Cycle 1
Health 2025-02-26 · Fire 2025-02-26
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Chambersburg, PA
Brookview Health Care Center
4-star overall rating with 3-star inspections with $16,801 in total fines with 6 recent health deficiencies
1000 Northfield Drive, Chambersburg, PA
(717) 263-8545
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
56
Certified beds
Average residents
26
Average occupied residents
Ownership
Non-Profit
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
2.30
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.84
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
6.98
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
3.15
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
6.01
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.61
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
2.29
CMS adjusted RN staffing hours
Adjusted total hours
6.95
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
975
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.48
Composite VBP score used to determine payment impact.
Payment multiplier
1.0165
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.45
Baseline 16.91% · Performance 17.52% · Measure score 8.45 · Achievement 8.45 · Improvement 0
Healthcare-associated infections
3.65
Baseline 5.50% · Performance 6.74% · Measure score 3.65 · Achievement 3.65 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
6.34
Baseline 4.41 hours · Performance 4.88 hours · Measure score 6.34 · Achievement 6.34 · Improvement 2.96
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.1% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 105 · Observed rate 4.76% · Lower 95% interval 5.83% |
| Discharge to community | 45.11% |
50.57%
5.5 pts worse
|
No Different than the National Rate · Eligible stays 119 · Observed rate 37.82% · Lower 95% interval 36.48% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.18% |
95.27%
2.9 pts better
|
Numerator 108 · Denominator 110 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 110 |
| Discharge self-care score | 36.56% |
53.69%
17.1 pts worse
|
Numerator 34 · Denominator 93 |
| Discharge mobility score | 54.84% |
50.94%
3.9 pts better
|
Numerator 51 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 0.91% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 110 · Adjusted rate 0.94% |
| Healthcare-associated infections requiring hospitalization | 6.74% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 4.82% · Lower 95% interval 3.65% |
| Staff COVID-19 vaccination coverage | 1.04% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 96 |
| Staff flu vaccination coverage | 51.81% |
42%
9.8 pts better
|
Numerator 43 · Denominator 83 |
| Discharge function score | 52.69% |
56.45%
3.8 pts worse
|
Numerator 49 · Denominator 93 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 35 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 35.71% |
25.2%
10.5 pts better
|
Numerator 25 · Denominator 70 |
Quality measures
Resident outcomes and process scores
| 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 1.8 · 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 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
86.9%
13.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.2%
1.2 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 5.0% · Q4 10.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
6.5%
3.9 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 5.7% · 4Q avg 2.6% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
6.5%
3.5 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.9% · Q3 3.3% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.2% |
19.9%
5.3 pts worse
|
19.6%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 23.3% · Q3 23.3% · 4Q avg 25.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.4% |
18.7%
13.3 pts better
|
16.7%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 3.2% · Q3 3.1% · 4Q avg 5.4% · 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 | 38.6% |
19.6%
19 pts worse
|
16.3%
22.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
18.3%
4 pts better
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 10.0% · Q3 10.7% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.9%
0.4 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 1.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 39.5% |
26.4%
13.1 pts worse
|
19.8%
19.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.8% · Q2 33.2% · Q3 38.9% · 4Q avg 39.5% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
5.3%
2.5 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 3.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
68.9%
28.9 pts better
|
81.7%
16.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 96.3% · Q3 98.8% · Q4 100.0% · 4Q avg 97.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
9.8%
3 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 6.0% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
1.5%
2.1 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.5% · Q3 2.7% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.2% |
68.7%
25.5 pts better
|
79.7%
14.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
23.1%
2.4 pts better
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 18.1% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-13 · Fire 2024-03-13
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-04-19 · Fire 2023-04-19
9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-03-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-05
E · Potential for more than minimal harm
2024-03-13
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2024-04-05
E · Potential for more than minimal harm
2023-04-19
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-13
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-24
E · Potential for more than minimal harm
2025-02-26
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 2025-03-24
D · Potential for more than minimal harm
2025-02-26
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 2025-03-24
D · Potential for more than minimal harm
2025-02-26
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-02-26
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 2025-03-24
B · Minimal harm
2025-02-26
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 2025-03-24
D · Potential for more than minimal harm
2024-03-13
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 2024-03-29
K · Immediate jeopardy
2024-02-16
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-01-31
J · Immediate jeopardy
2024-02-16
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 2024-01-31
J · Immediate jeopardy
2024-02-16
F743 · Quality of Life and Care Deficiencies
Health
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Corrected 2024-03-18
E · Potential for more than minimal harm
2024-02-16
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-03-18
D · Potential for more than minimal harm
2024-02-16
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-18
D · Potential for more than minimal harm
2024-02-16
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 2024-03-18
E · Potential for more than minimal harm
2023-04-19
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 2023-05-22
E · Potential for more than minimal harm
2023-04-19
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 2023-05-22
D · Potential for more than minimal harm
2023-04-19
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-22
Penalties and ownership
What sits behind the stars
$4,632
2024-02-16
Fine
Fine · fine $4,632
Fine
$4,633
2024-02-16
Fine
Fine · fine $4,633
Fine
$7,536
2024-02-16
Fine
Fine · fine $7,536
Fine
Ownership
Beins, Roger
Corporate Officer · Individual
Burke, Rosalyn
Operational/Managerial Control · Individual
Fritz, Ryan
Corporate Officer · Individual
George, Carolyn
Corporate Director · Individual
Gingrich, Charlene
Corporate Director · Individual
Gipe, Ronald
Corporate Director · Individual
Macbride, Lynn
Corporate Director · Individual
Manufacturers And Trades Trust Company
5% Or Greater Mortgage Interest · Organization
Martin, Tiffany
Corporate Officer · Individual
Nelson, Charles
Corporate Officer · Individual
O'donnell, Patrick
Corporate Director · Individual
Peterson, Todd
Corporate Director · Individual
Sciamanna, David
Corporate Director · Individual
Trinh, Suzanne
Corporate Director · Individual
Warner, Paula
Corporate Director · Individual
Williams, Anthony
Corporate Director · Individual
Yeager, Wayne
Corporate Director · Individual
Nearby options
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5-star overall rating with 4-star inspections with 3 recent health deficiencies
#2
Chambers Pointe Health Care Center
Chambersburg, PA
3-star overall rating with 2-star inspections with abuse icon flag with $30,863 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Laurel Lakes Rehabilitation And Wellness Center
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1-star overall rating with 1-star inspections with $224,602 in total fines with 16 recent health deficiencies
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