Weatherly, PA

Forest Hills Rehabilitation & Healthcare Center

1-star overall rating with 2-star inspections with abuse icon flag with $69,160 in total fines with 10 recent health deficiencies

1000 Evergreen Avenue, Weatherly, PA

(570) 427-8683

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

183

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Century Healthcare

Operator or chain grouping

Approved since

1979-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

11,962

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

Performance score

14.52

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.94% · Performance 26.33% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.33% · Performance 9.35% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.54

Baseline 53.66% · Performance 49.21% · Measure score 3.54 · Achievement 3.54 · Improvement 1.05

Adjusted total nurse staffing

2.27

Baseline 3.42 hours · Performance 3.72 hours · Measure score 2.27 · Achievement 2.27 · Improvement 0.80

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.35%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 124 · Observed rate 14.52% · Lower 95% interval 8.4%
Discharge to community	38.47%	50.57% 12.1 pts worse	Worse than the National Rate · Eligible stays 98 · Observed rate 28.57% · Lower 95% interval 30.2%
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	94.05%	95.27% 1.2 pts worse	Numerator 79 · Denominator 84
Falls with major injury	3.57%	0.77% 2.8 pts worse	Numerator 3 · Denominator 84
Discharge self-care score	32.26%	53.69% 21.4 pts worse	Numerator 20 · Denominator 62
Discharge mobility score	25.81%	50.94% 25.1 pts worse	Numerator 16 · Denominator 62
Pressure ulcers or injuries, new or worsened	4.76%	2.29% 2.5 pts worse	Numerator 4 · Denominator 84 · Adjusted rate 3.72%
Healthcare-associated infections requiring hospitalization	9.36%	7.12% 2.2 pts worse	No Different than the National Rate · Eligible stays 73 · Observed rate 13.7% · Lower 95% interval 5.71%
Staff COVID-19 vaccination coverage	4.57%	8.2% 3.6 pts worse	Numerator 10 · Denominator 219
Staff flu vaccination coverage	90.14%	42% 48.1 pts better	Numerator 192 · Denominator 213
Discharge function score	41.94%	56.45% 14.5 pts worse	Numerator 26 · Denominator 62
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 28 · Denominator 28
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 22 · Denominator 22
Resident COVID-19 vaccinations up to date	29.17%	25.2% 4 pts better	Numerator 14 · Denominator 48

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.7 0.3 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 0.9 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.2 About the same	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	80.2%	86.9% 6.7 pts worse	93.4% 13.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.9% · Q2 83.3% · Q3 78.3% · Q4 74.4% · 4Q avg 80.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.9%	93.5% 0.4 pts better	95.5% 1.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.9%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.2% 1.4 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 2.4% · Q4 2.3% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.4%	6.5% 1.1 pts better	11.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.6% · Q4 19.4% · 4Q avg 5.4%
Percentage of long-stay residents who lose too much weight	3.6%	6.5% 2.9 pts better	5.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 1.9% · Q3 6.3% · Q4 1.9% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.9%	19.9% 1 pts better	19.6% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 21.4% · Q3 18.1% · Q4 13.6% · 4Q avg 18.9%
Percentage of long-stay residents who received an antipsychotic medication	16.3%	18.7% 2.4 pts better	16.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 16.5% · Q3 13.2% · Q4 16.9% · 4Q avg 16.3% · 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	9.7%	19.6% 9.9 pts better	16.3% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 10.8% · Q3 11.1% · Q4 9.3% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.3%	18.3% 12 pts better	14.9% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 3.9% · Q3 7.7% · Q4 6.3% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.9% 0.6 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.5% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	1.7% 0.8 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.6% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.9%	26.4% 3.5 pts better	19.8% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 19.7% · Q3 28.6% · Q4 21.6% · 4Q avg 22.9%
Percentage of long-stay residents with pressure ulcers	3.4%	5.3% 1.9 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.7% · Q3 3.0% · Q4 2.9% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	37.5%	68.9% 31.4 pts worse	81.7% 44.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 24.3% · Q3 54.2% · Q4 51.0% · 4Q avg 37.5%
Percentage of short-stay residents who had an outpatient emergency department visit	9.8%	9.8% About the same	12.0% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 9.8% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.5%	1.5% 1 pts worse	1.6% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 1.9% · Q4 4.2% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	21.5%	68.7% 47.2 pts worse	79.7% 58.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 21.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.5%	23.1% 5.4 pts worse	23.9% 4.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 27.2% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-16 · Fire 2025-05-16

10 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-12 · Fire 2024-07-12

15 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-06-16 · Fire 2023-06-16

19 health deficiencies

Top issue: Quality of Life and Care (6 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 2026-01-02

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-02-12

D · Potential for more than minimal harm 2026-01-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-02-21

G · Actual harm 2025-08-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Not marked corrected

E · Potential for more than minimal harm 2025-05-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-17

E · Potential for more than minimal harm 2025-05-16

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 2025-06-17

E · Potential for more than minimal harm 2025-05-16

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-05-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-05-16

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 2025-06-17

D · Potential for more than minimal harm 2025-05-16

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-05-16

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 2025-06-17

E · Potential for more than minimal harm 2025-01-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-01-23

E · Potential for more than minimal harm 2024-07-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-07-12

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-07-12

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 2024-07-26

E · Potential for more than minimal harm 2024-07-12

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 2024-07-26

E · Potential for more than minimal harm 2024-07-12

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 2024-07-26

D · Potential for more than minimal harm 2024-07-12

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 2024-07-26

D · Potential for more than minimal harm 2024-07-12

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 2024-07-26

D · Potential for more than minimal harm 2024-07-12

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-07-12

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-05-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-04-01

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2024-05-30

E · Potential for more than minimal harm 2024-04-01

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 2024-05-30

E · Potential for more than minimal harm 2024-04-01

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-01

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 2024-05-30

E · Potential for more than minimal harm 2023-09-13

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 2023-10-03

G · Actual harm 2023-08-15

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 2023-09-13

D · Potential for more than minimal harm 2023-07-10

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 2023-08-15

G · Actual harm 2023-06-16

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 2023-09-13

E · Potential for more than minimal harm 2023-06-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-15

E · Potential for more than minimal harm 2023-06-16

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 2023-08-15

E · Potential for more than minimal harm 2023-06-16

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-08-15

E · Potential for more than minimal harm 2023-06-16

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 2023-08-15