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Cross Keys Village-Brethren Home Community, the

Box 128, 2990 Carlisle Pk, New Oxford, PA 17350 · Adams County · (717) 624-2161

100 certified beds, about 88 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395108 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 31, 2026, inspectors cited 0 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 5 health citations since April 2024, 1 was rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.75 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.

57.1% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
3D
1E
0F
Potential for minimal harm
0A
0B
0C
June 15, 2026Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on facility policy review, clinical record review, review of facility investigation documentation, and staff interviews, it was determined that the facility failed to provide adequate supervision and implement interventions to prevent falls, which resulted in actual harm as evidenced by a fall resulting in a laceration requiring sutures for one of three residents reviewed (Resident 1).
March 31, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
March 13, 2025Standard 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) April 25, 2025
    Inspectors wroteBased on observation, facility policy review, and staff interview, it was determined that the facility failed to ensure that food was prepared and served under sanitary conditions in the main facility kitchen.
  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) April 25, 2025
    Inspectors wroteBased on review of facility policy, observations, and interviews with staff, it was determined that the facility failed to ensure that care and services were provided in a manner that enhanced resident dignity for one of eighteen residents reviewed (Resident 42).
  3. 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) April 25, 2025
    Inspectors wroteBased on document review and staff interview, it was determined that the facility failed to ensure each resident is informed periodically of items and services not covered under Medicare for one of three residents reviewed after their Medicare stay (Resident 6). Findings Include: A review of the Skilled Nursing Facility Beneficiary Notification Review form revealed Medicare services ended for Resident 6 on February 19, 2025. A continued review of documents provided by the facility revealed that Resident 6 was not provided with the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN) form to notify Resident 6 and/or her Representative of the cost of the facility's items and services no longer covered under Medicare. [...]
  4. 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) April 25, 2025
    Inspectors wroteBased on observations, facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure staff implemented infection control policies to prevent the spread of infection by using proper hand hygiene techniques for one of one medication observations (South Mountain). Findings Include: Review of facility policy titled, Hand Hygiene, last reviewed and revised January 2025, revealed that staff should perform hand hygiene immediately before touching a resident, after touching a resident or the resident's immediate environment, and immediately after glove removal. Observation on March 12, 2025, at 8:00 AM, revealed Employee 1 (Licensed Practical Nurse) preparing Resident 42's medications. The medications included oral medications and injectable medication. [...]
April 4, 2024Standard inspection · 0 citations

Fire safety inspections

9 fire safety citations on file: 4 on March 13, 2025, 2 on April 4, 2024, 3 on June 29, 2023.

Every fire safety citation9 citations
  1. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 13, 2025 · Corrected (the home has a date of correction)
  2. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 13, 2025 · Corrected (the home has a date of correction)
  3. D
    Have properly located and lighted "Exit" signs.
    K 293 · March 13, 2025 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 13, 2025 · Corrected (the home has a date of correction)
  5. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · April 4, 2024 · Corrected (the home has a date of correction)
  6. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 4, 2024 · Corrected (the home has a date of correction)
  7. D
    Have an enclosure around a vertical opening shaft.
    K 311 · June 29, 2023 · Corrected (the home has a date of correction)
  8. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 29, 2023 · Corrected (the home has a date of correction)
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 29, 2023 · 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)3.753.893.86
Registered nurses0.820.790.69
All nursing staff on weekends3.273.533.42
Nurse aides2.21
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)57.1%44.5%45.8%
Registered nurse turnover52.0%39.9%42.9%
Administrators who left1

CMS expects 3.52 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 3.95 on weekdays and 3.27 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.26 in April to June 2025 to 3.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.750.823.953.27 0.0%0 of 9088
Oct to Dec 20253.790.794.043.18 0.0%0 of 9289
Jul to Sep 20253.920.814.013.68 0.0%0 of 9291
Apr to Jun 20254.260.844.433.84 0.0%0 of 9187
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
31.116.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.91.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.33.13.2
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
28.517.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.34.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.417.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
7.422.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.49.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cross Keys Village-Brethren Home Community, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.0% this home

No different from the national rate

US median of homes 51.5% · Pennsylvania: 100 better, 108 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 131 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Pennsylvania: 3 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 135 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Pennsylvania: 7 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 81 eligible stays.

Self-care and mobility at discharge

48.2% this home

Median of homes: Pennsylvania54.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 56 residents counted.

Falls with major injury

1.6% this home

Median of homes: Pennsylvania0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 62 residents counted.

New or worsened pressure ulcers

1.6% this home

Median of homes: Pennsylvania2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 62 residents counted.

Medication list given at discharge

82.8% this home

Median of homes: Pennsylvania100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 29 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: THE BRETHREN HOME COMMUNITY.

NameRoleTypeShareSince
Manufacturers & Traders Trust Company5% or greater mortgage interestOrganization09/08/2016
Wilmington Trust5% or greater mortgage interestOrganization11/12/2015
Manufacturers & Traders Trust Company5% or greater security interestOrganization09/08/2016
Asper, BeverlyManaging control - governing bodyIndividual12/01/2024
Bowlin, JessicaCorporate directorIndividual04/21/2025
Brallier, CrystalCorporate directorIndividual11/25/2015
Knight, TammyCorporate directorIndividual04/21/2025
Sowers, ScottCorporate directorIndividual11/25/2015
Asper, BeverlyCorporate officerIndividual12/01/2024
Balthaser, JamesCorporate officerIndividual12/01/2022
Brallier, CrystalCorporate officerIndividual11/25/2015
Hollinger, DianneCorporate officerIndividual10/01/2022
Lerew, DonnaCorporate officerIndividual08/16/2022
Saunders, MaryCorporate officerIndividual12/01/2022
Sowers, ScottCorporate officerIndividual11/25/2015
Brallier, CrystalOperational/managerial controlIndividual11/25/2015
Asper, BeverlyAdp of the SNFIndividual12/01/2024
Bowlin, JessicaAdp of the SNFIndividual04/21/2025
Brallier, CrystalAdp of the SNFIndividual11/25/2015
Chan, JoanneAdp of the SNFIndividual03/20/2025
Keller, ThomasAdp of the SNFIndividual03/20/2025
Knight, TammyAdp of the SNFIndividual04/21/2025
Kruzic, AdamAdp of the SNFIndividual01/30/2017
Sowers, ScottAdp of the SNFIndividual11/15/2015

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 2 problems in this area, most recently on March 13, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 15, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 13, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 13, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.27 hours per resident per day, below the Pennsylvania average of 3.53.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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 Cross Keys Village-Brethren Home Community, the's Medicare star rating?
CMS rates Cross Keys Village-Brethren Home Community, the 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cross Keys Village-Brethren Home Community, the get at its last inspection?
0 health deficiencies at the standard inspection on March 31, 2026. The Pennsylvania average is 10.
Has Cross Keys Village-Brethren Home Community, the been fined?
CMS lists no fines in the last three years.
Does Cross Keys Village-Brethren Home Community, the 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 Cross Keys Village-Brethren Home Community, the?
CMS lists 24 owners and managers. Legal business name: THE BRETHREN HOME COMMUNITY.

Sources

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