No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Brookside Healthcare & Rehabilitation Center

2630 Woodland Road, Roslyn, PA 19001 · For profit - Corporation · 120 certified beds · (215) 884-6776 Medicare & Medicaid certified

Call the home — (215) 884-6776 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Dec 2025
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1339 Easton Rd · (215) 885-3200 · Call to confirm hours
Pharmacy
2350 Susquehanna Road · (215) 881-9508 · Call to confirm hours
Grocery
2350 Susquehanna Rd · (215) 881-2100 · Call to confirm hours
Park
2900 Hammond Pl · (215) 576-1298 · Typically dawn to dusk
Place of worship

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 4 of 5
Short-stay residentsrehab / post-hospital 4 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 held steady at 3 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased15.9%16.8%15.4%typical
Long-stay residents who lose too much weight7.1%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection1.7%1.5%2.0%better
Long-stay residents with depressive symptoms8.2%10.8%6.5%worse
Long-stay residents who were physically restrained0.3%0.2%0.1%worse
Long-stay residents with falls causing major injury2.1%3.1%3.3%better
Long-stay residents whose ability to walk worsened9.4%17.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication13.0%20.0%18.9%better
Long-stay residents given the seasonal flu vaccine99.1%93.5%95.3%typical
Long-stay residents with pressure ulcers5.3%4.8%4.7%worse
Long-stay residents with worsening bladder/bowel control9.9%25.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table24.7%17.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.4%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine91.3%68.7%79.4%better
Short-stay residents rehospitalized after admission22.8%22.5%22.6%typical
Short-stay residents with an outpatient ER visit6.9%9.5%12.0%better
Long-stay hospitalizations per 1,000 resident days3.031.621.67worse
Long-stay outpatient ER visits per 1,000 resident days0.741.181.80better

§ 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.

43.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 140 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

43.7%U.S. median 51.5%
Got home and stayed home
11.2%U.S. median 10.7%
Went back to hospital
62.0%U.S. median 56.6%
Met the expected recovery
0.49U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.25hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 62.0% 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 113 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 0.49 therapist hours per resident per day in 2026Q1 — more than 80% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 32% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF43.7%CMS range 34.1–52.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.2%CMS range 8.1–15.210.7%Oct 2022–Sep 2024no 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 discharge62.0%56.6%Oct 2024–Sep 2025CMS 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 discharge56.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge49.6%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.3%CMS range 4.5–11.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.941.02Oct 2022–Sep 2024CMS 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

0.54
RN hours/ resident / day
0.96
LPN hours/ resident / day
1.99
Aide hours/ resident / day
3.49
Total nurse hours/ resident / day
0.32
RN hoursweekends
44.3%
Total nursing turnover
42.1%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 113.0 residents a day — about 94% occupied, or roughly 7 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 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 3.25 hrs/resident/day on weekends vs 3.58 on weekdays — 9% thinner on weekends. RN hours go from 0.63 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

4
deficiencies at the latest standard inspection (2025-12-03)
7
at the previous standard inspection (2024-11-01)

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.

ABCDEFGHIJKL

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.

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

  • Potential for harm · Fcited before2025-12-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department. Findings include:Review of the facility policy entitled, Food Storage: Cold Foods, dated May 21, 2025, revealed that all foods were to be dated.Observations during the tour of the dietary department on September 30, 2025, at 10:30 a.m., revealed the following:In the dry storage room, there was an unsealed bag of bran cereal that was exposed to air with a winged insect on the cereal. There were three winged insects flying around the dry storage room and landing on various food packages including an opened bag of rice cereal. In the trayline reach-in cooler, there was a large pan of sliced deli turkey that was not dated. On the bread storage rack, there was a bread bag that was torn open and the bread was exposed to air. There were three winged insects that landed directly on the bread. In the walk-in freezer, there was an opened bag of ravioli that was not dated. There was a box of broccoli with a hole…

