facility to administer Resident 9 the pneumococcal vaccine. Clinical record review revealed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to establish clear end of life directives for one of four residents reviewed (Resident 4).Findings include: Clinical record review for Resident 4 revealed an active physician's order dated [DATE], that indicated the resident was a DNR (do not resuscitate, do not attempt CPR (cardiopulmonary resuscitation) when the person has no pulse and is not breathing). Clinical record review for Resident 4 revealed a social services note dated [DATE], at 2:17 PM that noted the resident's code status was changed to DNR with comfort measures. Review of Resident 4's current plan of care last revised on [DATE], revealed the resident expressed the desire to be a DNR. A review of the Resident 4's paper clinical record kept at the nurse's station on [DATE], at 12:45 PM revealed a POLST (Pennsylvania Orders for Life-Sustaining Treatment, a form directing medical staff to complete life-sustaining treatment or allow a natural death) for the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and resident and staff interview, it was determined that the facility failed to implement a comprehensive person-centered care plan regarding constipation for one out of 18 residents reviewed (Resident 31). Findings include: During an interview with Resident 31 on January 20, 2026, at 2:03 PM, the resident stated he was having some constipation for the last day or two. Clinical record review for Resident 31 revealed that the resident was diagnosed with constipation on December 12, 2025, upon admission. Review of Resident 31's active physician's orders revealed the resident was prescribed routine Senna S Oral (a laxative medication that acts to soften stool and stimulate the bowels to produce bowel movements). Further review revealed that the resident was also prescribed a three-step bowel protocol (a series of medical interventions that are initiated sequentially when the resident does not have a bowel movement independently, and the previous step was ineffectual). Review of Resident 31's current comprehensive plan of care (a summary of a resident's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and resident and staff interview, it was determined that the facility failed to promote resident involvement with care plan development for one of one resident reviewed (Resident 3). Findings include:In an interview with Resident 3 on January 20, 2026, at 1:25 PM, the resident stated she does not remember being invited to care plan meetings. Clinical record review for Resident 3 did not reveal any evidence that the resident was invited, attended, declined to attend, or was involved in her interdisciplinary care plan meetings in the last twelve months. During an interview with Employee 4, social worker, on January 21, 2026, at 2:37 PM, Employee 4 stated that she does not document when a resident is invited to their care plan meeting, or if they are present for the meeting. Employee 4 indicated there was no evidence to indicate Resident 3 was invited, attended, declined to attend, or involved in her care plan meeting over the prior twelve months. The Nursing Home Administrator and the Director of Nursing were made aware of the above findings on January…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, it was determined that the facility failed to assess and implement individualized interventions to promote bowel and bladder continence for one of two residents reviewed for incontinence (Resident 1).Findings include: Observation of Resident 1 on October 20, 2026, at 10:54 AM revealed Resident 1 was seated in a chair in the hallway. Resident 1 stated to the surveyor that she was having a bowel movement and needed staff assistance. Clinical record review for Resident 1 revealed an annual MDS (Minimum Data Set, an assessment completed at specific intervals to determine care needs) dated August 9, 2025, in which facility staff assessed Resident 1 as continent of her bowel, and occasionally incontinent of her bladder. Further review of Resident 1's clinical record revealed an MDS assessment completed on October 31, 2025, noting staff assessed Resident 1 as now frequently incontinent of bowel and bladder. Further review of the MDS revealed Resident 1 is dependent on staff for toilet transfers. Further review of Resident 1's clinical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-22 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to obtain professional dental services for one of two residents reviewed for dental concerns (Resident 12).Findings include: Observation of Resident 12 on January 20, 2026, at 12:01 PM revealed Resident 12 was sitting in her personal chair in her room. Resident 12 was unable to answer any questions related to her dental history due to her current cognitive status. Resident 12 appeared to have her own teeth. Clinical record review the facility admitted Resident 12 on October 20, 2023. The surveyor requested evidence of professional dental care services provided for Resident 12 in the past year