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Caring Heights Community Care & Rehab Ctr

234 Coraopolis Road, Coraopolis, PA 15108 · Allegheny County · (412) 331-6060

119 certified beds, about 113 residents a day · For profit - Corporation · Medicare and Medicaid since 1983

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395603 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 5, 2025, inspectors cited 28 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 70 health citations since November 2023 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 3.22 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.

28.4% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Saber Healthcare Group, an affiliated group of 126 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 70 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
61D
7E
0F
Potential for minimal harm
0A
0B
2C
June 2, 2026Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on review of facility policy, review of clinical records, and staff interview, it was determined that the facility failed to notify the physician of a change in condition for one of three residents (discharged Resident R1) and failed to notify the resident representative of a change in condition requiring a hospital transfer for one of three residents (Resident R3).
  2. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on review of facility policy, clinical record review, it was determined that the facility failed to notify the resident or resident's representative of the facility bed-hold policy (an agreement for the facility to hold a bed for an agreed upon rate during a hospitalization) for one of three residents (discharged Resident R1).
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on review of facility policy, clinical records and staff interview, it was determined that the failed to document vital signs for a one of three residents with a change in condition (discharged Resident R1) failed to follow a physician order for one of three residents (discharged Resident R1) and failed to obtain physician orders for a hospital transfer for one of three residents (Resident R4).
December 3, 2025Complaint inspection · 1 citation
  1. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 9, 2025
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to obtain laboratory studies as ordered by the physician for one of three residents reviewed (Resident R1).
September 5, 2025Standard inspection · 28 citations
  1. E
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observations, review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to maintain accurate resident care plans and conduct ongoing accurate assessments to ensure that bedrails were used to meet residents' needs and the risks associated with bedrail usage for four of four residents (Residents R5, R6, R92, and R103).
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on facility policy, review of clinical record, observation and staff interview, it was determined that the facility failed to ensure that care was provided in a manner which maintained resident dignity for one of four residents (Resident R87).
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observation, and staff interview it was determined that the facility failed to maintain the confidentiality of residents' medical information on one of five medication carts (West Wing Medication Cart).
  4. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on a review of facility documents, observations, and staff interview, it was determined that the facility failed to ensure that the grievance forms were available and that residents had the right to file an anonymous grievance for two of two nursing units (West Wing, and East Wing).
  5. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of facility policies, clinical records, facility documents, and staff interviews it was determined that the facility failed to identify a bolster (a long, thick cushion) as a possible restraint, and failed to assess the functional status of the individual resident to determine if the use of a bolster is a restraint for two of four residents (Residents R6 and R7).
  6. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on clinical record review, facility policy, and staff interview, it was determined that the facility failed to ensure that residents medication regime was free from unnecessary psychotropic (a mind-altering medication) medication for one of three residents (Resident R50).
  7. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of the Minimum Data Set (MDS-periodic assessment of resident care needs) User's Manual, clinical record, and staff interview, it was determined that the facility failed to complete a comprehensive assessment after a significant change in condition for one of three residents reviewed receiving hospice services (Resident R25).
  8. 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) October 7, 2025
    Inspectors wroteBased on a review of facility policy, Resident Assessment Instrument (RAI) User's Manual, clinical records, and staff interviews, it was determined that the facility failed to ensure Minimum Data Set (MDS - a periodic assessment of care needs) assessments accurately reflected the resident's status for two of three residents (Residents R7 and R79).
  9. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of facility policy, observation, and staff interviews, it was determined that the facility failed to develop a comprehensive care plan for anxiety for one of three residents (Resident R8).
  10. D
    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, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to make certain that residents were provided appropriate treatment and care by failing to implement the facility's hypoglycemia (low blood sugar) protocol and failing to notify the physician timely of a change in condition for one of three residents reviewed (Resident R132).
