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Gettysburg Center

867 York Road, Gettysburg, PA 17325 · Adams County · (717) 337-3238

118 certified beds, about 110 residents a day · For profit - Corporation · Medicare and Medicaid since 1987

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
3 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395733 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 5 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 36 health citations since January 2024, 6 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $12,735 in the last three years; the largest was $12,735, and the latest is dated February 20, 2025.

Nurses and nurse aides worked 3.28 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.

52.7% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Genesis Healthcare, an affiliated group of 184 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 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
6G
0H
0I
Potential for more than minimal harm
23D
6E
0F
Potential for minimal harm
0A
0B
1C
June 11, 2026Complaint inspection · 2 citations
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, clinical record reviews, review of select facility documentation, and staff interviews, it was determined that the facility displayed past non-compliance in its failure to revise a resident's care plan to provide adequate supervision with eating for one of four residents reviewed (Resident 4), which resulted in actual harm as evidenced by Resident 4 choking and suffering death.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, clinical record review, review of select facility documentation, and staff interviews, it was determined that the facility displayed past non-compliance in its failure to provide adequate supervision to prevent accidents with eating for one of four residents reviewed (Resident 4), which resulted in actual harm as evidenced by Resident 4 choking and suffering death.
April 22, 2026Complaint inspection · 2 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, clinical record review, review of facility investigation documentation, review of hospital documentation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure each resident the right to be free from neglect for one of four residents reviewed (Resident 1), which resulted in actual harm for Resident 1 as evidenced by a closed fracture of left hip.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, clinical record review, review of facility investigation documentation, review of hospital documentation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure that each resident receives adequate supervision and assistance to prevent accidents based on individual needs for one of four resident's reviewed (Resident 1), which resulted in actual harm for Resident 1 as evidenced by a closed fracture of left hip.
April 14, 2026Complaint inspection · 2 citations
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of facility meal tray test form, review of resident council meeting minutes, review of the menu and select facility recipes, observations, completion of one meal test tray, and resident and staff interviews, it was determined that the facility failed to provide foods that are palatable, attractive, and at appetizing temperatures.
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 29, 2026
    Inspectors wroteBased on review of facility temperature logs, email correspondence, and resident and staff interviews, it was determined that the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety at one of two meals reviewed.
March 19, 2026Standard inspection · 5 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to monitor hydration status to ensure proper hydration for one of two residents reviewed for hydration (Resident 11).
  2. 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) April 21, 2026
    Inspectors wroteBased on facility policy review, observation, clinical record review, and staff and resident interviews, it was determined that the facility failed to ensure care and services are provided in accordance with professional standards of practice that will meet each resident's physical, mental, and psychosocial needs for one of 22 residents reviewed (Resident 92).
  3. 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) April 21, 2026
    Inspectors wroteBased on facility policy reviews, observations, and staff interviews, it was determined that the facility failed to properly label medications in one of three medications carts reviewed (South Wing Hall C cart); and failed to discard expired medications in two of three medication carts observed (South Hall B and C carts).
  4. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2026
    Inspectors wroteBased on observation, document review, and staff interview, it was determined that the facility failed to follow the diet extension sheets to provide a menu to meet the needs and preferences of residents on a regular diet for 79 of 79 residents reviewed on a regular diet.
  5. 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) April 21, 2026
    Inspectors wroteBased on observations, clinical record review, facility policy reviews, and staff interviews, it was determined that the facility failed to ensure staff implement infection control policies to prevent the spread of infection for one of one dressing changes observed (Resident 92); for storage of medications on one of three medication carts observed (South Wing C Hall); and for medication administration in one of two medication administration observations (Employee 5). Findings Include: [...]
