Phoebe Richland Hcc
108 South Main Street, Richlandtown, PA 18955 · Non profit - Corporation · 143 certified beds · (267) 371-4512 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no harm-level citations in the current inspection record
- no federal fines or payment denials on record
- lower-than-typical staff turnover (36% vs 45% nationally) — better care continuity
- its payroll-based staffing rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 20.0% | 16.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.3% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 1.7% | 0.7% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 4.1% | 1.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 1.2% | 10.8% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.4% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 20.3% | 17.0% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 16.5% | 20.0% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 94.1% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.8% | 4.8% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 34.3% | 25.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 28.4% | 17.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.8% | 1.4% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 52.1% | 68.7% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 17.7% | 22.5% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 7.8% | 9.5% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.85 | 1.62 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.22 | 1.18 | 1.80 | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
59.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 330 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 68.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 128 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 38% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 59.3%CMS range 53.2–64.4 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.6%CMS range 8.8–13.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 68.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 64.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 56.2% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 98.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.5% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.3%CMS range 4.0–9.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.76 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 143 beds and averages 117.7 residents a day — about 82% occupied, or roughly 25 beds typically open. It usually has some room. 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 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 3.22 hrs/resident/day on weekends vs 3.40 on weekdays — 5% thinner on weekends. RN hours go from 0.76 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 36% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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 more than at the previous inspection — worsening. 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.
- Potential for harm · D2026-02-19 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — the official record, unedited, may be distressing
Based on clinical record review and observation, it was determined that the facility failed to ensure that dignity was maintained for one of 26 sampled residents. (Resident 126)Findings include: Clinical record review revealed that Resident 126 had diagnoses that included parkinsonism, urinary retention, and hypotension. On February 12, 2026, the physician ordered for the resident to have an indwelling catheter for urination. Observations on February 17, 2026, from 12:04 p.m. through 12:35 p.m., and February 18, 2026, from 11:59 a.m. through 12:30 p.m., revealed Resident 126 sitting in a wheelchair in the dining room. The Foley catheter bag was not covered and contained urine. Multiple residents and staff were present in the area during those time periods. In an interview on February 19, 2026, at 10:45 a.m., the Director of Nursing confirmed that Resident 126 should have been provided with a cover for the catheter bag when in the dining room. 28 Pa. Code 211.12(d)(1)(5) Nursing services.
- Potential for harm · D2026-02-19 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 ensure that the Minimum Data Set (MDS) assessments were completed to accurately reflect the residents' current status for two of 26 sampled residents. (Residents 4, 28) Findings include: Clinical record review revealed that Resident 4 had diagnoses that included atherosclerotic heart disease, heart failure, and cerebral infarction (stroke). The MDS assessment dated [DATE], incorrectly indicated in Section H (Bladder and Bowel) that Resident 4 had an indwelling catheter. There was no documented evidence that Resident 4 had an indwelling catheter during the MDS review period. Clinical record review revealed that Resident 28 had diagnoses that included an artificial opening of the urinary tract and dementia. A physician's note dated January 7, 2026, indicated that Resident 28 had nephrostomy tubes in place. Review of the care plan revealed the resident had bilateral nephrostomy tubes in place. The MDS assessment dated…
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.
- Potential for harm · D2026-02-19 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to develop and implement a comprehensive care plan that addressed individual resident needs as identified in the comprehensive assessment for two of 26 sampled residents. (Residents 42, 108)Findings include: Clinical record review revealed that Resident 42 was admitted to the facility on [DATE], and had diagnoses that included displaced right femur fracture, anxiety, and dementia. The Minimum Data Set (MDS) Care Area Assessment (CAA) summary dated January 27, 2026, noted that the resident's psychotropic drug use was to be addressed in the care plan. Review of the medication administration records for January and February 2026, revealed the resident received an antianxiety medication (lorazepam), classified as a psychotropic drug, daily during the review period. Interventions to address Resident 42's psychotropic drug use were not included in the care plan. Clinical record review…
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.