  11. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of facility policy, clinical record review, observations, and staff interviews, it was determined that the facility failed to develop and implement a comprehensive resident-specific plan of care for a resident with limited mobility requiring equipment and assistance to maintain or improve mobility for two of three residents (Resident R93 and R103).
  12. 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) October 7, 2025
    Inspectors wroteBased on review of facility policy, observations, staff interviews, and clinical record review, it was determined that the facility failed to provide appropriate respiratory care for one of four residents (Resident R50).
  13. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of facility policy, resident record review, and staff interviews, it was determined that the facility failed to provide a trauma survivor with trauma informed care to eliminate or mitigate triggers that may cause re-traumatization of the resident for one of two residents (Resident R15).
  14. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement individualized person-centered care plans to address dementia and cognitive loss displayed by one of four residents reviewed (Resident R7).
  15. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to properly store medical supplies in one of two medication rooms (East Wing Medication Room).
  16. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on facility policy, observation, and staff interviews, it was determined that the facility failed to provide drinks in a form to meet individuals' needs in one of two residents (Resident R10).
  17. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on a review of facility policy, resident clinical records, and staff interview, it was determined the facility failed to ensure the coordination of hospice services with facility services to meet the needs of each resident for end-of-life care for two of four residents (Resident R16, and R22).
  18. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of facility policies, review of clinical record, observations, and staff interviews, it was determined that the facility failed to maintain proper infection control practices related to the care of indwelling urinary catheters (tube inserted in the bladder to drain urine) for one of four residents (Resident R87), and failed to use Personal Protective Equipment (PPE) appropriately in Enhanced Barrier Precautions (EBP-a type of isolation), which created the potential for the cross-contamination and the spread of diseases and infections for one of three residents (R87).
  19. D
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to provide Communication training to one of five direct care facility staff reviewed (Employee E4).
  20. D
    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
    F942 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to provide Resident Rights training to two of five direct care facility staff reviewed (Employee E4 and E5).
  21. D
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to provide Abuse, Neglect, and Exploitation training to one of five direct care facility staff reviewed (Employee E4).
  22. D
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to provide Quality Assurance and Performance Improvement (QAPI) training to two of five direct care facility staff reviewed (Employee E3 and E4).
  23. D
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to provide Infection Control training to one of five direct care facility staff reviewed (Employee E4).
  24. D
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to provide Compliance and Ethics training to two of five direct care facility staff reviewed (Employee E4 and E5).
  25. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to conduct the minimum 12 hours of nurse aide (NA) training per year for one of five direct care facility staff reviewed (NA Employee E4).
  26. D
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on review of job description, facility documents and staff interviews, it was determined that the facility failed to provide Behavioral Health training to one of five direct care facility staff reviewed (Employee E4).
  27. C
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    F575 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observations and staff interview it was determined that the facility failed to have required postings for the facility in areas that are accessible to all residents for Adult Protective Service information, and complete contact information for State Agency and State Long-Term Care Ombudsman program posted at the facility.
  28. C
    Provide information about how to apply for and use Medicare and Medicaid benefits.
    F579 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on observations and staff interviews, it was determined, the facility failed to display written information on applying for Medicare and Medicaid benefits and receiving refunds for previous payments covered by Medicare and Medicaid as required, on two of two nursing floors (West Wing and East Wing).
October 25, 2024Standard inspection · 25 citations
  1. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for four of four residents (Residents R14, R49, R59, R120).
  2. E
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to notify the resident or resident's representative of the facility bed-hold policy (an agreement for the facility to hold a bed for an agreed upon rate during a hospitalization) for four of four resident hospital transfers (Resident R14, R49, R59, and R120). Findings Include: Review of the clinical record indicated Resident R14 was admitted to the facility on [DATE], and readmitted on [DATE]. Review of Resident R14's MDS (MDS-Minimum Data Set assessment: periodic assessment of resident care needs) dated 7/19/24, indicated diagnoses of adult failure to thrive, high blood pressure, and atrial fibrillation (irregular heart beat). Review of the clinical record indicated Resident R14 was transferred to hospital on 9/15/24, and returned to the facility on 9/19/24. [...]