during an interview with the Director of Nursing and the Nursing Home Administrator on January 21, 2026, at 11:30 AM. Interview with the Director of Nursing on January 22, 2026, at 9:22 AM confirmed that Resident 12 consented to services from the facility's contracted provider for dental services on March 18, 2024. Resident 12 became eligible for Medicaid-provided services…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure complete and accurate clinical documentation for one of 12 residents reviewed (Resident 5).Findings include: Clinical record review for Resident 5 revealed a diagnosis list that included essential hypertension (high blood pressure). Current physician orders for Resident 5 revealed an order dated September 11, 2025, at 8:00 PM for Metoprolol Tartrate (a medication that is used to treat high blood pressure and/or heartrate) oral tablet 25 milligrams (mg) give one tablet by mouth two times a day related to essential (primary) hypertension. The order indicated a blood pressure and heartrate hold: hold if heartrate less than 60; systolic blood pressure (SBP, the top number of a blood pressure reading where the heart contracts) less than 100. A review of the Medication Administration Record (MAR) for January 2026 for Resident 5 revealed that facility staff were documenting the blood pressure, however the heartrate was not being documented. A review of the vital signs section of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-22 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of select facility policies, observation, clinical record review, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding enhanced barrier precautions for two of 12 residents reviewed (Residents 25 and 31). Findings include: Review of the facility's current policy entitled, Enhanced Barrier Precautions (EBP), revealed it is the facility's purpose to reduce the transmission of multi-drug-resistant organisms (MDROs) through the appropriate and targeted use of enhanced barrier precautions while maintaining residents' quality of life. Further review of the policy revealed that EBP are used when contact precautions do not otherwise apply and involve the targeted use of gowns and gloves during high-contact resident care activities. The policy further noted that the presence of an indwelling medical device alone, including a foley catheter, does not automatically require enhanced barrier precautions. Clinical record review for Resident 25 revealed a diagnosis list that included benign prostatic hyperplasia with lower…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-06 · tag F0568 — pattern
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of resident personal fund accounting, clinical record review, and resident, family, and staff interview, it was determined that the facility failed to provide a personal fund quarterly statement for two of two residents reviewed for personal funds concerns (Residents 3 and 13). Findings include: Interview with Resident 3's sister on February 4, 2025, at 11:00 AM indicated that the facility automatically receives Resident 3's social security check monthly. Resident 3's sister stated that she did not know what is done with the personal allowance (now 60 dollars) that Resident 3 is permitted to keep each month. Resident 3's sister stated that she does not receive a statement accounting for Resident 3's money. Interview with Resident 3 on February 4, 2025, at 1:50 PM revealed that Resident 3 could not answer if she had a personal fund, where the accounting statement goes, or how much money she had in the account to spend. Review of an accounting statement dated April 1, 2024, to February 13, 2025, revealed that Resident 3 had no debits (withdrawals) from the account…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-06 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policies and procedures, observation, and staff interview, it was determined that the facility failed to store food in a manner to prevent potential food borne illness in the facility's main kitchen. Findings include: The facility policy entitled, Food Storage, last reviewed without changes on December 31, 2024, revealed that scoops must be provided for flour, sugar, cereals, dried vegetables, and spices. Scoops are not to be stored in the food containers but are kept covered in a protected area near the containers. The Guidelines for Storage, instructed staff to, Date your products with Use by Dates. Observation of the facility's kitchen on February 4, 2025, at 9:50 AM with Employee 3, dietary manager, revealed the following observations: A reach-in refrigerator with the following items: A 46-ounce carton of orange juice labeled as opened on January 4, 2025, and a use by date of January 11, 2025. A portioned serving of applesauce labeled with a use by date of February 1, 2025 A portioned serving of mixed fruit with a use by date of February 2, 2025 A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AKIKO IKE — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 78% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in PA