Indiana, PA

Communities At Indian Haven,

2-star overall rating with 2-star inspections with abuse icon flag with $8,281 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1675 Saltsburg Avenue, Indiana, PA

(724) 465-3900

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.62

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.58

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.50

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

4.47

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,403

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

Performance score

29.85

Composite VBP score used to determine payment impact.

Payment multiplier

0.9857

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.55

Baseline 21.34% · Performance 19.79% · Measure score 3.55 · Achievement 3.55 · Improvement 3.11

Healthcare-associated infections

1.88

Baseline 7.31% · Performance 7.27% · Measure score 1.88 · Achievement 1.88 · Improvement 0

Total nurse turnover

3.35

Baseline 40.35% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0

Adjusted total nurse staffing

3.17

Baseline 3.45 hours · Performance 3.98 hours · Measure score 3.17 · Achievement 3.17 · Improvement 1.78

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.55%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 117 · Observed rate 11.97% · Lower 95% interval 7.73%
Discharge to community	54.41%	50.57% 3.8 pts better	No Different than the National Rate · Eligible stays 111 · Observed rate 50.45% · Lower 95% interval 45.77%
Medicare spending per beneficiary	0.64	1.02 0.4 pts better
Drug regimen review with follow-up	88.1%	95.27% 7.2 pts worse	Numerator 74 · Denominator 84
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 84
Discharge self-care score	62.12%	53.69% 8.4 pts better	Numerator 41 · Denominator 66
Discharge mobility score	54.55%	50.94% 3.6 pts better	Numerator 36 · Denominator 66
Pressure ulcers or injuries, new or worsened	1.19%	2.29% 1.1 pts better	Numerator 1 · Denominator 84 · Adjusted rate 1.26%
Healthcare-associated infections requiring hospitalization	7.27%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 75 · Observed rate 6.67% · Lower 95% interval 4.17%
Staff COVID-19 vaccination coverage	3.61%	8.2% 4.6 pts worse	Numerator 3 · Denominator 83
Staff flu vaccination coverage	28.18%	42% 13.8 pts worse	Numerator 31 · Denominator 110
Discharge function score	65.15%	56.45% 8.7 pts better	Numerator 43 · Denominator 66
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient	98.25%	96.28% 2 pts better	Numerator 56 · Denominator 57
Resident COVID-19 vaccinations up to date	20%	25.2% 5.2 pts worse	Numerator 9 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.0%	86.9% 8.1 pts better	93.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 93.4% · Q3 98.3% · Q4 100.0% · 4Q avg 95.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.4%	93.5% 1.9 pts better	95.5% 0.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of long-stay residents experiencing one or more falls with major injury	3.8%	3.2% 0.6 pts worse	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 4.9% · Q3 3.4% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	6.5% 6.5 pts better	11.4% 11.4 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 who lose too much weight	5.1%	6.5% 1.4 pts better	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.6% · Q3 5.7% · Q4 3.7% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.1%	19.9% 0.8 pts better	19.6% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 20.4% · Q3 20.8% · Q4 21.8% · 4Q avg 19.1%
Percentage of long-stay residents who received an antipsychotic medication	13.5%	18.7% 5.2 pts better	16.7% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 11.6% · Q3 14.0% · Q4 10.6% · 4Q avg 13.5% · 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	25.2%	19.6% 5.6 pts worse	16.3% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 27.9% · Q3 40.5% · Q4 5.8% · 4Q avg 25.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.2%	18.3% 2.9 pts worse	14.9% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 24.4% · Q3 27.5% · Q4 7.7% · 4Q avg 21.2% · 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 4.4% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.7%	1.7% About the same	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.9% · Q3 1.7% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.0%	26.4% 1.6 pts worse	19.8% 8.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 29.3% · Q3 27.6% · Q4 20.4% · 4Q avg 28.0%
Percentage of long-stay residents with pressure ulcers	4.1%	5.3% 1.2 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.5% · Q3 2.0% · Q4 5.7% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	68.9% 27.5 pts better	81.7% 14.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 95.8% · Q3 95.8% · Q4 97.1% · 4Q avg 96.4%
Percentage of short-stay residents who had an outpatient emergency department visit	11.7%	9.8% 1.9 pts worse	12.0% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 11.9% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.5% 0.2 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 1.2% · Q4 1.1% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.0%	68.7% 19.3 pts better	79.7% 8.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.9%	23.1% 8.8 pts worse	23.9% 8 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 32.8% · Expected 24.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-05 · Fire 2025-02-05