  3. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on a review of the RAI (Resident Assessment Instrument), clinical records, and staff interviews it was determined that the facility failed to make certain that resident assessments were accurate for two of eight residents (Residents R68, and R114).
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on clinical record review, observations, and interviews with staff, it was determined that the facility failed to promote and protect a resident's dignity for one out of three residents reviewed (Resident R38).
  5. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of resident personal fund accounting, clinical record review and resident and staff interview, it was determined that the facility failed to provide a resident funds quarterly statement for five of eight residents reviewed for personal funds concerns (Resident R2, R30, R67, R99 and R94).
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to notify a physician for a change in condition for one of five residents (Resident R14).
  7. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on a review of facility admission documents and staff interview, it was determined that the facility failed to ensure resident rights to make informed decisions and choices about important aspects of residents' health, safety and welfare by making certain residents understand the Notice of Medicare Non-Coverage (NOMNC) form for one of three residents (Resident R105) and failed to ensure NOMNC notices were provided timely for one of three residents (Resident R321).
  8. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy, observations and staff interviews it was determined that the facility failed to provide a clean, safe, comfortable, and homelike environment for five of twelve residents (Residents R21, R59, R68, R84, R97).
  9. 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) November 26, 2024
    Inspectors wroteBased on review of facility policies, facility documents, clinical records, and resident and staff interviews, it was determined that the facility failed to make certain residents were free from abuse and neglect for two of three residents (Resident R57 and R84).
  10. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy, clinical records, facility incident documents, resident, and staff interviews, it was determined that the facility failed to report an alleged allegation of neglect for one of three residents (Resident R57).
  11. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to investigate an allegation of abuse/neglect for one of three residents (Resident R57).
  12. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for two out of four residents sampled with facility-initiated transfer (Residents R49 and R59).
  13. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to make certain that residents received the necessary services, consistent with professional standards of practice to promote healing and prevent infection for one of four residents (Residents R26).
  14. 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) November 26, 2024
    Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to provide adequate assistance during a transfer for one of six residents (Resident R102), which resulted in a laceration of right lower extremity that required 15 sutures for Resident R102.
  15. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to update an individualized care plan to address the resident's specific nutritional concerns and preferences for one of four (Resident R82) records reviewed.
  16. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy and clinical record and staff interview it was determined that the facility failed to make certain consistent dialysis communication was maintained and failed to maintain an accurate care plan for dialysis access site for one of one dialysis resident (Resident R39).
  17. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on clinical records and facility policy review, and staff interview, it was determined that the facility failed to ensure that a resident who displayed mental or psychosocial adjustment difficulties received appropriate treatment and services to correct the problem for one of five residents (Resident R2).
  18. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased upon clinical record review, and staff interview, it was determined that the facility failed to ensure that any irregularities submitted in the medication regiment reviews (MRR) by pharmacy were acted upon for one out of five residents (Resident R12).
  19. D
    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, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on facility policy, clinical record review, and staff interview it was determined the facility failed to ensure PRN orders for psychotropic drugs are limited to 14 days for one of five residents (Resident R12), failed to identify a diagnosed specific condition for treatment, and failed to monitor the effectiveness or adverse consequences of psychotropic medication use for one of five residents (Resident R82) reviewed. Findings Include: Review of facility policy Psychoactive Medication Policy dated 7/1/24, indicated all residents receiving psychoactive medication[s] will have their behaviors, effectiveness of interventions (pharmacological and non-pharmacological) and potential for a gradual dose reduction of psychoactive medication monitored and documented. Review of the clinical record indicated Resident R12 was admitted to the facility on [DATE]. [...]
  20. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility policy, observations and staff interview it was determined that the facility failed to date opened medications and properly store medications in one of three medication carts observed
  21. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to ensure timely dental services for one of six residents reviewed for dental concerns (Resident 11).
  22. D
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on review of facility documents, resident clinical records and staff interviews it was determined that the facility failed to ensure a resident had the capacity to understand the terms of a binding arbitration agreement (a binding agreement by the parties to submit to arbitration all or certain disputes which have arisen or may arise between them in respect of a defined legal relationship, whether contractual or not.) for one of three residents (Resident R61).
