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Embassy of Saxonburg

223 Pittsburgh St., Saxonburg, PA 16056 · Butler County · (724) 352-9445

68 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

Special Focus Facility candidate 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
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395160 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 23, 2026, inspectors cited 20 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 75 health citations since January 2024, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 3 fines totaling $339,073 in the last three years; the largest was $270,889, and the latest is dated February 19, 2026.

Nurses and nurse aides worked 3.36 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.

52.0% 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 75 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
48D
11E
10F
Potential for minimal harm
0A
1B
1C
June 30, 2026Complaint inspection · 7 citations
  1. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on review of facility policies, employee file review, observations, and staff interviews it was determined that the facility failed to prohibit and prevent retaliation, as defined at section 1150B(d)(1) and (2) of the Social Security Act for five of fifteen staff members (Terminated Employees E1, E2, E3, E4, and E5) (Staff interviews to remain confidential). Findings Include: Review of the United States Social Security Act, Section 1150B indicated that:(d) Additional Penalties for Retaliation.-(1) In general.-A long-term care facility may not-(A) discharge, demote, suspend, threaten, harass, or deny a promotion or other employment-related benefit to an employee, or in any other manner discriminate against an employee in the terms and conditions of employment because of lawful acts done by the employee; [...]
  2. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on review of clinical records, observations, and staff interview, it was determined that the facility failed to provide prescribed treatment and services related to the care of pressure ulcers for four of five residents (Resident R6, R16, R26, and R44).
  3. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on review of facility policy, resident observations, resident and staff interviews, it was determined that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 16 of 20 residents interviewed and/or observed (R3, R4, R5, R6, R10. R16, R17, R26, R30, R32, R39, R46, R47, R48, R49, and R50).
  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) July 15, 2026
    Inspectors wroteBased on review of clinical records, facility policy, and staff and resident interviews, it was determined that the facility failed to ensure the complete and timely administration of a prescribed medications for 48 of 59 residents (Resident R1 through R48).
  5. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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) July 15, 2026
    Inspectors wroteBased on review of facility documents, clinical records, and staff interview, it was determined that the facility failed to make certain that medical records on each resident are completely and accurately documented. Findings Include:Review of the Medication Administration Audit Report for 6/11/26, indicated Licensed Practical Nurse (LPN) Employee E2 provided the following medications and treatments between 2:00 p.m. and 4:00 p.m.-83 oral medications-2 topical medications-7 injected medications-1 intravenous medication-6 inhaled medications-4 ophthalmic medications-4 blood sugar assessments-8 nutritional supplements provided-1 tuberculosis test assessed-29 pain assessments-6 skilled nursing assessments-3 whole body skin assessments-2 vital sign assessments-1 weight assessment During an interview on 6/25/26, at 12:50 p.m. [...]
  6. D
    Give the resident's representative the ability to exercise the resident's rights.
    F551 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on review of facility provided documents, clinical records and staff interviews, it was determined that the facility failed to ensure that a resident's legal surrogate (power of attorney) was provided access to medical records for one of two residents (Resident R51).
  7. B
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual, clinical records, and staff interview, it was determined that the facility failed to make certain that comprehensive Minimum Data Set assessments were completed in the required time frame for six of 24 residents (Resident R3, R6, R27, R15, R17, R20, and R37).
June 1, 2026Complaint inspection · 5 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on review of facility policy, facility documentation, clinical records, staff and resident representative interview, it was determined that the facility failed to protect a cognitive impairment resident (Resident R1) from non-consensual sexual contact by Closed Record Resident CR2 (Resident CR2) who had a history of sexually inappropriate behaviors with Resident R1. This failure resulted in an Immediate Jeopardy situation for one of 58 residents, when Resident CR2 was found exposing genitals to Resident R1, and Resident R1's hands were on Resident CR2's genitals. Findings Include: Review of facility policy Abuse, Neglect, and Exploitation dated [DATE], indicated that abuse can be identified as verbal, physical, mental, and sexual. [...]
  2. 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 19, 2026
    Inspectors wroteBased on review of facility policy, closed resident records, business office documents, and staff interview it was determined that the facility failed to convey funds credited to a resident's family for one of three closed resident records (Closed Resident Record CR3).
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on review of facility policy, resident clinical records, reports submitted to the State, and staff interview, it was determined that the facility failed to report allegations of sexual abuse for two of three sampled resident records (Resident R1 and Closed Resident Record CR2).
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on review of facility policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to conduct a thorough investigation involving an allegation of resident abuse for two of three sampled resident records (Resident R1 and Closed Resident Record CR2).
