Home / Pennsylvania / State College
Embassy of Hearthside
450 Waupelani Drive, State College, PA 16801 · Centre County · (814) 237-0630
157 certified beds, about 124 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
CMS note: The accuracy of the staffing data for this measure could not be validated by CMS.
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395868 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 20, 2026, inspectors cited 19 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 79 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $150,556 in the last three years; the largest was $129,314, and the latest is dated October 7, 2025.
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.
109/23
111/23
202/24
2004/24
109/24
111/24
111/24
1803/25
106/25
208/25
110/25
202/26
1902/26
605/26
107/26
207/26
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 79 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
46D
23E
7F
Potential for minimal harm
0A
0B
0C
July 23, 2026Complaint inspection · 2 citations
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on closed clinical record review and staff interview, it was determined that the facility failed to develop a baseline care plan within 48 hours of admission for one of two residents reviewed (Residents CR2).
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to obtain diagnostic services to meet the needs of its residents and ensure those services are obtained promptly for one of one resident reviewed for a change in condition (Resident 4). Findings Include: Clinical record review for Resident 4 revealed a nursing progress note dated May 26, 2026, at 9:34 PM which noted the facility staff were alerted to the resident complaining of a swollen middle finger on the left hand. The note indicated upon assessment the finger was purple in color, swollen, and bruised. [...]
July 1, 2026Complaint inspection · 1 citation
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and staff interviews, it was determined that the facility failed to ensure a safe and functional environment on two of two nursing units observed ([NAME] and University) and for one of five residents reviewed (Resident 1).
May 6, 2026Complaint inspection · 6 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on staff interview, it was determined the facility failed to employee a full-time qualified director of food and nutrition services in the absence of a full-time qualified dietitian.
- 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.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to maintain adequate housekeeping and maintenance services to ensure a clean, comfortable, orderly, and homelike environment on three of four nursing units, (Heirloom, [NAME] & University) and in an outdoor access area (breezeway) that leads to the central supply room. Findings Include:Observations of the Heirloom nursing unit main shower room on May 6, 2026, at 12:20 PM revealed that the bathroom has a strong, musty smelling odor. A dark, black substance was observed lining the white wall grout where the floor meets the wall under the shower head. The black buildup extended five feet from under the showerhead, to the corner, and three feet along the adjoining wall of the shower area, spreading into the grout of the floor tiles of the corner. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to store food and maintain food service equipment in accordance with professional standards for food service safety in the facility's main kitchen.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on staff and resident interviews, the facility failed to inform residents, in advance, of the care to be furnished for one of six residents reviewed (Resident 3).
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to prepare food in a form to meet physician ordered diets for one of one resident reviewed (Resident 5).
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to provide an assistive device for one of one resident reviewed (Resident 5). Findings Include: Review of Resident 5's care plan (an outline of an individual's health needs, specific care requirements, and the actions necessary to achieve desired health outcomes, represented as the focus, goal, and interventions), revealed the resident required assistance with activities of daily living (ADLs - things such as eating, drinking, dressing, bathing, hygiene). A spouted sippy cup (adaptive feeding cup with a lid and spout to assist in drinking) and red foam built up handles on spoons were listed as an intervention to aid the resident in eating/drinking. Observation of Resident 5 on May 6, 2026, at 12:40 PM revealed the resident in bed with a lunch meal tray in front of her. [...]
February 20, 2026Standard inspection, Complaint inspection · 19 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on staff interview, it was determined that the facility failed to employ a full-time qualified director of food and nutrition services in the absence of a full-time qualified dietitian.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to store food and maintain food service equipment in accordance with professional standards for food service safety in the facility's main kitchen, and two of four nursing units (Nittany and University).
- 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.
Inspectors wroteBased on observation and resident and staff interview it was determined that the facility failed to provide adequate housekeeping and maintenance services to maintain a clean, safe, and functional environment for three of four nursing units (University, Heirloom, and Nittany; Residents 7, 49, 53, 84, 109, and 121) and the facility's laundry department.
- 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.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observation, and resident and staff interview, it was determined that the facility failed to obtain informed consent prior to the installation of bedrails for two of eight residents reviewed (Residents 8 and 11), and failed to assess all potential risks for entrapment for five of eight residents reviewed for bedrail use (Residents 4, 8, 9, 11, and 93).
