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Bethany Village Retirement Center

5225 Wilson Lane, Mechanicsburg, PA 17055 · Cumberland County · (717) 766-0279

69 certified beds, about 65 residents a day · Non profit - Corporation · Medicare and Medicaid since 1977

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395386 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 18, 2025, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 12 health citations since January 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.39 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

27.1% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Asbury Communities, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
5E
0F
Potential for minimal harm
0A
0B
0C
December 18, 2025Standard inspection · 4 citations
  1. E
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 6, 2026
    Inspectors wroteBased on facility policy review, clinical record reviews, observations, and staff interviews, it was determined that the facility failed to provide adaptive feeding devices for two of two residents reviewed (Residents 21 and 27).
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 6, 2026
    Inspectors wroteBased on facility policy reviews, observations, and staff interviews, it was determined that the facility failed to store food and utilize kitchen equipment in accordance with professional standards for food service safety in the main kitchen.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2026
    Inspectors wroteBased on observations, clinical record review, and staff interview, it was determined that the facility failed to ensure the resident environment is free from accident hazards for one of 16 residents reviewed (Resident 64). Findings Include:Review of Resident 64's clinical record revealed diagnoses that included hyperlipidemia (elevated levels of fats in the blood) and hypertension (high blood pressure). Review of Resident 64's physician's orders revealed an order for Fluticasone Propionate Nasal Suspension (Flonase - a steroid medicine that is used to treat nasal congestion, sneezing, runny nose and itchy or watery eyes), one spray in both nostrils two times a day for allergy symptoms, with an active date of February 7, 2025. [...]
  4. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2026
    Inspectors wroteBased on select facility recipe review, completion of one meal test tray, and resident and staff interviews, it was determined that the facility failed to provide food that is appetizing and attractive.
November 14, 2024Standard inspection · 4 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on facility policy review, observations, clinical record review, and staff interviews, it was determined that the facility failed to ensure care and services are provided in accordance with professional standards of practice that will meet each resident's physical, mental, and psychosocial needs for three of 21 residents reviewed (Residents 6, 22, and 63).
  2. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure that residents were free of unnecessary psychotropic medications for one of five residents reviewed (Resident 63).
  3. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on review of policy review facility provided documents, facility policies and procedures, and interviews with staff and residents, it was determined that the facility failed to protect the resident's right to be free from mental abuse and neglect by Employee 3 for one of 21 residents (Resident 34)
  4. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2025
    Inspectors wroteBased on completion of one meal test tray and resident and staff interviews, it was determined that the facility failed to provide food at appetizing temperatures at one of one meal tested.
January 11, 2024Standard inspection · 4 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on facility policy reviews, observations, and staff interviews, it was determined that the facility failed to store food, beverages, and nutritional supplements in accordance with professional standards for food service safety in the main kitchen, four of four nourishment areas, and two of three medication storage areas.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to ensure the assessment accurately reflects the resident's status for one of 20 residents reviewed (Resident 28).
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on facility policy review, observations, and staff interviews, it was determined that the facility failed to maintain oxygen equipment in a sanitary manner for one of 20 residents reviewed (Resident 43).
  4. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on facility policy review, observation, and staff interviews, it was determined that the facility failed to ensure that garbage and refuse was disposed of properly, and sanitary conditions were maintained in the garbage storage area for one of one dumpster observed.

Fire safety inspections

5 fire safety citations on file: 3 on December 18, 2025, 2 on November 14, 2024.

Every fire safety citation5 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 18, 2025 · Corrected (the home has a date of correction)
  2. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 18, 2025 · Corrected (the home has a date of correction)
  3. E
    Ensure proper usage of power strips and extension cords.
    K 920 · December 18, 2025 · Corrected (the home has a date of correction)
  4. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · November 14, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · November 14, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)4.393.893.86
Registered nurses0.640.790.69
All nursing staff on weekends4.153.533.42
Nurse aides2.53
Licensed practical nurses1.23
Nursing staff turnover (share who left in a year)27.1%44.5%45.8%
Registered nurse turnover20.0%39.9%42.9%
Administrators who left0

CMS expects 3.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.49 on weekdays and 4.15 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.27 in April to June 2025 to 4.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.390.644.494.15 11.7%0 of 9065
Oct to Dec 20254.490.654.614.16 11.4%0 of 9264
Jul to Sep 20254.200.624.333.88 4.3%0 of 9265
Apr to Jun 20254.270.594.393.97 5.2%0 of 9166
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
11.916.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.91.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.217.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.94.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.917.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.322.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.09.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.11.21.8

Owners and operators

Legal business name: ASBURY ATLANTIC, INC. CMS links this home to Asbury Communities, a group of 5 nursing homes averaging 5 stars overall.

NameRoleTypeShareSince
Asbury Communities Inc5% or greater direct ownership interestOrganization100%06/01/2006
Andrews, ToddCorporate directorIndividual01/01/2021
Harbison, BarbaraCorporate directorIndividual01/01/2021
Hill-Milbourne, VeronicaCorporate directorIndividual01/01/2025
Shuman, RichardCorporate directorIndividual01/01/2023
Sproles, EfondaCorporate directorIndividual01/01/2021
Andrews, ToddCorporate officerIndividual01/01/2021
Jeanneret, AndrewCorporate officerIndividual12/07/2017
Joseph, AndrewCorporate officerIndividual06/01/2006
Lively, HenriOperational/managerial controlIndividual09/11/2019
Asbury Communities IncAdp of the SNFOrganization12/30/2024
Haldipur, NamrataAdp of the SNFIndividual07/01/2006
Jeanneret, AndrewAdp of the SNFIndividual12/30/2024
Joseph, AndrewAdp of the SNFIndividual12/30/2024
Lively, HenriAdp of the SNFIndividual02/24/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on December 18, 2025: "Provide special eating equipment and utensils for residents who need them and appropriate assistance."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on December 18, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 14, 2024: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 14, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."

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Pennsylvania contacts for a concern about a nursing home

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Common questions

What is Bethany Village Retirement Center's Medicare star rating?
CMS rates Bethany Village Retirement Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bethany Village Retirement Center get at its last inspection?
4 health deficiencies at the standard inspection on December 18, 2025. The Pennsylvania average is 10.
Has Bethany Village Retirement Center been fined?
CMS lists no fines in the last three years.
Does Bethany Village Retirement Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Bethany Village Retirement Center?
CMS lists 15 owners and managers, and links the home to Asbury Communities. Legal business name: ASBURY ATLANTIC, INC.

Sources

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