Cycle 1
Health 2025-12-18 · Fire 2025-12-18
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Pottsville, PA
Green Valley Skilled Nursing And Rehabilitation Ce
3-star overall rating with 3-star inspections with $10,033 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1 Matthew Drive, Pottsville, PA
(570) 644-0489
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
48
Certified beds
Average residents
42
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-03-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.89
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.62
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
0.87
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,976
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 16.90% · Performance 21.92% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.39% · Performance 7.70% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.72
Performance 48.48% · Measure score 3.72 · Achievement 3.72 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.03 hours · Performance 2.58 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.27% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 253 · Observed rate 13.44% · Lower 95% interval 9.43% |
| Discharge to community | 40.87% |
50.57%
9.7 pts worse
|
Worse than the National Rate · Eligible stays 270 · Observed rate 35.19% · Lower 95% interval 35.43% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.19% |
95.27%
3.9 pts better
|
Numerator 123 · Denominator 124 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 1 · Denominator 124 |
| Discharge self-care score | 76.6% |
53.69%
22.9 pts better
|
Numerator 72 · Denominator 94 |
| Discharge mobility score | 55.32% |
50.94%
4.4 pts better
|
Numerator 52 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 124 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.69% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 148 · Observed rate 7.43% · Lower 95% interval 5.06% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 116 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 61.7% |
56.45%
5.2 pts better
|
Numerator 58 · Denominator 94 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 98.73% |
96.28%
2.5 pts better
|
Numerator 78 · Denominator 79 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.7 · Expected 2.6 · 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 2.8 · Expected 2.0 · 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 | 97.4% |
93.5%
3.9 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.2%
1 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.9% · Q4 3.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 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 who lose too much weight | 18.0% |
6.5%
11.5 pts worse
|
5.4%
12.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 41.9% · Q3 9.7% · Q4 0.0% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.6% |
19.9%
8.3 pts better
|
19.6%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 11.8% · Q3 6.2% · Q4 9.4% · 4Q avg 11.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 37.1% |
18.7%
18.4 pts worse
|
16.7%
20.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.9% · Q2 33.3% · Q3 37.5% · Q4 34.8% · 4Q avg 37.1% · 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 | 29.6% |
19.6%
10 pts worse
|
16.3%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q4 51.4% · 4Q avg 29.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.5% |
18.3%
17.2 pts worse
|
14.9%
20.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 25.0% · Q3 37.9% · Q4 45.2% · 4Q avg 35.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.0% |
0.9%
3.1 pts worse
|
1.0%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 0.0% · Q3 2.5% · Q4 5.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.3% |
26.4%
5.9 pts worse
|
19.8%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 26.3% · Q3 32.6% · Q4 45.7% · 4Q avg 32.3% |
| 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 · Q1 2.5% · Q2 6.7% · Q3 0.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
68.9%
31.1 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
9.8%
3.8 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 13.3% · Expected 10.9% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.2% |
68.7%
28.5 pts better
|
79.7%
17.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
23.1%
3.8 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 19.6% · Expected 24.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-02-28 · Fire 2025-02-28
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2024-03-28 · Fire 2024-03-28
9 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-18
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-27
E · Potential for more than minimal harm
2025-12-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-27
C · Minimal harm
2025-12-18
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-02-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-21
D · Potential for more than minimal harm
2025-02-28
K932 · Smoke Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-02-21
E · Potential for more than minimal harm
2024-03-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-03-28
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 2024-04-09
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-18
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 2026-02-11
E · Potential for more than minimal harm
2025-12-18
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-02-11
E · Potential for more than minimal harm
2025-12-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-24
E · Potential for more than minimal harm
2025-12-18
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2026-02-24
E · Potential for more than minimal harm
2025-12-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-11
E · Potential for more than minimal harm
2025-12-18
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-02-11
D · Potential for more than minimal harm
2025-12-18
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2026-02-11
D · Potential for more than minimal harm
2025-12-18
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-02-11
E · Potential for more than minimal harm
2025-02-28
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-03-26
E · Potential for more than minimal harm
2025-02-28
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-26
E · Potential for more than minimal harm
2025-02-28
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 2025-03-26
D · Potential for more than minimal harm
2025-02-28
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-02-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-02-28
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-02-28
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-02-28
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 2025-03-26
D · Potential for more than minimal harm
2025-02-28
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 2025-03-26
G · Actual harm
2024-03-28
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 2024-05-02
F · Potential for more than minimal harm
2024-03-28
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 2024-05-02
E · Potential for more than minimal harm
2024-03-28
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 2024-05-02
D · Potential for more than minimal harm
2024-03-28
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-28
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-28
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 2024-05-02
D · Potential for more than minimal harm
2024-03-28
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-03-28
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 2024-05-02
E · Potential for more than minimal harm
2023-12-27
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 2024-01-19
Penalties and ownership
What sits behind the stars
$10,033
2024-03-28
Fine
Fine · fine $10,033
Fine
Ownership
2020 Gsr Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Belles, Danielle
Operational/Managerial Control · Individual
Eaz Operating Company, LLC
5% Or Greater Indirect Ownership Interest · Organization
Eye, Susan
Operational/Managerial Control · Individual
George S. Repchick 2020 Family Dynasty Trust
5% Or Greater Indirect Ownership Interest · Organization
Help For The Kids, LLC
5% Or Greater Indirect Ownership Interest · Organization
Keefer, Susan
5% Or Greater Direct Ownership Interest · Individual
Keefer, Susan
Operational/Managerial Control · Individual
Kelly, Michael
5% Or Greater Direct Ownership Interest · Individual
Kelly, Michael
Operational/Managerial Control · Individual
Kuzio, Stephen
Operational/Managerial Control · Individual
Lazur, Diana
Operational/Managerial Control · Individual
Martin, Bonita
Operational/Managerial Control · Individual
Moore, Maryann
Operational/Managerial Control · Individual
Oxford Finance LLC
5% Or Greater Security Interest · Organization
Oxford Finance LLC
5% Or Greater Mortgage Interest · Organization
Pa Tenant 3 Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Pa Tenant 3 Mezz Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Pa Tenant 3 Mezz, LLC
5% Or Greater Direct Ownership Interest · Organization
Purcell, Timothy
Operational/Managerial Control · Individual
Senior Health Care Solutions
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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Pottsville, PA
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
#2
Edenbrook Of Greenwood Hill
Pottsville, PA
2-star overall rating with 2-star inspections with abuse icon flag with $240,099 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Schuylkill Center
Pottsville, PA
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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