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to ensure a medication error rate less than five percent (Residents 17 and 100).
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, review of facility documents, and resident and staff interview, it was determined that the facility failed to provide menu items as indicated for the dining room and two of four nursing units (Heirloom and Nittany, Residents 51 and 89).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, and resident and staff interview, it was determined that the facility failed to serve food at palatable temperatures on three of four nursing units (Heirloom, University, and Nittany; Residents 3, 13, 17, 89, and 93).
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on review of the facility's arbitration agreements and resident and staff interview, it was determined that the facility's arbitration agreements failed to ensure the selection of a neutral arbitrator for two of three residents reviewed with a signed arbitration agreement (Residents 93 and 118); and failed to include required regulatory language for one of three residents reviewed with a signed arbitration agreement (Resident 49).
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on clinical record review and resident and staff interviews, it was determined that the facility failed to ensure that written notice, including the reason for a room change, was provided to a resident prior to a facility-initiated room change for one of one resident reviewed for concerns related to resident choice (Resident 11).
- D Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on clinical record review, facility documentation review, and resident and staff interview, it was determined that the facility failed to obtain written authorization to manage personal funds for one of two residents reviewed for personal funds concerns (Resident 12).
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to establish clear end of life directives for one of six residents reviewed (Resident 13).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to thoroughly investigate and report to the appropriate agencies a potential allegation of misappropriation of resident property for one of 24 records reviewed (Resident 30).
- 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 and staff interview, it was determined that the facility failed to implement a comprehensive, person-centered care plan for suicidal ideations one of 24 residents reviewed (Resident 101).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to assist dependent residents with activities of daily living for two of two residents reviewed for activities of daily living concerns (Residents 11 and 8).
- 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.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to provide services to maintain a resident's range of motion (ROM) for two of six residents reviewed for ROM concerns (Residents 59 and 118).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, and resident and staff interviews, it was determined that the facility failed to implement a CPAP (continuous positive airway pressure) machine as recommended by a physician for one of one resident reviewed for oxygen concerns (Resident 93).
- 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.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to secure medications on one of four nursing units (Nittany, Residents 13 and 51).
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide routine dental services for two of four residents reviewed for dental concerns (Residents 2 and 30).
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, review of facility documents, and resident and staff interview, it was determined that the facility failed to provide food and drink to accommodate individualized preferences for one of 24 sampled residents. (Resident 89).
February 4, 2026Complaint inspection · 2 citations
- F Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation, review of facility documents, and resident and staff interview, it was determined that the facility failed to provide sufficient staff to carry out the functions of food and nutrition services in the main kitchen for one of four units (University, Residents 1, 2 and 3).
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on review of facility documents, and resident and staff interviews, it was determined that the facility failed to provide an ongoing program of activities designed to meet the individual needs and interests for four of four residents reviewed (Residents 1, 2, 3 and 4).
October 7, 2025Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, clinical record review, and staff and resident interview, it was determined that the facility failed to protect a resident's right to be free from physical abuse by staff that resulted in bruises to the resident's left arm, and medications administered against the resident's will, for one of five residents reviewed resulting in actual harm (Resident 1)
August 25, 2025Complaint inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to store food in accordance with professional standards for food service in the facility's main kitchen.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observation, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding elopements for one of five residents reviewed (Resident 4) and medication errors for one of five residents reviewed (Resident CR1).
June 11, 2025Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to thoroughly investigate and report to the appropriate agencies an allegation of resident-to-resident physical abuse for one of five records reviewed (Resident 1).
March 14, 2025Standard inspection, Complaint inspection · 18 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, clinical record review, review of facility documents, and resident and staff interview, it was determined that the facility failed to protect the rights of a resident to be free from neglect by not providing the services necessary to avoid physical harm related to a fracture of her right leg on one of two residents reviewed for abuse/neglect (Resident 9). This deficiency is cited as past noncompliance
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, review of select facility policies and procedures, and resident and staff interview, it was determined the facility failed to ensure acceptable parameters of nutrition status were maintained for four of 15 residents reviewed for nutrition concerns (Residents 49, 81, 105, and 108) and provide timely assessments and interventions from a qualified nutrition professional to promote acceptable parameters of nutrition status resulting in severe weight loss resulting in harm for one of 15 residents reviewed for nutrition concerns (Resident 81).
