Cycle 1
Health 2025-01-10 · Fire 2025-01-10
17 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Pittsburgh, PA
Canterbury Place
1-star overall rating with 2-star inspections with 17 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
310 Fisk Street, Pittsburgh, PA
(412) 622-9000
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
115
Certified beds
Average residents
112
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Upmc Senior Communities
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 4 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
1.07
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.54
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.55
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.81
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
4.33
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,669
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.10
Composite VBP score used to determine payment impact.
Payment multiplier
0.9869
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.68
Baseline 20.63% · Performance 20.19% · Measure score 2.68 · Achievement 2.68 · Improvement 0.72
Healthcare-associated infections
5.11
Baseline 7.10% · Performance 6.31% · Measure score 5.11 · Achievement 5.11 · Improvement 3.27
Total nurse turnover
0
Performance 81.05% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.05
Baseline 4.64 hours · Performance 4.51 hours · Measure score 5.05 · Achievement 5.05 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.6% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 16.46% · Lower 95% interval 9% |
| Discharge to community | 45.03% |
50.57%
5.5 pts worse
|
No Different than the National Rate · Eligible stays 62 · Observed rate 33.87% · Lower 95% interval 32.1% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 94.92% |
95.27%
0.3 pts worse
|
Numerator 56 · Denominator 59 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 59 |
| Discharge self-care score | 32.56% |
53.69%
21.1 pts worse
|
Numerator 14 · Denominator 43 |
| Discharge mobility score | 20.93% |
50.94%
30 pts worse
|
Numerator 9 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 1.69% |
2.29%
0.6 pts better
|
Numerator 1 · Denominator 59 · Adjusted rate 1.63% |
| Healthcare-associated infections requiring hospitalization | 6.31% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 2.56% · Lower 95% interval 3.25% |
| Staff COVID-19 vaccination coverage | 7.81% |
8.2%
0.4 pts worse
|
Numerator 10 · Denominator 128 |
| Staff flu vaccination coverage | 66.33% |
42%
24.3 pts better
|
Numerator 195 · Denominator 294 |
| Discharge function score | 20.93% |
56.45%
35.5 pts worse
|
Numerator 9 · Denominator 43 |
| Transfer of health information to provider | 83.33% |
95.95%
12.6 pts worse
|
Numerator 20 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 16.28% |
25.2%
8.9 pts worse
|
Numerator 7 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.2
0.5 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 70.5% |
86.9%
16.4 pts worse
|
93.4%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.9% · Q2 66.7% · Q3 68.7% · Q4 77.1% · 4Q avg 70.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
93.5%
4.5 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.0% |
3.2%
4.8 pts worse
|
3.3%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.5% · Q3 10.1% · Q4 7.6% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.2% |
6.5%
2.7 pts worse
|
11.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.9% · Q3 12.2% · Q4 11.7% · 4Q avg 9.2% |
| Percentage of long-stay residents who lose too much weight | 12.6% |
6.5%
6.1 pts worse
|
5.4%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.2% · Q3 8.3% · Q4 20.0% · 4Q avg 12.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8% |
19.9%
6.1 pts better
|
19.6%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 13.8% · Q3 14.3% · Q4 13.8% · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.3% |
18.7%
9.6 pts worse
|
16.7%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 24.2% · Q3 30.1% · Q4 33.8% · 4Q avg 28.3% · 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 | 47.3% |
19.6%
27.7 pts worse
|
16.3%
31 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 49.1% · Q4 39.5% · 4Q avg 47.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.0% |
18.3%
16.7 pts worse
|
14.9%
20.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 48.9% · Q3 39.3% · Q4 25.6% · 4Q avg 35.0% · Used in QM five-star |
| 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 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.7%
0.1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 3.1% · Q4 1.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.8% |
26.4%
1.4 pts worse
|
19.8%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 28.8% · Q3 29.1% · Q4 22.7% · 4Q avg 27.8% |
| Percentage of long-stay residents with pressure ulcers | 10.2% |
5.3%
4.9 pts worse
|
5.1%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 15.4% · Q3 7.3% · Q4 7.0% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.4% |
68.9%
2.5 pts better
|
81.7%
10.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 62.4% · Q2 73.2% · Q3 75.9% · Q4 78.8% · 4Q avg 71.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
9.8%
3.2 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 9.0% · Expected 15.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.5%
1.1 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.2% · Q3 2.5% · Q4 1.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.7% |
68.7%
10 pts better
|
79.7%
1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.4% |
23.1%
1.3 pts worse
|
23.9%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 37.3% · Expected 36.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-25 · Fire 2024-01-25
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-02-09 · Fire 2023-02-09
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-04
D · Potential for more than minimal harm
2024-01-25
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 2024-03-15
D · Potential for more than minimal harm
2024-01-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-15
E · Potential for more than minimal harm
2023-02-09
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-02-16
D · Potential for more than minimal harm
2023-02-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-16
C · Minimal harm
2023-02-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-13
D · Potential for more than minimal harm
2025-07-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-26
G · Actual harm
2025-06-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-06-03
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 2025-07-08
D · Potential for more than minimal harm
2025-04-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-06
E · Potential for more than minimal harm
2025-01-10
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-01-10
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 2025-02-28
E · Potential for more than minimal harm
2025-01-10
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-01-10
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-10
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-10
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 2025-02-28
D · Potential for more than minimal harm
2025-01-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-10
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-10
F849 · Administration Deficiencies
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 2025-02-28
D · Potential for more than minimal harm
2025-01-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-10
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-02-28
C · Minimal harm
2024-10-31
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 2024-12-06
D · Potential for more than minimal harm
2024-02-22
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 2024-04-02
E · Potential for more than minimal harm
2024-01-25
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 2024-03-15
D · Potential for more than minimal harm
2024-01-25
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-01-25
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-01-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-01-25
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 2024-03-15
D · Potential for more than minimal harm
2024-01-25
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-03-15
E · Potential for more than minimal harm
2023-02-09
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 2023-03-21
D · Potential for more than minimal harm
2023-02-09
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-03-21
D · Potential for more than minimal harm
2023-02-09
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-21
D · Potential for more than minimal harm
2023-02-09
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-03-21
Penalties and ownership
What sits behind the stars
Ownership
Upmc
5% Or Greater Indirect Ownership Interest · Organization
Upmc Senior Communities Inc
5% Or Greater Direct Ownership Interest · Organization
Borgo, Angela
Corporate Officer · Individual
Brodine, Deborah
Corporate Director · Individual
Brodine, Deborah
Corporate Officer · Individual
Hamilton, Richard
Corporate Director · Individual
Joy, Margaret
Corporate Director · Individual
Joy, Margaret
Corporate Officer · Individual
Nace, David
Corporate Director · Individual
Oakdale Seniors Alliance LLC
Operational/Managerial Control · Organization
Rhoads, Charles
Operational/Managerial Control · Individual
Simmons, Eileen
Corporate Director · Individual
Simmons, Eileen
Corporate Officer · Individual
Wesley, Bryant
Corporate Director · Individual
Wesley, Bryant
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Ivy Park Post Acute
Pittsburgh, PA
1-star overall rating with 1-star inspections with 25 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Spring Hill Rehabilitation And Nursing Center
Pittsburgh, PA
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $19,366 in total fines with 71 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
East End Health & Rehab Center
Pittsburgh, PA
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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