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Home / Pennsylvania / Wilkes-Barre

Embassy of East Mountain

101 East Mountain Drive, Wilkes-Barre, PA 18702 · Luzerne County · (570) 825-5892

120 certified beds, about 98 residents a day · For profit - Corporation · Medicare and Medicaid since 1985

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395706 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 9, 2026, inspectors cited 11 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 40 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

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

Nurses and nurse aides worked 3.42 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

35.2% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Embassy Healthcare, an affiliated group of 33 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 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
18E
0F
Potential for minimal harm
0A
1B
0C
May 27, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 16, 2026
    Inspectors wroteBased on review of clinical records, select facility policy, payor source data, and resident and staff interview, it was determined the facility failed to ensure timely and necessary dental services for one resident who is a Medicaid recipient (Resident 1) out of 10 residents reviewed.
January 9, 2026Standard inspection, Complaint inspection · 11 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observations, review of clinical records, review of select facility policies and information submitted by the facility, and staff interviews, it was determined that the facility failed to provide adequate staff supervision of a resident to monitor the resident's whereabouts and timely identify the resident's absence from the facility to assure prompt implementation of established procedures for a missing resident, which placed the resident in immediate jeopardy for one out of 19 residents sampled (Resident 26). Following this elopement the facility further failed to promptly identify the resident's absence as well as identify supervisory and safety needs to prevent unsupervised exits from the facility, which placed residents in immediate jeopardy of unsupervised exits from the facility and the potential for serious bodily injury or death.
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on a review of facility policy, the minutes from facility Resident Council meetings, and grievances filed with the facility, and resident and staff interviews, it was determined the facility failed to put forth sufficient efforts to promptly resolve continued resident complaints and grievances expressed during Resident Council meetings and verbal grievances, including those voiced by five of five residents attending a resident group meeting (Residents 51, 58, 63, 73, and 99) and failed to keep the residents apprised of the status of the facility's decisions and efforts toward grievance resolution.
  3. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observations and resident and staff interviews, it was determined the facility failed to maintain a safe, sanitary, and homelike environment in two out of three resident shower rooms (East and West).
  4. E
    Provide activities to meet all resident's needs.
    F679 · 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) February 20, 2026
    Inspectors wroteBased on a review of scheduled activities and resident and staff interviews, it was determined the facility failed to provide an ongoing program of activities to meet the interests of and support the physical, mental, and psychosocial well-being of residents including experiences expressed by five out of five residents during a resident group interview (Residents 51, 58, 63, 73, and 99).
  5. E
    Ensure the activities program is directed by a qualified professional.
    F680 · 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) February 20, 2026
    Inspectors wroteBased on review of facility documentation and staff interviews it was determined the facility failed to employ and maintain a qualified activities director.
  6. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observations and resident and staff interviews, it was determined the facility failed to consistently provide snacks as desired by residents, including experiences reported by five out of five residents during a group interview (Residents 73, 51, 58, 63, and 99).
  7. E
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observations, review of clinical records, review of select facility policies and job descriptions, information submitted by the facility, and staff interviews, it was determined that the facility failed to ensure effective administrative oversight to maintain systems necessary to provide a safe environment and adequate supervision to prevent resident elopement. This failure resulted in Immediate Jeopardy to the health and safety of one resident (Resident 26) out of 19 residents sampled and placed other residents at risk for serious bodily injury or death.
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on a review of clinical records, select facility policy, observation, and resident and staff interviews, it was determined the facility failed to ensure oxygen therapy was administered per physician orders consistent with the professional standard of practice for one resident out of 18 sampled (Resident 40).
  9. D
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on review of facility documents, clinical records, and staff and resident interviews, it was determined that the facility failed to ensure physician review and oversight of recommendations provided by a consulting medical specialist for one of 19 residents reviewed (Resident 11).
  10. 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) February 20, 2026
    Inspectors wroteBased on review of the facility policy, observations, and staff interviews, it was determined the facility failed to ensure medications and biologicals were stored and labeled in accordance with professional standards and manufacturer recommendations. Specifically, the facility failed to ensure that multi-dose medication vials were labeled with an open date on two of two nursing areas (East Hall Medication Room and [NAME] Hall Medication Room).