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on staff interview, it was determined that the facility failed to employ a full-time qualified director of food and nutrition services in the absence of a full-time qualified dietitian.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to store food and maintain food service equipment in accordance with professional standards for food service safety in the facility's main kitchen, and one of four nursing units ([NAME]).
- 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.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to provide adequate housekeeping and maintenance services to ensure a clean, safe, and orderly environment on three of four nursing units ([NAME], Nittany, University and Residents 8, 15, 43, 54, 64, 81, 82, 91, 100).
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on review of facility documentation and staff interview, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care and assessment of residents with enteral tube feeding, catheter care, medication administration, and dressing changes for four of four employees reviewed for competencies (Employees 11, 12, 13, and 14).
- 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 maintain pharmacy recommendations or evidence pharmacy recommendations were addressed by the physician for five of five residents reviewed (Residents 8, 16, 101, 108).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to implement appropriate enhanced barrier precautions for three of 24 residents reviewed (Residents 40, 72, and 325) and ensure an environment free from the potential spread of infection with the storage of resident equipment and supplies for one of four nursing units ([NAME]; Residents 8, 54, 64, and 81), and the facility laundry area.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to ensure that the facility determined a resident's ability to self-administer medications for one of one resident reviewed (Resident 72).
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to establish clear advance directives for one of four residents reviewed (Resident 323).
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide care and services to maintain or improve the ability to perform activities of daily living for one of three residents reviewed for eating concerns (Resident 105).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to implement physician orders for two of 24 residents reviewed (Residents 104 and 115).
- D Provide appropriate foot care.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to offer a resident to receive proper treatment and care to maintain good foot health in accordance with professional standards of practice for one of 24 residents reviewed (Resident 81).
- 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.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide services to maintain a resident's range of motion for two of three residents reviewed for ROM concerns (Residents 101 and 25).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on clinical record review, observation, and staff and resident interview, it was determined that the facility failed to ensure the availability of necessary emergency supplies for one of one resident reviewed receiving hemodialysis (Resident 15).
- 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 an individualized person-centered care plan to address dementia and cognitive loss displayed by one of two residents reviewed (Resident 25).
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to ensure that medically related social services were provided to one of one resident reviewed (Resident 100).
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on review of employee education records and staff interview, it was determined that the facility failed to ensure that nurse aides received 12 hours of in-service training annually for two of two nurse aides reviewed (Employees 16 and 17).
November 22, 2024Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, and staff interview, it was determined that the facility failed to ensure complete and accurate clinical documentation for one of one resident reviewed (Resident 1).
November 13, 2024Complaint inspection · 1 citation
- E Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Inspectors wroteBased on review of clinical records and staff interview, it was determined that the facility failed to obtain laboratory work as ordered by the physician for five of seven residents reviewed (Residents 1, 3, 4, 6, and 7).
September 18, 2024Complaint inspection · 1 citation
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure complete and accurate clinical documentation for five of five residents reviewed (Residents 1, 2, 3, 4, and 5).
April 26, 2024Standard inspection, Complaint inspection · 20 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on a review of select facility policies and procedures, employee personnel record review, and staff interview, it was determined that the facility failed to obtain attestation of Pennsylvania residency or criminal background checks as required for four of five personnel records reviewed (Employees 3, 4, 5, and 6); and failed to ensure the completion of abuse training for one of five newly hired employees reviewed (Employee 5).
- E 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.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide the appropriate recommended services for a resident's range of motion for four of nine residents reviewed (Residents 6, 11, 14, and 51).
- E Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to identify triggers related to a resident's diagnosis of Post-Traumatic Stress Disorder, to provide culturally, competent, trauma-informed care, and to eliminate or mitigate re-traumatization for two of four residents reviewed for mood/behavior (Residents 14 and 28).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of select facility policies, observation, and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner, maintain equipment in a sanitary condition, and prepare food items in accordance with professional standards in the main kitchen.