  23. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on a review of Resident Assessment Instrument (RAI) User's Manual, facility policy, resident clinical records, and staff interviews, it was determined the facility failed to obtain a diagnosis for hospice service, to ensure an accurate MDS assessment, and failed to ensure the coordination of hospice services with facility services to meet the needs of each resident for end of life care for two of four residents (Resident R12 and R41).
  24. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on facility policy, clinical record review, observation, and staff interview, it was determined that the facility failed to follow enhanced barrier precautions for one of two residents with an enteral feeding tube. (Resident R68)
  25. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on facility policy, clinical record review and staff interview, it was determined that the facility failed to make certain that pneumococcal vaccinations were addressed in a timely fashion for two of five residents (Residents R68, and R114).
August 6, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 12, 2024
    Inspectors wroteBased on review of facility policy, clinical records, incident reports, resident and staff interviews it was determined that failed to report a resident-to-resident abuse altercation for two of three sampled residents (Resident R1 and Closed Resident Record CR2).
July 25, 2024Complaint inspection · 1 citation
  1. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 12, 2024
    Inspectors wroteBased on clinical records and staff interviews, it was determined that the facility failed to monitor residents' weight for three of three residents reviewed. (Resident R1, Closed Record Resident CR1 and CR2)
June 26, 2024Complaint inspection · 4 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on observations, resident and staff interviews, it was determined that the facility failed to determine the ability to self-administer medications for two of ten residents (Residents R1 and R2).
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on review of facility policy and clinical records and staff interview, it was determined that the facility failed to update a care plan for one of 10 residents (Resident R3) to accurately reflect the current status of the resident.
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on review of facility policy, clinical record, observation, and staff interview it was determined that the facility failed to have timely smoking assessments for two of ten residents (Residents R4, and R5).
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on review of facility policy, clinical records, observations and staff interviews it was determined that the facility failed to ensure that residents received complete neurological assessments after a fall and a complete set of vital signs every shift for 72 hours for one of three residents (Closed Record Resident CR1) and failed to make certain each resident received adequate supervision that resulted in two elopements (resident exits to an unsupervised or unauthorized area without the facility's knowledge) for one of three residents (CR1).
February 21, 2024Complaint inspection · 3 citations
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2024
    Inspectors wroteBased on review of facility policy, clinical record review, investigation documentation, and staff interviews, it was determined that the facility failed to conduct a thorough investigation to rule out neglect and/or abuse for one of three sampled residents (Resident R1).
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2024
    Inspectors wroteBased on review of clinical record, facility policy, and staff interview, it was determined that the facility failed to develop a baseline care plan that included interventions needed to provide effective and person-centered care for one of three residents (Resident R1).
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2024
    Inspectors wroteBased on review of facility policy, clinical records, and staff interviews it was determined that the facility failed to provide needed care and services to prevent falls, provide an ongoing assessment post fall, and follow physician orders for one of three residents (Resident R1).
November 9, 2023Standard inspection · 4 citations
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on review of facility policy, observation, and staff interviews, it was determined that the facility failed to properly store medical supplies and biologicals in one of two medication rooms (East Medication Room). Review of the facility policy Storage and Expiration of Medications, Biologicals, Syringes, and Needles dated 7/1/23, indicated the facility should ensure that medications and biologicals are stored in an orderly manner in cabinets, drawers, carts, refrigerators/freezers of sufficient size to prevent crowding. The facility should ensure that food is not to be stored in the refrigerator, freezer, or general storage areas where medications are biologicals are stored.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on review of facility policy, observation, and staff interview, it was determined that the facility failed to provide a safe and sanitary environment to help prevent the potential for cross contamination for one of two medication rooms (East Medication Room).
  3. D
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    F575 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on observations and staff interviews it was determined that the facility failed to have required postings for the Medicaid fraud control unit for the facility.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on review of facility policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to fully investigate an incident for one of three residents reviewed (Resident R157).

