Home / Pennsylvania / Watsontown
Watsontown Rehabilitation and Nursing Center
245 East Eighth Street, Watsontown, PA 17777 · Northumberlnd County · (570) 538-2561
125 certified beds, about 118 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395825 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 12, 2025, inspectors cited 13 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 56 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $21,765 in the last three years; the largest was $13,575, and the latest is dated June 4, 2024.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
40.0% 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.
1511/23
112/23
101/24
106/24
2010/24
203/25
1309/25
303/26
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 56 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
34D
19E
0F
Potential for minimal harm
0A
1B
0C
March 13, 2026Complaint inspection · 3 citations
- 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 review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to develop person-centered care plans related to safe positioning during meals for 19 of 32 residents (Residents R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, and R20).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to appropriately respond to a resident's change in condition for two of five residents (Resident R1 and R21).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, review of facility policy, resident interviews, clinical records, and staff interview, it was determined that the facility failed to make certain that residents are free of significant medication errors for one of five residents reviewed (Resident R1).
September 12, 2025Standard inspection · 13 citations
- 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 review of select facility policies, observation, clinical record review, and staff and resident interview, it was determined that the facility failed to assess for the risk of side rail entrapment for 6 of 7 residents reviewed for accident hazards (Residents 2, 6, 8, 22, and 64).
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, review of facility documentation, clinical record review, and staff and resident interviews, it was determined that the facility failed to provide professional dental services for three of three residents reviewed for dental concerns (Residents 8, 31, and 56).
- E 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 the facility failed to maintain a safe and sanitary environment in the facility's main kitchen.
- E 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 staff interview, it was determined that the facility failed to maintain an infection prevention and control and water management program to provide an environment to help prevent the development and transmission of communicable diseases and infections on two of two nursing units (Upper Level, Residents 4, 6, 19, 32, 57, 59, 64, 78, 123; and Lower Level, Residents 45 and 70).
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to offer residents pneumococcal immunizations for four of five residents reviewed for immunizations (Residents 3, 8, 31, and 76).
- D 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 clinical record review and staff interview it was determined that the facility failed to implement a comprehensive person-centered care plan regarding a cardiac pacemaker for one of 24 residents reviewed (Resident 38) and develop a comprehensive and person-centered care plan for one of two residents reviewed with a tracheostomy (Resident 42). Findings Include: Clinical record review for Resident 38 revealed a diagnosis list that included the presence of a cardiac pacemaker (an electronic device to help regulate the beating of the heart) and sick sinus syndrome (a disorder that causes the heart to beat abnormally). Nursing documentation for Resident 38 on admission to the facility on August 20, 2025, at 5:07 PM revealed that the resident had a cardiac pacemaker. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to coordinate hospice services per a coordinated plan of care for one of one resident reviewed for hospice care concerns (Resident 13).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to obtain routine services from an eye care professional for one of one resident reviewed for vision concerns (Resident 31).
- D Provide appropriate foot care.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to obtain professional podiatry services for one of two residents reviewed for skin conditions (Resident 76).
- 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.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to assess and implement interventions to maintain a resident's continence status for one of one resident reviewed (Resident 19).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide respiratory and tracheostomy care consistent with professional standards of practice for one of two residents reviewed with a tracheostomy (Resident 42).
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on a review of financial accounting records, clinical record review, and resident and staff interview, it was determined that the facility failed to provide medically-related social services to assist a resident with financial matters for one of 24 residents reviewed (Resident 22).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure accurate clinical documentation for one of 24 residents reviewed for clinical documentation issues (Resident 44; Residents 34 and 122).
March 6, 2025Complaint inspection · 2 citations
- 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 clinical record review and staff interview, it was determined that the facility failed to notify the physician of a resident's change in condition requiring interventions for one of five residents reviewed (Resident CR1).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure complete and accurate clinical records for one of five residents reviewed (Resident CR1).
October 25, 2024Standard inspection, Complaint inspection · 20 citations
- E 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.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observations, and resident and staff interview, it was determined that the facility failed to provide a clean, comfortable, homelike environment on two of two nursing units (upper level nursing unit and lower level nursing unit; Resident 53) and failed to exercise reasonable care for the protection of the resident's property from loss for two of 20 residents reviewed (Residents 60 and 102).