  5. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on a review of a job description, facility and clinical records, and staff interviews, it was determined that the Nursing Home Administrator (NHA), and Director of Nursing (DON) did not effectively manage the facility to make certain that residents were free from abuse and failed to make certain the facility implemented its abuse policies, creating an immediate jeopardy situation.
April 23, 2026Standard inspection, Complaint inspection · 20 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of the facility's job descriptions, observations, and staff interviews, it was determined that the facility failed to ensure the consistent services of a full-time Director of Nursing (40 or more hours a week) in the facility. Findings Include: Review of the facility provided Director of Nursing (DON) job description, signed and dated 12/22/25, indicated that the DON position purpose was, to plan, organize, develop, and direct the overall operation of the Nursing Service Department in accordance with current federal, stated, local standards, guidelines, and regulations that govern the facility, and as may be directed by the Administrator and the Medical Director, to ensure the highest level of quality care is maintained at all times. [...]
  2. F
    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, widespread · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, observations and staff interview, it was determined that the facility failed to properly store, label and date food items in the Main kitchen which created the potential for food borne illness.
  3. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, personnel records and staff interviews, it was determined that the facility failed to complete annual performance evaluations for four of five nursing staff (Nurse Aide (NA) Employees E10, E11, E12, and E13).
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of a resident representative's concern, and staff interview, it was determined that the facility failed to ensure that residents have the right to communication and access to persons and services inside the facility. for one of two residents (Resident R64).
  5. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to provide documentation that residents or resident representatives were given the opportunity to formulate an advance directive (a written instruction such as a living will or durable power of attorney for health care for when the individual is incapacitated) for two of three residents reviewed (Resident R4 and R5).
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, review of clinical records, and staff interview, it was determined that the facility failed to notify the physician of a change in condition for one of three residents (Resident R1).
  7. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that discharge documentation was on record for one of three closed resident records (Closed Resident Record R64).
  8. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for one of three residents sampled with facility-initiated transfers (Residents R1), and failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for one of three residents (Resident R1).
  9. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on policy review, and staff interview, it was determined that the facility failed to ensure that the nutrition services provided met professional standards of quality for comprehensive care plan development for two of twelve months (March and April 2026). Findings Include: Review of the facility's policy Nutritional Management dated 3/1/26, and previously dated 1/21/26, indicated that monitoring of the resident's condition and care plan interventions will occur on an ongoing basis. [...]
  10. D
    Provide activities to meet all resident's needs.
    F679 · 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 19, 2026
    Inspectors wroteBased on review of facility policy, clinical records, activity documentation, resident council group interview, and resident and staff interviews, it was determined that the facility failed to provide an ongoing program of activities to meet the interests and support the physical, mental, and psychosocial well-being of each resident for one of three residents (Resident R15) and failed to have sufficient activity staff.
  11. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, clinical record review, facility provided documents, and staff interviews, it was determined the facility failed to maintain an environment free of potential accident hazards and provide safe bed mobility for one of two residents (Resident R32), and that the facility failed to ensure leg rests were applied to a resident's wheelchair prior to moving resident for one of two residents (Resident R53).
  12. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to ensure that a resident with an enteral feeding tube (a tube inserted in the stomach through the abdomen) received appropriate treatment and services to prevent potential complications for one of two residents (Residents R10).
  13. 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) May 19, 2026
    Inspectors wroteBased on review of facility policy, clinical records, staff interview, and observations, it was determined that the facility failed to provide appropriate respiratory care for two of two residents (R14 and R44). Findings Include: Review of facility policy Oxygen Administration dated 3/16/26, indicated oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the residents' goals and preferences. Change oxygen tubing weekly and as needed. Change humidifier bottles when empty. Keep delivery system in plastic bag when not in use. Review of facility policy Comprehensive Care Plans dated 3/16/26, indicated the facility will develop and implement a comprehensive person-centered care plan for each resident. [...]
  14. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and staff and resident interviews it was determined that the facility failed to meet residents pain needs for one of three residents reviewed (Resident R7). Findings Include: Review of the facility policy Pain Management dated 3/16/26, indicated the facility must ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences. Based upon the evaluation, the facility in collaboration with the attending physician/prescriber, otherhealth care professionals and the resident and/or the resident's representative will develop, implement, monitor and revise as necessary interventions to prevent or manage each individual resident's pain beginning at admission. [...]