  11. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on a review of clinical records, facility-initiated transfer notices, and staff interview, it was determined the facility failed to notify the resident and the resident's representative(s) of the transfer in writing and in a language and manner they understand and to provide copies of written notice of facility-initiated hospital transfers of residents to a representative of the Office of the State Ombudsman for two out of 19 residents reviewed (Resident 11 & Resident 41).
August 21, 2025Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on a review of clinical records, facility policy, resident representative and staff interviews, it was determined the facility failed to ensure residents maintain acceptable parameters of nutritional status, such as usual body weight, unless the resident's clinical condition demonstrates that is not possible for one out of four residents sampled (Resident CR1).
May 29, 2025Complaint inspection · 1 citation
  1. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · 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 5, 2025
    Inspectors wroteBased on a review of clinical records and residents' financial account records and staff interview, it was determined the facility failed to return the personal funds of one discharged resident (Resident CR1) within 30 days of discharge, for one of 12 residents reviewed.
March 7, 2025Standard inspection, Complaint inspection · 13 citations
  1. E
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on a review of clinical records and resident and staff interviews it was determined the facility failed to develop and implement an individualized discharge plan for two of 21 residents reviewed (Residents 252 and 81) to reflect the residents' discharge goals. Findings Include: Clinical record review revealed that Resident 251 was admitted to the facility on [DATE], with diagnoses to include alcoholic cirrhosis of the liver (a degenerative disease of the liver resulting in scarring and liver failure). Review of an admission Minimum Data Set Assessment (MDS- a federally mandated standardized assessment process completed at specific intervals to plan resident care) dated December 17, 2024, indicated the resident had a BIMS (brief interview mental screener that aids in detecting cognitive impairment) score of 15 indicating he was cognitively intact. [...]
  2. E
    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, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observations and interview, it was determined the facility failed to maintain an environment free of accident hazards to the extent possible in three of three resident hallways
  3. E
    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, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, review of select facility policy and staff interview, the facility failed to store Oxygen in a safe and secure manner.
  4. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure the provision of pharmacy services to assure the timely receipt and administration of physician-prescribed medications for three (3) of twenty-one (21) residents reviewed (Residents 90, 64, and 201). The facility also failed to implement a process for providing pharmacy services, including access to emergency medications when not available onsite, and failed to maintain oversight of the facility's medication dispensing system.
  5. E
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on a review of the facility's automated emergency medication system, applicable state regulations, facility policies, and staff interviews, it was determined that the facility failed to comply with Federal, State, and Local laws and professional standards by not ensuring pharmacy services necessary for daily pharmacy operations according to state requirements of Pa. Code title 49.
  6. 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) April 11, 2025
    Inspectors wroteBased on a review of clinical records and the Resident Assessment Instrument (RAI) and staff interview, it was determined the facility failed to ensure the Minimum Data Set Assessment (MDS - a federally mandated standardized assessment conducted at specific intervals to plan resident care) accurately reflected the status of one resident out of 21 sampled (Resident 25).
  7. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on a review of clinical records and staff interviews, it was determined the facility failed to refer residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for a Preadmission Screening and Resident Review (PASRR) level II resident review for one out of 21 residents (Resident 81).
  8. 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 · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on clinical record review, information submitted by the facility, and staff interview, it was determined the facility failed to ensure that a resident's comprehensive care plan was reviewed and revised as needed to accurately reflect the resident's current needs and services required by one of 21 residents reviewed (Resident 81).
  9. 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) April 11, 2025
    Inspectors wroteBased on review of clinical records, select facility policy, and resident and staff interview, it was determined the facility failed to consistently provide restorative nursing services as planned to maintain mobility for one resident (Resident 85) out of 21 residents sampled.
  10. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on review of clinical records and staff interview, it was determined the facility failed to provide therapeutic social services to promote the mental and psychosocial well-being of two residents out of 21 sampled (Resident 251 and Resident 81).
  11. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on review of clinical records and resident payor source data, and staff interview, it was determined the facility failed to offer routine annual dental services for two private payor source residents (Residents 60 and 39) out of four residents sampled for dental services.