- Potential for harm · D2026-02-19 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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, observation, and staff interview, it was determined that the facility failed to provide treatment and services to prevent further limitations in range of motion for one of six sampled residents who required use of a splint and/or had limitations in range of motion. (Resident 7)Findings include: Clinical record review revealed that Resident 7 had diagnoses that included a stroke with paralysis on the right side. The Minimum Data Set assessment dated [DATE], indicated that the resident had memory impairment, required assistance with dressing, and had impairment in range of motion on both sides of the upper and lower extremities. On April 29, 2025, a physician ordered for staff to apply a resting hand splint to the right hand after morning care. Review of an occupational therapy Discharge summary dated [DATE], revealed that there was a recommendation for staff to apply a resting hand splint to the right hand after morning care for contracture management. The summary indicated that…
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.
- Potential for harm · D2026-02-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 review of facility documentation, it was determined that the facility failed to provide adequate supervision to prevent falls for a resident with behavioral symptoms for one of six sampled residents who experienced falls. (Resident 33)Findings include: Clinical record review revealed that Resident 33 was admitted to the facility on [DATE], with diagnoses that included dementia with agitation, insomnia, traumatic subdural hemorrhage (bleeding between the brains surface and outer covering), and anxiety disorder. The Minimum Data Set assessment dated [DATE], indicated that the resident had memory impairment, exhibited wandering behavior and had a history of falling. A review of the care plan revealed the resident was at risk for falls and injury due to an unawareness of safety needs, dementia, and impaired mobility. Review of facility documentation dated January 10, 2026, revealed that the resident was found on the floor on his back in his room holding onto the lever of his…
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.
- Potential for harm · D2025-01-31 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, clinical record review, and resident interview, it was determined that the facility failed to ensure that a functioning call bell was accessible for one of 25 sampled residents. (Resident 14) Findings include: Clinical record review revealed that Resident 14 had diagnoses that included heart failure, muscle weakness, and chronic respiratory failure. Review of the resident's care plan revealed that he required assistance from staff for activities of daily living and was at risk for falls. The interventions were for staff to ensure that a functioning call bell system was in reach and the resident should be encouraged to use it. On January 28, 2025, from 12:16 p.m. through 12:22 p.m., the resident was observed in his room sitting out of bed. The resident stated that he was soiled and needed to be changed. He also stated that his call bell did not work. The resident pressed the call bell button; the light outside of his room that alerted staff to a need for assistance, did not activate. On January 29, 2025, at 1:48 p.m., the resident was observed in his room out of…
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.
- Potential for harm · D2025-01-31 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review and observation, it was determined that the facility failed to ensure that adaptive equipment was provided to two of three sampled residents who required adaptive equipment with meals. (Residents 6, 24) Findings include: Clinical record review revealed that Resident 6 had diagnoses that included dysphagia and hemiparesis (muscle weakness to one side of the body) to the right dominant side. Review of the care plan revealed that the resident was at risk for nutritional problems. The intervention was for staff to provide adaptive equipment, which included drinks in a handled mug with a lid. A physician's order dated December 7, 2024, revealed that the resident was to receive adaptive equipment which included handled mugs with lids. On January 29, 2025, during the lunch meal observation from 12:25 p.m. through 1:45 p.m., Resident 6 was observed in the dining room eating her lunch meal. The resident was served beverages in handled mugs; the lids were not in place. Clinical record review revealed that Resident 24 had diagnoses that included dementia,…
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.