  15. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview it was determined that the facility failed to provide trauma survivors with trauma informed care to eliminate or mitigate triggers that may cause re-traumatization of the resident for one of two residents (Resident R43).
  16. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on review of facility policy, resident clinical records, and staff interviews, it was determined that the facility failed to ensure a resident received appropriate behavioral health management to maintain the highest practicable well-being for one of four sampled residents (Resident R50).
  17. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to provide evidence that the licensed pharmacist's medication regimen was reviewed and acted upon timely for one of five sampled residents (Resident R8).
  18. 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) May 19, 2026
    Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to properly store medical supplies in one of one medication storage rooms (Main Storage Room), and failed to store one of six residents' medications securely (Resident R45).
  19. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on facility policy, clinical record review, observation, and staff interviews, it was determined that the facility failed to prevent cross contamination and implement appropriate transmission-based precautions for one of three residents (Residents R3). Findings Include: Review of the facility policy Enhanced Barrier Precautions (EBP) last reviewed 3/16/26, indicated Enhanced Barrier precautions are an infection control intervention designed to reduce transmission of multidrug resistant organisms (MDRO) that employs targeted gown and gloves use during high contact resident care activities. An order for enhanced barrier precautions will be obtained for residents with wounds. Gloves and gowns are made available immediately near or outside the resident's room. [...]
  20. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 19, 2026
    Inspectors wroteBased on observations, review of facility documentation, and staff interviews, it was determined that the facility failed to make certain that equipment was in safe operating condition for one of one of the facilities crash cart (a cart that contains supplies in the event of an emergency), (Main Nursing Unit).
March 14, 2026Complaint inspection · 11 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on review of facility policy, clinical records, staff and resident interviews, it was determined that the facility failed to ensure that residents were free from mental and verbal abuse which caused a resident to experience severe psychosocial harm (embarrassment, humiliation) because of the abuse (Resident R1). This situation created an Immediate Jeopardy situation for one of six residents reviewed (Resident R1). Findings Include: Review of the facility provided policy titled Abuse, Neglect, Exploitation and Misappropriation of Resident Property review date of 1/21/26, indicated This facility will not tolerate Abuse, Neglect, and Exploitation of its residents or the Misappropriation of Resident Property. Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting in physical harm, pain, or mental anguish. [...]
  2. J
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on policy, employee files, facility documents, staff interviews, it was determined that the facility failed to ensure all staff had a criminal background check prior to working in the facility for one of seven staff members (Social Worker, Employee E1). The facility failed to identify incidents of abuse/neglect, and timely report and investigate allegations of abuse/neglect for one of six residents (Resident R1). The facility put other residents at risk for abuse/neglect from the Nursing Home Administrator (NHA) and Licensed Practical Nurse LPN), Employee E2, by allowing the staff members to continue to work after abuse/neglect occurred. This failure created an immediate jeopardy situation.
  3. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has
    Inspectors wroteBased on review of facility policy, resident observations, resident and staff interviews, it was determined that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for six residents (Residents R2, R3, R9, R10, R11, and R12).
  4. 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.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has
    Inspectors wroteBased on staff interviews and review of employee files it was determined that the facility failed to employ a qualified Food Service Director to manage the daily operations of the Dietary Department for three out of three months (January 2026 through March 2026).
  5. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on a review of a job description, facility and clinical records, and staff interviews, it was determined that the Nursing Home Administrator (NHA) did not effectively manage the facility to make certain that residents were free from abuse and failed to make certain the facility implemented its abuse policies, creating an immediate jeopardy situation.
  6. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · deficient, provider has
    Inspectors wroteBased on review of facility documents and staff interview, it was determined that the facility failed to accurately complete the Facility Assessment.
  7. F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on review of facility documents and staff interviews it was determined that the facility failed to put forth a good faith effort to correct the deficient practice cited during the survey of 3/14/26, by failing to provide adequate staffing to meet the needs of the resident, providing qualifying coursework for the Dietary Manager, provide on sight oversight of daily dietary operations, training the Human Resources Director (Staff member responsible for hiring of qualified staff) to the qualifications of a Dietary Manager, hiring a qualified Dietary Manager to fill a vacant position, and making certain that the Facility Assessment documents are current and accurate as required. (Staffing, training, employment process, and Facility Assessment)
  8. E
