Sharon, PA

Clepper Manor

2-star overall rating with 2-star inspections with $169,599 in total fines with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

959 East State Street, Sharon, PA

(724) 981-2750

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

54

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Embassy Healthcare

Operator or chain grouping

Approved since

2000-05-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 3 overall / 2 health / 2 staffing / 5 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

0.89

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.14

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.94

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.84

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.66

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.94

CMS adjusted RN staffing hours

Adjusted total hours

4.37

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

67%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,115

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Performance 64.29% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.59

Baseline 3.10 hours · Performance 4.1 hours · Measure score 3.59 · Achievement 3.59 · Improvement 3.22

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.45%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 6.31%
Discharge to community	56.35%	50.57% 5.8 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 48% · Lower 95% interval 39.97%
Medicare spending per beneficiary	0.82	1.02 0.2 pts better
Drug regimen review with follow-up	90%	95.27% 5.3 pts worse	Numerator 18 · Denominator 20
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	10%	2.29% 7.7 pts worse	Numerator 2 · Denominator 20 · Adjusted rate 7.2%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	1.82%	42% 40.2 pts worse	Numerator 3 · Denominator 165
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	79.0%	86.9% 7.9 pts worse	93.4% 14.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 59.4% · Q2 67.6% · Q3 92.3% · Q4 92.1% · 4Q avg 79.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	68.4%	93.5% 25.1 pts worse	95.5% 27.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 68.4%
Percentage of long-stay residents experiencing one or more falls with major injury	2.1%	3.2% 1.1 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.9% · Q3 2.6% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.8%	6.5% 3.3 pts worse	11.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 9.4% · Q3 13.5% · Q4 11.1% · 4Q avg 9.8%
Percentage of long-stay residents who lose too much weight	5.0%	6.5% 1.5 pts better	5.4% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 0.0% · Q3 3.1% · Q4 9.1% · 4Q avg 5.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.9%	19.9% 8 pts worse	19.6% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 31.0% · Q3 33.3% · Q4 24.2% · 4Q avg 27.9%
Percentage of long-stay residents who received an antipsychotic medication	16.2%	18.7% 2.5 pts better	16.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 12.0% · Q3 20.0% · Q4 19.2% · 4Q avg 16.2% · 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	8.8%	19.6% 10.8 pts better	16.3% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 9.9% · Q3 17.3% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.5%	18.3% 8.8 pts better	14.9% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 10.7% · Q3 12.9% · Q4 6.7% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	0.9% 0.5 pts worse	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.2%	26.4% 2.2 pts better	19.8% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 32.1% · Q3 21.0% · Q4 29.9% · 4Q avg 24.2%
Percentage of long-stay residents with pressure ulcers	4.5%	5.3% 0.8 pts better	5.1% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 0.0% · Q3 4.5% · Q4 7.3% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	39.4%	68.9% 29.5 pts worse	81.7% 42.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 30.3% · Q3 61.1% · Q4 76.5% · 4Q avg 39.4%
Percentage of short-stay residents who had an outpatient emergency department visit	15.6%	9.8% 5.8 pts worse	12.0% 3.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.6% · Observed 16.0% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.5% 0.1 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 3.7% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	47.8%	68.7% 20.9 pts worse	79.7% 31.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 47.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	46.3%	23.1% 23.2 pts worse	23.9% 22.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 46.3% · Observed 44.0% · Expected 22.6% · Used in QM five-star

Survey summary

Recent inspection cycles

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

2 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Construction (3 deficiencies)

Cycle 2 Health 2024-05-17 · Fire 2024-05-17

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

12 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-06-02 · Fire 2023-06-02

10 health deficiencies

Top issue: Administration (3 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

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

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2025-06-25

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

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-05-15

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

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-06-25

C · Minimal harm 2025-04-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-05-15

C · Minimal harm 2025-04-04

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-05-15

C · Minimal harm 2025-04-04

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-06-25

C · Minimal harm 2025-04-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-15

F · Potential for more than minimal harm 2024-05-17

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2024-06-28

F · Potential for more than minimal harm 2024-05-17

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-17

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-17

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-06-28

C · Minimal harm 2024-05-17

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-06-28

C · Minimal harm 2024-05-17

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-06-28

C · Minimal harm 2024-05-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-28

C · Minimal harm 2024-05-17

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 2024-06-28

C · Minimal harm 2024-05-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-28

B · Minimal harm 2024-05-17

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-06-28

B · Minimal harm 2024-05-17

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-06-28

F · Potential for more than minimal harm 2023-06-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-01

F · Potential for more than minimal harm 2023-06-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-01

F · Potential for more than minimal harm 2023-06-02

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-07-01

C · Minimal harm 2023-06-02

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2023-07-01

C · Minimal harm 2023-06-02

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-07-01

Inspection history

Recent health citations

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-13

B · Minimal harm 2025-04-04

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-05-13

D · Potential for more than minimal harm 2024-05-17

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 2024-07-02

K · Immediate jeopardy 2023-12-13

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

K · Immediate jeopardy 2023-12-13

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-13

F835 · Administration Deficiencies

Health

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

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-06-02

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 2023-06-30

E · Potential for more than minimal harm 2023-06-02

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-02

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-02

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 2023-06-30

C · Minimal harm 2023-06-02

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-19

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 2023-06-21

Penalties and ownership

What sits behind the stars

$0 2024-05-17

Payment Denial

Payment Denial · denial start 2024-08-01 · 13 days

13 day denial

$169,599 2023-12-13

Fine

Fine · fine $169,599

Fine

Ownership

Embassy Pa Tentant Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2020-05-01

2020 Gsr Dynasty LLC