Cycle 1
Health 2025-11-21 · Fire 2025-11-21
14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Scranton, PA
Elan Skilled Nursing And Rehab, A Jewish Senior Li
2-star overall rating with 2-star inspections with 13 recent health deficiencies
1101 Vine Street, Scranton, PA
(570) 344-6177
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
145
Certified beds
Average residents
134
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
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
0.51
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.18
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.52
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.22
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.92
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
4.32
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,628
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9964
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.79
Baseline 17.30% · Performance 19.68% · Measure score 3.79 · Achievement 3.79 · Improvement 0
Healthcare-associated infections
2.99
Baseline 5.35% · Performance 6.94% · Measure score 2.99 · Achievement 2.99 · Improvement 0
Total nurse turnover
6.57
Baseline 29.00% · Performance 36.84% · Measure score 6.57 · Achievement 6.57 · Improvement 0
Adjusted total nurse staffing
4.02
Baseline 4.07 hours · Performance 4.22 hours · Measure score 4.02 · Achievement 4.02 · Improvement 0.41
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.77% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 222 · Observed rate 7.21% · Lower 95% interval 6.45% |
| Discharge to community | 51.91% |
50.57%
1.3 pts better
|
No Different than the National Rate · Eligible stays 201 · Observed rate 40.8% · Lower 95% interval 43.87% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 95.56% |
95.27%
0.3 pts better
|
Numerator 172 · Denominator 180 |
| Falls with major injury | 1.11% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 180 |
| Discharge self-care score | 38.89% |
53.69%
14.8 pts worse
|
Numerator 56 · Denominator 144 |
| Discharge mobility score | 48.61% |
50.94%
2.3 pts worse
|
Numerator 70 · Denominator 144 |
| Pressure ulcers or injuries, new or worsened | 2.23% |
2.29%
0.1 pts better
|
Numerator 4 · Denominator 179 · Adjusted rate 2.06% |
| Healthcare-associated infections requiring hospitalization | 6.94% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 7.19% · Lower 95% interval 3.68% |
| Staff COVID-19 vaccination coverage | 15.98% |
8.2%
7.8 pts better
|
Numerator 27 · Denominator 169 |
| Staff flu vaccination coverage | 37.39% |
42%
4.6 pts worse
|
Numerator 89 · Denominator 238 |
| Discharge function score | 51.39% |
56.45%
5.1 pts worse
|
Numerator 74 · Denominator 144 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 91 · Denominator 91 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 47.06% |
25.2%
21.9 pts better
|
Numerator 48 · Denominator 102 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.2
0.3 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
86.9%
9.6 pts better
|
93.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 95.7% · Q3 99.1% · Q4 98.1% · 4Q avg 96.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.2% |
93.5%
3.3 pts worse
|
95.5%
5.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.2%
0.1 pts worse
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.4% · Q3 3.6% · Q4 4.6% · 4Q avg 3.3% · 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 | 7.2% |
6.5%
0.7 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 9.1% · Q3 5.8% · Q4 4.1% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.9% |
19.9%
4 pts worse
|
19.6%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 24.1% · Q3 22.2% · Q4 27.2% · 4Q avg 23.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.4% |
18.7%
2.7 pts worse
|
16.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 27.1% · Q3 20.7% · Q4 15.3% · 4Q avg 21.4% · 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 | 17.0% |
19.6%
2.6 pts better
|
16.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 19.0% · Q3 8.0% · Q4 14.0% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.7% |
18.3%
6.4 pts worse
|
14.9%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.2% · Q2 19.8% · Q3 19.6% · Q4 21.4% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.9%
0.2 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.6% · Q3 1.3% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.7%
1.3 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 1.9% · Q3 2.8% · Q4 1.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
26.4%
0.8 pts better
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 29.5% · Q3 23.7% · Q4 22.1% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.3%
0.7 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.7% · Q3 10.3% · Q4 4.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.3% |
68.9%
20.4 pts better
|
81.7%
7.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.6% · Q2 87.0% · Q3 90.1% · Q4 88.8% · 4Q avg 89.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.0% |
9.8%
1.2 pts worse
|
12.0%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 10.8% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.3% · Q3 1.1% · Q4 1.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.6% |
68.7%
26.9 pts better
|
79.7%
15.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
23.1%
0.8 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 23.3% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-01-24 · Fire 2025-01-24
11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-02-16 · Fire 2024-02-16
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
L · Immediate jeopardy
2026-01-23
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 2026-02-10
F · Potential for more than minimal harm
2026-01-23
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-02-10
F · Potential for more than minimal harm
2025-11-21
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-02-10
E · Potential for more than minimal harm
2025-11-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-01-23
E · Potential for more than minimal harm
2025-11-21
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 2026-01-23
E · Potential for more than minimal harm
2025-11-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-11-21
F627 · Resident Rights Deficiencies
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-11-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-11-21
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-11-21
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-11-21
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-11-21
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2026-01-23
D · Potential for more than minimal harm
2025-11-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-16
D · Potential for more than minimal harm
2025-11-21
F949 · Administration Deficiencies
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2026-01-23
E · Potential for more than minimal harm
2025-01-24
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 2025-03-06
E · Potential for more than minimal harm
2025-01-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-06
E · Potential for more than minimal harm
2025-01-24
F756 · Pharmacy Service Deficiencies
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 2025-03-06
D · Potential for more than minimal harm
2025-01-24
F584 · Resident Rights Deficiencies
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 2025-03-06
D · Potential for more than minimal harm
2025-01-24
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 2025-03-06
D · Potential for more than minimal harm
2025-01-24
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-03-06
D · Potential for more than minimal harm
2025-01-24
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-06
D · Potential for more than minimal harm
2025-01-24
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-06
D · Potential for more than minimal harm
2025-01-24
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-03-06
D · Potential for more than minimal harm
2024-09-24
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-09-24
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 2024-10-04
E · Potential for more than minimal harm
2024-02-16
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-04-15
E · Potential for more than minimal harm
2024-02-16
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 2024-04-15
D · Potential for more than minimal harm
2024-02-16
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-04-15
D · Potential for more than minimal harm
2024-02-16
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 2024-04-15
D · Potential for more than minimal harm
2024-02-16
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-04-15
D · Potential for more than minimal harm
2024-02-16
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-15
Penalties and ownership
What sits behind the stars
Ownership
Affinity Health Services
Operational/Managerial Control · Organization
Applegate, Mary Rose
Operational/Managerial Control · Individual
Applegate, Mary Rose
W-2 Managing Employee · Individual
Nearby options
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#3
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