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on the review of facility policy,, clinical records, and staff interviews, it was determined that the facility failed to ensure a physician completed the initial visits for three of four residents (Resident R5, R7, and R8).
  9. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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 16, 2026
    Inspectors wroteBased on the review of clinical records and staff interview, it was determined that the facility failed to appropriately and timely document progress note in the clinical record for four of four residents (Residents R5, R6, R7, and R8).
  10. E
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on review of facility education documents, and staff interview, it was determined that the facility failed to provide training on effective communication for five of five staff members (Registered Nurse (RN) Employee E15, and Nurse Aides (NA) Employee E8, NA E16, NA E17 and, NA E18).
  11. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2026
    Inspectors wroteBased on review of facility policy, clinical records, observation, and interviews with staff, it was determined that the facility failed to make certain residents were provided necessary treatment and services, consistent with professional standards of practice, for a pressure ulcer (PU/PIs- injuries to skin and underlying tissue resulting from prolonged pressure on the skin) for one of four residents (Resident R2).
February 19, 2026Complaint inspection · 3 citations
  1. F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2026
    Inspectors wroteBased on a review of the facility's plan of correction, documents and staff interviews it was determined that the facility failed to make a good faith effort to correct and sustain improvement for one of two citations issued for failure to provide the required number of Nurse Aides (NA) per resident per shift as required (Citation P5520).
  2. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2026
    Inspectors wroteBased on review of facility policy, resident observations, resident and staff interviews, it was determined that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of five of six residents (Residents R2, R3, R4, R5, and R6).
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2026
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to ensure that a resident received neurological assessments after an incident involving a fall for one of five residents (Resident R1).
November 13, 2025Complaint inspection · 8 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on review of facility policy, facility provided documents, clinical records, and staff interviews, it was determined the facility failed to ensure a resident was free from mental abuse and intimidation for one of two residents reviewed (Resident R1), which resulted in psychosocial harm and mental anguish related to the reasonable person concept.
  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) December 30, 2025
    Inspectors wroteBased on review of facility policy, clinical record, and staff interview it was determined that the facility failed to have the responsible party sign financial papers for one of two residents ( Resident R2).
  3. D
    Give the resident's representative the ability to exercise the resident's rights.
    F551 · 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) December 30, 2025
    Inspectors wroteBased on review of facility provided documents, clinical records and staff interviews, it was determined that the facility failed to ensure that a resident's legal surrogate (power of attorney) was utilized for legal action of non-payment of bills for one of two residents (Resident R1).
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on review of facility policy, facility provided documents, clinical records, and staff interviews, it was determined that the facility failed to report an allegation of abuse for one of two residents (Resident R1).
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on review of facility policy, facility provided documents, clinical records, and staff interviews , it was determined that the facility failed to identify and investigate an incident of possible abuse for one of two incidents (Resident R1).
  6. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on review of facility documentation and staff interview it was determined that the facility failed to employ a qualified actives director from October 6, 2025.
  7. D
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on a review of the facility's plan of correction, documents and staff interviews it was determined that the facility failed to make a good faith effort to correct and sustain improvement for two of two citations issued for failure to provide the required number of Nurse Assistants (NA) and Licensed Practical Nurse (LPN) per resident per shift as required ( Citations P 5520, and P5530).
  8. C
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    F575 · Resident Rights · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2025
    Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to post complete contact information for State Long-Term Care Ombudsman program, and accessible, and complete contact information for State Survey Agency at the facility as required.
August 12, 2025Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on review of facility policy, observations and staff interviews it was determined that the facility failed to provide a clean, safe, comfortable, and homelike environment for two of five rooms (C Hall and Shower Room).
June 4, 2025Standard inspection · 5 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on facility policy, observations and staff interview, it was determined that the facility failed to properly label and date food products, in the Main Kitchen. (Main Kitchen).
  2. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for two of three residents sampled with facility-initiated transfers (Residents R28 and R61), failed to notify the resident or resident's representative of the facility bed-hold policy (an agreement for the facility to hold a bed for an agreed upon rate during a hospitalization) for three of three resident hospital transfers (Residents R28, R41, and R61), and failed to notify the Office of the State Long-Term Care Ombudsman upon transfer to the hospital for three of three resident hospital transfers (Resident R28, R41, and R61).
