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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 abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
3 of 5

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.

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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
0E
0F
Potential for minimal harm
0A
0B
0C
February 13, 2026Standard inspection · 6 citations
  1. G
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · Corrected (the home has a date of correction) February 23, 2026
    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.
  2. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2026
    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).
  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) February 23, 2026
    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).
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2026
    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).
  5. 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) February 23, 2026
    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).
  6. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 23, 2026
    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
  1. 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.
    F585 · 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) August 18, 2025
    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
  1. 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) January 24, 2025
    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
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 13, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 13, 2026 · Corrected (the home has a date of correction)
  3. E
    Install a two-hour-resistant firewall separation.
    K 133 · February 13, 2026 · Corrected (the home has a date of correction)
  4. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 13, 2026 · Corrected (the home has a date of correction)
  5. 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.
    K 222 · February 13, 2026 · Corrected (the home has a date of correction)
  6. E
    Have properly located and lighted "Exit" signs.
    K 293 · February 13, 2026 · Corrected (the home has a date of correction)
  7. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · February 13, 2026 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · February 13, 2026 · Corrected (the home has a date of correction)
  9. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 13, 2026 · Corrected (the home has a date of correction)
  10. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · February 13, 2026 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · February 13, 2026 · Corrected (the home has a date of correction)
  12. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 24, 2025 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 24, 2025 · Corrected (the home has a date of correction)
  14. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 24, 2025 · Corrected (the home has a date of correction)
  15. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 24, 2025 · Corrected (the home has a date of correction)
  16. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 24, 2025 · Corrected (the home has a date of correction)
  17. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 24, 2025 · Corrected (the home has a date of correction)
  18. E
    Have proper medical gas storage and administration areas.
    K 923 · January 24, 2025 · Corrected (the home has a date of correction)
  19. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 8, 2024 · Corrected (the home has a date of correction)
  20. E
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · February 8, 2024 · Corrected (the home has a date of correction)
  21. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 8, 2024 · Corrected (the home has a date of correction)
  22. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · February 8, 2024 · Corrected (the home has a date of correction)
  23. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · February 8, 2024 · Corrected (the home has a date of correction)
  24. E
    Have proper medical gas storage and administration areas.
    K 923 · February 8, 2024 · Corrected (the home has a date of correction)
  25. C
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 8, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 2, 2026Fine $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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)2.793.893.86
Registered nurses0.450.790.69
All nursing staff on weekends2.583.533.42
Nurse aides1.63
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)21.5%44.5%45.8%
Registered nurse turnover21.1%39.9%42.9%
Administrators who left0

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.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.790.452.872.58 2.1%9 of 90442
Oct to Dec 20254.220.674.363.86 2.3%0 of 92440
Jul to Sep 20253.920.594.053.58 3.8%0 of 92455
Apr to Jun 20253.990.644.143.62 3.2%0 of 91457
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

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

Quality measures

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

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
19.116.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.60.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.21.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
5.41.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.317.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.917.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.522.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
5.19.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.21.8

Owners and operators

Legal business name: COUNTY OF DELAWARE.

NameRoleTypeShareSince
County of Delaware5% or greater direct ownership interestOrganization100%01/01/1966
Bonner, JamesOperational/managerial controlIndividual01/01/2012
Madden, KevinOperational/managerial controlIndividual01/01/2016
Reuther, ChristineOperational/managerial controlIndividual01/01/2020
Schaeffer, ElaineOperational/managerial controlIndividual01/01/2020
Taylor, MonicaOperational/managerial controlIndividual01/01/2020
Travaglini, JosephOperational/managerial controlIndividual12/03/2013
Womack, RichardOperational/managerial controlIndividual01/01/2020
County of DelawareAdp of the SNFOrganization01/01/1980
Bonner, JamesAdp of the SNFIndividual01/01/2012
D'amico, WilliamAdp of the SNFIndividual04/04/2012
Madden, KevinAdp of the SNFIndividual01/01/2016
Reuther, ChristineAdp of the SNFIndividual01/01/2020
Schaeffer, ElaineAdp of the SNFIndividual01/01/2020
Travaglini, JosephAdp of the SNFIndividual12/03/2013
Womack, RichardAdp of the SNFIndividual01/01/2020

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.

  1. 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."
  2. 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."
  3. 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."
  4. 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."
  5. 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.

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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

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