New Oxford, PA

Cross Keys Village-Brethren Home Community, The

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Box 128, 2990 Carlisle Pk, New Oxford, PA

(717) 624-2161

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

91

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

Staffing

Hours and turnover

RN hours / resident day

0.81

Registered nurse staffing

LPN hours / resident day

0.84

Licensed practical nurse staffing

Aide hours / resident day

2.27

Nurse aide staffing

Weekend hours

3.68

Weekend nurse staffing

RN turnover

46%

Annual RN turnover

Total nurse turnover

53%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.7
0.7 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.2
0.5 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4%
86.9%
10.5 pts better
93.4%
4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 2.3%
3.2%
0.9 pts better
3.3%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
6.5%
6.1 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.5%
19.9%
5.4 pts better
19.6%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 24.4%
18.7%
5.7 pts worse
16.7%
7.7 pts worse
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 32.6%
19.6%
13 pts worse
16.3%
16.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 28.6%
18.3%
10.3 pts worse
14.9%
13.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.0%
0.9%
1.1 pts worse
1.0%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.6%
1.7%
1.9 pts worse
1.7%
1.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.6%
26.4%
1.2 pts worse
19.8%
7.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.7%
5.3%
3.6 pts better
5.1%
3.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.6%
68.9%
14.7 pts better
81.7%
1.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.2%
9.8%
2.4 pts worse
12.0%
0.2 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.2%
68.7%
26.5 pts better
79.7%
15.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 3.5%
23.1%
19.6 pts better
23.9%
20.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-06-29 · Fire 2023-06-29

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-10

E · Potential for more than minimal harm 2024-04-04

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-31

E · Potential for more than minimal harm 2024-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-31

D · Potential for more than minimal harm 2023-06-29

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-19

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-13

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 2025-04-25

D · Potential for more than minimal harm 2025-03-13

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 2025-04-25

D · Potential for more than minimal harm 2025-03-13

F582 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-25

E · Potential for more than minimal harm 2023-06-29

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 2023-08-14

D · Potential for more than minimal harm 2023-06-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-14

D · Potential for more than minimal harm 2023-06-29

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 2023-08-14

D · Potential for more than minimal harm 2023-06-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-14

D · Potential for more than minimal harm 2023-06-29

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-08-14

B · Minimal harm 2023-06-29

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 2023-08-14

Penalties and ownership

What sits behind the stars

Ownership

Asper, Beverly

Corporate Officer · Individual

0% 1 facilities 2024-12-01
Balthaser, James

Corporate Officer · Individual

0% 1 facilities 2022-12-01
Bowlin, Jessica

Corporate Director · Individual

0% 1 facilities 2025-04-21
Brallier, Crystal

Operational/Managerial Control · Individual

0% 1 facilities 2015-11-25
Brallier, Crystal

Corporate Director · Individual

0% 1 facilities 2015-11-25
Brallier, Crystal

Corporate Officer · Individual

0% 1 facilities 2015-11-25
Hollinger, Dianne

Corporate Officer · Individual

0% 1 facilities 2022-10-01
Knight, Tammy

Corporate Director · Individual

0% 1 facilities 2025-04-21
Lerew, Donna

Corporate Officer · Individual

0% 1 facilities 2022-08-16
Manufacturers & Traders Trust Company

5% Or Greater Security Interest · Organization

0% 12 facilities 2016-09-08
Manufacturers & Traders Trust Company

5% Or Greater Mortgage Interest · Organization

0% 12 facilities 2016-09-08
Saunders, Mary

Corporate Officer · Individual

0% 1 facilities 2022-12-01
Sowers, Scott

Corporate Director · Individual

0% 1 facilities 2015-11-25
Sowers, Scott

Corporate Officer · Individual

0% 1 facilities 2015-11-25
Wilmington Trust

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2015-11-12

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