  12. 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) April 11, 2025
    Inspectors wroteBased on review of clinical records and resident payor source data, and staff interview, it was determined the facility failed to offer routine annual dental services for one Medicaid payor source resident (Resident 64) out of four residents sampled for dental services.
  13. 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) April 11, 2025
    Inspectors wroteBased on clinical record review, and staff interview, it was determined the facility failed to ensure coordination of Hospice services with facility services to meet each individual residents' needs daily for the management of a terminal illness of one of two residents reviewed receiving hospice services. (Resident 54 and 61).
April 12, 2024Standard inspection, Complaint inspection · 9 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 21, 2024
    Inspectors wroteBased on review of select facility policy and minutes from Resident Council and Food Committee meetings and resident and staff interviews it was determined that the facility failed to put forth sufficient efforts to promptly resolve continued resident complaints/grievances expressed during Resident Council and Food Committee Meetings and submitted grievances, including those voiced by four of 4 residents (Residents 16, 37, 81, and 50).
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · 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) May 21, 2024
    Inspectors wroteBased on select facility policy and clinical records and resident and staff interviews, it was determined that the facility failed to ensure that dependent residents were provided with the necessary services to maintain good personal hygiene, by failing to provide showers as scheduled and personal grooming for three of 23 residents sampled (Residents 5, 7 and 47).
  3. E
    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, pattern · Corrected (the home has a date of correction) May 21, 2024
    Inspectors wroteBased on observation and staff interview it was determined that the facility failed to maintain an environment free of potential accident hazards on the East and [NAME] Hallways.
  4. E
    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, pattern · Corrected (the home has a date of correction) May 21, 2024
    Inspectors wroteBased on a review of select facility policy and clinical records, observation, and staff interview it was determined that the facility failed to consistently administer oxygen as ordered and maintain sanitary oxygen delivery systems for one out of two sampled residents (Resident 47).
  5. 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) May 21, 2024
    Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness.
  6. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2024
    Inspectors wroteBased on a review of clinical records and the Resident Assessment Instrument and staff interviews, it was determined that the facility failed to conduct a significant change Minimum Data Set Assessments (MDS - a federally mandated standardized assessment process conducted at specific intervals to plan resident care) for one of 23 residents reviewed (Resident 19).
  7. 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) May 21, 2024
    Inspectors wroteBased on a review of clinical records and the Resident Assessment Instrument and staff interviews, it was determined that the facility failed to ensure the Minimum Data Set Assessments (MDS - a federally mandated standardized assessment conducted at specific intervals to plan resident care) accurately reflected the status of one resident out of 23 sampled (Residents 32).
  8. 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 · Corrected (the home has a date of correction) May 21, 2024
    Inspectors wroteBased on review of clinical records and staff interview, it was determined that the facility failed to revise a comprehensive care plan in response to the discontinuation of Hospice services (a type of care and philosophy of care that focuses on the palliation of a chronically ill, terminally ill or seriously ill patient's pain and symptoms, attending to their emotional and spiritual needs) for one resident out of 23 reviewed (Resident 19).
  9. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2024
    Inspectors wroteBased on a review of clinical records and staff interview, it was determined that the facility failed to develop and implement an effective individualized person-centered plan to address a resident's dementia-related behavioral symptoms for one out of 23 residents reviewed (Resident 34).
January 9, 2024Complaint inspection · 3 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2024
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to provide housekeeping and maintenance services to maintain a clean and orderly environment in resident areas on three of three resident units (West Wing, East Wing and Alzheimer Care Unit).
  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 · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2024
    Inspectors wroteBased on clinical record review, observations and staff interview, it was determined that the facility failed to provide meal service in an environment that maintains each resident's dignity as evidenced by two residents out of six sampled (Residents 9 and 36).
  3. 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) February 20, 2024
    Inspectors wroteBased on clinical record review, observation, and resident and staff interviews, it was determined that the facility failed to ensure that a resident's comprehensive care plan was reviewed and revised as needed to accurately reflect the resident's current needs and services required by one of 14 residents reviewed (Resident 73).
September 27, 2023Complaint inspection · 1 citation
  1. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 30, 2023
    Inspectors wroteBased on observations, a review of pest control records, and staff interview it was determined that the facility failed to maintain an effective pest control program and act upon recommendations of the professional pest control services to prevent infestation.

