Huntingdon, PA

Embassy Of Huntingdon Park

3-star overall rating with 2-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1229 Warm Springs Avenue, Huntingdon, PA

(814) 643-4210

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Embassy Healthcare

Operator or chain grouping

Approved since

1972-04-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 3 overall / 2 health / 2 staffing / 5 quality stars

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

0.47

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.02

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.09

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.58

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.49

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.16

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.31

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

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.83

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,167

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

Performance score

21.27

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.83% · Performance 21.65% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.08

Baseline 6.98% · Performance 7.21% · Measure score 2.08 · Achievement 2.08 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

4.30

Baseline 2.13 hours · Performance 3.88 hours · Measure score 4.30 · Achievement 2.83 · Improvement 4.30

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.08%	10.72% 2.4 pts worse	No Different than the National Rate · Eligible stays 59 · Observed rate 22.03% · Lower 95% interval 9%
Discharge to community	31.99%	50.57% 18.6 pts worse	Worse than the National Rate · Eligible stays 54 · Observed rate 22.22% · Lower 95% interval 22.92%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 41 · Denominator 41
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 41
Discharge self-care score	41.18%	53.69% 12.5 pts worse	Numerator 14 · Denominator 34
Discharge mobility score	11.76%	50.94% 39.2 pts worse	Numerator 4 · Denominator 34
Pressure ulcers or injuries, new or worsened	2.44%	2.29% 0.1 pts worse	Numerator 1 · Denominator 41 · Adjusted rate 2.97%
Healthcare-associated infections requiring hospitalization	7.21%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 7.69% · Lower 95% interval 3.66%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 86
Staff flu vaccination coverage	17.04%	42% 25 pts worse	Numerator 23 · Denominator 135
Discharge function score	41.18%	56.45% 15.3 pts worse	Numerator 14 · Denominator 34
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 20 · Denominator 20
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	13.04%	25.2% 12.2 pts worse	Numerator 3 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.5%	86.9% 17.4 pts worse	93.4% 23.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 61.8% · Q3 66.7% · Q4 69.7% · 4Q avg 69.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.1%	93.5% 3.6 pts better	95.5% 1.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury	0.7%	3.2% 2.5 pts better	3.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · 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	3.5%	6.5% 3 pts better	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 4.9% · Q3 1.5% · Q4 1.5% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.1%	19.9% 1.2 pts worse	19.6% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 16.4% · Q3 20.6% · Q4 23.2% · 4Q avg 21.1%
Percentage of long-stay residents who received an antipsychotic medication	23.9%	18.7% 5.2 pts worse	16.7% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 21.3% · Q3 28.0% · Q4 23.6% · 4Q avg 23.9% · 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	11.8%	19.6% 7.8 pts better	16.3% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 7.4% · Q3 11.4% · Q4 14.1% · 4Q avg 11.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.5%	18.3% 6.8 pts better	14.9% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 7.0% · Q3 9.7% · Q4 12.7% · 4Q avg 11.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	1.7% 0.6 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.7%	26.4% 3.3 pts worse	19.8% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 14.4% · Q3 33.7% · Q4 42.3% · 4Q avg 29.7%
Percentage of long-stay residents with pressure ulcers	7.2%	5.3% 1.9 pts worse	5.1% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 7.3% · Q3 7.1% · Q4 5.4% · 4Q avg 7.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	22.5%	68.9% 46.4 pts worse	81.7% 59.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 6.9% · Q3 30.7% · Q4 32.9% · 4Q avg 22.5%
Percentage of short-stay residents who had an outpatient emergency department visit	3.5%	9.8% 6.3 pts better	12.0% 8.5 pts better	Short Stay · 20240701-20250630 · Adjusted 3.5% · Observed 3.4% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.5% 0.2 pts better	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.4% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	46.0%	68.7% 22.7 pts worse	79.7% 33.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 46.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.2%	23.1% 6.9 pts better	23.9% 7.7 pts better	Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 13.8% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-05-21 · Fire 2024-05-21

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2023-04-27 · Fire 2023-04-27

20 health deficiencies

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

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

C · Minimal harm 2025-04-10

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-05-13

C · Minimal harm 2025-04-10

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-05-13

C · Minimal harm 2025-04-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-13

C · Minimal harm 2025-04-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-13

C · Minimal harm 2025-04-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-05-13

F · Potential for more than minimal harm 2024-05-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-05-21

K321 · Smoke Deficiencies

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 2024-06-18

E · Potential for more than minimal harm 2024-05-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-05-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-05-21

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-05-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-18

C · Minimal harm 2024-05-21

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-06-18

E · Potential for more than minimal harm 2023-04-27

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-04-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-04-27

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-04-27

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-04-27

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-06-26

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-18

E · Potential for more than minimal harm 2025-08-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-11-18

E · Potential for more than minimal harm 2025-04-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-04-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-13

E · Potential for more than minimal harm 2025-04-10

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 2025-05-13

D · Potential for more than minimal harm 2025-04-10

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 2025-05-13

D · Potential for more than minimal harm 2025-04-10

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-05-13

D · Potential for more than minimal harm 2025-04-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-13

F · Potential for more than minimal harm 2024-05-21

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-05-21

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 2024-06-18

E · Potential for more than minimal harm 2024-05-21

F694 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-05-21

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 2024-06-18

D · Potential for more than minimal harm 2024-05-21

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 2024-06-18

D · Potential for more than minimal harm 2024-05-21

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 2024-06-18

D · Potential for more than minimal harm 2024-05-21

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 2024-06-18

D · Potential for more than minimal harm 2024-05-21

F867 · Administration Deficiencies

Health

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

Corrected 2024-06-18

D · Potential for more than minimal harm 2023-07-21

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 2023-08-22

D · Potential for more than minimal harm 2023-07-21

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 2023-08-22

E · Potential for more than minimal harm 2023-04-27

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 2023-06-13

E · Potential for more than minimal harm 2023-04-27

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 2023-06-13

E · Potential for more than minimal harm 2023-04-27

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 2023-06-13

E · Potential for more than minimal harm 2023-04-27

F867 · Administration Deficiencies

Health

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

Corrected 2023-06-13