Gettysburg, PA

Gardens At Gettysburg, The

3-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

741 Chambersburg Road, Gettysburg, PA

(717) 334-6764

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

98

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Priority Healthcare Group

Operator or chain grouping

Approved since

1968-09-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.50

Registered nurse staffing

LPN hours / resident day

0.79

Licensed practical nurse staffing

Aide hours / resident day

1.72

Nurse aide staffing

Weekend hours

2.75

Weekend nurse staffing

RN turnover

53%

Annual RN turnover

Total nurse turnover

57%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.7
0.9 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.4
1.2
0.8 pts better
1.8
1.4 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.9%
86.9%
3 pts worse
93.4%
9.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
93.5%
5.4 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
3.2%
1 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.8%
6.5%
4.7 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 9.9%
6.5%
3.4 pts worse
5.4%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.6%
19.9%
4.7 pts worse
19.6%
5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 23.2%
18.7%
4.5 pts worse
16.7%
6.5 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 27.9%
19.6%
8.3 pts worse
16.3%
11.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 28.4%
18.3%
10.1 pts worse
14.9%
13.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
0.9%
About the same
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.4%
1.7%
1.7 pts worse
1.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.8%
26.4%
2.6 pts better
19.8%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.2%
5.3%
3.1 pts better
5.1%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 55.8%
68.9%
13.1 pts worse
81.7%
25.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.0%
9.8%
2.8 pts better
12.0%
5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.5%
0.9 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 62.5%
68.7%
6.2 pts worse
79.7%
17.2 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 13.6%
23.1%
9.5 pts better
23.9%
10.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-15 · Fire 2025-05-15

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-27 · Fire 2024-06-27

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

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

15 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-15

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2025-06-25

E · Potential for more than minimal harm 2025-05-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-25

F · Potential for more than minimal harm 2024-06-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-01

F · Potential for more than minimal harm 2024-06-27

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-06-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-01

C · Minimal harm 2024-06-27

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-08-01

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-01

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

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-08-01

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 2023-08-01

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

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-08-01

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

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-01

B · Minimal harm 2023-07-27

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-08-01

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-15

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 2025-06-18

D · Potential for more than minimal harm 2025-05-15

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 2025-06-18

D · Potential for more than minimal harm 2025-05-15

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-18

D · Potential for more than minimal harm 2024-11-05

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-11-27

E · Potential for more than minimal harm 2024-06-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-27

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 2024-08-01

D · Potential for more than minimal harm 2024-06-27

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-27

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-27

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 2024-08-01

D · Potential for more than minimal harm 2024-05-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-17

D · Potential for more than minimal harm 2024-05-22

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-17

D · Potential for more than minimal harm 2024-05-22

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 2024-06-17

D · Potential for more than minimal harm 2024-02-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-05

D · Potential for more than minimal harm 2023-09-28

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-10-30

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

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 2023-08-30

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-30

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-30

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

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-30

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

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 2023-08-30

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

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-08-30

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

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-08-30

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

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 2023-08-30

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

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2023-08-30

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-30

D · Potential for more than minimal harm 2023-07-06

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-07-06

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-07-06

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 2023-07-19

Penalties and ownership

What sits behind the stars

Ownership

Hashtag Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2017-02-01
Philipson Family Limited Liability Company, LLC

5% Or Greater Indirect Ownership Interest · Organization

18% 26 facilities 2017-10-27
Hashtag-El-Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

17% 5 facilities 2017-10-27
Samara Holdings Company LLC

5% Or Greater Indirect Ownership Interest · Organization

17% 12 facilities 2020-01-28
Strawberry Hill Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

17% 14 facilities 2020-01-28
Blglpa LLC

5% Or Greater Indirect Ownership Interest · Organization

14% 5 facilities 2017-10-27
Fair Oaks Family Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

14% 12 facilities 2020-01-28
Sebbag, Gabriel

5% Or Greater Indirect Ownership Interest · Individual

5% 20 facilities 2017-10-27
Clabaugh, Tammy

Operational/Managerial Control · Individual

0% 1 facilities 2025-05-30
Clinical Consulting Services LLC

Operational/Managerial Control · Organization

0% 24 facilities 2019-01-01
Khan, Muzafar

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-01
Priority Care Group LLC

Operational/Managerial Control · Organization

0% 22 facilities 2019-01-01
Schiowitz, Marc

Corporate Officer · Individual

0% 2 facilities 2019-01-01
Summation Financial Services LLC

Operational/Managerial Control · Organization

0% 24 facilities 2019-01-01

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Staffing
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