- E 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 clinical record review and staff interview, it was determined that the facility failed to provide a written notice of the facility's bed-hold policy to residents or the residents' responsible parties for five of 13 residents reviewed for hospitalization concerns (Residents 17, 65, 62, 80, and 83).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide the highest practicable care regarding physician ordered weights and medications for three of 20 residents (Residents 22, 72, and 75).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure the application of physician ordered supplemental oxygen consistent with professional standards of practice and the resident's plan of care, for two of two residents reviewed for supplemental oxygen concerns (Residents 47 and 83).
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on review of facility documentation, employee files, and staff interviews, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care and assessment of resident tracheostomy, peg tube, and catheter care for four of five employees reviewed (Employees 12, 13, 14, and 15).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection for two of two nursing units (Upper and Lower nursing units, Residents 5, 22, 31, 77, 54, 80, 85, and 47)
- E Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on review of employee education records and staff interview, it was determined that the facility failed to ensure that nurse aides received 12 hours of in-service training annually for three of three nurse aides reviewed (Employees 2, 3, and 4).
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure a resident's right to refuse or discontinue advance directive treatment for one of four residents reviewed for advance directive concerns (Resident 80).
- 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 required notification timely to a resident whose payment coverage changed for one of three residents reviewed (Resident 65).
- D 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 clinical record review and staff and resident interview, it was determined that the facility failed to implement a comprehensive person-centered care plan to maintain the highest practicable well-being for two of 20 residents reviewed (Residents 68 and 98). Findings Include: Observation and concurrent interview of Resident 68 on [DATE], at 2:10 PM revealed the resident had an indwelling foley catheter (a device that is inserted into the bladder and drains urine to an external collection bag). The resident's foley catheter drainage collection bag was observed hanging off the dresser located next to the resident's bed. Physician documentation for Resident 68 dated [DATE], revealed the resident had chronic retention of urine with a foley catheter. Current physician orders for Resident 68 revealed the following orders related to the foley catheter: [...]
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide shaving support for residents requiring staff assistance for two of two residents sampled for activities of daily living (Residents 65 and 85).
- 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.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to apply a physician ordered splint for one of two residents reviewed for range of motion concerns (Resident 47).
- D 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 review of select facility policies and procedures, clinical record review, observation, and staff interview, it was determined that the facility failed to assess a residents' need for bed rails, assess risk for entrapment from bed rails, and obtain informed consent before installation of bed rails for two of five residents reviewed for potential accident hazards (Residents 60 and 80).
- 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 individualized person-centered care plans to address dementia and cognitive loss displayed by two of three residents reviewed (Residents 45 and 65).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure an appropriate response to consultant pharmacist recommendations for one of five residents reviewed for potentially unnecessary medications (Resident 65).
- 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 observation and resident and staff interview, it was determined that the facility failed to properly secure and account for resident medications and biologicals on one of two nursing units (Upper Level Nursing Unit, Resident 68).
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to assist a resident in obtaining routine dental services for two of five residents reviewed for dental concerns (Residents 65 and 80).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to ensure a resident received the pneumococcal immunization for one of five residents reviewed for immunization concerns (Resident 96).
- D 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 clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to offer, or provide education regarding the benefits, risks, and potential side effects with the COVID vaccine for one of five residents reviewed for immunizations (Resident 96).
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to ensure a safe and clean environment in the facility main laundry area located on the lower level.
June 4, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, closed clinical record review, review of facility documents, and staff interview, it was determined that the facility failed to to provide the services necessary to prevent accidents resulting in multiple sustained fractures for one of five residents reviewed resulting in actual harm (Resident CR1).
January 5, 2024Complaint inspection · 1 citation
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on review of facility documentation and resident responsible party and staff interview, it was determined that the facility failed to resolve resident grievances related to respect, incontinence issues, and resident safety for one of five residents reviewed (Resident 1).
December 11, 2023Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, clinical record review, review of facility documents, and resident and staff interview, it was determined that the facility failed to protect the rights of a resident to be free from neglect by not providing the services necessary to avoid actual harm related to a fracture on one of two nursing units (Upper level, Resident 1).
November 17, 2023Standard inspection, Complaint inspection · 15 citations
- E 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.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to provide a clean, comfortable, and homelike environment on two of two nursing units reviewed (Upper and Lower Nursing Units; Residents 18, 25, 35, 47, 63, 68, 72, 85, 86, 97, 101, 102, and 112).
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on a review of select facility policies and procedures, employee personnel records, and staff interview, it was determined that the facility failed to implement its abuse prohibition policy pertaining to screening for five of five newly hired employees reviewed (Employees 1, 6, 7, 8, and 9).
- E Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on closed clinical record review and staff interview, it was determined that the facility failed to ensure a discharge summary for two of three discharged residents reviewed (Residents 114 and 117).
