Home / Pennsylvania / Mars
St. John Specialty Care Center
500 Wittenberg Way, Mars, PA 16046 · Butler County · (724) 625-1571
150 certified beds, about 136 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967
CMS abuse icon: cited for abuse in a recent inspection Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395164 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 11, 2024, inspectors cited 24 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 55 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.96 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.
52.3% 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.
506/23
1212/23
606/24
207/24
2410/24
101/25
112/25
302/26
106/26
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 55 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
40D
8E
4F
Potential for minimal harm
0A
1B
0C
June 23, 2026Complaint inspection · 1 citation
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical records and staff interview, it was determined that the facility failed to update a care plan for one of six residents (Resident R1) to accurately reflect the current status of the resident.
February 11, 2026Complaint inspection · 3 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policy and documentation, staff and resident interviews it was determined that the facility failed to protect residents from neglect which resulted in actual harm of multi-system trauma for one of three residents (Resident R1) and transfer to a trauma center hospital.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, clinical and facility record review, facility provided documents, and staff interviews, it was determined that the facility failed to make certain that each resident received adequate supervision and assistance to prevent accidents which resulted in actual harm of multi-system trauma for one of three residents (Resident R1) and transfer to a trauma center hospital.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility policy, resident clinical records, facility provided documents, reports submitted to the State, and staff interview it was determined that the facility failed to report an allegation of abuse for one of three residents (Resident R2).
December 3, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policy and documentation, staff and resident interviews it was determined that the facility failed to protect residents from neglect for one of three residents (Resident R1).
January 15, 2025Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on facility policy, clinical record review and staff interviews, it was determined the facility failed to notify a family representative of a change in condition for one of three residents. (Resident R1).
October 11, 2024Standard inspection · 24 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 a review of facility policy, observation, and staff interview, it was determined that the facility failed to properly maintain kitchen equipment and unit pantries in a sanitary condition creating the potential for cross contamination and food-borne illness (Main Kitchen, [NAME] Court, and [NAME] Court).
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on facility policy, clinical record review, and staff interviews, it was determined the facility failed to ensure that appropriate treatment and services were provided for five of seven residents with an indwelling urinary catheter and bladder needs (Resident R39, R44, R63, R122, and R236).
- E Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on a review of facility policy, resident clinical records, and staff interview, it was determined the facility failed to obtain a physician order for hospice services and to ensure the coordination of hospice services with facility services to meet the needs of each resident for end-of-life care for three of four residents (Resident R55, R84, and R119).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of facility policy, infection control documentation and staff interview, it was determined that the facility failed to implement an infection control program that included a system of surveillance to identify possible communicable diseases or infections for two of ten months (September and October 2024).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of facility policy, observation, and staff interview it was determined that the facility failed to provide a dignified dining experience by failing to provide meals timely for one of six residents (Resident R1).
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on review of facility policy, Resident Group interviews, Resident Council meeting minutes, grievances, and staff interview it was determined the facility failed to consider the views of a resident and/or family and act promptly on grievances and recommendations concerning issues of resident care and life in the facility for three of four months (July, August, September 2024).
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy, resident record review, review of facility documents, and staff interview, the facility failed to provide an environment free from verbal abuse for one of three residents (Resident R400).
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for two of four residents sampled with facility-initiated transfer (Residents R16 and R37).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for one of four residents (Residents R16).
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to notify the resident or resident's representative of the facility bed-hold policy (an agreement for the facility to hold a bed for an agreed upon rate during a hospitalization) for one of four resident hospital transfers (Resident R16). Review of the clinical record indicated Resident R16 was admitted to the facility on [DATE]. Review of Resident R16's MDS dated [DATE], indicated diagnoses of aftercare following joint replacement, urinary tract infection and hyperlipidemia (abnormally high levels of lipids or fats in the blood). Review of the clinical record indicated Resident R16 was transferred to hospital on 8/6/24 and returned to the facility on 8/14/24. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on a review of the RAI (Resident Assessment Instrument), clinical records, and staff interviews it was determined that the facility failed to make certain that resident assessments were accurate for two of twelve residents (Residents R1, and R128).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined the facility failed to update a care plan for one of five residents (Resident R29) to accurately reflect the current status of the resident and care needs.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on review of facility policy, clinical record review, observation, and staff interview, it was determined that the facility failed to provide appropriate care and services to maintain activities of daily living (ADLs) for communication for one of six residents (Resident R1).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy, clinical record review, observations, and staff interviews, it was determined that the facility failed to ensure a resident had a physician order for care and management of an invasive catheter for one of one resident formerly on dialysis (Resident R122).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policy, record review, and resident and staff interviews, and observations it was determined that the facility failed to provide a resident environment free of potential accidental hazards for one of five residents (Resident R30).