Fire safety inspections

1 fire safety citation on file: 1 on September 5, 2025.

Every fire safety citation1 citation
  1. C
    Conduct testing and exercise requirements.
    E 39 · September 5, 2025 · 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)3.223.893.86
Registered nurses0.760.790.69
All nursing staff on weekends2.933.533.42
Nurse aides1.98
Licensed practical nurses0.47
Nursing staff turnover (share who left in a year)28.4%44.5%45.8%
Registered nurse turnover6.7%39.9%42.9%
Administrators who left0

CMS expects 4.13 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 3.34 on weekdays and 2.93 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.22 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.220.763.342.93 0.8%0 of 90113
Oct to Dec 20253.310.773.403.08 2.4%0 of 92116
Jul to Sep 20253.250.763.422.83 2.3%0 of 92112
Apr to Jun 20253.280.783.393.00 0.5%0 of 91108
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Pennsylvania

JobMedianMiddle halfEmployed
Pennsylvania, all employers
CNAs (nursing assistants)$21.44$18.88 to $22.5267,740
LPNs and LVNs$30.74$29.02 to $35.0138,260
Registered nurses$46.36$38.75 to $50.35146,520
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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
5.516.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.81.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.717.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.84.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.217.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.822.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.79.512.0

Owners and operators

Legal business name: SYCAMORE CREEK HEALTHCARE GROUP, INC. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Volpe, BenjaminCorporate directorIndividual03/01/2019
Weisberg, WilliamCorporate directorIndividual03/01/2019
Nicoluzakis, GregoryCorporate officerIndividual03/01/2019
Volpe, BenjaminCorporate officerIndividual03/01/2019
Weisberg, WilliamCorporate officerIndividual03/01/2019
Saber Governance LLCOperational/managerial controlOrganization09/01/2019
Shg Management LLCOperational/managerial controlOrganization09/01/2019
Meenan, CodyOperational/managerial controlIndividual05/01/2021
Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020)Adp of the SNFOrganization01/01/2023
Bnv Dynasty LLCAdp of the SNFOrganization01/01/2023
Caring Heights Real Estate Group, LLCAdp of the SNFOrganization02/26/2021
Cibc Bank USAAdp of the SNFOrganization02/26/2021
Citrin Cooperman Advisors LLCAdp of the SNFOrganization07/01/2006
Rkl LLPAdp of the SNFOrganization01/26/2023
Saber Governance LLCAdp of the SNFOrganization09/01/2019
Saber Healthcare Group LLCAdp of the SNFOrganization07/01/2006
Shg Management LLCAdp of the SNFOrganization09/01/2019
Tcf National BankAdp of the SNFOrganization07/19/2019
Wiw Dynasty LLCAdp of the SNFOrganization01/01/2023
Bubenheim, DanielAdp of the SNFIndividual06/01/2013
Meenan, CodyAdp of the SNFIndividual05/01/2021
Nicoluzakis, GregoryAdp of the SNFIndividual03/01/2019
Volpe, BenjaminAdp of the SNFIndividual03/01/2019
Weisberg, WilliamAdp of the SNFIndividual07/01/2006

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. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 18 problems in this area, most recently on June 2, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 17 problems in this area, most recently on June 2, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 9 problems in this area, most recently on September 5, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 8 problems in this area, most recently on December 3, 2025: "Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the Pennsylvania average of 3.53.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Caring Heights Community Care & Rehab Ctr's Medicare star rating?
CMS rates Caring Heights Community Care & Rehab Ctr 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Caring Heights Community Care & Rehab Ctr get at its last inspection?
28 health deficiencies at the standard inspection on September 5, 2025. The Pennsylvania average is 10.
Has Caring Heights Community Care & Rehab Ctr been fined?
CMS lists no fines in the last three years.
Does Caring Heights Community Care & Rehab Ctr 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 Caring Heights Community Care & Rehab Ctr?
CMS lists 24 owners and managers, and links the home to Saber Healthcare Group. Legal business name: SYCAMORE CREEK HEALTHCARE GROUP, INC.

Sources

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