Robert Packer Hospital Skilled Care And Rehabilit

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

45.2% 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 121 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 24.1% 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 54 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 0.52 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 68 beds and averages 65.1 residents a day — about 96% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 3.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 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 2.65 hrs/resident/day on weekends vs 4.22 on weekdays — 37% thinner on weekends — a notable drop. RN hours go from 0.75 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% is below 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

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.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · Gcited before2025-01-06 · 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 closed clinical record review and staff interview, it was determined that the facility failed to provide the highest practicable care for a resident's change in condition that resulted in hospitalization and death for one of three residents reviewed causing actual harm (Resident CR1). Findings include: Closed clinical record review for Resident CR1 revealed that the facility admitted her on [DATE]. A physician's order dated [DATE], instructed staff to administer Lactulose (laxative used to treat chronic constipation and brain abnormalities due to liver failure) three times a day and hold for loose stools. A review of bowel movement history documentation (electronic documentation completed by nurse aide staff of residents' bowel movements) revealed that Resident CR1 was continent of bowel movements on [DATE] and 30, 2024; and [DATE]. Staff documented that these bowel movements were soft or formed. Documentation on [DATE], at 11:32 AM noted that Resident CR1 had two occurrences of incontinence of a large…

  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 · E2026-01-13 · tag F0887 — pattern
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview it was determined that the facility failed to maintain documentation of staff COVID-19 vaccination status, and provide evidence that staff were offered the COVID-19 vaccine or information on obtaining the COVID-19 vaccine for two of two staff reviewed. (Employees 1 and 10)Findings include: Interview with Employee 4, Infection preventionist on January 13, 2026, at 12:00 PM revealed that she educated staff regarding COVID-19 vaccine recommendations on December 15, 2025, but that she did not offer the vaccine or provide the staff with information on where to get the vaccine. She also indicated that she is unable to provide evidence that she maintained staff documentation of screening, education, offering of COVID-19 vaccinations, and their current COVID-19 vaccination status. Interview of Employee 10 nurse aide, on January 13, 2026, at 1:22 PM revealed that she has not been offered COVID-19 vaccine or provided with information on where to obtain the COVID-19 vaccine, since 2021 when COVID first started. Interview of Employee 1, licensed practical nurse, 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-13 · 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

  Based on a review of select facility policies and procedures, clinical record review, observation, and staff interview it was determined that the facility failed to provide the highest practicable care for a central venous catheter for one of two residents reviewed for central venous catheter concerns (Resident 41).Findings include: Observation of Resident 41 on January 10, 2026, at 2:35 PM revealed an intravenous access site covered by a dressing on his left arm. Observation of Resident 41 and Resident 41's room revealed no signage that indicated there were any restrictions to using his left arm for blood pressure assessments or for venipuncture for blood draws for laboratory testing. There was no emergency kit (e.g. compression dressing supplies) visible in Resident 41's room. Due to cognitive deficits, Resident 41 was unable to provide information regarding his left arm intravenous site. Resource information available from the Mayo Clinic (https://www.mayoclinic.org; Peripherally inserted central catheter (PICC) line - Mayo Clinic) listed risks of peripherally inserted central…

  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 · D2026-01-13 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to obtain routine vision services for one of three residents reviewed for vision concerns (Resident 5).Findings include: Observation of Resident 5 on January 11, 2026, at 10:54 AM revealed her to wear glasses. During an interview with Resident 5 on the date and time of the observation she stated that she, probably could use an exam to see if they need updating. Resident 5 stated that she did not believe that she received professional eye services in the past year. Clinical record review for Resident 5 revealed that the facility admitted her on May 15, 2024. Diagnoses listed for Resident 5 included: Diabetes mellitus (dated August 29, 2023, high blood sugar levels that can damage the tiny blood vessels in the eye) Hypertension (dated February 12, 2008, high blood pressure that can damage the blood vessels in the eye)Exudative age-related macular degeneration, left eye, with active choroidal neovascularization (dated July 26, 2019, wet AMD, membranes develop under…

  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 · D2026-01-13 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record review, and staff interview, it was determined that the facility failed to implement an intervention to heal pressure ulcers for one of two residents reviewed for pressure ulcer concerns (Resident 41).Findings include: Observation of Resident 41 on January 10, 2026, at 2:37 PM revealed him to be in his bed. An Air Element pump unit (medical device that controls the settings of a specialty mattress to permit the mattress to stay fully inflated or alternate the air pressure in air cells to partially deflate and inflate, avoiding prolonged pressure on any single point beneath the resident to help prevent pressure ulcers; with static pressure mode, all of the air cells are equally inflated) that hung from a footboard at the base of his bed included a lit button that indicated the mattress was set to Static. Clinical record review for Resident 41 revealed nursing documentation dated August 30, 2025, at 7:31 PM that Resident 41's deep tissue pressure injury (tissue necrosis/death that develops when soft tissue is compressed between a bony prominence…