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-03-21 · Fire 2024-03-21

19 health deficiencies

Top issue: Resident Assessment and Care Planning (11 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

18 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-05

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-05

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-03-30

B · Minimal harm 2025-02-05

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 2025-03-30

B · Minimal harm 2025-02-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-30

E · Potential for more than minimal harm 2024-03-21

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-21

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-29

D · Potential for more than minimal harm 2024-03-21

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-04-29

C · Minimal harm 2024-03-21

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-04-29

C · Minimal harm 2024-03-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-29

B · Minimal harm 2024-03-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-29

F · Potential for more than minimal harm 2023-03-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-17

E · Potential for more than minimal harm 2023-03-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-17

C · Minimal harm 2023-03-16

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-05-17

C · Minimal harm 2023-03-16

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2023-05-17

C · Minimal harm 2023-03-16

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-05-17

C · Minimal harm 2023-03-16

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-05-17

C · Minimal harm 2023-03-16

K111 · Construction Deficiencies

Fire Safety

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

Corrected 2023-05-17

C · Minimal harm 2023-03-16

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-05-17

Inspection history

Recent health citations

J · Immediate jeopardy 2025-03-05

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 2025-03-30

D · Potential for more than minimal harm 2025-03-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-03-05

F835 · Administration Deficiencies

Health

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

Corrected 2025-03-30

E · Potential for more than minimal harm 2025-02-05

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-03-30

E · Potential for more than minimal harm 2025-02-05

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-05

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 2025-03-30

D · Potential for more than minimal harm 2025-02-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-05

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-05

F867 · Administration Deficiencies

Health

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

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-30

B · Minimal harm 2025-02-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-30

E · Potential for more than minimal harm 2024-10-02

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 2024-11-12

E · Potential for more than minimal harm 2024-10-02

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 2024-11-12

D · Potential for more than minimal harm 2024-10-02

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-11-12

D · Potential for more than minimal harm 2024-10-02

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 2024-11-12

D · Potential for more than minimal harm 2024-10-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-11-12

E · Potential for more than minimal harm 2024-03-21

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 2024-05-03

E · Potential for more than minimal harm 2024-03-21

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 2024-05-03

E · Potential for more than minimal harm 2024-03-21

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 2024-05-03

E · Potential for more than minimal harm 2024-03-21

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-03

E · Potential for more than minimal harm 2024-03-21

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 2024-05-03

E · Potential for more than minimal harm 2024-03-21

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-03

E · Potential for more than minimal harm 2024-03-21

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 2024-05-03

D · Potential for more than minimal harm 2024-03-21

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 2024-05-03

D · Potential for more than minimal harm 2024-03-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-05-03

D · Potential for more than minimal harm 2024-03-21

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 2024-05-03

D · Potential for more than minimal harm 2024-03-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-03

D · Potential for more than minimal harm 2024-03-21

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-05-03

B · Minimal harm 2024-03-21

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 2024-05-03

B · Minimal harm 2024-03-21

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-05-03

E · Potential for more than minimal harm 2023-06-20

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-20

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 2023-07-20

E · Potential for more than minimal harm 2023-03-16

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-03-16

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 2023-04-18

E · Potential for more than minimal harm 2023-03-16

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-03-16

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-03-16

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 2023-04-18

E · Potential for more than minimal harm 2023-03-16