Fire safety inspections

18 fire safety citations on file: 5 on January 9, 2026, 7 on March 7, 2025, 6 on April 12, 2024.

Every fire safety citation18 citations
  1. E
    Use approved construction type or materials.
    K 161 · January 9, 2026 · Corrected (the home has a date of correction)
  2. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 9, 2026 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 9, 2026 · Corrected (the home has a date of correction)
  4. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · January 9, 2026 · Corrected (the home has a date of correction)
  5. C
    Have simulated fire drills held at unexpected times.
    K 712 · January 9, 2026 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · March 7, 2025 · Corrected (the home has a date of correction)
  7. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 7, 2025 · Corrected (the home has a date of correction)
  8. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 7, 2025 · Corrected (the home has a date of correction)
  9. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 7, 2025 · Corrected (the home has a date of correction)
  10. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · March 7, 2025 · Corrected (the home has a date of correction)
  11. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 7, 2025 · Corrected (the home has a date of correction)
  12. E
    Have proper medical gas storage and administration areas.
    K 923 · March 7, 2025 · Corrected (the home has a date of correction)
  13. E
    Use approved construction type or materials.
    K 161 · April 12, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 12, 2024 · Corrected (the home has a date of correction)
  15. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 12, 2024 · Corrected (the home has a date of correction)
  16. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · April 12, 2024 · Corrected (the home has a date of correction)
  17. E
    Have proper medical gas storage and administration areas.
    K 923 · April 12, 2024 · Corrected (the home has a date of correction)
  18. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 12, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

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

Staffing

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

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.423.893.86
Registered nurses0.540.790.69
All nursing staff on weekends3.253.533.42
Nurse aides2.04
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)35.2%44.5%45.8%
Registered nurse turnover23.1%39.9%42.9%
Administrators who left2

CMS expects 3.80 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 3.48 on weekdays and 3.25 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.42 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.420.543.483.25 1.7%0 of 9098
Oct to Dec 20253.450.563.543.22 1.8%0 of 9299
Jul to Sep 20253.610.633.723.34 2.7%0 of 92101
Apr to Jun 20253.550.683.653.30 0.0%0 of 9198
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

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

Quality measures

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

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.616.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.21.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.03.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.31.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.817.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.24.84.6
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
25.422.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.49.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.21.8

Owners and operators

Legal business name: EMBASSY OF EAST MOUNTAIN, LLC. CMS links this home to Embassy Healthcare, a group of 33 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Gph Wilkes-Barre East Mountain LP5% or greater security interestOrganization06/01/2024
Handler, AaronOperational/managerial controlIndividual06/01/2024
Levulis, LorreeOperational/managerial controlIndividual06/01/2024
Repchick, GeorgeOperational/managerial controlIndividual06/01/2024
Andrews, HeatherIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/04/2025
Linam, KimIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/04/2025
Rasmussen-Jones, HollyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/04/2025
Beverly Enterprises - Pennsylvania, Inc.Adp of the SNFOrganization06/01/2024
Beverly Enterprises LLCAdp of the SNFOrganization06/01/2024
Beverly Health and Rehabilitiation Services, IncAdp of the SNFOrganization08/01/2024
Drumm Intermediary Sub Co LLCAdp of the SNFOrganization06/01/2024
Drumm Merger CoAdp of the SNFOrganization06/01/2024
Drumm Merger Co Sub LLCAdp of the SNFOrganization06/01/2024
Fillmore Strategic Investors LLCAdp of the SNFOrganization06/01/2024
Geary Property Holdings LLCAdp of the SNFOrganization06/01/2024
Gph Wilkes-Barre East Mountain LPAdp of the SNFOrganization06/01/2024
Pearl Senior Care, LLC.Adp of the SNFOrganization06/01/2024
Washington State Investment BoardAdp of the SNFOrganization06/01/2024
Levulis, LorreeAdp of the SNFIndividual04/04/2025
McIlvried, RobbAdp of the SNFIndividual04/04/2025

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

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 16 problems in this area, most recently on May 27, 2026: "Provide or obtain dental services for each resident."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on March 7, 2025: "Plan the resident's discharge to meet the resident's goals and needs."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on January 9, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on January 9, 2026: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 hours per resident per day, below the Pennsylvania average of 3.53.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Embassy of East Mountain's Medicare star rating?
CMS rates Embassy of East Mountain 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Embassy of East Mountain get at its last inspection?
11 health deficiencies at the standard inspection on January 9, 2026. The Pennsylvania average is 10.
Has Embassy of East Mountain been fined?
CMS lists no fines in the last three years.
Does Embassy of East Mountain 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 Embassy of East Mountain?
CMS lists 20 owners and managers, and links the home to Embassy Healthcare. Legal business name: EMBASSY OF EAST MOUNTAIN, LLC.

Sources

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