- Potential for harm · D2025-01-31 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 facility policy review, review of facility documentation, observation and interview, it was determined the facility failed to serve and store food in a safe and sanitary manner during meal service in one of six dining rooms. (Country Inn Dining Room). Findings include: Review of the facility policy entitled, Heating Foods and Beverages in the Microwave, revealed that once a food or beverage had been reheated, staff were to remove it from the microwave and take the temperature in multiple sites; food and beverages should have reached a temperature of 165 degrees Fahrenheit (F). The item should be left to cool for two minutes and the temperature should be retaken in multiple sites. The food or beverage would be acceptable to serve if it was within the acceptable serving temperature of 135 degrees F through 165 degrees F. Review of a facility meal temperature log revealed that if a food item's temperature was below 135 degrees F but previous temperature taken within two hours was above 135 degrees F, the food should be reheated to 165 degrees F. Observation of the lunch meal…
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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| PHOEBE-DEVITT HOMES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/01/1966 |
| SHOTT, JASON | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/28/2024 |
| BENDEL, DANIEL | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/31/2000 |
| CALVERT, SCOTT | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/11/2020 |
| HADDAD, TERI | Individual | CORPORATE DIRECTOR; ADP OF THE SNF | — | since 02/25/2025 |
| KHANUJA, ROB | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/11/2022 |
| MASON, CANDACE | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/12/2005 |
| MORRIS, DARREN | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 11/12/2017 |
| PALERMO, FAITH | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/12/2019 |
| PFLEEGOR, MICHAEL | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 11/08/2021 |
| RASSLER, MATTHEW | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/14/2022 |
| STEVENSON, SCOTT | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNF | — | since 01/02/2026 |
| STRELECKI, ALEXIS | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2016 |
| BAER, THOMAS | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2022 |
| STEINER, PATRICIA | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/12/2021 |
| COVENANT ALLIANCE REHAB EAST LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 11/01/2025 |
| PHYSICIAN AND TACTICAL HEALTHCARE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2025 |
| ALFARO, TRACY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/19/2019 |
| BARLEY, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/18/2025 |
| BELL, CARMEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 04/04/2022 |
| BERTOLETTE, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 07/01/2017 |
| CALL, CARRIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 12/09/2019 |
| CHARETTE, KENNETH | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 04/04/2022 |
| CHAVARRIA, ANNMARIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 08/18/2025 |
| DUELBERG-KRAFTICIAN, CHRISTA | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 12/08/2025 |
| FERRY, DEBORAH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/06/2026 |
| HACKER, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 04/16/2012 |
| LIEN, EMMETT | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 04/12/2021 |
| LION, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/05/2025 |
| MERRILL, DEBORA | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 10/07/2019 |
| MILLER, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 10/09/2023 |
| MOSER, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 04/09/2018 |
| SHAFFER, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 11/30/2025 |
| SKEETE, HANIFF | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 06/24/2024 |
| SLOAN, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 10/12/2020 |
| SMITH, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/03/2026 |
| SMITH, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 04/08/2019 |
| TRANGUCH, NICHOLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF | — | since 10/12/2020 |
| TROTTER-MYRICK, FRANCES | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/07/2025 |
| WATSON, NICOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/28/2025 |
| YOUNG, JOEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/12/2025 |
| BAKER TILLY ADVISORY GROUP LP | Organization | ADP OF THE SNF | — | since 05/29/2024 |
| FRIENDS SERVICES FOR THE AGING | Organization | ADP OF THE SNF | — | since 05/01/2018 |
| PHOEBE SERVICES INC | Organization | ADP OF THE SNF | — | since 09/18/1995 |
| SHIFTSTER LLC | Organization | ADP OF THE SNF | — | since 07/22/2024 |
| BRAND, HEATHER | Individual | ADP OF THE SNF | — | since 04/29/2025 |
| ONEILL, JOSEPH | Individual | ADP OF THE SNF | — | since 03/01/2015 |
| TIANO, FRANK | Individual | ADP OF THE SNF | — | since 06/05/2023 |
CMS files one row per role, so the 101 rows in the source record cover these 48 parties — each is shown once here with every role it holds. Nothing is omitted.
7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
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.
This home reported $3.4M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Pennsylvania Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 395023. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.