September 24, 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) October 21, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide care and services necessary to maintain adequate personal hygiene and grooming for care-dependent residents for two out of 10 residents reviewed (Residents 1 and 3). Findings Include: Review of Resident 1's clinical record revealed diagnoses that included hypertension (elevated blood pressure) and chronic obstructive pulmonary disease (a group of lung diseases that cause ongoing inflammation and narrowing of the airways, leading to difficulty breathing). Review of Resident 1's Kardex (a concise, portable document used to record and organize essential patient information) revealed that it is important for the Resident to choose between a tub bath, shower, bed bath or sponge bath. [...]
August 14, 2025Complaint inspection · 3 citations
  1. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · 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) September 9, 2025
    Inspectors wroteBased on clinical record review, review of facility policy, and staff interviews, it was determined that the facility failed to obtain a physician's order for the use of a restraint following application of an emergency restraint for one of one individuals reviewed for restraint use (Resident 4).
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 9, 2025
    Inspectors wroteBased on facility policy, clinical record review, facility documents, and resident and staff interviews, it was determined the facility failed to ensure that residents were free from any significant medication errors for one of four residents reviewed (Resident 1).
  3. 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 · Corrected (the home has a date of correction) September 9, 2025
    Inspectors wroteBased on policy review, clinical record review, as well as resident, resident family member, and staff interviews, it was determined that the facility failed to maintain professional practices that support infection prevention and control for one of four residents reviewed (Resident 1).
March 20, 2025Complaint inspection · 3 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) April 9, 2025
    Inspectors wroteBased on facility policy review, clinical record review, facility documentation review, and staff interview, it was determined the facility failed to ensure each resident is free from neglect, which resulted in actual harm as evidenced by displaced hardware securing a fracture for one of three residents reviewed (Resident 3).
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 9, 2025
    Inspectors wroteBased on facility policy review, clinical record review, facility incident report investigation review, facility training records, and staff interview, it was determined that the facility failed to ensure that residents received adequate assistance to prevent accidents, which resulted in harm as evidenced by displaced hardware securing a fracture for one of two residents reviewed for falls (Resident 3).
  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) April 9, 2025
    Inspectors wroteBased on facility policy review, clinical record reviews, facility incident report review, hospital records review, and staff interviews, it was determined that the facility failed to ensure care and services are provided in accordance with professional standards of practice that will meet each resident's physical, mental, and psychosocial needs for two of 16 residents reviewed (Residents 1 and 5).
February 20, 2025Standard inspection · 7 citations
  1. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to provide a transfer notice to the resident or their representative upon transfer out of the facility, which included the following information: the reason for the transfer or discharge, date of transfer, location of transfer, statement of the resident's appeal rights, and name, address (mailing and email), and telephone number of the Office of the State Long-Term Care Ombudsman for three of three residents reviewed for hospitalizations (Residents 63, 77, and 84).
  2. E
    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, pattern · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure medications were stored in a manner that met professional standards for three of three medication carts observed (North Hall B, North Hall C, and South Hall A medication carts).
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to ensure the care plan was reviewed and revised for one of 24 residents reviewed (Resident 4). Findings Include: Review of Resident 4's clinical record revealed diagnoses that included congestive heart failure (a serious condition that occurs when the heart can't pump blood efficiently enough to meet the body's needs) and anxiety (a group of mental health conditions characterized by excessive worry, fear, and nervousness that can interfere with daily life). Observation of Resident 4 on February 17, 2025, at 11:22 AM, revealed Resident 4 lying in bed and Resident 4 had facial hair. [...]