- D Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on facility policy review, clinical record review, resident, and staff interviews, it was determined that the facility failed to provide colostomy care and services consistent with professional standards of practice for one of two residents reviewed (Resident R63).
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on clinical records and facility policy review, and staff interview, it was determined that the facility failed to ensure that a resident who displayed mental or psychosocial adjustment difficulties received appropriate treatment and services for one of three residents (Resident R22).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on a review of facility policy, clinical records and staff interviews it was determined that the facility failed to ensure that a resident's drug regimen was free of unnecessary medication for one of two residents. (Resident R84)
- 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 a review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to limit as needed antipsychotic drugs to 14 days for two of four residents (Resident R84 and R122).
- 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 review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly store medications in one out of two medications rooms (Wellstep) and failed to properly store a medication on one of four medications carts (2nd Floor Middle Hall Medication Cart).
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on facility policy, observations, and staff interviews it was determined that the facility failed to provide adaptive feeding devices for one of four residents (Resident R1).
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on review of the facility's infection control policies and procedures and staff interview, it was determined that the facility failed to implement an antibiotic stewardship program for two of ten months (September and October 2024).
- D Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Inspectors wroteBased on review of facility documents and staff interview, it was determined that the facility failed to provide training on resident rights for one of five staff members (Employee E7).
- D Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on review of facility documents, employee education records, and staff interview, it was determined that the facility failed to provide training on QAPI (Quality Assurance and Performance Improvement) for one of five staff members (Employee E7)
July 9, 2024Complaint inspection · 2 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical records and staff interview, it was determined that the facility failed to update a care plan for one of nine residents (Resident R1) to accurately reflect the current status of the resident.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of clinical records, incident reports, facility documents, a written employee statement and staff interviews, it was determined that the facility failed to ensure that a resident was free from a preventable accident during care for one of nine resident reviewed (Resident R1).
June 18, 2024Complaint inspection · 6 citations
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility policy, clinical record review, reports submitted to the State, and staff interview, it was determined that the facility failed to report an allegation of abuse in the required timeframe for four of four residents (Residents R3, R4, R5, and R6).
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility policy, clinical record review, facility documentation, and staff interview, it was determined that the facility failed to fully investigate allegations of abuse for four of four residents (Residents R3, R4, R5, and R6).
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policy, facility documentation, clinical record review, and staff interview, it was determined that the facility failed to make certain that residents were free from abuse for one of five residents (Resident R2) and failed to identify concerns as abuse for four of five residents (Residents R3, R4, R5, and R6).
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on review of facility policy, clinical records, facility documents and staff interview, it was determined that the facility failed to make certain a resident was free from a physical restraint for one of five residents reviewed (Resident R2).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to implement the written policies and procedures to ensure a complete and thorough investigation and timely reporting was completed for four of four abuse allegations (Residents R3, R4, R5, and R6).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility documents, facility policy, clinical records, and staff interviews, it was determined that the facility failed to make certain that elopement evaluations are completed as required for one of seven residents (Resident R1), and that each resident received adequate supervision that resulted in an elopement for one of two residents (Resident R1).
