Orangeville, PA

Gardens At Orangeville, The

2-star overall rating with 2-star inspections with 9 recent health deficiencies

200 Berwick Road, Orangeville, PA

(570) 683-5036

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

119

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Priority Healthcare Group

Operator or chain grouping

Approved since

1993-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 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

0.57

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.85

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.35

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.17

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.39

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

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,022

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

Performance score

28.04

Composite VBP score used to determine payment impact.

Payment multiplier

0.9848

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.41

Baseline 18.90% · Performance 18.93% · Measure score 5.41 · Achievement 5.41 · Improvement 0

Healthcare-associated infections

1.57

Baseline 5.40% · Performance 7.36% · Measure score 1.57 · Achievement 1.57 · Improvement 0

Total nurse turnover

3.15

Baseline 52.70% · Performance 50.79% · Measure score 3.15 · Achievement 3.15 · Improvement 0.19

Adjusted total nurse staffing

1.08

Baseline 2.93 hours · Performance 3.39 hours · Measure score 1.08 · Achievement 1.08 · Improvement 1.08

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.34%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 60 · Observed rate 10% · Lower 95% interval 6.4%
Discharge to community	51.14%	50.57% 0.6 pts better	No Different than the National Rate · Eligible stays 32 · Observed rate 43.75% · Lower 95% interval 36.62%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 33 · Denominator 33
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 33
Discharge self-care score	44.44%	53.69% 9.2 pts worse	Numerator 12 · Denominator 27
Discharge mobility score	55.56%	50.94% 4.6 pts better	Numerator 15 · Denominator 27
Pressure ulcers or injuries, new or worsened	3.03%	2.29% 0.7 pts worse	Numerator 1 · Denominator 33 · Adjusted rate 2.29%
Healthcare-associated infections requiring hospitalization	7.36%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 3.34%
Staff COVID-19 vaccination coverage	0.88%	8.2% 7.3 pts worse	Numerator 1 · Denominator 114
Staff flu vaccination coverage	26.17%	42% 15.8 pts worse	Numerator 28 · Denominator 107
Discharge function score	51.85%	56.45% 4.6 pts worse	Numerator 14 · Denominator 27
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.6	1.7 0.9 pts worse	1.9 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.4 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.2 0.3 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.2%	86.9% 6.3 pts better	93.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.8% · Q2 95.5% · Q3 95.2% · Q4 97.1% · 4Q avg 93.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.7%	93.5% 1.2 pts better	95.5% 0.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.2% 0.9 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 3.2% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.4%	6.5% 2.9 pts worse	11.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 11.3% · Q3 6.9% · Q4 6.7% · 4Q avg 9.4%
Percentage of long-stay residents who lose too much weight	12.8%	6.5% 6.3 pts worse	5.4% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 16.4% · Q3 8.5% · Q4 9.8% · 4Q avg 12.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.7%	19.9% 2.8 pts worse	19.6% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 20.6% · Q3 21.7% · Q4 26.6% · 4Q avg 22.7%
Percentage of long-stay residents who received an antipsychotic medication	14.9%	18.7% 3.8 pts better	16.7% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 10.3% · Q3 12.5% · Q4 16.2% · 4Q avg 14.9% · 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	32.2%	19.6% 12.6 pts worse	16.3% 15.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.7% · Q2 39.9% · Q3 19.3% · Q4 30.1% · 4Q avg 32.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.4%	18.3% 1.9 pts better	14.9% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 14.8% · Q3 17.6% · Q4 17.2% · 4Q avg 16.4% · 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 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.0%	1.7% 0.3 pts worse	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.2% · Q4 4.6% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.9%	26.4% 2.5 pts better	19.8% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 20.8% · Q3 28.6% · Q4 14.3% · 4Q avg 23.9%
Percentage of long-stay residents with pressure ulcers	9.3%	5.3% 4 pts worse	5.1% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 7.3% · Q3 10.3% · Q4 10.8% · 4Q avg 9.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.7%	68.9% 13.8 pts better	81.7% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 79.8% · Q3 77.3% · Q4 83.3% · 4Q avg 82.7%
Percentage of short-stay residents who had an outpatient emergency department visit	3.2%	9.8% 6.6 pts better	12.0% 8.8 pts better	Short Stay · 20240701-20250630 · Adjusted 3.2% · Observed 3.1% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.5% 1.3 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.0% · Q3 3.9% · Q4 2.2% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.8%	68.7% 13.1 pts better	79.7% 2.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	9.3%	23.1% 13.8 pts better	23.9% 14.6 pts better	Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.4% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-19 · Fire 2025-09-19

9 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 2 Health 2024-12-06 · Fire 2024-12-06

15 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2024-02-02 · Fire 2024-02-02

17 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-12-06

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-12-06

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-02-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-03-12

E · Potential for more than minimal harm 2024-02-02

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-03-12

E · Potential for more than minimal harm 2024-02-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-19

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 2025-11-04

E · Potential for more than minimal harm 2025-09-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-11-04

E · Potential for more than minimal harm 2025-09-19

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 2025-11-04

D · Potential for more than minimal harm 2025-09-19

F571 · Resident Rights Deficiencies

Health

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Corrected 2025-11-04

D · Potential for more than minimal harm 2025-09-19

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 2025-11-04

D · Potential for more than minimal harm 2025-09-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-04

D · Potential for more than minimal harm 2025-09-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-11-04

D · Potential for more than minimal harm 2025-09-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-04

E · Potential for more than minimal harm 2025-06-04

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 2025-07-03

E · Potential for more than minimal harm 2025-01-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-18

F · Potential for more than minimal harm 2024-12-06

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 2025-01-23

E · Potential for more than minimal harm 2024-12-06

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 2025-01-23

E · Potential for more than minimal harm 2024-12-06

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 2025-01-23

D · Potential for more than minimal harm 2024-12-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-01-23

D · Potential for more than minimal harm 2024-12-06

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 2025-01-23

D · Potential for more than minimal harm 2024-12-06

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-01-23

D · Potential for more than minimal harm 2024-12-06

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 2025-01-23

D · Potential for more than minimal harm 2024-10-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-06

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

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 2024-07-02

E · Potential for more than minimal harm 2024-04-16

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 2024-05-30

D · Potential for more than minimal harm 2024-04-16

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-16

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

D · Potential for more than minimal harm 2024-04-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-16

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 2024-07-02

F · Potential for more than minimal harm 2024-02-02

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 2024-04-16

F · Potential for more than minimal harm 2024-02-02

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 2024-04-16

E · Potential for more than minimal harm 2024-02-02

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 2024-04-16

E · Potential for more than minimal harm 2024-02-02

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 2024-02-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-02-02

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 2024-04-16

E · Potential for more than minimal harm 2024-02-02