Cycle 1
Health 2025-12-11 · Fire 2025-12-11
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Meadville, PA
Embassy Of Park Avenue
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
14714 Park Ave Extension, Meadville, PA
(814) 337-4228
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
173
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Embassy Healthcare
Operator or chain grouping
Approved since
1983-07-01
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
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
0.34
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.54
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.31
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,779
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9917
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.27
Baseline 20.24% · Performance 18.53% · Measure score 6.27 · Achievement 6.27 · Improvement 4.83
Healthcare-associated infections
0
Baseline 6.20% · Performance 7.70% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.03
Baseline 58.89% · Performance 39.05% · Measure score 6.03 · Achievement 6.03 · Improvement 5.33
Adjusted total nurse staffing
3.15
Baseline 3.38 hours · Performance 3.97 hours · Measure score 3.15 · Achievement 3.15 · Improvement 1.98
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.9% |
10.72%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 99 · Observed rate 18.18% · Lower 95% interval 9.06% |
| Discharge to community | 43.11% |
50.57%
7.5 pts worse
|
No Different than the National Rate · Eligible stays 89 · Observed rate 34.83% · Lower 95% interval 33.84% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 92% |
95.27%
3.3 pts worse
|
Numerator 69 · Denominator 75 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 75 |
| Discharge self-care score | 37.7% |
53.69%
16 pts worse
|
Numerator 23 · Denominator 61 |
| Discharge mobility score | 45.9% |
50.94%
5 pts worse
|
Numerator 28 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 2.67% |
2.29%
0.4 pts worse
|
Numerator 2 · Denominator 75 · Adjusted rate 2.08% |
| Healthcare-associated infections requiring hospitalization | 7.7% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 9.52% · Lower 95% interval 4.79% |
| Staff COVID-19 vaccination coverage | 4.46% |
8.2%
3.7 pts worse
|
Numerator 5 · Denominator 112 |
| Staff flu vaccination coverage | 30.37% |
42%
11.6 pts worse
|
Numerator 41 · Denominator 135 |
| Discharge function score | 37.7% |
56.45%
18.8 pts worse
|
Numerator 23 · Denominator 61 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.7
1.1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.8 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
86.9%
12.9 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.2%
0.5 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.0% · Q3 4.0% · Q4 4.1% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
6.5%
2.4 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.7% · Q3 2.1% · Q4 5.3% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
6.5%
3.4 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 4.8% · Q4 1.1% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.3% |
19.9%
2.6 pts better
|
19.6%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 17.6% · Q3 16.1% · Q4 14.4% · 4Q avg 17.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 40.1% |
18.7%
21.4 pts worse
|
16.7%
23.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 38.2% · Q3 43.1% · Q4 43.9% · 4Q avg 40.1% · 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 | 9.8% |
19.6%
9.8 pts better
|
16.3%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 8.5% · Q3 6.4% · Q4 4.5% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
18.3%
8.4 pts better
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 5.6% · Q3 11.5% · Q4 8.0% · 4Q avg 9.9% · 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 | 0.3% |
1.7%
1.4 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
26.4%
5.9 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 21.9% · Q3 15.6% · Q4 5.2% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
5.3%
2.1 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.7% · Q3 1.0% · Q4 4.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.2% |
68.9%
22.3 pts better
|
81.7%
9.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 84.6% · Q3 87.9% · Q4 92.6% · 4Q avg 91.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.4% |
9.8%
3.4 pts better
|
12.0%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 6.7% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.9% · Q3 0.0% · Q4 1.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.3% |
68.7%
19.6 pts better
|
79.7%
8.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.5% |
23.1%
11.6 pts better
|
23.9%
12.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 11.1% · Expected 23.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-22 · Fire 2024-11-22
4 health deficiencies
Top issue: Environmental (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2023-12-12 · Fire 2023-12-12
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-12-11
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2026-01-12
E · Potential for more than minimal harm
2025-12-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-12
E · Potential for more than minimal harm
2024-11-22
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-03
E · Potential for more than minimal harm
2024-11-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-03
D · Potential for more than minimal harm
2024-11-22
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-03
E · Potential for more than minimal harm
2023-12-12
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-19
D · Potential for more than minimal harm
2023-12-12
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-11
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 2026-01-12
D · Potential for more than minimal harm
2025-04-11
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 2025-05-19
D · Potential for more than minimal harm
2025-04-11
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-19
D · Potential for more than minimal harm
2025-04-11
F802 · Nutrition and Dietary Deficiencies
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-05-19
D · Potential for more than minimal harm
2024-11-22
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-03
D · Potential for more than minimal harm
2024-11-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-03
C · Minimal harm
2024-11-22
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-01-03
D · Potential for more than minimal harm
2024-07-18
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 2024-08-23
E · Potential for more than minimal harm
2023-12-12
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-22
D · Potential for more than minimal harm
2023-12-12
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 2024-01-22
D · Potential for more than minimal harm
2023-12-12
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 2024-01-22
D · Potential for more than minimal harm
2023-12-12
F688 · Quality of Life and Care Deficiencies
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 2024-01-22
D · Potential for more than minimal harm
2023-12-12
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-01-22
D · Potential for more than minimal harm
2023-12-12
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-01-22
C · Minimal harm
2023-12-12
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-01-22
C · Minimal harm
2023-03-20
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Not marked corrected
Penalties and ownership
What sits behind the stars
Ownership
Embassy Pa Tenant 2 Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
2020 Gsr Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Aaron Handler Family Dynasty Trust
5% Or Greater Indirect Ownership Interest · Organization
Ah Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Embassy Healthcare Holdings Inc
5% Or Greater Indirect Ownership Interest · Organization
Embassy Healthcare Management Inc
Operational/Managerial Control · Organization
George S. Repchick 2020 Family Dynasty Trust
5% Or Greater Indirect Ownership Interest · Organization
Handler, Aaron
Operational/Managerial Control · Individual
Handler, Aaron
Corporate Officer · Individual
Heritage Employment Services, LLC
Operational/Managerial Control · Organization
King, Sara
Operational/Managerial Control · Individual
Repchick, George
Operational/Managerial Control · Individual
Repchick, George
Corporate Officer · Individual
Rohrbach, Charles
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Wesbury United Methodist Commu
Meadville, PA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Crawford Care Center
Saegertown, PA
1-star overall rating with 2-star inspections with $158,696 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Meadville Medical Ctr Tcu
Meadville, PA
5-star overall rating with 4-star inspections with $7,172 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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