  3. 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) July 11, 2025
    Inspectors wroteBased on a review of facility policy, Resident Assessment Instrument (RAI) User's Manual, clinical records, and staff interviews, it was determined that the facility failed to ensure that Minimum Data Set (MDS - a periodic assessment of care needs) assessments accurately reflected the resident's status for three of three residents (Resident R66).
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on clinical record review and staff interview it was determined that the facility failed to make certain that residents were provided appropriate treatment and care for two of eight sampled residents (Resident R39, and R61).
  5. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 11, 2025
    Inspectors wroteBased on review of facility policy, resident record review, and staff interviews, it was determined that the facility failed to provide trauma survivors with trauma informed care to eliminate or mitigate triggers that may cause re-traumatization of the resident for one of three residents (Resident R39).
May 6, 2025Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2025
    Inspectors wroteBased on review of clinical records, staff, and resident interviews, it was determined that the facility failed to provide Activity of Daily Living (ADL) assistance for three out of nine residents (Resident R2, R3, and R4).
August 19, 2024Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on facility policy, clinical record review and staff interviews, it was determined the facility failed to notify a family representative of a change in condition for one of three residents. (Resident R1).
  2. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on clinical record review and staff interview it was determined the facility failed to obtain laboratory services as ordered for one of two residents (Resident R1). Findings Include: A review of the facility Medication and Treatment Orders reviewed 3/27/24, indicated physician orders for medications and treatments will be consistent of safe and effective order writing. Treatment orders and follow up appointments will be documented in Point Click Care (PCC) and on the treatment administered record (TAR). A review of Resident R1's clinical record indicates an admission date of 11/21/2023, with the diagnosis of peripheral vascular disease (PVD-narrowing of blood vessels), hypertension (high blood pressure), and atrial fibrillation (abnormal heart rhythm). [...]
July 2, 2024Standard inspection · 9 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to properly label and date food products in the reach-in cooler and walk- in freezer and failed to maintain sanitary conditions which created the potential for cross contamination (Main Kitchen).
  2. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on facility policy, observation and staff interview, it was determined that the facility failed to maintain the personal dignity for a resident during the dressing change observation (Resident R42).
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on review of facility policy, clinical records, incident reports, State reportable incidents, and staff interview it was determined that the facility failed to report an incident of resident-to-resident abuse altercation for one out of five sampled residents (Residents R24).
  4. 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) August 13, 2024
    Inspectors wroteBased on review of facility policy, clinical records, observations, and staff interviews it was determined that the facility failed to ensure that a resident's care plan was updated and revised to reflect the resident's specific care needs for one of four residents (Resident R56).
  5. 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) August 13, 2024
    Inspectors wroteBased on facility policy, observation, clinical record review, and staff interview, it was determined that the facility failed to provide treatment and services to prevent further decrease in range of motion for one of three residents (Resident R41).
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on facility policy, clinical and facility record review, facility provided documents and staff interviews, it was determined that the facility failed to provide adequate supervision for two of six residents, resulting in a fall for one of six residents (Resident R24), and resulting in potential interaction with an unsecured disinfectant for one of six residents (Resident R56).
  7. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on review of facility documents, clinical records and staff interviews it was determined that the facility failed to identify and meet residents' highest practicable psych-social needs for one of six residents (Resident R33).
  8. 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) August 13, 2024
    Inspectors wroteBased on review of facility policy, observations and staff interview it was determined that the facility failed to date opened medications and properly store medications in one of three medication carts observed (Middle medication cart).
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on facility policy, clinical record review, observation, and staff interview, it was determined that the facility failed to prevent cross contamination during a dressing change for one of four residents (Resident 42) and failed to provide a safe and sanitary environment to help prevent the potential for cross contamination in the sole shower room.
March 18, 2024Complaint inspection, Infection control · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined the facility failed to notify the physician of a change in condition for twelve of nineteen residents testing positive for Covid-19 (Resident R1, R2, R5, R7, R8, R10, R11, R12, R16, R17, R18, R19).
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) April 30, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined the facility failed to obtain physician orders for transmission-based precautions for three of nineteen residents (Resident R1, R5, R8).
January 19, 2024Complaint inspection · 1 citation
  1. 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 15, 2024
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined the facility failed to update a care plan for one of three residents (Resident R23) to accurately reflect the current status of the resident after an elopement event.

