14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Gettysburg, PA
2-star overall rating with 2-star inspections with abuse icon flag with 14 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
867 York Road, Gettysburg, PA
(717) 337-3238
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
118
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1987-07-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
193 facilities
Chain averages 2 overall / 2 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
RN hours / resident day
0.60
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
3.18
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,286
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.03
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.96% · Performance 21.58% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.86% · Performance 7.85% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.76
Baseline 48.15% · Performance 48.32% · Measure score 3.76 · Achievement 3.76 · Improvement 0
Adjusted total nurse staffing
1.45
Baseline 3.55 hours · Performance 3.49 hours · Measure score 1.45 · Achievement 1.45 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.94% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 198 · Observed rate 14.14% · Lower 95% interval 9.65% |
| Discharge to community | 51.22% |
50.57%
0.6 pts better
|
No Different than the National Rate · Eligible stays 194 · Observed rate 43.81% · Lower 95% interval 41.23% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 88.7% |
95.27%
6.6 pts worse
|
Numerator 157 · Denominator 177 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 177 |
| Discharge self-care score | 33.85% |
53.69%
19.8 pts worse
|
Numerator 44 · Denominator 130 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 52 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 5.08% |
2.29%
2.8 pts worse
|
Numerator 9 · Denominator 177 · Adjusted rate 4.25% |
| Healthcare-associated infections requiring hospitalization | 7.85% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 8.47% · Lower 95% interval 5.35% |
| Staff COVID-19 vaccination coverage | 5.34% |
8.2%
2.9 pts worse
|
Numerator 7 · Denominator 131 |
| Staff flu vaccination coverage | 57.71% |
42%
15.7 pts better
|
Numerator 101 · Denominator 175 |
| Discharge function score | 37.69% |
56.45%
18.8 pts worse
|
Numerator 49 · Denominator 130 |
| Transfer of health information to provider | 96.08% |
95.95%
0.1 pts better
|
Numerator 49 · Denominator 51 |
| Transfer of health information to patient | 98.59% |
96.28%
2.3 pts better
|
Numerator 70 · Denominator 71 |
| Resident COVID-19 vaccinations up to date | 28.24% |
25.2%
3 pts better
|
Numerator 24 · Denominator 85 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.5% |
86.9%
5.4 pts worse
|
93.4%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 86.5% · Q3 83.5% · Q4 68.9% · 4Q avg 81.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
93.5%
3.2 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.2%
0.2 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.2% · Q3 4.4% · Q4 5.6% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.3% |
6.5%
4.8 pts worse
|
11.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 14.8% · Q4 28.2% · 4Q avg 11.3% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
6.5%
0.1 pts better
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.1% · Q3 7.0% · Q4 5.6% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.3% |
19.9%
4.4 pts worse
|
19.6%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 23.5% · Q3 26.6% · Q4 23.8% · 4Q avg 24.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.9% |
18.7%
2.2 pts worse
|
16.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 23.3% · Q3 20.3% · Q4 17.5% · 4Q avg 20.9% · 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 | 25.0% |
19.6%
5.4 pts worse
|
16.3%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 30.9% · Q3 28.3% · Q4 12.4% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.9% |
18.3%
2.6 pts worse
|
14.9%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 25.3% · Q3 24.4% · Q4 15.2% · 4Q avg 20.9% · Used in QM five-star |
| 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 · Q1 0.8% · Q2 0.0% · Q3 2.0% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
1.7%
0.4 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 3.4% · Q4 2.3% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
26.4%
1.5 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 42.2% · Q3 24.2% · Q4 25.5% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 10.5% |
5.3%
5.2 pts worse
|
5.1%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 8.3% · Q3 10.5% · Q4 17.7% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.0% |
68.9%
10.9 pts worse
|
81.7%
23.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 58.8% · Q2 59.5% · Q3 54.8% · Q4 58.8% · 4Q avg 58.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% |
9.8%
4.2 pts worse
|
12.0%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 12.6% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.5%
0.6 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 1.1% · Q4 3.1% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.5% |
68.7%
20.2 pts worse
|
79.7%
31.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
23.1%
0.3 pts better
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 21.0% · Expected 21.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2025-03-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-24
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 2025-03-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-24
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 2024-04-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-15
Fire Safety
Meet other general requirements.
Corrected 2024-04-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-31
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-31
Inspection history
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-21
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-09-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-09
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-01
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 2025-04-01
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 2025-04-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-01
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 2025-04-01
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 2025-04-01
Health
Post nurse staffing information every day.
Corrected 2025-04-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-09
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 2024-06-18
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-10
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-05-10
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 2024-05-10
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 2024-05-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-10
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 2024-05-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-15
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 2024-02-15
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-05-23
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-05-23
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 2023-05-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-23
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-23
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-23
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-05-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
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