Home / Pennsylvania / Narvon
Zerbe Sisters Nursing Center,
2499 Zerbe Road, Narvon, PA 17555 · Lancaster County · (717) 445-4551
87 certified beds, about 77 residents a day · For profit - Corporation · Medicare and Medicaid since 1975
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395326 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2026, inspectors cited 0 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 3 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,033 in the last three years; the largest was $10,033, and the latest is dated March 8, 2024.
Nurses and nurse aides worked 4.24 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
52.8% 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.
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 3 health citations on file.
April 16, 2026Standard inspection · 0 citations
February 27, 2025Standard inspection · 2 citations
- 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, facility investigation review, and staff interview, it was determined the facility failed to ensure adequate supervision was provided during toileting transfer resulting in a fall of one of 20 residents reviewed (Resident 55).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of facility policy, observations, and interviews, it was determined the facility failed to document medication disposition for two of three discharged residents. (Resident 7 and Resident 76)
March 8, 2024Standard 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 review of facility policies, facility documentation, clinical records and staff interviews, it was determined that the facility failed to protect residents from neglect for one of eighteen residents reviewed (Resident 47). Resulting in actual harm of skin tear and bruising to Resident 47.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 8, 2024 | Fine | $10,033 |
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) | 4.24 | 3.89 | 3.86 |
| Registered nurses | 0.59 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.53 | 3.42 |
| Nurse aides | 2.54 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 52.8% | 44.5% | 45.8% |
| Registered nurse turnover | 33.3% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.68 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 4.39 on weekdays and 3.86 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.38 in April to June 2025 to 4.24 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 | 4.24 | 0.59 | 4.39 | 3.86 | 27.1% | 0 of 90 | 77 |
| Oct to Dec 2025 | 4.27 | 0.63 | 4.34 | 4.07 | 28.9% | 0 of 92 | 77 |
| Jul to Sep 2025 | 4.22 | 0.57 | 4.34 | 3.90 | 22.4% | 0 of 92 | 78 |
| Apr to Jun 2025 | 4.38 | 0.62 | 4.54 | 3.99 | 27.0% | 0 of 91 | 75 |
| 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 | 7.9 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.6 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.2 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.2 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.2 | 1.8 |
Owners and operators
Legal business name: ZERBE SISTERS NURSING CENTER, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Caffrey, Daniel | 5% or greater direct ownership interest | Individual | 100% | 05/26/2005 |
| Caffrey, Daniel | Corporate director | Individual | 06/23/2005 | |
| Mancini, Scott | Corporate director | Individual | 01/11/2021 | |
| Massaro, Lauren | Corporate director | Individual | 07/01/2023 | |
| Caffrey, Daniel | Operational/managerial control | Individual | 06/06/2016 | |
| Mancini, Scott | Operational/managerial control | Individual | 01/11/2021 | |
| Massaro, Lauren | Operational/managerial control | Individual | 07/01/2023 | |
| Caffrey, Daniel | Adp of the SNF | Individual | 06/06/2016 | |
| Mancini, Scott | Adp of the SNF | Individual | 01/11/2021 | |
| Massaro, Lauren | Adp of the SNF | Individual | 07/01/2023 |
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 1 problem in this area, most recently on February 27, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 27, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on March 8, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Other nursing homes nearby
- Hickory House Nursing Home Honey Brook, 7.7 mi · 5 of 5 stars · 16 citations
- Tel Hai Retirement Community Honey Brook, 8.1 mi · 5 of 5 stars · 0 citations
- Garden Spot Village New Holland, 8.2 mi · 5 of 5 stars · 4 citations
- Mifflin Center Shillington, 9.1 mi · 4 of 5 stars · 18 citations
- Highlands at Wyomissing Wyomissing, 10.5 mi · 5 of 5 stars · 5 citations
- Complete Care at Berkshire LLC Reading, 10.5 mi · 4 of 5 stars · 12 citations
- Fairlane Gardens Nursing and Rehab at Reading Reading, 10.7 mi · 1 of 5 stars · 17 citations
- Wyomissing Health and Rehabilitation Center Reading, 10.7 mi · 4 of 5 stars · 18 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 Zerbe Sisters Nursing Center,'s Medicare star rating?
- CMS rates Zerbe Sisters Nursing Center, 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Zerbe Sisters Nursing Center, get at its last inspection?
- 0 health deficiencies at the standard inspection on April 16, 2026. The Pennsylvania average is 10.
- Has Zerbe Sisters Nursing Center, been fined?
- Yes. CMS lists 1 fine totaling $10,033 in the last three years.
- Does Zerbe Sisters 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 Zerbe Sisters Nursing Center,?
- CMS lists 10 owners and managers. Legal business name: ZERBE SISTERS NURSING CENTER, INC..
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.