December 1, 2023Standard inspection · 12 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 a review of facility policies, observations and staff interviews it was determined that the facility failed to properly label and date food products in the Main Kitchen (Main Kitchen) and failed to properly monitor refrigerator temperatures on one of two nursing unit pantries (Wellstep Path) which created the potential for food borne illness. Findings Include: Review of the facility policy Sanitation in Food Purchasing, Storage and Distribution last reviewed 8/30/23, indicated that all opened food items will be stored in properly covered and dated containers. Review of facility policy Food Brought into Residents' Room from Outside Sources last reviewed 8/30/23, indicated that nursing staff will monitor refrigeration units. All units must be maintained at internal temperatures that are deemed safe for food storage according to State and Federal regulations. [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy, national and state guidance, clinical record review, observations, and staff interviews, it was determined the facility failed to identify a COVID positive resident, and implement the proper precautions before the spread to other persons in the facility for one of three residents (Resident R58); failed to implement measures to prevent the potential for cross contamination during removal of Personal Protective Equipment after a dressing change for one of two residents (Resident R84), and failed to provide a safe and sanity environment to help prevent the potential for cross contamination for one of two medication rooms (Third Floor Medication Room).
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observations, review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to obtain physician's orders, update resident care plans, and conduct ongoing accurate assessments to ensure that bedrails were used to meet residents' needs and the risks associated with bedrail usage for four of six residents (Residents R7, R15, R19, and R79).
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on review of facility policy, observations, and resident and staff interviews, it was determined that the facility failed to determine the ability to self-administer medications for one of four residents (Resident R7).
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on review of facility policy, observations, and staff interview, it was determined that the facility failed to maintain privacy of confidential information during medication administration for one of three medication carts ([NAME] Medication Cart).
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of clinical records, facility documents, and resident and staff interviews, it was determined that the facility failed to provide appropriate assistance to prevent falls as ordered, for two of three residents reviewed (Resident R5 and R56).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility policy, clinical records, facility documents, and staff interview, it was determined that the facility failed to fully investigate injuries of unknown origin for one of four residents reviewed (Resident R2).
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on review of facility policies, closed resident records and staff interview, it was determined that the facility failed to acquire physician's discharge order for two out of three closed resident records (Closed Record CR73 and CR89).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, observations, and staff interviews, it was determined that the facility failed to maintain sanitary conditions of respiratory equipment for one of three residents reviewed (Resident R352).
- 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 review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly store medications in one out of three medication carts ([NAME] Medication Cart), failed to monitor refrigerator temperatures utilized for medication storage in one of two nursing units (Wellstep Path), and failed to properly secure a medication cart while not in use for one of three medications carts ([NAME] Medication Cart).
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on a review of facility policy, resident clinical records, facility documents, and staff interview, it was determined the facility failed to obtain a physician order for hospice services for one of five residents (Resident R74) and to ensure the coordination of hospice services with facility services to meet the needs of each resident for end-of-life care for two of five residents (Resident R51 and R74).
- D Report COVID19 data to residents and families.
Inspectors wroteBased on review of facility policy, clinical record, and staff interview it was determined that the facility failed to notify families of residents with positive COVID-19 test results in a timely manner for one of three COVID-19 positive residents (Residents R58.)
June 16, 2023Standard inspection · 5 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 a review of facility policies, observations and staff interviews it was determined that the facility failed to properly label and date food products, and verify the sanitizing temperature of the dish machine in the Main Kitchen (Main Kitchen), and properly monitor refrigerator temperatures, and properly store food products in one of three nursing unit pantries ([NAME]) and failed to properly date food and monitor food for expiration dates in three of three nursing unit pantries ([NAME], Wellstep, and Creekside), which created the potential for food borne illness. Findings Include: Review of the facility policy Food Storage: Sanitation and Infection Control last reviewed 3/23/23, indicated that all products are labeled and dated with the receiving date. Review of the facility policy Dishwashing and Pot Washing Procedures: [...]
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on a review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop comprehensive care plans to meet resident care needs for four of 16 Residents (Resident R9, R35, R148 and R246).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of facility policies, resident observations and interviews, clinical record review, and staff interviews, it was determined that the facility failed to provide appropriate respiratory care for three of five residents (Residents R35, R148, and R152).