- E 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 items in a safe and sanitary manner and maintain equipment in a safe and sanitary condition in the main kitchen and lower level pantry.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to implement proper infection control practices during medication administration to prevent potential spread of infection on one of three residents observed for medication administration (Resident 113)
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to complete a significant change Minimum Data Set assessment for one of two residents reviewed (Resident 85).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to provide treatment and services, consistent with professional standards of practice, regarding skin assessments, for two of five residents reviewed (Residents 40 and 110).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to assess and evaluate interventions to prevent fall reoccurrence for one of nine residents reviewed for falls (Resident 82).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to store supplemental oxygen equipment per professional standards of practice for one of three residents reviewed (Resident 25).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview and review of facility documentation, it was determined that the facility failed to ensure that nurse aides received an annual performance review for three of three nurse aides reviewed (Employees 3, 4 and 5). Findings Include: During a meeting with the Nursing Home Administrator and Director of Nursing on November 15, 2023, at 3:00 PM the surveyor asked for annual performance reviews for Employees 3, 4, and 5. The Director of Nursing confirmed that the employees have been employed for at least a year. Interview with the Nursing Home Administrator on November 17, 2023, at 11:15 AM confirmed there was no documented evidence that annual performance reviews were completed for the above employees. 28 Pa. Code 201.19 (2) Personnel policies and procedures
- 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 observations, clinical record review, and staff and family interview, it was determined that the facility failed to ensure proper medication storage and labeling for two of two residents reviewed (Residents 40 and 113).
- D Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to arrange for timely podiatry (foot doctor) services for three of four residents reviewed for podiatry services (Residents 35, 63, and 107).
- 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 clinical record review and staff interview, it was determined that the facility failed to ensure an integrated care plan that included services provided by Hospice and those provided by the facility for two of two residents reviewed for Hospice concerns (Residents 9 and 30).
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on review of employee education records and staff interview, it was determined that the facility failed to ensure that nurse aides received 12 hours of in-service training annually for three of three nurse aides reviewed (Employees 3, 4, and 5).
- B 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 notify a resident and/or their responsible party in writing that included the required contents, of a transfer to the hospital for six out of 10 residents reviewed (Residents 40, 67, 72, 110, 112, and 114).
Fire safety inspections
25 fire safety citations on file: 11 on October 25, 2024, 7 on November 17, 2023, 7 on December 9, 2022.
Every fire safety citation25 citations
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Use approved construction type or materials.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Provide properly protected cooking facilities.
- C Have simulated fire drills held at unexpected times.
- E Use approved construction type or materials.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 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 an approved automatic sprinkler system.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have simulated fire drills held at unexpected times.
- E Ensure proper usage of power strips and extension cords.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have exits that are accessible at all times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 4, 2024 | Fine | $13,575 |
| November 17, 2023 | Fine | $8,190 |
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) | 3.47 | 3.89 | 3.86 |
| Registered nurses | 0.47 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.05 | 3.53 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 44.5% | 45.8% |
| Registered nurse turnover | 38.5% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.62 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 3.64 on weekdays and 3.05 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.36 in April to June 2025 to 3.47 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 | 3.47 | 0.47 | 3.64 | 3.05 | 13.3% | 0 of 90 | 118 |
| Oct to Dec 2025 | 3.49 | 0.38 | 3.62 | 3.16 | 18.9% | 0 of 92 | 115 |
| Jul to Sep 2025 | 3.51 | 0.38 | 3.60 | 3.27 | 32.4% | 0 of 92 | 115 |
| Apr to Jun 2025 | 3.36 | 0.39 | 3.53 | 2.93 | 26.8% | 0 of 91 | 110 |
| 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 | 12.0 | 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 | 1.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.1 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.3 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.8 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.2 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 20 problems in this area, most recently on March 13, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on March 6, 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 7 problems in this area, most recently on March 13, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on September 12, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
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- Muncy Place Muncy, 9.2 mi · 3 of 5 stars · 20 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 Watsontown Rehabilitation and Nursing Center's Medicare star rating?
- CMS rates Watsontown Rehabilitation and Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Watsontown Rehabilitation and Nursing Center get at its last inspection?
- 13 health deficiencies at the standard inspection on September 12, 2025. The Pennsylvania average is 10.
- Has Watsontown Rehabilitation and Nursing Center been fined?
- Yes. CMS lists 2 fines totaling $21,765 in the last three years.
- Does Watsontown Rehabilitation and Nursing 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 Watsontown Rehabilitation and Nursing Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.