Whitehall, PA

Fellowship Manor

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

3000 Fellowship Drive, Whitehall, PA

(610) 799-3000

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

121

Certified beds

Average residents

117

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-08-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.29

Registered nurse staffing

LPN hours / resident day

0.62

Licensed practical nurse staffing

Aide hours / resident day

2.63

Nurse aide staffing

Weekend hours

3.94

Weekend nurse staffing

RN turnover

26%

Annual RN turnover

Total nurse turnover

35%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
1.7
0.6 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.2
0.7 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
86.9%
12.2 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
93.5%
4.4 pts better
95.5%
2.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.0%
3.2%
0.8 pts worse
3.3%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.8%
6.5%
5.7 pts better
11.4%
10.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.7%
6.5%
3.8 pts better
5.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.8%
19.9%
3.9 pts worse
19.6%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.7%
18.7%
3 pts worse
16.7%
5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 28.1%
19.6%
8.5 pts worse
16.3%
11.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 10.9%
18.3%
7.4 pts better
14.9%
4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 1.2%
1.7%
0.5 pts better
1.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.3%
26.4%
4.1 pts better
19.8%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.9%
5.3%
1.4 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.9%
68.9%
27 pts better
81.7%
14.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.6%
9.8%
1.8 pts worse
12.0%
0.4 pts better
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.8%
68.7%
14.1 pts better
79.7%
3.1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.1%
23.1%
7 pts better
23.9%
7.8 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-26 · Fire 2025-06-26

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-01 · Fire 2024-08-01

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-07-27 · Fire 2023-07-27

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-16

E · Potential for more than minimal harm 2025-06-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-08-16

E · Potential for more than minimal harm 2025-06-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-08-16

E · Potential for more than minimal harm 2024-08-01

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-08-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-08-01

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-21

E · Potential for more than minimal harm 2023-07-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-09-03

E · Potential for more than minimal harm 2023-07-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-03

E · Potential for more than minimal harm 2023-07-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-03

E · Potential for more than minimal harm 2023-07-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-09-03

E · Potential for more than minimal harm 2023-07-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-09-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-26

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-26

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 2025-08-08

D · Potential for more than minimal harm 2025-06-26

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 2025-08-08

Penalties and ownership

What sits behind the stars

Ownership

Batten, Wayne

Corporate Director · Individual

0% 1 facilities 2018-07-01
Erland, Robert

Corporate Director · Individual

0% 1 facilities 2005-05-01
Hazler, Lisa

Corporate Officer · Individual

0% 1 facilities 1999-10-18
Laporte, Amanda

Corporate Officer · Individual

0% 2 facilities 2025-02-28
Mcmahon, Mary Kay

Operational/Managerial Control · Individual

0% 1 facilities 2019-07-22
Mcmahon, Mary Kay

Corporate Officer · Individual

0% 1 facilities 2019-07-22
Reed, Ronald

Corporate Director · Individual

0% 1 facilities 2011-05-26
Roth, Byron

Corporate Director · Individual

0% 1 facilities 2024-07-25
Ruoss, Glenn

Corporate Director · Individual

0% 1 facilities 1987-05-01
Sandt, Henry

Corporate Director · Individual

0% 1 facilities 2000-05-01
Schmoyer, Timothy

Corporate Director · Individual

0% 1 facilities 2021-07-01
Vaughn, Robert

Corporate Director · Individual

0% 1 facilities 2024-07-25
Waldvogel, Hans

Corporate Director · Individual

0% 1 facilities 1999-05-01

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