Tunkhannock, PA

Embassy Of Tunkhannock

1-star overall rating with 1-star inspections with $109,173 in total fines with 20 recent health deficiencies

30 Virginia Drive, Tunkhannock, PA

(570) 836-5166

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Embassy Healthcare

Operator or chain grouping

Approved since

1979-06-01

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

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

0.77

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.73

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.37

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.66

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.86

CMS adjusted RN staffing hours

Adjusted total hours

4.18

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,755

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

Performance score

19.21

Composite VBP score used to determine payment impact.

Payment multiplier

0.9821

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.37

Baseline 19.51% · Performance 20.33% · Measure score 2.37 · Achievement 2.37 · Improvement 0

Healthcare-associated infections

5.31

Baseline 8.95% · Performance 6.65% · Measure score 5.31 · Achievement 3.96 · Improvement 5.31

Total nurse turnover

Baseline 34.88% · Performance 100.00% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.33 hours · Performance 3.19 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.6%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 87 · Observed rate 9.2% · Lower 95% interval 7.39%
Discharge to community	41.54%	50.57% 9 pts worse	No Different than the National Rate · Eligible stays 71 · Observed rate 35.21% · Lower 95% interval 30.26%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	60.38%	95.27% 34.9 pts worse	Numerator 32 · Denominator 53
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 53
Discharge self-care score	40.63%	53.69% 13.1 pts worse	Numerator 13 · Denominator 32
Discharge mobility score	31.25%	50.94% 19.7 pts worse	Numerator 10 · Denominator 32
Pressure ulcers or injuries, new or worsened	5.66%	2.29% 3.4 pts worse	Numerator 3 · Denominator 53 · Adjusted rate 3.58%
Healthcare-associated infections requiring hospitalization	6.65%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 45 · Observed rate 4.44% · Lower 95% interval 3.61%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	26.92%	42% 15.1 pts worse	Numerator 28 · Denominator 104
Discharge function score	31.25%	56.45% 25.2 pts worse	Numerator 10 · Denominator 32
Transfer of health information to provider	87.5%	95.95% 8.5 pts worse	Numerator 21 · Denominator 24
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	25%	25.2% 0.2 pts worse	Numerator 9 · Denominator 36

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	1.7 1.3 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.2 0.2 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.7%	86.9% 2.8 pts better	93.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 91.3% · Q3 91.0% · Q4 83.1% · 4Q avg 89.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.4%	93.5% 0.9 pts better	95.5% 1.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of long-stay residents experiencing one or more falls with major injury	5.1%	3.2% 1.9 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.8% · Q3 4.5% · Q4 4.6% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.4%	6.5% 6.1 pts better	11.4% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents who lose too much weight	9.1%	6.5% 2.6 pts worse	5.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 11.3% · Q3 14.5% · Q4 3.3% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.7%	19.9% 3.8 pts worse	19.6% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 20.9% · Q3 23.4% · Q4 25.8% · 4Q avg 23.7%
Percentage of long-stay residents who received an antipsychotic medication	24.5%	18.7% 5.8 pts worse	16.7% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.5% · Q3 26.9% · Q4 28.6% · 4Q avg 24.5% · 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	26.2%	19.6% 6.6 pts worse	16.3% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 32.6% · Q3 20.0% · Q4 22.9% · 4Q avg 26.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.9%	18.3% 5.6 pts worse	14.9% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 33.8% · Q3 19.0% · Q4 23.3% · 4Q avg 23.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	0.9% 0.1 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.1%	1.7% 1.4 pts worse	1.7% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.2% · Q3 1.5% · Q4 1.6% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.6%	26.4% 1.8 pts better	19.8% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 21.2% · Q3 15.5% · Q4 33.5% · 4Q avg 24.6%
Percentage of long-stay residents with pressure ulcers	2.6%	5.3% 2.7 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 1.2% · Q3 2.4% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	29.5%	68.9% 39.4 pts worse	81.7% 52.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 21.3% · Q3 36.6% · Q4 45.5% · 4Q avg 29.5%
Percentage of short-stay residents who had an outpatient emergency department visit	0.0%	9.8% 9.8 pts better	12.0% 12 pts better	Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.5% 1.9 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 4.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	16.7%	68.7% 52 pts worse	79.7% 63 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 16.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.4%	23.1% 8.3 pts worse	23.9% 7.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.4% · Observed 29.4% · Expected 22.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

20 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

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

16 health deficiencies

Top issue: Administration (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-21 · Fire 2023-04-21

17 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

D · Potential for more than minimal harm 2026-01-30

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Not marked corrected

D · Potential for more than minimal harm 2025-12-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-12-04

D · Potential for more than minimal harm 2025-04-16

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-04-16

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-21

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-21

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-21

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-21

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-21

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-03-21

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 2025-05-12

E · Potential for more than minimal harm 2025-03-21

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 2025-05-12

E · Potential for more than minimal harm 2025-03-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-03-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-03-21

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 2025-05-12

E · Potential for more than minimal harm 2025-03-21

F920 · Environmental Deficiencies

Health

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-21

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-21

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 2025-05-12

D · Potential for more than minimal harm 2025-03-21

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-21

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-12

G · Actual harm 2024-12-30

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 2024-12-21

G · Actual harm 2024-05-21

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-12

G · Actual 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 2024-09-05

F · 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 2024-08-12

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

F838 · Administration Deficiencies

Health

Corrected 2024-08-12

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

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-08-12

F · 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 2024-08-12

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

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-08-12

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

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-08-12

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

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-08-12

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

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-08-12

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

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 2024-08-12

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

F809 · Nutrition and Dietary Deficiencies

Health

Corrected 2024-08-12

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

F761 · Pharmacy Service Deficiencies

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 2024-08-12

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

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-08-12

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

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-08-12

E · Potential for more than minimal harm 2024-01-22

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-03-04

D · Potential for more than minimal harm 2024-01-22

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 2024-03-04

F · Potential for more than minimal harm 2023-04-21

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 2023-06-05

F · Potential for more than minimal harm 2023-04-21