    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
  • Potential for harm · Ecited before2025-12-03 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for one of 23 sampled residents. (Resident 12) Findings include:Review of the policy entitled, Administering Medications, last reviewed May 21, 2025, revealed that staff were to obtain vital signs if necessary and document physician indicated medication administration information. In an interview with the Director of Nursing on October 14, 2025, at 2:25 p.m., the vital signs were to be entered into the Medication Administration Record (MAR). Clinical record review revealed that Resident 12 had diagnoses that included hypertension (high blood pressure). On July 9, 2025, the physician ordered staff to administer a blood pressure medicine (diltiazem) three times a day. Staff were not to administer the medication if the heart rate (the number of times a heart beats in one minute) was less than 60 beats per minute. Resident 12's MAR for August, September, and October 2025, revealed that staff administered the medication 189…

    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 · Ecited before2025-12-03 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility's meal schedule, observations, and resident and staff interviews, it was determined that the facility failed to ensure that meals were served at regularly scheduled times in accordance with resident needs on one of two nursing units (Susquehanna Unit) and in the main dining room. Findings include: Review of the facility's meal schedule for the Susquehanna nursing unit revealed that the scheduled time for lunch delivery in the short hall was 12:15 p.m. and in the long hall was 12:45 p.m. Review of the meal schedule for the main dining room revealed that delivery was 1:00 p.m. A ten minute grace period was allowed before it was considered late. Observation on September 30, 2025, on the Susquehanna nursing unit, short hall, revealed the meal cart arrived on the nursing unit at 12:45 p.m., 20 minutes after the scheduled delivery time. On the Susquehanna nursing unit, long hall, the meal cart arrived on the nursing unit at 1:20 p.m., 25 minutes after the scheduled delivery time. In interviews at that time, Residents 4 and 15 stated that meals were…

    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
  • Potential for harm · D2025-12-03 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 residents were free from chemical restraints for one of five sampled residents who received psychotropic medications. (Resident 1) Findings include:Clinical record review revealed that Resident 1 had diagnoses that included anxiety and depression. Review of the Minimum Data Set assessment dated [DATE], revealed that the resident was cognitively impaired and had been administered an anti-anxiety medication. On September 9, 2025, a physician ordered staff to administer an anti-anxiety medication, (lorazepam), every six hours as needed for anxiety. There was no date in the order that indicated when staff was to stop administering the as needed medication. Review of Resident 1's Medication Administration Record revealed that staff had administered the lorazepam on October 4, 7, and 11, 2025. There was no documented evidence that the physician had re-evaluated continued use of the as needed anti-anxiety…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-29 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on resident interview, review of facility documentation, observation, and staff interview, it was determined that the facility failed to follow pre-approved menus. Finding include: During interviews on May 29, 2025, from 12:30 p.m. through 1:45 p.m., Residents 2, 3, 5, 6, and 8 stated that menu items were frequently substituted without notification or were not received. Review of the facility menus revealed the lunch meal on May 29, 2025, was to include crispy baked chicken, Brussels sprouts, macaroni and cheese, dinner roll, and pumpkin pie. Observation of Resident 5, 6, and 7's lunch meal ticket on May 29, 2025, from 12:55 p.m. through 1:05 p.m., revealed that the meal should have included pureed pumpkin pie and the residents received no pie and no substitution for the pie. Observation of Resident 2, 3, and 8's lunch meal ticket on May 29, 2025, from 1:15 p.m. through 1:30 p.m., revealed that the meal should have included pumpkin pie, and the residents received no pie and no substitution for the pie. In an interview on May 29, 2025, at 2:00 p.m., the Dietary Manager reported…

    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
  • Potential for harm · Fcited before2024-11-01 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 observation, it was determined that the facility failed to maintain sanitary conditions in the kitchen. Findings include: Observation of the kitchen on October 29, 2024, at 9:47 a.m., revealed the following: There was no soap in the dispenser at a hand wash sink. There were flies in the dish washing and tray line areas. There was a tray of clean adaptive cups that contained various debris that included crumbs, paper clips, and condiment packets. The lid on a container of cereal was broken; the contents were left open to air. There was debris that included cups, lids, baskets, and trash on the floor at the juice and ice machines. A roll of trash bags was stored on top of a rack of clean bowls. There were ear buds on a food preparation surface, alongside cooking utensils. The molding at the base of the wall behind a food preparation surface was chipped and marred. There was an accumulation of debris that included dirt and a metal nail on the floor by a clean pot shelf. CFR 483.60 Food Procurement Store/Prepare/Serve-Sanitary. Previously cited 11/02/23 28 Pa. Code 201.18(b)(3)…

