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Fair Acres Geriatric Center
340 N. Middletown Road, Lima, PA 19037 · Delaware County · (610) 891-5700
778 certified beds, about 442 residents a day · Government - County · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395780 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 13, 2026, inspectors cited 6 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 8 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $23,520 in the last three years; the largest was $23,520, and the latest is dated July 2, 2026.
Nurses and nurse aides worked 2.79 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
21.5% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
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 8 health citations on file.
February 13, 2026Standard inspection · 6 citations
- G Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interviews, clinical record review, review of facility policy and the review of facility documentation, it was determined the facility failed to ensure one resident was free from financial exploitation through misappropriation of resident funds for one out of 40 residents reviewed, resulting in actual harm to Resident R186 who lost thousands of dollars.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on clinical record review and interview with staff, it was determined that the facility failed to inform the resident or resident's representative in advance of treatment risks and benefits, options, and alternatives for one of five residents reviewed (Resident 332).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that resident assessments accurately reflect the residents' status for one of 35 residents reviewed. (Resident 12).
- 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 interviews with staff, it was determined that the facility failed to develop and implement a comprehensive care plan to address the use of psychotropic medications (any drug that affects behavior, mood, thoughts, or perception, which includes medications for anxiety and antipsychotics) for one of 35 residents reviewed (Resident 332).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased upon clinical record review it was determined that the facility failed to follow physician orders regarding fluid restriction for one of thirty-five residents reviewed (Resident 388).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on facility policy, clinical record review, and staff interview, it was determined that the facility failed to obtain and monitor weights for one of one resident reviewed for nutrition (Resident 348).
July 18, 2025Complaint inspection · 1 citation
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on review of clinical records, facility documentation, resident council minutes, facility policies, and interviews with residents and staff, it was determined that the facility failed to demonstrate evidence that residents are educated on filing grievances and that grievances forms/ boxes were available and accessible for residents on nursing units for five of 5 floors reviewed (Building 8, Floor 3, 4, 5, 6 and 10). Review of facility policy titled Code of Corporate Compliance revealed that Residents are treated in a manner that preserves dignity, autonomy, self-esteem, civil rights and involvement in their own care. Fair Acres Geriatric Center employees receive training about resident rights to clearly understand their role in supporting them. Observation of Building 8, 3rd floor, revealed no grievance forms or boxes available and accessible for residents on nursing unit. [...]
January 24, 2025Standard inspection · 1 citation
- 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 upon facility policy review, clinical record review, and interviews, it was determined that the facility failed to ensure that medication irregularities were acted upon by a physician for one of five residents reviewed (Resident 134).
February 8, 2024Standard inspection · 0 citations
Fire safety inspections
25 fire safety citations on file: 11 on February 13, 2026, 7 on January 24, 2025, 7 on February 8, 2024.
Every fire safety citation25 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install a two-hour-resistant firewall separation.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E 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.
- E Have properly located and lighted "Exit" signs.
- E Properly provide smoke detection systems in areas open to corridors.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Have proper medical gas storage and administration areas.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Have proper medical gas storage and administration areas.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 2, 2026 | Fine | $23,520 |
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) | 2.79 | 3.89 | 3.86 |
| Registered nurses | 0.45 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.58 | 3.53 | 3.42 |
| Nurse aides | 1.63 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 21.5% | 44.5% | 45.8% |
| Registered nurse turnover | 21.1% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.17 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 2.87 on weekdays and 2.58 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 2.79 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 | 2.79 | 0.45 | 2.87 | 2.58 | 2.1% | 9 of 90 | 442 |
| Oct to Dec 2025 | 4.22 | 0.67 | 4.36 | 3.86 | 2.3% | 0 of 92 | 440 |
| Jul to Sep 2025 | 3.92 | 0.59 | 4.05 | 3.58 | 3.8% | 0 of 92 | 455 |
| Apr to Jun 2025 | 3.99 | 0.64 | 4.14 | 3.62 | 3.2% | 0 of 91 | 457 |
| 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 | 19.1 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.3 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.9 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.5 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.1 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.2 | 1.8 |
Owners and operators
Legal business name: COUNTY OF DELAWARE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| County of Delaware | 5% or greater direct ownership interest | Organization | 100% | 01/01/1966 |
| Bonner, James | Operational/managerial control | Individual | 01/01/2012 | |
| Madden, Kevin | Operational/managerial control | Individual | 01/01/2016 | |
| Reuther, Christine | Operational/managerial control | Individual | 01/01/2020 | |
| Schaeffer, Elaine | Operational/managerial control | Individual | 01/01/2020 | |
| Taylor, Monica | Operational/managerial control | Individual | 01/01/2020 | |
| Travaglini, Joseph | Operational/managerial control | Individual | 12/03/2013 | |
| Womack, Richard | Operational/managerial control | Individual | 01/01/2020 | |
| County of Delaware | Adp of the SNF | Organization | 01/01/1980 | |
| Bonner, James | Adp of the SNF | Individual | 01/01/2012 | |
| D'amico, William | Adp of the SNF | Individual | 04/04/2012 | |
| Madden, Kevin | Adp of the SNF | Individual | 01/01/2016 | |
| Reuther, Christine | Adp of the SNF | Individual | 01/01/2020 | |
| Schaeffer, Elaine | Adp of the SNF | Individual | 01/01/2020 | |
| Travaglini, Joseph | Adp of the SNF | Individual | 12/03/2013 | |
| Womack, Richard | Adp of the SNF | Individual | 01/01/2020 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 13, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 13, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 13, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on February 13, 2026: "Protect each resident from the wrongful use of the resident's belongings or money."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.58 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Willowbrooke Court Skd Care Center at Lima Estates Lima, 0 mi · 5 of 5 stars · 0 citations
- Willowbrooke Court-Granite Media, 0.6 mi · 5 of 5 stars · 0 citations
- Sterling Health Care and Rehab Center Media, 2.8 mi · 2 of 5 stars · 34 citations
- HCC at White Horse Village Newtown Square, 3.5 mi · 5 of 5 stars · 3 citations
- Monticello House Media, 3.5 mi · 5 of 5 stars · 2 citations
- Brinton Manor Nursing and Rehabilitation Center Glen Mills, 3.6 mi · 3 of 5 stars · 19 citations
- Wallingford Skilled Nursing and Rehabilitation Cen Wallingford, 3.7 mi · 1 of 5 stars · 50 citations
- Belvedere Center, Genesis Healthcare, the Chester, 4.7 mi · 3 of 5 stars · 22 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 Fair Acres Geriatric Center's Medicare star rating?
- CMS rates Fair Acres Geriatric Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fair Acres Geriatric Center get at its last inspection?
- 6 health deficiencies at the standard inspection on February 13, 2026. The Pennsylvania average is 10.
- Has Fair Acres Geriatric Center been fined?
- Yes. CMS lists 1 fine totaling $23,520 in the last three years.
- Does Fair Acres Geriatric Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fair Acres Geriatric Center?
- CMS lists 16 owners and managers. Legal business name: COUNTY OF DELAWARE.
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.