Cycle 1
Health 2024-09-20 · Fire 2024-09-20
4 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Leesport, PA
Berks County Home- Berks Heim
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1011 Berks Road, Leesport, PA
(610) 376-4841
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
420
Certified beds
Average residents
316
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
Hours and turnover
RN hours / resident day
0.85
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.28
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
7%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,056
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.45
Composite VBP score used to determine payment impact.
Payment multiplier
1.0156
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.96
Baseline 15.67% · Performance 17.28% · Measure score 8.96 · Achievement 8.96 · Improvement 0
Healthcare-associated infections
1.39
Baseline 5.07% · Performance 7.42% · Measure score 1.39 · Achievement 1.39 · Improvement 0
Total nurse turnover
10
Baseline 28.92% · Performance 24.53% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
3.82
Baseline 3.50 hours · Performance 4.17 hours · Measure score 3.82 · Achievement 3.82 · Improvement 2.43
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 6.94% |
10.72%
3.8 pts better
|
Better than the National Rate · Eligible stays 242 · Observed rate 3.31% · Lower 95% interval 5.18% |
| Discharge to community | 23.52% |
50.57%
27.1 pts worse
|
Worse than the National Rate · Eligible stays 194 · Observed rate 15.98% · Lower 95% interval 17.57% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.32% |
95.27%
4 pts better
|
Numerator 146 · Denominator 147 |
| Falls with major injury | 0.68% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 147 |
| Discharge self-care score | 47.9% |
53.69%
5.8 pts worse
|
Numerator 57 · Denominator 119 |
| Discharge mobility score | 36.97% |
50.94%
14 pts worse
|
Numerator 44 · Denominator 119 |
| Pressure ulcers or injuries, new or worsened | 3.4% |
2.29%
1.1 pts worse
|
Numerator 5 · Denominator 147 · Adjusted rate 2.64% |
| Healthcare-associated infections requiring hospitalization | 7.42% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 149 · Observed rate 8.05% · Lower 95% interval 4.95% |
| Staff COVID-19 vaccination coverage | 0.72% |
8.2%
7.5 pts worse
|
Numerator 3 · Denominator 416 |
| Staff flu vaccination coverage | 81.36% |
42%
39.4 pts better
|
Numerator 371 · Denominator 456 |
| Discharge function score | 48.74% |
56.45%
7.7 pts worse
|
Numerator 58 · Denominator 119 |
| Transfer of health information to provider | 96% |
95.95%
About the same
|
Numerator 24 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 23 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 8.82% |
25.2%
16.4 pts worse
|
Numerator 6 · Denominator 68 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · 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 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 47.7% |
86.9%
39.2 pts worse
|
93.4%
45.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.7% · Q2 38.4% · Q3 52.8% · Q4 65.8% · 4Q avg 47.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.8% |
93.5%
2.3 pts better
|
95.5%
0.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.2%
0.3 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.9% · Q3 3.0% · Q4 3.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
6.5%
6.2 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.4% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
6.5%
About the same
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 8.2% · Q3 5.1% · Q4 3.7% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.2% |
19.9%
15.3 pts worse
|
19.6%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 34.1% · Q3 34.9% · Q4 36.2% · 4Q avg 35.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.7% |
18.7%
8 pts worse
|
16.7%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 27.9% · Q3 26.7% · Q4 26.0% · 4Q avg 26.7% · 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 | 27.3% |
19.6%
7.7 pts worse
|
16.3%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 21.5% · Q3 35.2% · Q4 30.0% · 4Q avg 27.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.9% |
18.3%
9.6 pts worse
|
14.9%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 28.9% · Q3 30.2% · Q4 29.2% · 4Q avg 27.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.9%
0.1 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.6% · Q3 0.7% · Q4 1.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
26.4%
0.7 pts better
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 27.9% · Q3 23.2% · Q4 25.2% · 4Q avg 25.7% |
| 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 4.4% · Q2 4.5% · Q3 3.0% · Q4 2.3% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 60.9% |
68.9%
8 pts worse
|
81.7%
20.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 65.4% · Q2 45.6% · Q3 63.1% · Q4 73.2% · 4Q avg 60.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.0% |
9.8%
7.8 pts better
|
12.0%
10 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.0% · Observed 2.0% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.5%
1 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.8% |
68.7%
9.1 pts better
|
79.7%
1.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.8% |
23.1%
8.3 pts better
|
23.9%
9.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 14.7% · Expected 23.6% · 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: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2022-11-04 · Fire 2022-11-04
12 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-09-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-10
D · Potential for more than minimal harm
2024-09-20
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-10
D · Potential for more than minimal harm
2024-09-20
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-10
D · Potential for more than minimal harm
2024-09-20
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-10
E · Potential for more than minimal harm
2023-10-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-28
E · Potential for more than minimal harm
2023-10-20
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-11-28
E · Potential for more than minimal harm
2023-10-20
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-28
E · Potential for more than minimal harm
2023-10-20
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-28
E · Potential for more than minimal harm
2022-11-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-02
E · Potential for more than minimal harm
2022-11-04
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-02
D · Potential for more than minimal harm
2022-11-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-02
D · Potential for more than minimal harm
2022-11-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-02
D · Potential for more than minimal harm
2022-11-04
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-02
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-09-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-22
D · Potential for more than minimal harm
2024-09-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-22
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 2024-10-22
D · Potential for more than minimal harm
2024-09-20
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-10-22
D · Potential for more than minimal harm
2023-10-20
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-10-20
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-10-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-10-20
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 2023-12-04
G · Actual harm
2022-11-04
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 2022-12-20
E · Potential for more than minimal harm
2022-11-04
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F584 · Resident Rights Deficiencies
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 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-12-20
D · Potential for more than minimal harm
2022-11-04
F742 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-12-20
Penalties and ownership
What sits behind the stars
Ownership
Brackbill, Robert
Operational/Managerial Control · Individual
Chr Consulting Services Inc
Operational/Managerial Control · Organization
County Of Berks Office Of The Controller
Operational/Managerial Control · Organization
Ernst, Elizabeth
Operational/Managerial Control · Individual
Fitz, Rebecca
Operational/Managerial Control · Individual
Grove, Joshua
Operational/Managerial Control · Individual
Loiacono, Marc
Operational/Managerial Control · Individual
Murray, Donna
Operational/Managerial Control · Individual
Pettie, Jessica
Operational/Managerial Control · Individual
Steele, Michelle
Operational/Managerial Control · Individual
Zeigler, Sharon
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Laureldale Skilled Nursing And Rehabilitation Cent
Laureldale, PA
3-star overall rating with 3-star inspections with $16,036 in total fines with 4 recent health deficiencies
#2
Transitional Sub-Acute Unit
Wyomissing, PA
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#3
West Reading Skilled Nursing And Rehabilitation Ce
West Reading, PA
2-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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