3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Wilkes Barre, PA
2-star overall rating with 2-star inspections with abuse icon flag with 3 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
1548 Sans Souci Parkway, Wilkes Barre, PA
(570) 825-8725
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
104
Certified beds
Average residents
87
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eden Senior Care
Operator or chain grouping
Approved since
1968-10-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 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
RN hours / resident day
0.46
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.64
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.43
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.91
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,607
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9892
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.58
Baseline 20.30% · Performance 19.31% · Measure score 4.58 · Achievement 4.58 · Improvement 2.53
Healthcare-associated infections
5.10
Baseline 8.10% · Performance 6.36% · Measure score 5.10 · Achievement 4.93 · Improvement 5.10
Total nurse turnover
3.20
Baseline 61.80% · Performance 50.59% · Measure score 3.20 · Achievement 3.20 · Improvement 2.53
Adjusted total nurse staffing
1.33
Baseline 2.98 hours · Performance 3.46 hours · Measure score 1.33 · Achievement 1.33 · Improvement 1.22
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.87% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 89 · Observed rate 11.24% · Lower 95% interval 8.05% |
| Discharge to community | 37.29% |
50.57%
13.3 pts worse
|
Worse than the National Rate · Eligible stays 77 · Observed rate 28.57% · Lower 95% interval 25.8% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 64 · Denominator 64 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 64 |
| Discharge self-care score | 51.22% |
53.69%
2.5 pts worse
|
Numerator 21 · Denominator 41 |
| Discharge mobility score | 51.22% |
50.94%
0.3 pts better
|
Numerator 21 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 64 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.36% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 49 · Observed rate 4.08% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 5.61% |
8.2%
2.6 pts worse
|
Numerator 6 · Denominator 107 |
| Staff flu vaccination coverage | 2.54% |
42%
39.5 pts worse
|
Numerator 3 · Denominator 118 |
| Discharge function score | 70.73% |
56.45%
14.3 pts better
|
Numerator 29 · Denominator 41 |
| Transfer of health information to provider | 95.65% |
95.95%
0.3 pts worse
|
Numerator 22 · Denominator 23 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 8.57% |
25.2%
16.6 pts worse
|
Numerator 3 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.7
1.1 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.2
0.4 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.0% |
86.9%
10.1 pts better
|
93.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 93.7% · Q4 94.1% · 4Q avg 97.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
93.5%
5.4 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.2%
1.7 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 1.3% · Q4 3.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.3% |
6.5%
5.2 pts better
|
11.4%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
6.5%
3.6 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 6.4% · Q3 4.1% · Q4 0.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.7% |
19.9%
10.2 pts better
|
19.6%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 11.1% · Q3 7.9% · Q4 10.8% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.8% |
18.7%
11.1 pts worse
|
16.7%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 32.8% · Q3 30.2% · Q4 29.5% · 4Q avg 29.8% · 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 | 20.8% |
19.6%
1.2 pts worse
|
16.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 15.6% · Q3 17.2% · Q4 15.9% · 4Q avg 20.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
18.3%
2.6 pts better
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 11.4% · Q3 16.9% · Q4 11.4% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.1% |
1.7%
2.4 pts worse
|
1.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.5% · Q3 6.5% · Q4 6.1% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.3% |
26.4%
3.1 pts better
|
19.8%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 22.9% · Q3 30.4% · Q4 18.3% · 4Q avg 23.3% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
5.3%
3.4 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 12.5% · Q3 7.3% · Q4 6.9% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
68.9%
26.5 pts better
|
81.7%
13.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 96.8% · Q3 96.9% · Q4 89.1% · 4Q avg 95.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
9.8%
4.3 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 17.2% · Expected 13.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.5%
1.3 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.6% · Q3 2.5% · Q4 3.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.3% |
68.7%
23.6 pts better
|
79.7%
12.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.2% |
23.1%
12.1 pts worse
|
23.9%
11.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.2% · Observed 37.5% · Expected 25.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-07-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-07-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-25
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-25
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-07-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-13
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-16
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-07-16
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 2025-07-16
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-03-07
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-03-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-17
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-09-17
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-17
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-09-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-17
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 2024-09-17
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-17
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-09-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-17
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-09-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-06
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-06
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-06
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-08-06
Health
Keep all essential equipment working safely.
Corrected 2024-08-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-12
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-12
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-12-29
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-06
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 2023-10-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-10-06
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-10-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-10-06
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-10-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-06
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-06
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-10-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-16
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-05-16
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-05-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Nanticoke, PA
1-star overall rating with 1-star inspections with $123,390 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Wilkes Barre, PA
4-star overall rating with 4-star inspections with 3 recent health deficiencies
Wilkes Barre, PA
5-star overall rating with 3-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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