Fire safety inspections

8 fire safety citations on file: 1 on May 27, 2026, 2 on April 23, 2026, 1 on June 4, 2025, 4 on July 2, 2024.

Every fire safety citation8 citations
  1. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · May 27, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 23, 2026 · Corrected (the home has a date of correction)
  3. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · April 23, 2026 · Corrected (the home has a date of correction)
  4. E
    Provide properly sized and located linen or trash receptacles.
    K 754 · June 4, 2025 · deficient, provider has
  5. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 2, 2024 · Corrected (the home has a date of correction)
  6. D
    Meet other general requirements.
    K 100 · July 2, 2024 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 2, 2024 · Corrected (the home has a date of correction)
  8. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 2, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 19, 2026Fine $270,889
November 13, 2025Fine $63,990
October 17, 2023Fine $4,194

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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.363.893.86
Registered nurses0.770.790.69
All nursing staff on weekends3.223.533.42
Nurse aides1.89
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)52.0%44.5%45.8%
Registered nurse turnover38.5%39.9%42.9%
Administrators who left1

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 3.42 on weekdays and 3.22 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 3.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.360.773.423.22 0.0%0 of 9055
Oct to Dec 20253.530.793.613.31 0.0%0 of 9256
Jul to Sep 20253.840.813.973.51 0.0%0 of 9261
Apr to Jun 20253.990.764.143.61 0.3%0 of 9162
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

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

Staff pay reports

Staff pay at this home

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

Official wage estimates for Pennsylvania

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

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

How staff pay reports work · CNA pay by state

Quality measures

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

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.016.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.817.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.04.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.917.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
33.322.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.09.512.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Embassy of Saxonburg's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 18 eligible stays.

Potentially preventable readmissions

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 24 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 17 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Falls with major injury

0.0% this home

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

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 26 residents counted.

New or worsened pressure ulcers

0.0% this home

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

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 26 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.

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

Owners and operators

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

NameRoleTypeShareSince
Aaron Handler Family Dynasty TrustIndirect ownership interestOrganization11/09/2022
George S. Repchick 2020 Family Dynasty TrustIndirect ownership interestOrganization11/09/2022
Repchick, GeorgeIndirect ownership interestIndividual01/01/2020
Embassy Healthcare Management IncOperational/managerial controlOrganization06/01/2024
Heritage Employment Services, LLCOperational/managerial controlOrganization06/01/2024
Godinez, DanielleOperational/managerial controlIndividual01/01/2025
Handler, AaronOperational/managerial controlIndividual01/01/2025
Repchick, GeorgeOperational/managerial controlIndividual12/31/2024
Shoop, RebeccaOperational/managerial controlIndividual12/31/2024
Embassy Healthcare Management IncAdp of the SNFOrganization06/02/2025
Heritage Employment Services, LLCAdp of the SNFOrganization06/02/2025
Godinez, DanielleAdp of the SNFIndividual01/01/2025
Shoop, RebeccaAdp of the SNFIndividual12/31/2024

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 17 problems in this area, most recently on June 30, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 15 problems in this area, most recently on June 30, 2026: "Give the resident's representative the ability to exercise the resident's rights."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 10 problems in this area, most recently on June 30, 2026: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 8 problems in this area, most recently on June 1, 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 3.22 hours per resident per day, below the Pennsylvania average of 3.53.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

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

Common questions

What is Embassy of Saxonburg's Medicare star rating?
CMS rates Embassy of Saxonburg 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Embassy of Saxonburg get at its last inspection?
20 health deficiencies at the standard inspection on April 23, 2026. The Pennsylvania average is 10.
Has Embassy of Saxonburg been fined?
Yes. CMS lists 3 fines totaling $339,073 in the last three years.
Does Embassy of Saxonburg 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 Saxonburg?
CMS lists 13 owners and managers, and links the home to Embassy Healthcare. Legal business name: EMBASSY SAXONBURG LLC.

Sources

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