5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Scranton, PA
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
303 Smallacombe Drive, Scranton, PA
(570) 348-1424
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
327
Certified beds
Average residents
272
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-02-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.75
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.42
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.50
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.76
CMS adjusted RN staffing hours
Adjusted total hours
4.48
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,878
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9914
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.66
Baseline 19.63% · Performance 21.12% · Measure score 0.66 · Achievement 0.66 · Improvement 0
Healthcare-associated infections
4.46
Baseline 6.45% · Performance 6.50% · Measure score 4.46 · Achievement 4.46 · Improvement 0
Total nurse turnover
7.61
Baseline 39.36% · Performance 32.56% · Measure score 7.61 · Achievement 7.61 · Improvement 4.19
Adjusted total nurse staffing
2.57
Baseline 3.22 hours · Performance 3.81 hours · Measure score 2.57 · Achievement 2.57 · Improvement 1.80
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.16% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 542 · Observed rate 10.89% · Lower 95% interval 8.21% |
| Discharge to community | 51.49% |
50.57%
0.9 pts better
|
No Different than the National Rate · Eligible stays 526 · Observed rate 42.02% · Lower 95% interval 47.43% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 90.48% |
95.27%
4.8 pts worse
|
Numerator 380 · Denominator 420 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 420 |
| Discharge self-care score | 47.67% |
53.69%
6 pts worse
|
Numerator 143 · Denominator 300 |
| Discharge mobility score | 42.67% |
50.94%
8.3 pts worse
|
Numerator 128 · Denominator 300 |
| Pressure ulcers or injuries, new or worsened | 2.62% |
2.29%
0.3 pts worse
|
Numerator 11 · Denominator 420 · Adjusted rate 2.26% |
| Healthcare-associated infections requiring hospitalization | 6.5% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 374 · Observed rate 6.42% · Lower 95% interval 4.5% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 323 |
| Staff flu vaccination coverage | 11.78% |
42%
30.2 pts worse
|
Numerator 51 · Denominator 433 |
| Discharge function score | 44.67% |
56.45%
11.8 pts worse
|
Numerator 134 · Denominator 300 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 143 · Denominator 143 |
| Transfer of health information to patient | 95.58% |
96.28%
0.7 pts worse
|
Numerator 173 · Denominator 181 |
| Resident COVID-19 vaccinations up to date | 19.91% |
25.2%
5.3 pts worse
|
Numerator 45 · Denominator 226 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.2
0.4 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
86.9%
8.9 pts better
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 93.7% · Q3 96.7% · Q4 97.8% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.7% |
93.5%
0.8 pts worse
|
95.5%
2.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.2%
1.4 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 1.9% · Q4 1.8% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
6.5%
0.6 pts better
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 9.0% · Q3 6.7% · Q4 4.3% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
19.9%
2.8 pts better
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 17.1% · Q3 16.9% · Q4 18.7% · 4Q avg 17.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.7% |
18.7%
6 pts better
|
16.7%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 13.0% · Q3 12.6% · Q4 12.2% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.1% |
19.6%
5.5 pts better
|
16.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 11.2% · Q3 9.0% · Q4 13.2% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.6% |
18.3%
8.7 pts better
|
14.9%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 8.3% · Q3 7.2% · Q4 11.1% · 4Q avg 9.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.9%
0.5 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.5% · Q3 0.0% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.5% · Q3 1.4% · Q4 2.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
26.4%
0.8 pts better
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 25.2% · Q3 22.1% · Q4 27.5% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
5.3%
1.5 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.1% · Q3 3.3% · Q4 4.9% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.9% |
68.9%
17 pts better
|
81.7%
4.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 85.7% · Q3 91.4% · Q4 88.1% · 4Q avg 85.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
9.8%
2.6 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 6.9% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.8% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.7% |
68.7%
18 pts better
|
79.7%
7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
23.1%
0.4 pts better
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 22.2% · Expected 23.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-08-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-15
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-10-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-10-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-28
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-02
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-02
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-02
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-05
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-11-05
Health
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.
Corrected 2024-11-05
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-11-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-05
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-11-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-05
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-28
Health
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.
Corrected 2023-11-28
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-11-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-28
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-28
Health
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.
Corrected 2023-11-28
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-22
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-05-23
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-03
Penalties and ownership
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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Scranton, PA
5-star overall rating with 4-star inspections with $8,018 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Scranton, PA
3-star overall rating with 3-star inspections with $32,646 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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