    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
  • Potential for harm · Ecited before2024-11-01 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 physician's orders were implemented for six of 33 sampled residents. (Residents 1, 7, 12, 17, 95, 98) Findings include: Clinical record review revealed that Resident 1 had diagnoses that included orthostatic hypotension (low blood pressure when standing, sitting, or lying down) and epilepsy (brain disorder that causes seizures). A physician's order dated January 5, 2024, directed staff to administer a medication (midodrine hydrochloride) three times a day for hypotension. Staff were not to administer the medication if the resident's systolic blood pressure (SBP, the first measurement of blood pressure when the heart beats and the pressure is at its highest) was greater than 130 millimeters mercury (mm/Hg). Review of the Medication Administration Record (MAR) from September 2024 through October 2024 revealed that staff administered the medication nine times when Resident 1's SBP was greater than the ordered parameters. Clinical record review revealed that Resident 7 had diagnoses…

    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 · D2024-11-01 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably 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 call bell was accessible for one of 33 sampled residents. (Resident 51) Findings include: Clinical record review revealed that Resident 51 had diagnoses that included parkinsonism (neurological disorders that cause movement problems), depression, and muscle weakness. Review of the care plan revealed that the resident was at risk for falls and had limited physical mobility. The interventions were for staff to ensure that the call bell was within reach and encourage her to use it to call for assistance. On October 30, 2024, at 9:41 a.m., Resident 51 was in her room in bed. Registered Nurse (RN) 1 assisted the resident and left the room. The call bell was observed on the floor, at the head of the bed, out of reach. The resident stated she was not aware of the location of her call bell. At 11:00 a.m., the resident was again observed in her room in bed. The call bell was in the same position and remained out of the resident's reach. 28 Pa. Code 211.12(d)(1)(5)…

    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 · D2024-11-01 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 policy review, it was determined that the facility failed to ensure that the baseline care plan summary was provided to the resident or representative for two of 33 sampled residents. (Residents 17, 104) Findings include: Review of the facility's policy entitled, Care Plans-Baseline, dated September 9, 2024, revealed that a baseline plan of care was to be developed within 48 hours of admission. The baseline care plan was to include instructions needed to provide person-centered care of the resident that meets professional standard of quality care and must include initial goals based on admission orders and discussion with the resident and/or representative, physician orders, dietary orders, therapy orders, social services, and pre-admission screening resident review, if applicable. The baseline care plan was to be updated as needed to meet the resident's needs until the comprehension care plan was developed. The resident and/or representative were to be provided a written…

    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 · D2024-11-01 · 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

    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 develop or implement a comprehensive care plan that addressed individual resident needs as identified in the comprehensive assessment for three of 33 sampled residents. (Resident's 11, 12, 21) Findings include: Clinical record review revealed that Resident 11 had diagnoses that included muscle weakness and depression. Review of a nutrition assessment dated [DATE], revealed that the resident was underweight for his age and he reported a desire to gain weight. The nutrition intervention was fortified foods once daily and snacks twice daily for weight support, and the dietitian was to develop a dietary plan of care. Review of the care plan revealed that the resident was at risk for altered nutrition status and was to receive fortified mashed potatoes with lunch. On October 29, 2024, at 12:41 p.m., and October 31, 2024, at 1:20 p.m., the resident was observed in his room with his lunch tray. The tray…

    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
Show the remaining 10 citations
  • Potential for harm · D2024-11-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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

