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Orwigsburg Nursing and Rehabilitation Center

1000 Orwigsburg Manor Dr, Orwigsburg, PA 17961 · Schuylkill County · (570) 366-2999

130 certified beds, about 102 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395878 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 7, 2025, inspectors cited 2 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 12 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $17,895 in the last three years; the largest was $17,895, and the latest is dated April 11, 2025.

Nurses and nurse aides worked 3.39 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

49.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Imperial Healthcare Group, an affiliated group of 9 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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
0F
Potential for minimal harm
0A
0B
0C
November 12, 2025Complaint inspection · 1 citation
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · 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 9, 2025
    Inspectors wroteBased on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to protect the residents' right to privacy and confidentiality through the use of photography for one of six sampled residents. (Resident 1)
August 7, 2025Standard inspection · 2 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) September 2, 2025
    Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to implement physicians' orders for four of 25 sampled residents. (Residents 8, 62, 86 and 115)
  2. 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) September 2, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to complete an accurate Minimum Data Set (MDS) assessment for one of 25 sampled residents. (Resident 3)
April 11, 2025Complaint inspection · 1 citation
  1. K
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on clinical record review, review of facility documentation, and resident and staff interviews, it was determined that the facility failed to ensure each resident's environment was free of accident hazards by ensuring illegal substances were not accessible to two of six sampled residents. (Residents 1 and 2) In addition, the facility failed to ensure the safety of residents in all areas of the facility in one of two nursing units (Unit A) and first floor common areas. This failure resulted in an Immediate Jeopardy situation. Based on clinical record review, review of facility documentation, and resident and staff interviews, it was determined that the facility failed to ensure each resident's environment was free of accident hazards by ensuring illegal substances were not accessible to two of six sampled residents. [...]
July 26, 2024Standard inspection · 6 citations
  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 · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on clinical record review, observation, and staff and resident interview, it was determined that the facility failed to provide services to maintain adequate grooming and personal hygiene for four of 20 sampled residents. (Residents 17, 31, 68 and 87)
  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 · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on clinical record review, policy review, and staff interview, it was determined that the facility failed to assess bladder incontinence and provide services to restore as much bladder function as possible for two of 24 sampled residents. (Residents 57, 60)
  3. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to offer non-pharmacological interventions prior to the administration of as needed anti-anxiety medications for one of 24 sampled residents. (Resident 57)
  4. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on clinical record review, review of facility documentation, observation, and resident interview, it was determined that the facility failed to ensure that a resident's preference at meal times had been accommodated for one of 24 sampled residents. (Resident 27)
  5. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide adaptive equipment to assist with eating meals for one of 24 sampled residents. (Resident 1)
  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) September 5, 2024
    Inspectors wroteBased on facility policy review, clinical record review, observations, and interviews, it was determined that the facility failed to follow policy related transmissions-based precautions and use of personal protective equipment for one of 24 sampled residents. (Resident 47)
August 4, 2023Standard inspection · 2 citations
  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 · Corrected (the home has a date of correction) September 6, 2023
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of 23 sampled residents. (Resident 3)
  2. 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) September 6, 2023
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement treatment and services to prevent a further decrease in range of motion for one of six sampled residents with limited range of motion. (Resident 46)

Fire safety inspections

13 fire safety citations on file: 6 on August 7, 2025, 4 on July 26, 2024, 3 on August 4, 2023.

Every fire safety citation13 citations
  1. E
    Use approved construction type or materials.
    K 161 · August 7, 2025 · Corrected (the home has a date of correction)
  2. 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 · August 7, 2025 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 7, 2025 · Corrected (the home has a date of correction)
  4. C
    Meet other general requirements.
    K 100 · August 7, 2025 · Corrected (the home has a date of correction)
  5. C
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 7, 2025 · Corrected (the home has a date of correction)
  6. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 7, 2025 · Corrected (the home has a date of correction)
  7. 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 · July 26, 2024 · Corrected (the home has a date of correction)
  8. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · July 26, 2024 · Corrected (the home has a date of correction)
  9. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 26, 2024 · Corrected (the home has a date of correction)
  10. B
    Provide properly protected cooking facilities.
    K 324 · July 26, 2024 · Corrected (the home has a date of correction)
  11. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 4, 2023 · Corrected (the home has a date of correction)
  12. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 4, 2023 · Corrected (the home has a date of correction)
  13. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 4, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 11, 2025Fine $17,895

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)3.393.893.86
Registered nurses0.450.790.69
All nursing staff on weekends3.113.533.42
Nurse aides1.99
Licensed practical nurses0.95
Nursing staff turnover (share who left in a year)49.0%44.5%45.8%
Registered nurse turnover41.7%39.9%42.9%
Administrators who left1

CMS expects 4.13 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 3.50 on weekdays and 3.11 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.19 in April to June 2025 to 3.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.390.453.503.11 11.9%0 of 90102
Oct to Dec 20253.330.423.462.99 10.7%0 of 92106
Jul to Sep 20253.090.383.222.77 16.7%0 of 92112
Apr to Jun 20253.190.403.322.87 9.2%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
14.416.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.51.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.73.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.617.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.64.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.917.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.822.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.09.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.21.8

Owners and operators

Legal business name: OC REHAB & NURSING CENTER LLC. CMS links this home to Imperial Healthcare Group, a group of 9 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Bh Opco Holdco LLC5% or greater direct ownership interestOrganization100%07/01/2019
Chrh Equities LLC5% or greater indirect ownership interestOrganization10%07/29/2021
Ens Holdings, LLC5% or greater indirect ownership interestOrganization25%07/29/2021
The Ens Family Trust5% or greater indirect ownership interestOrganization25%07/26/2021
Ymcs Equities LLC5% or greater indirect ownership interestOrganization10%07/29/2021
Gottesman, Daniel5% or greater indirect ownership interestIndividual25%07/29/2021
Dockey, CarolW-2 managing employeeIndividual07/01/2019
Herzka, YisroelCorporate officerIndividual07/29/2021

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 6 problems in this area, most recently on August 7, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 26, 2024: "Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 12, 2025: "Keep residents' personal and medical records private and confidential."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 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

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Common questions

What is Orwigsburg Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Orwigsburg Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Orwigsburg Nursing and Rehabilitation Center get at its last inspection?
2 health deficiencies at the standard inspection on August 7, 2025. The Pennsylvania average is 10.
Has Orwigsburg Nursing and Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $17,895 in the last three years.
Does Orwigsburg Nursing and Rehabilitation 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 Orwigsburg Nursing and Rehabilitation Center?
CMS lists 8 owners and managers, and links the home to Imperial Healthcare Group. Legal business name: OC REHAB & NURSING CENTER LLC.

Sources

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