Home / Pennsylvania / Towanda
Robert Packer Hospital Skilled Care and Rehabilit
91 Hospital Drive, Towanda, PA 18848 · Bradford County · (570) 268-2239
68 certified beds, about 65 residents a day · Non profit - Corporation · Medicare and Medicaid since 1975
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395333 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 13, 2026, inspectors cited 8 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 18 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $33,027 in the last three years; the largest was $33,027, and the latest is dated January 6, 2025.
Nurses and nurse aides worked 3.77 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
23.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Guthrie, an affiliated group of 2 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.
703/24
101/25
202/25
801/26
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 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
14D
2E
1F
Potential for minimal harm
0A
0B
0C
January 13, 2026Standard inspection, Complaint inspection · 8 citations
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview it was determined that the facility failed to maintain documentation of staff COVID-19 vaccination status, and provide evidence that staff were offered the COVID-19 vaccine or information on obtaining the COVID-19 vaccine for two of two staff reviewed. (Employees 1 and 10)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observation, and staff interview it was determined that the facility failed to provide the highest practicable care for a central venous catheter for one of two residents reviewed for central venous catheter concerns (Resident 41).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to obtain routine vision services for one of three residents reviewed for vision concerns (Resident 5).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to implement an intervention to heal pressure ulcers for one of two residents reviewed for pressure ulcer concerns (Resident 41).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure preventative fall interventions were implemented for one of two residents reviewed for falls (Resident 39).
- 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.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observation, and staff interview, it was determined that the facility failed to ensure appropriate labeling of medication and implement measures for controlled substance accountability during medication administration for four of eight residents observed for medication administration (Residents 7, 8, 28, and 34).
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review, observation, and staff and resident interview, it was determined that the facility failed to provide dental care services for one of six residents reviewed for dental concerns (Resident 5).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observation, and family and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection related to enhanced barrier precautions for one of one resident reviewed for indwelling urinary catheter concerns (Resident 1) and handwashing for three of eight residents reviewed for medication administration (Residents 7, 28, and 34).
February 12, 2025Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to store food and maintain food service equipment in accordance with professional standards for food service safety in the facility's main kitchen.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address dementia and cognitive loss displayed by one of three residents reviewed (Resident 61).
January 6, 2025Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on closed clinical record review and staff interview, it was determined that the facility failed to provide the highest practicable care for a resident's change in condition that resulted in hospitalization and death for one of three residents reviewed causing actual harm (Resident CR1).
March 8, 2024Standard inspection · 7 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, employee personnel records, and family and staff interview, it was determined that the facility failed to thoroughly investigate and report to the appropriate agencies incidents of potential resident neglect for two of four residents reviewed for accident concerns (Residents 4 and 48); and the facility failed to implement its abuse prohibition policy pertaining to newly hired employee training for two of five newly hired employees reviewed (Employees 4 and 5).
- D Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on review of resident personal fund accounting, clinical record review, and resident and staff interview, it was determined that the facility failed to provide a resident fund quarterly statement for one of two residents reviewed for personal fund concerns (Resident 40).
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review and staff interview it was determined that the facility failed to provide the correct required notification to a resident whose payment coverage changed for two of three residents reviewed (Residents 18 and 60).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to provide the highest practicable care related to physician ordered bowel management medications for one of 17 residents reviewed (Resident 26).
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address dementia and cognitive loss displayed by one of three residents reviewed (Resident 29).
- 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.
Inspectors wroteBased on clinical record review, and staff interview, it was determined that the facility failed to ensure a resident's medication regime was free from potentially unnecessary medications for one of five residents reviewed (Resident 29).
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to monitor antibiotic use for one of three residents reviewed for antibiotics (Resident 48).
Fire safety inspections
14 fire safety citations on file: 7 on January 13, 2026, 3 on February 12, 2025, 4 on March 8, 2024.
Every fire safety citation14 citations
- E Install a two-hour-resistant firewall separation.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have exits that are accessible at all times.
- E Have an enclosure around a vertical opening shaft.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Install corridor and hallway doors that block smoke.
- C Inspect, test, and maintain automatic sprinkler systems.
- C To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have properly located and lighted "Exit" signs.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 6, 2025 | Fine | $33,027 |
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) | 3.77 | 3.89 | 3.86 |
| Registered nurses | 0.64 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.65 | 3.53 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 1.23 | ||
| Nursing staff turnover (share who left in a year) | 23.0% | 44.5% | 45.8% |
| Registered nurse turnover | 38.5% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.43 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 4.22 on weekdays and 2.65 on weekends, 37% 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 3.90 in April to June 2025 to 3.77 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 | 3.77 | 0.64 | 4.22 | 2.65 | 2.1% | 0 of 90 | 65 |
| Oct to Dec 2025 | 3.62 | 0.75 | 4.00 | 2.67 | 2.0% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.82 | 0.83 | 4.24 | 2.76 | 2.7% | 0 of 92 | 65 |
| Apr to Jun 2025 | 3.90 | 0.85 | 4.33 | 2.82 | 4.0% | 0 of 91 | 64 |
| 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 | 26.8 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 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 | 25.4 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.7 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.0 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.4 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 1.2 | 1.8 |
Owners and operators
Legal business name: ROBERT PACKER HOSPITAL. CMS links this home to Guthrie, a group of 2 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Guthrie Clinic | Direct ownership interest | Organization | 04/01/2015 | |
| Macafee, Francis | Corporate officer | Individual | 08/10/2020 | |
| Saggiomo, Lucia | Corporate officer | Individual | 08/04/2017 | |
| Saggiomo, Lucia | Operational/managerial control | Individual | 04/01/2015 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on January 13, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on January 13, 2026: "Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 13, 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."
- 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 March 8, 2024: "Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.65 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Athens Nursing and Rehabilitation Center Athens, 13.2 mi · 1 of 5 stars · 58 citations
- Sayre Health Care Center Sayre, 15.5 mi · 3 of 5 stars · 42 citations
- Elderwood at Waverly Waverly, 16.2 mi · 1 of 5 stars · 26 citations
- Darway Healthcare and Rehabilitation Center Forksville, 20.9 mi · 5 of 5 stars · 16 citations
- Bradford Hills Nursing & Rehabilitation Center Troy, 24.1 mi · 1 of 5 stars · 57 citations
- River View Rehabilitation and Nursing Care Center Owego, 24.5 mi · 3 of 5 stars · 16 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 Robert Packer Hospital Skilled Care and Rehabilit's Medicare star rating?
- CMS rates Robert Packer Hospital Skilled Care and Rehabilit 2 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Robert Packer Hospital Skilled Care and Rehabilit get at its last inspection?
- 8 health deficiencies at the standard inspection on January 13, 2026. The Pennsylvania average is 10.
- Has Robert Packer Hospital Skilled Care and Rehabilit been fined?
- Yes. CMS lists 1 fine totaling $33,027 in the last three years.
- Does Robert Packer Hospital Skilled Care and Rehabilit 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 Robert Packer Hospital Skilled Care and Rehabilit?
- CMS lists 4 owners and managers, and links the home to Guthrie. Legal business name: ROBERT PACKER HOSPITAL.
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.