  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 · D2026-01-13 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure preventative fall interventions were implemented for one of two residents reviewed for falls (Resident 39). Findings include: This deficiency is cited as past non-compliance. Clinical record review for Resident 39 revealed a fall risk assessment dated [DATE], that indicated she was a high fall risk. Review of Resident 39's care plan entitled Potential for Falls secondary to needing walker to ambulate, decreased vision, and occasional incontinence, dated November 23, 2025, revealed that she was to have a chair alarm and her call bell in reach. Review of a facility reported incident revealed that on November 24, 2025, at 3:30 PM Resident 39 was not present in her room during room rounds at change of shift by the licensed practical nurse. It was reported the nurse walked around the unit looking for Resident 39 when she heard help me coming from the shower room. She entered the shower room and…

  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 · Past Non-Compliance
• Potential for harm · D2026-01-13 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of select facility policies and procedures, clinical record review, observation, and staff interview, it was determined that the facility failed to ensure appropriate labeling of medication and implement measures for controlled substance accountability during medication administration for four of eight residents observed for medication administration (Residents 7, 8, 28, and 34).Findings include: The current facility policy entitled, Medication Administration, Procedures for Medication Administration, General Procedures to Follow for all Medications, revealed that the staff are to read the medication label three times before pouring the medication. After administration, staff are to return to the medication cart and document the administration in the Medication Administration Record (MAR). Observation of a medication administration pass on January 10, 2026, at 11:53 AM revealed Employee 5 (licensed practical nurse) prepared Carboxymethylcellulose Sodium ophthalmic solution (Refresh Plus, lubricant used to relieve burning, irritation, and discomfort caused by dry…

  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 · D2026-01-13 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, observation, and staff and resident interview, it was determined that the facility failed to provide dental care services for one of six residents reviewed for dental concerns (Resident 5).Findings include: Observation of Resident 5 on January 11, 2026, at 10:54 AM revealed her to have natural teeth. During an interview with Resident 5 on the date and time of the observation she stated that she, .cracked them (teeth), don't know how, a couple of them were pulled. Resident 5 stated that she did not believe that she received professional dental services in the facility since her admission. Clinical record review for Resident 5 revealed that the facility admitted her on May 15, 2024. A physician's order dated September 5, 2025, instructed staff to consult the facility's contracted provider that provides dental, eye, and podiatry services. Comments included in the order instructed staff to, Include the results of the evaluation, testing and/or treatment in the patient's medical record at the location for review. The surveyor requested evidence 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-13 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of select facility policies and procedures, clinical record review, observation, and family and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection related to enhanced barrier precautions for one of one resident reviewed for indwelling urinary catheter concerns (Resident 1) and handwashing for three of eight residents reviewed for medication administration (Residents 7, 28, and 34).Findings include: The facility policy entitled, Enhanced Barrier Precautions (EBP), dated June 3, 2025, revealed that resident care facilities adhere to enhanced barrier precautions (EBP) based on the recommendations provided by the Centers for Disease Control and Prevention (CDC). EBP refers to an infection control intervention designed to reduce transmission of MDROs (multi-drug-resistant organisms) that employ targeted gown and glove use during high-contact resident care activities, especially for those at increased risk of acquiring or spreading an MDRO. EBP are used in conjunction with standard precautions…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-12 · 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 and staff interview, it was determined that the facility failed to store food and maintain food service equipment in accordance with professional standards for food service safety in the facility's main kitchen. Findings include: Observation of the facility's main kitchen on February 9, 2025, at 10:15 AM with Employee 1, dietary supervisor, revealed the following: The lower shelf of the food preparation table beside the steamer was observed with a large clear plastic container with a white powdery substance filling half of the container. The exterior of the contained had dried food on it, was dusty, and sticky to touch. The container was labeled with a sticker indicating flour was in the bin, and dated August 4, 2024, with a use by date of January 4, 2025. An additional large clear plastic container beside the flour also with a dirty exterior on the sides and lid of the container with dried food, and dust, partially filled with rice labeled with a May 21, 2024, as to when it was placed in the bin, with a use by date of November 4, 2024. The exterior side 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-12 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  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 develop and implement an individualized person-centered care plan to address dementia and cognitive loss displayed by one of three residents reviewed (Resident 61). Findings include: Clinical record review for Resident 61 revealed the facility admitted her on January 2, 2025, with diagnosis of Dementia (loss of memory, language, problem-solving, and other thinking abilities that interfere with daily life). A review of Resident 61's admission Minimum Data Set Assessment (MDS, a form completed at specific intervals to determine care needs) dated January 8, 2025, indicated that the facility assessed Resident 61 as having a diagnosis of dementia. The facility determined that a care plan for dementia and cognitive loss would be developed. A review of Resident 61's care plan entitled, psychosocial needs initiated January 4, 2025, revealed that there was no indication that the facility had developed and implemented a person-centered care plan to address the resident's dementia and cognitive…

  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.

Fines & penalties

$33,027 in federal fines across 1 penalty.

• $33,027 — penalty dated 2025-01-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GUTHRIE — 2 facilities. Here is how its ratings compare with the chain’s average across all its homes:

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

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

What families pay in PA