Home / Pennsylvania / Forksville
Darway Healthcare and Rehabilitation Center
5865 Route 154, Forksville, PA 18616 · Sullivan County · (570) 924-3411
67 certified beds, about 54 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395909 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 12, 2025, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 16 health citations since February 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 3.60 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.
27.6% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Akiko Ike, an affiliated group of 6 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.
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 16 health citations on file.
April 25, 2026Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on a review of select facility policies and procedures, staff interview, and review of personnel training records, it was determined that the facility failed to implement measures to protect residents from abuse for one of nine employees reviewed (Employee 2, Resident 1).
December 12, 2025Standard inspection · 3 citations
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, observation, and staff and resident interview, it was determined that the facility failed to complete a significant change Minimum Data Set (MDS) assessment for two of 13 residents reviewed (Residents 2 and 44).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident's attending physician addressed a pharmacy recommendation appropriately for one of five residents reviewed (Resident 8).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to implement the highest practicable care regarding infection control measures for one of one resident reviewed for transmission-based precautions (Resident 10 ).
January 10, 2025Standard inspection, Complaint inspection · 6 citations
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, clinical record review, review of select manufacturer's guidelines, and staff interview, it was determined that the facility failed to ensure a medication error rate below five percent (Residents 25 and 18).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the physician of a resident's change in condition requiring interventions for one of 12 residents reviewed (Resident 24).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding bowel protocol medication administration for one of one resident reviewed (Resident 203).
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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 two of three residents reviewed (Residents 23 and 47).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure the consultant pharmacist identified and reported an irregularity to the physician for one of five residents reviewed for potentially unnecessary medications (Resident 23).
- D Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspectors wroteBased on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to ensure professional staff were licensed, certified, or registered in accordance with state laws for one of three staff members reviewed (Employee 4; Residents 3 and 50).
February 23, 2024Standard inspection · 6 citations
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure an appropriate physician response to consultant pharmacist recommendations for three of five residents reviewed for potentially unnecessary medications (Residents 22, 41, and 46).
- 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.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to ensure residents' medication regime was free from potentially unnecessary medication for three of five residents reviewed for medication regime review (Residents 22, 41, and 46).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of select facility policies, clinical record review, and staff interview, it was determined that the facility failed to develop and implement an abuse prohibition policy that ensured a complete and thorough investigation of an incident involving the potential for neglect for one of 14 residents reviewed (Resident 24).
- D 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.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident or resident representative received written notice of the facility bed hold policy at the time of transfer for two of two residents reviewed for hospitalizations (Residents 32 and 48).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to develop a comprehensive plan of care regarding pacemaker care for one of 14 residents reviewed (Resident 32).
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify a resident and/or their responsible party in writing of a transfer to the hospital for two of two residents reviewed (Residents 32 and 48).
Fire safety inspections
7 fire safety citations on file: 2 on December 12, 2025, 3 on January 10, 2025, 2 on February 23, 2024.
Every fire safety citation7 citations
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install corridor and hallway doors that block smoke.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- C Install emergency lighting that can last at least 1 1/2 hours.
- E Install corridor and hallway doors that block smoke.
- E Have proper medical gas storage and administration areas.
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.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.60 | 3.89 | 3.86 |
| Registered nurses | 0.81 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.53 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 27.6% | 44.5% | 45.8% |
| Registered nurse turnover | 18.2% | 39.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.19 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 3.68 on weekdays and 3.40 on weekends, 8% 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 3.82 in April to June 2025 to 3.60 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.60 | 0.81 | 3.68 | 3.40 | 0.0% | 0 of 90 | 54 |
| Oct to Dec 2025 | 4.05 | 0.75 | 4.15 | 3.79 | 0.0% | 0 of 92 | 51 |
| Jul to Sep 2025 | 4.00 | 0.83 | 4.09 | 3.78 | 0.0% | 0 of 92 | 51 |
| Apr to Jun 2025 | 3.82 | 0.84 | 3.89 | 3.65 | 0.0% | 0 of 91 | 53 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.1 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.0 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 40.0 | 17.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.2 | 1.8 |
Owners and operators
Legal business name: DARWAY NURSING CARE CENTER LLC. CMS links this home to Akiko Ike, a group of 6 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Swales, Hedwig | W-2 managing employee | Individual | 02/15/2022 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on December 12, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 10, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 25, 2026: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 12, 2025: "Assess the resident when there is a significant change in condition"
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Highlands Rehabilitation and Healthcare Laporte, 8.7 mi · 2 of 5 stars · 46 citations
- Robert Packer Hospital Skilled Care and Rehabilit Towanda, 20.9 mi · 2 of 5 stars · 18 citations
- Muncy Place Muncy, 22.4 mi · 3 of 5 stars · 20 citations
- Valley View Rehab and Nursing Center Montoursville, 22.8 mi · 3 of 5 stars · 35 citations
- Wecare at Sycamore Rehabilitation and Nursing Cent Montoursville, 24.4 mi · 1 of 5 stars · 85 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Darway Healthcare and Rehabilitation Center's Medicare star rating?
- CMS rates Darway Healthcare and Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Darway Healthcare and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on December 12, 2025. The Pennsylvania average is 10.
- Has Darway Healthcare and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Darway Healthcare and Rehabilitation 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 Darway Healthcare and Rehabilitation Center?
- CMS lists 1 owner or manager, and links the home to Akiko Ike. Legal business name: DARWAY NURSING CARE CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.