- E 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 appropriate enhanced barrier transmission-based precautions for five of 18 residents reviewed (Residents 6, 33, 40, 68, and 69).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to ensure resident and/or responsible party participation in comprehensive care plans for two of two residents reviewed for care planning concerns (Residents 8 and 69).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on select policy review, clinical record review, and resident and staff interview, it was determined that the facility failed to provide the highest practicable care regarding a fluid restriction for one of one resident reviewed (Resident 62), and physician ordered treatments for one of one resident reviewed (Resident 2).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to obtain necessary audiology services for one of one resident reviewed for hearing concerns (Resident 8).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review and family and staff interview, it was determined that the facility failed to implement treatment and services to promote the healing of a pressure ulcer for one of four residents reviewed for pressure ulcer concerns (Resident 40).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, and family and staff interview, it was determined that the facility failed to implement interventions to deter resident falls and prevent potential injury for two of 12 residents reviewed for fall concerns (Residents 20 and 48).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to administer supplemental oxygen as prescribed by the physician for two of five residents reviewed for oxygen concerns (Residents 8 and 62).
- D 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.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, observation, and staff interview, it was determined that the facility failed to assess the entrapment risk of assist bar use for two of six residents reviewed for accident concerns (Residents 8 and 20)
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on clinical record review, observation, and family, resident, and staff interview, it was determined that the facility failed to arrange for behavioral health care and services to maintain the highest practicable well-being for one of four residents reviewed for behavioral concerns (Resident 78; University nursing unit, Resident 69).
- 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 one of two residents reviewed (Residents 56).
- 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 consultant pharmacist reported irregularities to the attending physician and that the physician appropriately responded to reported irregularities for two of five residents reviewed for potentially unnecessary medications (Residents 20 and 52).
- 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.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure a resident's medication regime was free from potentially unnecessary medications for two of six residents reviewed for medication regime review (Residents 56 and 20).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to ensure a medication error rate below five percent (Residents 56 and 61).
- 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.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to properly secure medications on one of three nursing units ([NAME] unit, Resident 23).
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review, observation, and staff and resident interview, it was determined that the facility failed to provide dental care services for two of five residents reviewed for dental concerns (Residents 8 and 20).
- D Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on review of the facility's arbitration agreement and staff interview, it was determined that the facility's arbitration agreement failed to ensure a neutral and fair arbitration process by ensuring both the resident or his or her representative, have the opportunity for the selection of a venue convenient to both parties, and the selection of a neutral arbitrator, for one of one resident reviewed with a signed arbitration agreement (Resident 8).
February 15, 2024Complaint inspection · 2 citations
- 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 select facility policy and procedures, clinical record review and staff interview, it was determined that the facility failed to ensure that the resident and resident representative received written notice of the facility's bed hold policy at the time of transfer for two of four residents reviewed for hospitalizations (Residents 3 and CR1 ).
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on facility policy, review of clinical records, and staff interview, it was determined that the facility failed to ensure that a resident who was transferred from the facility with the expectation of returning was permitted to return, had met the specific requirements for a facility-initiated discharge, and/or provided evidence that the facility was not able to meet the resident's needs for one of four residents reviewed (Resident CR1).
November 22, 2023Complaint inspection · 1 citation
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to thoroughly investigate and report allegations of potential staff to resident abuse for four of nine residents reviewed for abuse (Residents 3, 4, 12, and 13).
September 19, 2023Complaint inspection · 1 citation
- 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.
Inspectors wroteBased on observation and staff interviews, it was determined that the facility failed to provide a clean, comfortable environment on one of four nursing units (Heirloom unit; Residents 1 and 6).
Fire safety inspections
30 fire safety citations on file: 13 on February 20, 2026, 8 on March 14, 2025, 1 on February 5, 2025, 7 on April 26, 2024, 1 on September 14, 2023.
Every fire safety citation30 citations
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Use approved construction type or materials.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have an enclosure around a vertical opening shaft.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Meet other general requirements.
- C Install emergency lighting that can last at least 1 1/2 hours.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Install proper backup exit lighting.
- 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.
- E Have simulated fire drills held at unexpected times.
- C Meet other general requirements.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Use approved construction type or materials.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have an enclosure around a vertical opening shaft.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Have generator or other power source capable of supplying service within 10 seconds.