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on review of facility policy and documents, and staff interview, it was determined that the facility failed to provide training on abuse and neglect prevention for two of ten staff members (Employees E4 and E5).
- B Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on review of facility policy and documents, and staff interview, it was determined that the facility failed to provide training on behavioral health and dementia for two of ten staff members (Employeees E4 and E5).
Fire safety inspections
26 fire safety citations on file: 11 on October 11, 2024, 6 on December 1, 2023, 9 on June 16, 2023.
Every fire safety citation26 citations
- F Meet other general requirements.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Have properly located and lighted "Exit" signs.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have simulated fire drills held at unexpected times.
- D Have power receptacles that are properly grounded.
- C Provide properly protected cooking facilities.
- C Meet requirements for the installation and maintenance of electrical systems.
- C Have proper medical gas storage and administration areas.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have an enclosure around a vertical opening shaft.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have restrictions on the use of highly flammable decorations.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly located and lighted "Exit" signs.
- E Provide properly protected cooking facilities.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- B Install emergency lighting that can last at least 1 1/2 hours.
- B Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.96 | 3.89 | 3.86 |
| Registered nurses | 1.19 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.63 | 3.53 | 3.42 |
| Nurse aides | 2.41 | ||
| Licensed practical nurses | 0.36 | ||
| Nursing staff turnover (share who left in a year) | 52.3% | 44.5% | 45.8% |
| Registered nurse turnover | 37.8% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.10 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 4.09 on weekdays and 3.63 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 38.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 3.96 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 | 3.96 | 1.19 | 4.09 | 3.63 | 38.4% | 0 of 90 | 136 |
| Oct to Dec 2025 | 3.96 | 1.07 | 4.07 | 3.67 | 42.3% | 0 of 92 | 135 |
| Jul to Sep 2025 | 3.93 | 1.15 | 4.08 | 3.55 | 38.1% | 0 of 92 | 134 |
| Apr to Jun 2025 | 3.94 | 1.13 | 4.08 | 3.56 | 41.1% | 0 of 91 | 134 |
| 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 | 15.5 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.9 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.8 | 17.7 | 15.4 |
Owners and operators
Legal business name: ST. JOHN LUTHERAN CARE CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carraway, Jeffrey | Corporate director | Individual | 05/27/2021 | |
| Fenoglietto, David | Corporate director | Individual | 05/27/2021 | |
| Carraway, Jeffrey | Corporate officer | Individual | 05/27/2021 | |
| Fenoglietto, David | Corporate officer | Individual | 07/01/2004 | |
| Rapuk, Samanth | Operational/managerial control | Individual | 07/01/2023 | |
| Carraway, Jeffrey | Trustee of the SNF | Individual | 07/01/2023 | |
| Fenoglietto, David | Trustee of the SNF | Individual | 07/01/2023 | |
| Rapuk, Samanth | Trustee of the SNF | Individual | 07/01/2023 | |
| Lutheran Seniorlife | Adp of the SNF | Organization | 01/01/1986 | |
| Pfoff, Robert | Adp of the SNF | Individual | 05/01/2001 | |
| Rapuk, Samanth | Adp of the SNF | Individual | 07/01/2017 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 12 problems in this area, most recently on February 11, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 February 11, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on January 15, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 23, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
Other nursing homes nearby
- St. Barnabas Nursing Home Gibsonia, 4.1 mi · 4 of 5 stars · 26 citations
- Cranberry Place Cranberry Township, 4.5 mi · 1 of 5 stars · 87 citations
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- Sherwood Oaks Cranberry Township, 5.5 mi · 5 of 5 stars · 16 citations
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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 St. John Specialty Care Center's Medicare star rating?
- CMS rates St. John Specialty Care Center 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did St. John Specialty Care Center get at its last inspection?
- 24 health deficiencies at the standard inspection on October 11, 2024. The Pennsylvania average is 10.
- Has St. John Specialty Care Center been fined?
- CMS lists no fines in the last three years.
- Does St. John Specialty Care 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 St. John Specialty Care Center?
- CMS lists 11 owners and managers. Legal business name: ST. JOHN LUTHERAN CARE CENTER.
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.