  4. 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 · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on observation, staff interviews, clinical record review, and facility's policy review, it was determined that the facility failed to ensure that a resident with a pressure ulcer received care consistent with professional standards of practice for one of three residents reviewed (Resident 54).
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on observation, facility policy review, and staff interview, it was determined that the facility failed to ensure protection from contamination of a urinary catheter for one of three residents reviewed with indwelling catheters (Resident 17).
  6. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on observations, facility document review, and staff interviews, it was determined that the facility failed to serve all items on the posted menu, and failed to serve items in the appropriate quantity for one of 12 residents observed (Resident 8).
  7. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to post required nurse staffing information on a daily basis. Findings Include: Observations on February 19, 2025, at 9:02 AM, and February 20, 2025, at 9:20 AM, revealed the posted facility's nursing staff information was dated for February 18, 2025. During an interview with the Nursing Home Administrator on February 20, 2025, at approximately 10:30 AM, it was revealed that it was the facility's expectation that posted staffing be updated daily. 28 Pa. Code 201.14(a) Responsibility of licensee
July 31, 2024Complaint inspection · 1 citation
  1. 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) September 9, 2024
    Inspectors wroteBased on clinical record review, facility policy review, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician ordered weights for one of three residents reviewed (Resident 1).
June 6, 2024Complaint inspection · 1 citation
  1. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on observations, facility document review, and resident and staff interviews, it was determined that the facility failed to provide a therapeutic diet (a meal plan that controls the intake of certain foods or nutrients) for the lunch meal on June 5, 2024, for three of three residents on a renal diet (Resident 1, 3, and 12) and two of two residents reviewed for a consistent carbohydrate diet (Residents 2 and 4).
April 16, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to inform and assist in making transportation arrangements based on financial conditions for one of three residents reviewed (Resident 1).
March 21, 2024Standard inspection · 6 citations
  1. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to notify the resident/resident representative of a resident's transfer in writing to include the reason for the transfer or discharge, date of transfer, location of transfer, statement of the resident's appeal rights, and name, address (mailing and email), and telephone number of the Office of the State Long-Term Care Ombudsman; and failed to notify a representative of the Office of the State Long-Term Care Ombudsman for three of three resident records reviewed for hospitalization (Residents 21, 84, and 297).
  2. 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 · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to ensure protection of residents' personal property while in the facility and upon discharge or after death for two of two discharged residents reviewed (Residents 95 and 96).
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure the care plan was reviewed and revised for one of 23 residents reviewed (Resident 88).
  4. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on clinical record review, facility policy review, and staff interview, it was determined that the facility failed to provide and document post-dialysis assessments for one of one resident reviewed for dialysis (Resident 150).
  5. 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 10, 2024
    Inspectors wroteBased on observation, staff interviews, and facility policy review, it was determined that the facility failed to ensure medications were stored in a manner that met professional standards for one of three medication carts observed (North 1 Medication cart).
  6. 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 10, 2024
    Inspectors wroteBased on clinical record review, observation, facility policy review, and staff interviews, it was determined that the facility failed to provide medications in a manner consistent with infection control practices for one of four residents observed for medication administration (Resident 3).
January 12, 2024Complaint inspection · 2 citations
  1. 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) February 15, 2024
    Inspectors wroteBased on observation, resident and staff interviews, facility policy review, and record review, the facility failed to ensure pressure ulcer preventative and management interventions were followed for one of three Resident's reviewed (Resident 1).
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · 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) February 15, 2024
    Inspectors wroteBased on observation, resident and staff interviews, record review, and policy review, it was determined that the facility failed to provide appropriate urinary catheter (tubing inserted into the bladder to drain urine into a bag) care for one of three residents reviewed (Resident 1).

