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)
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
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
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
1.29
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.54
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.91
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.94
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.84
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.23
CMS adjusted RN staffing hours
Adjusted total hours
4.33
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
977
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.43
Composite VBP score used to determine payment impact.
Payment multiplier
1.0165
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.63
Baseline 16.91% · Performance 18.82% · Measure score 5.63 · Achievement 5.63 · Improvement 0
Healthcare-associated infections
8.63
Baseline 4.74% · Performance 5.26% · Measure score 8.63 · Achievement 8.63 · Improvement 0
Total nurse turnover
6.05
Baseline 37.23% · Performance 38.97% · Measure score 6.05 · Achievement 6.05 · Improvement 0
Adjusted total nurse staffing
4.27
Baseline 4.21 hours · Performance 4.29 hours · Measure score 4.27 · Achievement 4.27 · Improvement 0.01
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.84% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 319 · Observed rate 6.58% · Lower 95% interval 7.04% |
| Discharge to community | 48.41% |
50.57%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 307 · Observed rate 43% · Lower 95% interval 42.23% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 212 · Denominator 212 |
| Falls with major injury | 0.94% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 212 |
| Discharge self-care score | 55.48% |
53.69%
1.8 pts better
|
Numerator 86 · Denominator 155 |
| Discharge mobility score | 72.9% |
50.94%
22 pts better
|
Numerator 113 · Denominator 155 |
| Pressure ulcers or injuries, new or worsened | 2.37% |
2.29%
0.1 pts worse
|
Numerator 5 · Denominator 211 · Adjusted rate 1.79% |
| Healthcare-associated infections requiring hospitalization | 5.26% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 212 · Observed rate 2.83% · Lower 95% interval 3.2% |
| Staff COVID-19 vaccination coverage | 2.41% |
8.2%
5.8 pts worse
|
Numerator 7 · Denominator 290 |
| Staff flu vaccination coverage | 92.05% |
42%
50 pts better
|
Numerator 324 · Denominator 352 |
| Discharge function score | 65.16% |
56.45%
8.7 pts better
|
Numerator 101 · Denominator 155 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | 98.54% |
96.28%
2.3 pts better
|
Numerator 135 · Denominator 137 |
| Resident COVID-19 vaccinations up to date | 15.31% |
25.2%
9.9 pts worse
|
Numerator 15 · Denominator 98 |
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 · Adjusted 2.3 · Observed 2.0 · Expected 1.6 · Used in QM five-star |
| 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 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 98.8% · Q4 97.7% · 4Q avg 99.1% |
| 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 · 4Q avg 97.9% |
| 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 · Q1 3.4% · Q2 4.5% · Q3 4.8% · Q4 3.4% · 4Q avg 4.0% · Used in QM five-star |
| 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 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| 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 · Q1 4.7% · Q2 0.0% · Q3 1.8% · Q4 3.9% · 4Q avg 2.7% |
| 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 · Q1 25.0% · Q2 21.8% · Q3 21.8% · Q4 26.4% · 4Q avg 23.8% |
| 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 · Q1 24.2% · Q2 24.1% · Q3 16.9% · Q4 21.2% · 4Q avg 21.7% · 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 | 28.1% |
19.6%
8.5 pts worse
|
16.3%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.1% · Used in QM five-star |
| 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 · Q1 11.3% · Q2 13.6% · Q3 11.6% · Q4 6.8% · 4Q avg 10.9% · 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 | 1.2% |
1.7%
0.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 3.6% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| 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 · Q1 30.1% · Q2 25.9% · Q3 13.6% · Q4 19.4% · 4Q avg 22.3% |
| 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 · Q1 3.8% · Q2 4.4% · Q3 4.3% · Q4 3.1% · 4Q avg 3.9% · Used in QM five-star |
| 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 · Q1 97.5% · Q2 94.9% · Q3 94.9% · Q4 96.7% · 4Q avg 95.9% |
| 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 · Adjusted 11.6% · Observed 10.6% · Expected 10.2% · 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 0.8% · Q2 1.4% · Q3 1.9% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| 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 · 4Q avg 82.8% |
| 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 · Adjusted 16.1% · Observed 14.9% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Erland, Robert
Corporate Director · Individual
Hazler, Lisa
Corporate Officer · Individual
Laporte, Amanda
Corporate Officer · Individual
Mcmahon, Mary Kay
Operational/Managerial Control · Individual
Mcmahon, Mary Kay
Corporate Officer · Individual
Reed, Ronald
Corporate Director · Individual
Roth, Byron
Corporate Director · Individual
Ruoss, Glenn
Corporate Director · Individual
Sandt, Henry
Corporate Director · Individual
Schmoyer, Timothy
Corporate Director · Individual
Vaughn, Robert
Corporate Director · Individual
Waldvogel, Hans
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Jewel Healthcare And Rehabilitation Center
Allentown, PA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Phoebe Allentown Health Care Center
Allentown, PA
2-star overall rating with 2-star inspections with $15,114 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Good Shepherd Home Raker Center
Allentown, PA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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