Cycle 1
Health 2024-09-20 · Fire 2024-09-20
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lebanon, PA
Alpine Valley Post Acute and Healthcare Center
4-star overall rating with 4-star inspections with 4 recent health deficiencies
945 Duke Street, Lebanon, PA
(717) 274-1495
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
105
Certified beds
Average residents
101
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1977-01-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
0.48
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.28
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.73
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,122
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9906
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.29
Baseline 17.68% · Performance 19.91% · Measure score 3.29 · Achievement 3.29 · Improvement 0
Healthcare-associated infections
3.70
Baseline 6.69% · Performance 6.73% · Measure score 3.70 · Achievement 3.70 · Improvement 0
Total nurse turnover
4.40
Baseline 29.67% · Performance 45.71% · Measure score 4.40 · Achievement 4.40 · Improvement 0
Adjusted total nurse staffing
3.55
Baseline 4.12 hours · Performance 4.09 hours · Measure score 3.55 · Achievement 3.55 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.65% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 206 · Observed rate 5.83% · Lower 95% interval 6.37% |
| Discharge to community | 54.42% |
50.57%
3.9 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 48.96% · Lower 95% interval 46.04% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 77.06% |
95.27%
18.2 pts worse
|
Numerator 131 · Denominator 170 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 170 |
| Discharge self-care score | 36.44% |
53.69%
17.2 pts worse
|
Numerator 43 · Denominator 118 |
| Discharge mobility score | 44.07% |
50.94%
6.9 pts worse
|
Numerator 52 · Denominator 118 |
| Pressure ulcers or injuries, new or worsened | 1.18% |
2.29%
1.1 pts better
|
Numerator 2 · Denominator 170 · Adjusted rate 0.98% |
| Healthcare-associated infections requiring hospitalization | 6.73% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 5.51% · Lower 95% interval 4.14% |
| Staff COVID-19 vaccination coverage | 12.9% |
8.2%
4.7 pts better
|
Numerator 20 · Denominator 155 |
| Staff flu vaccination coverage | 40.59% |
42%
1.4 pts worse
|
Numerator 110 · Denominator 271 |
| Discharge function score | 45.76% |
56.45%
10.7 pts worse
|
Numerator 54 · Denominator 118 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 54 · Denominator 54 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 62 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 17.05% |
25.2%
8.1 pts worse
|
Numerator 15 · Denominator 88 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.9 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.5% |
86.9%
5.6 pts better
|
93.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 94.2% · Q3 90.1% · Q4 89.3% · 4Q avg 92.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.8% |
93.5%
2.7 pts worse
|
95.5%
4.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.2%
0.7 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.3% · Q3 1.4% · Q4 4.0% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.2% |
6.5%
0.7 pts worse
|
11.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 25.0% · 4Q avg 7.2% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
6.5%
2 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.8% · Q3 1.6% · Q4 8.2% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.5% |
19.9%
12.4 pts better
|
19.6%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.4% · Q3 4.8% · Q4 11.1% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.5% |
18.7%
0.8 pts worse
|
16.7%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 24.2% · Q3 18.5% · Q4 21.3% · 4Q avg 19.5% · 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 | 20.5% |
19.6%
0.9 pts worse
|
16.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 39.7% · Q3 8.6% · Q4 20.5% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.4% |
18.3%
1.1 pts worse
|
14.9%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 21.6% · Q3 11.5% · Q4 23.0% · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.7%
0.2 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 1.4% · Q4 1.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
26.4%
2.3 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 31.6% · Q3 37.3% · Q4 24.1% · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
5.3%
1.7 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 6.1% · Q3 4.8% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.2% |
68.9%
11.3 pts better
|
81.7%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 75.1% · Q3 76.3% · Q4 80.1% · 4Q avg 80.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
9.8%
1.3 pts worse
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 10.9% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.5%
1.2 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 3.9% · Q4 3.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.9% |
68.7%
12.8 pts worse
|
79.7%
23.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.4% |
23.1%
10.3 pts worse
|
23.9%
9.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.4% · Observed 33.2% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-20 · Fire 2023-10-20
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-16 · Fire 2022-12-16
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-09-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-28
D · Potential for more than minimal harm
2024-09-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-28
D · Potential for more than minimal harm
2024-09-20
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-28
B · Minimal harm
2024-09-20
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-28
D · Potential for more than minimal harm
2024-03-14
F690 · Quality of Life and Care Deficiencies
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 2024-04-16
D · Potential for more than minimal harm
2023-10-20
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-01
D · Potential for more than minimal harm
2023-10-20
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-01
B · Minimal harm
2023-10-20
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-01
Penalties and ownership
What sits behind the stars
Ownership
Alpine Valley Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Hay, Howard
Operational/Managerial Control · Individual
Live Well Plus LLC
Operational/Managerial Control · Organization
Nfr 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Patel, Nisarg
Operational/Managerial Control · Individual
Popular Bank
5% Or Greater Mortgage Interest · Organization
Posen, Mindee
Operational/Managerial Control · Individual
Quinto Nexgen LLC
5% Or Greater Indirect Ownership Interest · Organization
Reliant Pro Rehab LLC
Operational/Managerial Control · Organization
Rokeach, Fraide
5% Or Greater Indirect Ownership Interest · Individual
Rsbrmk Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sk Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Tryko Nexgen Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Uak 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Ukr Nexgen LLC
5% Or Greater Indirect Ownership Interest · Organization
Yk Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Yr Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Lebanon Skilled Nursing And Rehabilitation Center
Lebanon, PA
1-star overall rating with 2-star inspections with 16 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Cedar Haven Healthcare Center
Lebanon, PA
2-star overall rating with 2-star inspections with abuse icon flag with $78,888 in total fines with 8 recent health deficiencies
#3
Cornwall Manor
Cornwall, PA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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