Frackville, PA

Broad Mountain Health And Rehabilitation Center

2-star overall rating with 1-star inspections with abuse icon flag with $56,858 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

500 West Laurel Street, Frackville, PA

(570) 570-8740

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

117

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1970-10-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing

LPN hours / resident day

0.78

Licensed practical nurse staffing

Aide hours / resident day

2.01

Nurse aide staffing

Weekend hours

2.90

Weekend nurse staffing

RN turnover

64%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.7%
86.9%
4.8 pts better
93.4%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.9%
93.5%
2.4 pts better
95.5%
0.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.9%
3.2%
1.3 pts better
3.3%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 6.1%
6.5%
0.4 pts better
11.4%
5.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.1%
6.5%
3.4 pts better
5.4%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.3%
19.9%
0.4 pts worse
19.6%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.0%
18.7%
3.7 pts better
16.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 10.5%
19.6%
9.1 pts better
16.3%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.8%
18.3%
7.5 pts better
14.9%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.9%
0.7 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
1.7%
1.7 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.8%
26.4%
1.6 pts better
19.8%
5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.4%
5.3%
1.9 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 62.9%
68.9%
6 pts worse
81.7%
18.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.0%
9.8%
2.8 pts better
12.0%
5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.5%
0.8 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 60.5%
68.7%
8.2 pts worse
79.7%
19.2 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 8.0%
23.1%
15.1 pts better
23.9%
15.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-11 · Fire 2025-04-11

17 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

7 fire-safety deficiencies

Top issue: Construction (2 deficiencies)

Cycle 2 Health 2024-05-10 · Fire 2024-05-10

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-07-14 · Fire 2023-07-14

17 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-11

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-05-20

E · Potential for more than minimal harm 2025-04-11

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-05-20

E · Potential for more than minimal harm 2025-04-11

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-05-20

E · Potential for more than minimal harm 2025-04-11

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-05-20

E · Potential for more than minimal harm 2025-04-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-05-20

E · Potential for more than minimal harm 2025-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-20

E · Potential for more than minimal harm 2025-04-11

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-05-20

E · Potential for more than minimal harm 2024-05-10

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-07

E · Potential for more than minimal harm 2023-07-14

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-08-10

E · Potential for more than minimal harm 2023-07-14

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-10

E · Potential for more than minimal harm 2023-07-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-10

C · Minimal harm 2023-07-14

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-08-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-18

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 2025-12-02

E · Potential for more than minimal harm 2025-11-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-12-02

J · Immediate jeopardy 2025-10-17

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 2025-11-18

D · Potential for more than minimal harm 2025-10-17

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-11-18

D · Potential for more than minimal harm 2025-09-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-18

E · Potential for more than minimal harm 2025-04-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-04-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-04-11

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-04-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-04-11

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-04-11

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-04-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-04-11

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 2025-05-13

D · Potential for more than minimal harm 2025-04-11

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-04-11

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-04-11

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-04-11

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-05-13

G · Actual harm 2024-05-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-05

G · Actual harm 2024-05-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-05-10

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-05-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-05-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-05-10

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-05-10

F761 · Pharmacy Service Deficiencies

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 2024-06-06

E · Potential for more than minimal harm 2024-05-10

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-05-10

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-05-10

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-06-06

B · Minimal harm 2024-05-10

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-06-06

E · Potential for more than minimal harm 2023-10-17

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 2023-11-08

E · Potential for more than minimal harm 2023-10-17

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 2023-11-08

E · Potential for more than minimal harm 2023-10-17

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-09-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-08-03

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 2023-09-08

D · Potential for more than minimal harm 2023-08-03

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-08-03

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 2023-10-17

D · Potential for more than minimal harm 2023-08-03

F761 · Pharmacy Service Deficiencies

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 2023-10-17

D · Potential for more than minimal harm 2023-08-03

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-10-17

G · Actual harm 2023-07-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-07-10

E · Potential for more than minimal harm 2023-07-14

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 2023-09-27

D · Potential for more than minimal harm 2023-07-14

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

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 2023-06-24

D · Potential for more than minimal harm 2023-07-14

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-14

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-09-08

Penalties and ownership

What sits behind the stars

$15,940 2025-09-10

Fine

Fine · fine $15,940

Fine

$29,738 2024-05-10

Fine

Fine · fine $29,738

Fine

$11,180 2023-07-14

Fine

Fine · fine $11,180

Fine

$0 2023-07-14

Payment Denial

Payment Denial · denial start 2023-10-14 · 25 days

25 day denial

Ownership

Shg Recs, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2022-05-02
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Bnv Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Burns, Ladonna

W-2 Managing Employee · Individual

0% 1 facilities 2024-07-10
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Nicoluzakis, Gregory

Corporate Officer · Individual

0% 117 facilities 2019-03-01
Ohi Asset (Pa) Frackville LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2022-12-01
Pearlstein, Robert

Operational/Managerial Control · Individual

0% 10 facilities 2025-03-03
Saber Governance LLC

Operational/Managerial Control · Organization

0% 87 facilities 2019-09-01
Saber Pa Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 35 facilities 2023-12-31
Sakalas, Lori

Operational/Managerial Control · Individual

0% 10 facilities 2024-05-06
Shh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 48 facilities 2019-03-01
Thompson, Jennifer

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-09
Volpe, Benjamin

Corporate Director · Individual

0% 122 facilities 2019-03-01
Volpe, Benjamin

Corporate Officer · Individual

0% 122 facilities 2019-03-01
Wiw Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Wwbv Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 47 facilities 2019-09-30

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#3

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