Pottsville, PA

Gardens At York Terrace, The

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

2401 West Market Street, Pottsville, PA

(570) 622-3982

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

65

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Priority Healthcare Group

Operator or chain grouping

Approved since

1968-11-20

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

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

0.80

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

1.96

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.38

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.96

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.86

CMS adjusted RN staffing hours

Adjusted total hours

3.64

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,459

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

Performance score

32.78

Composite VBP score used to determine payment impact.

Payment multiplier

0.9873

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.05

Baseline 18.10% · Performance 20.02% · Measure score 3.05 · Achievement 3.05 · Improvement 0

Healthcare-associated infections

5.26

Baseline 5.25% · Performance 6.26% · Measure score 5.26 · Achievement 5.26 · Improvement 0

Total nurse turnover

3.86

Baseline 53.52% · Performance 47.89% · Measure score 3.86 · Achievement 3.86 · Improvement 1.47

Adjusted total nurse staffing

0.94

Baseline 3.29 hours · Performance 3.35 hours · Measure score 0.94 · Achievement 0.94 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.55%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 80 · Observed rate 13.75% · Lower 95% interval 8.1%
Discharge to community	47.25%	50.57% 3.3 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 40.3% · Lower 95% interval 37.78%
Medicare spending per beneficiary	0.72	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 34 · Denominator 34
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 34
Discharge self-care score	36.67%	53.69% 17 pts worse	Numerator 11 · Denominator 30
Discharge mobility score	43.33%	50.94% 7.6 pts worse	Numerator 13 · Denominator 30
Pressure ulcers or injuries, new or worsened	2.94%	2.29% 0.6 pts worse	Numerator 1 · Denominator 34 · Adjusted rate 3.09%
Healthcare-associated infections requiring hospitalization	6.26%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 3.14%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 99
Staff flu vaccination coverage	65.63%	42% 23.6 pts better	Numerator 63 · Denominator 96
Discharge function score	46.67%	56.45% 9.8 pts worse	Numerator 14 · Denominator 30
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · 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	1.8	1.7 0.1 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	1.2 1.2 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.9% 13.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5% 6.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.6%	3.2% 0.4 pts worse	3.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.5% · Q3 3.3% · Q4 3.6% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	6.5% 5.6 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 2.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	3.0%	6.5% 3.5 pts better	5.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.1% · Q3 0.0% · Q4 1.8% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.5%	19.9% 0.6 pts worse	19.6% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 23.0% · Q3 21.4% · Q4 19.6% · 4Q avg 20.5%
Percentage of long-stay residents who received an antipsychotic medication	14.4%	18.7% 4.3 pts better	16.7% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 15.1% · Q3 13.5% · Q4 13.7% · 4Q avg 14.4% · 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	8.6%	19.6% 11 pts better	16.3% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 11.6% · Q3 4.4% · Q4 2.5% · 4Q avg 8.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.9%	18.3% 9.4 pts better	14.9% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.3% · Q3 3.8% · Q4 7.4% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.9% 0.5 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.5%	1.7% 0.8 pts worse	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 1.7% · Q4 1.8% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.2%	26.4% 2.2 pts better	19.8% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 21.8% · Q3 17.3% · Q4 33.6% · 4Q avg 24.2%
Percentage of long-stay residents with pressure ulcers	2.5%	5.3% 2.8 pts better	5.1% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.0% · Q3 3.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.8%	68.9% 28.9 pts better	81.7% 16.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.1% · Q3 98.1% · Q4 98.4% · 4Q avg 97.8%
Percentage of short-stay residents who had an outpatient emergency department visit	10.8%	9.8% 1 pts worse	12.0% 1.2 pts better	Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 10.8% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.5% 0.7 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.3%	68.7% 25.6 pts better	79.7% 14.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.3%	23.1% 8.8 pts better	23.9% 9.6 pts better	Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 16.2% · Expected 27.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-09 · Fire 2024-12-05

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-12-05 · Fire 2024-01-05

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2024-01-05 · Fire 2023-01-20

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-04

C · Minimal harm 2024-12-05

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-02-04

C · Minimal harm 2024-12-05

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-01-05

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-02-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-12-05

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-12-31

F · Potential for more than minimal harm 2024-01-05

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 2024-02-06

D · Potential for more than minimal harm 2024-01-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-06

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