Federal inspection record · CMS data as of October 1, 2026
Darway Healthcare And Rehabilitation Center
5865 Route 154, Forksville, PA · (570) 924-3411
- CMS high-performer trophy
- Certified beds
- 67
- Residents per day
- 59
- Ownership
- For-Profit
- Chain
- Akiko Ike
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1993
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Darway Healthcare And Rehabilitation Center carries 19 inspection points. That is fewer than 78% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service5E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
Resident Rights3D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning2D
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Administration1D
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspection history
2025-12-12
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-01-10
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-02-23
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
3 h 16 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 20% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 0.6 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.6 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better | 100.0% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 4.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.1 pts better | 4.7% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.5 pts better | 1.5% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts worse | 23.0% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.3 pts worse | 38.9% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.8 pts better | 5.6% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts better | 5.9% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.1 pts better | 10.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 3.2% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.3 pts better | 87.1% | 70.8% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
·
Other homes nearby
-
Highlands Rehabilitation And Healthcare
Laporte, PA · Century Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 2 min
- Fines
- $0
-
Robert Packer Hospital Skilled Care And Rehabilit
Towanda, PA · Guthrie
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 32 min
- Fines
- $33,027
-
Muncy Place
Muncy, PA · Upmc Senior Communities
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 38 min
- Fines
- $0