    Based on clinical record review, observation, staff interview, and review of facility policy, it was determined that that facility failed to implement safety interventions for two of six sampled residents at risk for falls. (Residents 7, 112) In addition, the facility failed to safely administer medications for one of 33 sampled residents. (Resident 53) Findings include: Review of facility policy entitled, Administering Medications, last reviewed September 9, 2024, revealed that residents were permitted to self-administer their own medications only if the attending physician, in conjunction with the interdisciplinary care planning team, had determined that they had the decision making capacity to do so safely. Clinical record review revealed that resident 53 had diagnoses that included dementia, legal blindness, and dysphagia. Physician's orders dated April 16 and 17, 2024, directed staff to administer carvedilol (a medication for blood pressure) and levetiracetam (a medication for seizures) once daily. On October 30, 2024, Resident 53 was observed in her room. There was 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to adequately monitor and assess significant weight change for one of four sampled residents at risk for weight loss. (Resident 77) Findings include: Review of the facility policy entitled, Weight Assessment and Intervention, last reviewed September 9, 2024, revealed that any weight change of five percent (%) or more since the last weight assessment was to be retaken the next day for confirmation. If the weight was verified, nursing would immediately notify the dietitian in witting. Clinical record review revealed that Resident 77 had diagnoses that included dementia and adult failure to thrive. On February 5, 2024, the resident weighed 192.6 pounds (lbs.). On March 8, 2024, the resident weighed 178.8 lbs., which reflected a 7.1% weight loss from the prior weight. On April 15, 2024, the resident weighed 174.0 lbs., which indicated continued weight loss. There was no evidence that a second weight was obtained in March or that the dietitian was notified 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-23 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility policy review, and staff interview, it was determined that the facility failed to assess and treat an external urinary catheter for one of six sampled residents. (Resident 1) Findings include: Review of the facility policy policies entitled, External Male Catheter and Catheter Care, last reviewed January 2024, revealed that there should be a physician's order for the use of a catheter. Nursing and the the interdisciplinary team were to assess and document the ongoing need for a catheter that was in place. The catheter was to be removed as soon as it was no longer required. Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses that included neoplasm of cranial nerves, pulmonary fibrosis, and muscle weakness. Review of Resident 1's hospital discharge documentation revealed that Resident 1 had an external urinary catheter. According to the facility's September treatment administration record, the external urinary catheter was…

    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 before2024-05-15 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 that each resident was administered medication as prescribed by the physician for one of five sampled residents. (Resident 1) Findings include: Clinical record review revealed that Resident 1 had diagnoses that included anxiety and depression. On August 11, 2023, the physician ordered for staff to administer an anti-anxiety medication (Lorazepam) every eight hours for anxiety. In an interview with Resident 1 on May 15, 2024, at 12:05 p.m. she stated that staff did not always administer her anti-anxiety medication as ordered. Review of the medication administration records for May 2024 revealed that the resident had not received the scheduled doses of the anti-anxiety medication three times on May 9, 2024. Review of nursing documentation revealed that the medication was not available on May 9, 2024, to administer to the resident. In an interview on May 15, 2024, at 1: 15 p.m. the Nursing Home Administrator confirmed that Resident 1's medication had not been given on May 9, 2024,…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-11-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 facility policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department and on one of two unit pantries. (Susquehanna) Findings include: Review of the policy entitled, Food: Preparation, last reviewed August 9, 2023, revealed that food was to be prepared with procedures that avoid contamination by potentially harmful physical, biological, and chemical contamination. Food contact equipment was to be cleaned after every use. The temperatures of hot and cold foods at meals were to be checked to ensure proper food holding temperatures were maintained. Staff were to record the temperatures for the food items at the time of service onto the Service Checklist Form. Review of the policy entitled, Food Storage: Dry Goods, Cold Foods, last reviewed August 9, 2023, revealed all packaged foods were to be kept clean, dry, and properly sealed. Cold foods were to be stored, wrapped or in a covered container, labeled and dated, and arranged in a manner to prevent…

    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
  • Potential for harm · Ecited before2023-11-02 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility's meal schedule, observation, and resident interview, it was determined that the facility failed to ensure that meals were served at regularly scheduled times in accordance with resident needs on one of two nursing units and in the main dining room. (Susquehanna Unit) Findings include: Review of the facility's meal schedule revealed that the scheduled time for lunch on the Susquehanna nursing unit, short hall was 11:15 a.m., and the scheduled time for lunch in the main dinning room was 12:00 p.m. During a group interview on October 31, 2023, at 10:30 a.m., Residents 17, 36, 59, 71, and 89, stated that the meals were frequently delivered late. Observation on November 1, 2023, on Susquehanna nursing unit, short hall, revealed the meal cart arrived on the nursing unit at 11:41 a.m., 26 minutes after the scheduled delivery time. Observation of the main dining room on November 1, 2023, at 12:27 p.m., revealed that the lunch meal had not yet been served. In interviews at the time, Resident 39 stated that she was waiting for her tray and that the lunch was…