- C Meet other general requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 7, 2025 | Fine | $21,242 |
| March 14, 2025 | Fine | $129,314 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | not reported | 3.89 | 3.86 |
| Registered nurses | not reported | 0.79 | 0.69 |
| All nursing staff on weekends | not reported | 3.53 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.5% | 45.8% |
| Registered nurse turnover | not reported | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
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 3.19 on weekdays and 2.98 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.13 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 | 3.13 | 0.36 | 3.19 | 2.98 | 0.3% | 0 of 90 | 124 |
| Oct to Dec 2025 | 3.43 | 0.39 | 3.50 | 3.24 | 0.7% | 0 of 92 | 123 |
| Jul to Sep 2025 | 3.54 | 0.36 | 3.62 | 3.33 | 2.9% | 0 of 92 | 122 |
| Apr to Jun 2025 | 3.41 | 0.37 | 3.49 | 3.22 | 2.8% | 0 of 91 | 119 |
| 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.
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 | 10.9 | 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 | 1.1 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 8.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.3 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 46.7 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.3 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.2 | 1.8 |
Owners and operators
Legal business name: EMBASSY HEARTHSIDE, LLC. CMS links this home to Embassy Healthcare, a group of 33 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Embassy Pa Tenant 2 Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 11/10/2020 |
| Embassy Healthcare Holdings Inc | 5% or greater indirect ownership interest | Organization | 100% | 11/10/2020 |
| Handler, Aaron | Managing control - governing body | Individual | 11/09/2022 | |
| Repchick, George | Managing control - governing body | Individual | 11/09/2022 | |
| Embassy Healthcare Management Inc | Operational/managerial control | Organization | 11/09/2022 | |
| Heritage Employment Services, LLC | Operational/managerial control | Organization | 11/09/2022 | |
| Cirignano, Lisa | Operational/managerial control | Individual | 01/01/2025 | |
| Handler, Aaron | Operational/managerial control | Individual | 11/09/2022 | |
| Repchick, George | Operational/managerial control | Individual | 11/09/2022 | |
| Roscoe, Brandon | Operational/managerial control | Individual | 01/01/2025 | |
| Embassy Healthcare Management Inc | Adp of the SNF | Organization | 07/08/2025 | |
| Heritage Employment Services, LLC | Adp of the SNF | Organization | 07/08/2025 | |
| Cirignano, Lisa | Adp of the SNF | Individual | 01/01/2025 | |
| Handler, Aaron | Adp of the SNF | Individual | 11/09/2022 | |
| Repchick, George | Adp of the SNF | Individual | 11/09/2022 | |
| Roscoe, Brandon | Adp of the SNF | Individual | 01/01/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 26 problems in this area, most recently on February 20, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 14 problems in this area, most recently on May 6, 2026: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on May 6, 2026: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on February 20, 2026: "Ensure medication error rates are not 5 percent or greater."
Other nursing homes nearby
- Foxdale Village State College, 1.1 mi · 5 of 5 stars · 8 citations
- Juniper Village at Brookline-Rehabilitation and Sk State College, 1.6 mi · 5 of 5 stars · 16 citations
- Village at Penn State, the State College, 3.3 mi · 4 of 5 stars · 13 citations
- Centre Care Rehabilitation and Wellness Services Bellefonte, 5.7 mi · 2 of 5 stars · 31 citations
- Valley View Haven, Inc Belleville, 13.8 mi · 5 of 5 stars · 20 citations
- William Penn Nursing and Rehab Lewistown, 18.4 mi · 4 of 5 stars · 26 citations
- Greenwood Center for Rehabilitation and Nursing Lewistown, 19.6 mi · 3 of 5 stars · 62 citations
- Westminster Woods at Huntingdo Huntingdon, 19.8 mi · 2 of 5 stars · 26 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 Embassy of Hearthside's Medicare star rating?
- CMS rates Embassy of Hearthside 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Embassy of Hearthside get at its last inspection?
- 19 health deficiencies at the standard inspection on February 20, 2026. The Pennsylvania average is 10.
- Has Embassy of Hearthside been fined?
- Yes. CMS lists 2 fines totaling $150,556 in the last three years.
- Does Embassy of Hearthside 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 Hearthside?
- CMS lists 16 owners and managers, and links the home to Embassy Healthcare. Legal business name: EMBASSY HEARTHSIDE, 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.