Fire safety inspections

18 fire safety citations on file: 10 on February 20, 2025, 3 on March 21, 2024, 5 on April 13, 2023.

Every fire safety citation18 citations
  1. F
    Meet other general requirements.
    K 100 · February 20, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 20, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 20, 2025 · Corrected (the home has a date of correction)
  4. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 20, 2025 · Corrected (the home has a date of correction)
  5. 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 · February 20, 2025 · Corrected (the home has a date of correction)
  6. C
    Provide properly protected cooking facilities.
    K 324 · February 20, 2025 · Corrected (the home has a date of correction)
  7. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 20, 2025 · Corrected (the home has a date of correction)
  8. C
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · February 20, 2025 · Corrected (the home has a date of correction)
  9. C
    Have simulated fire drills held at unexpected times.
    K 712 · February 20, 2025 · Corrected (the home has a date of correction)
  10. C
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 20, 2025 · Corrected (the home has a date of correction)
  11. 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 · March 21, 2024 · Corrected (the home has a date of correction)
  12. E
    Install corridor and hallway doors that block smoke.
    K 363 · March 21, 2024 · Corrected (the home has a date of correction)
  13. C
    Meet other general requirements.
    K 100 · March 21, 2024 · Corrected (the home has a date of correction)
  14. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · April 13, 2023 · Corrected (the home has a date of correction)
  15. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 13, 2023 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · April 13, 2023 · Corrected (the home has a date of correction)
  17. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 13, 2023 · Corrected (the home has a date of correction)
  18. E
    Ensure proper usage of power strips and extension cords.
    K 920 · April 13, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 20, 2025Fine $12,735

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)3.283.893.86
Registered nurses0.680.790.69
All nursing staff on weekends3.023.533.42
Nurse aides1.92
Licensed practical nurses0.69
Nursing staff turnover (share who left in a year)52.7%44.5%45.8%
Registered nurse turnover31.3%39.9%42.9%
Administrators who left0

CMS expects 3.97 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 3.39 on weekdays and 3.02 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.31 in April to June 2025 to 3.28 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.280.683.393.02 27.5%0 of 90110
Oct to Dec 20253.310.653.462.94 30.6%0 of 92111
Jul to Sep 20253.300.603.383.09 24.9%0 of 92110
Apr to Jun 20253.310.593.433.01 27.6%0 of 91109
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
28.816.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.41.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.93.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.91.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
31.117.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
11.64.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.217.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.422.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.09.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.21.8

Owners and operators

Legal business name: 867 YORK ROAD OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Genesis Operations LLC5% or greater direct ownership interestOrganization04/01/2011
Genesis Pa Holdings LLC5% or greater direct ownership interestOrganization04/01/2011
Ghc Holdings LLC5% or greater direct ownership interestOrganization100%04/01/2011
Fc-Gen Operations Investment LLC5% or greater indirect ownership interestOrganization02/02/2015
Gen Operations I LLC5% or greater indirect ownership interestOrganization02/02/2015
Gen Operations II LLC5% or greater indirect ownership interestOrganization02/02/2015
Genesis Healthcare Inc5% or greater indirect ownership interestOrganization02/02/2015
Genesis Healthcare LLC5% or greater indirect ownership interestOrganization02/02/2015
Genesis Holdings LLC5% or greater indirect ownership interestOrganization02/02/2015
Sun Healthcare Group Inc5% or greater indirect ownership interestOrganization02/02/2015
Whitman, Arnold5% or greater indirect ownership interestIndividual02/02/2015
Berg, MichaelCorporate officerIndividual12/01/2012
Bridgeford, LauraCorporate officerIndividual06/01/2024
Mendelson, AviCorporate officerIndividual06/01/2024
Brandt, SuzetteOperational/managerial controlIndividual04/15/2024
Hammett, JamesOperational/managerial controlIndividual01/01/2023
Genesis Operations LLCAdp of the SNFOrganization02/09/2025
Brandt, SuzetteAdp of the SNFIndividual02/09/2025
Hammett, JamesAdp of the SNFIndividual02/09/2025

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

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on June 11, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on April 14, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 11, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 19, 2026: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Pennsylvania average of 3.53.

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Common questions

What is Gettysburg Center's Medicare star rating?
CMS rates Gettysburg Center 1 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Gettysburg Center get at its last inspection?
5 health deficiencies at the standard inspection on March 19, 2026. The Pennsylvania average is 10.
Has Gettysburg Center been fined?
Yes. CMS lists 1 fine totaling $12,735 in the last three years.
Does Gettysburg 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 Gettysburg Center?
CMS lists 19 owners and managers, and links the home to Genesis Healthcare. Legal business name: 867 YORK ROAD OPERATIONS LLC.

Sources

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