    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
  • Potential for harm · D2023-11-02 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 facility policy review, clinical record review, observation, and resident and staff interview, it was determined that the facility failed to assess and treat pain for two of 21 sampled residents. (Resident 47, 309) Findings include: Review of the facility policy entitled, Pain Assessment and Management, last reviewed August 9, 2023, revealed that the multidisciplinary care team would identify, appropriately assess, and treat pain based on professional standards of practice, the comprehensive care plan, and the resident's choices related to pain management. The policy directed staff to further assess a resident when there was a suspicion of new pain or worsening of existing pain by using a consistent approach and a standardized pain assessment instrument appropriate to the resident's cognitive level. Clinical record review revealed that Resident 47 had diagnoses that included history of a stroke, bilateral knee contractures, and left sided weakness. Review of the Minimum Data Set (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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-02 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure that a resident was administered medication as prescribed by the physician for one of 21 sampled residents. (Resident 309) Findings include: Review of the facility policy entitled, Unavailable Medications, last reviewed August 9, 2023, revealed that the facility used Pharmscript (an on-line pharmacy supplier) for medication orders. If a medication was unavailable from the pharmacy, the pharmacy would notify nursing staff that the ordered product was unavailable, when they anticipated the drug would become available, and would suggest an alternate or comparable drug and dosage of drug that was available. Nursing staff would notify the attending physician, the facility's nursing supervisor or the medical director of the situation, a new order would be obtained, and the order for the non-available medication would be cancelled or discontinued. Clinical record review revealed that Resident 309 had diagnoses that included vitamin D deficiency and osteoarthritis. 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-02 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility menu and diet manual, clinical record review, and observation, it was determined that the facility failed to provide therapeutic diets as ordered by the physician for four of 21 sampled residents. (Residents 39, 69, 142, 311) Findings include: Review of the facility diet manual revealed that residents who were ordered a dysphagia advanced texture diet were to avoid potato skins. Review of the facility menu extensions revealed that residents who were ordered a dysphagia mechanical soft texture diet were to receive pureed peas. Clinical record review revealed that Resident 39 had diagnoses that included multiple sclerosis, diabetes, and dysphagia (difficulty with swallowing). Review of the care plan revealed a potential for nutritional problems related to chewing and swallowing difficulty and a need for a mechanically altered diet. The intervention was for staff to provide the diet as ordered. A physician's order dated April 7, 2023, directed staff to provide a dysphagia advanced textured diet. Observation on October 30, 2023, at 12:46 p.m. revelaed…

    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
  • Potential for harm · Dcited before2023-10-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 resident interview, it was determined that the facility failed to implement physician's orders and provide wound treatment for one of five sampled residents. (Resident 1) Findings include: Clinical record review revealed that Resident 1 had diagnoses that included multiple sclerosis and pressure wounds. Review of the Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident had no memory impairment and was totally dependent on staff for most activities of daily living. The MDS assessment indicated the resident had pressure wounds on the left and right hip and tailbone areas upon admission to the facility. A physician's order dated September 29, 2023, directed staff to cleanse these wounds with Dakin's solution and to apply Santyl ointment, topically every day and every evening shift for wound care. Review of the Treatment Administration Record for October 2023, revealed there was a lack of documentation to support that the resident received the treatment on…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NATIONWIDE HEALTHCARE SERVICES — 7 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 →

RatingThis homeChain avg
Overall 3 of 52.6+0.4 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 2 of 52.9-0.9 vs chain
Quality measures 4 of 53.1+0.9 vs chain
The other 6 homes this chain runs (chain average 2.6★, per CMS)

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

Owner / managerTypeRoleShareSince
GELLEY, LEAHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 01/01/2014
GELLEY, MEIRIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEENO PERCENTAGE PROVIDEDsince 08/01/2003

CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$13.7M
Net patient revenuemost recent cost report
+0.1%
Operating marginrevenue minus expenses
$660K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 70%Medicare 13%Other / private 17%

This home reported $660K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$366per resident / day
operating cost
$11,115per month
≈ monthly operating cost
$366per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Pennsylvania
$11,954/mo
Nursing home (semi-private)
$13,688/mo
Nursing home (private)
$6,480/mo
Assisted living

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 395227. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-03, 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.

What to do next