18 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Canonsburg, PA
1-star overall rating with 2-star inspections with $35,133 in total fines with 18 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
2200 Hill Church-Houston Road, Canonsburg, PA
(724) 745-8000
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1985-02-26
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
RN hours / resident day
0.62
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
1.77
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.01
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
2.76
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
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
2.91
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
13,027
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.92
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
Readmission
0.53
Performance 21.19% · Measure score 0.53 · Achievement 0.53 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
2.29
Baseline 5.68% · Performance 7.15% · Measure score 2.29 · Achievement 2.29 · Improvement 0
Total nurse turnover
0
Baseline 51.25% · Performance 63.30% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.75
Baseline 3.64 hours · Performance 3.29 hours · Measure score 0.75 · Achievement 0.75 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.16% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 89 · Observed rate 13.48% · Lower 95% interval 7.97% |
| Discharge to community | 50.57% |
50.57%
About the same
|
No Different than the National Rate · Eligible stays 78 · Observed rate 42.31% · Lower 95% interval 40.31% |
| 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 62 · Denominator 62 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 62 |
| Discharge self-care score | 35.71% |
53.69%
18 pts worse
|
Numerator 15 · Denominator 42 |
| Discharge mobility score | 30.95% |
50.94%
20 pts worse
|
Numerator 13 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 4.84% |
2.29%
2.5 pts worse
|
Numerator 3 · Denominator 62 · Adjusted rate 4.54% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 53 · Observed rate 9.43% · Lower 95% interval 4.15% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 97 |
| Staff flu vaccination coverage | 62.81% |
42%
20.8 pts better
|
Numerator 76 · Denominator 121 |
| Discharge function score | 35.71% |
56.45%
20.7 pts worse
|
Numerator 15 · Denominator 42 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 34 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.7
1 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.2
0.7 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.9% |
86.9%
15 pts worse
|
93.4%
21.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.0% · Q2 61.8% · Q3 75.3% · Q4 65.4% · 4Q avg 71.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.6% |
93.5%
2.9 pts worse
|
95.5%
4.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.2%
0.6 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.2% · Q3 2.5% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.1% |
6.5%
1.4 pts better
|
11.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 7.4% · Q4 11.4% · 4Q avg 5.1% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
6.5%
1.4 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.6% · Q3 6.1% · Q4 3.1% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.3% |
19.9%
4.6 pts better
|
19.6%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 17.3% · Q3 13.0% · Q4 12.3% · 4Q avg 15.3% |
| 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 22.4% · Q2 10.6% · Q3 10.0% · Q4 13.2% · 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 | 3.3% |
19.6%
16.3 pts better
|
16.3%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 3.3% · Q4 3.2% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.3% |
18.3%
11 pts better
|
14.9%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.2% · Q3 6.0% · Q4 14.5% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
0.9%
2.7 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.5% · Q3 2.6% · Q4 1.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.7%
0.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 0.0% · Q4 2.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.2% |
26.4%
3.2 pts better
|
19.8%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 33.6% · Q3 15.1% · Q4 17.2% · 4Q avg 23.2% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
5.3%
2.7 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 11.5% · Q3 9.1% · Q4 8.7% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 11.9% |
68.9%
57 pts worse
|
81.7%
69.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.7% · Q3 13.4% · Q4 14.3% · 4Q avg 11.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
9.8%
1 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 10.3% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 1.5% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.6% |
68.7%
43.1 pts worse
|
79.7%
54.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 25.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
23.1%
4.6 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 20.7% · Expected 26.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nutrition and Dietary (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-25
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-06-25
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 2025-06-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-25
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-25
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-25
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-05-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-28
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-06-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-28
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-25
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2025-06-25
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2025-06-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-25
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-25
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-25
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 2025-06-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-25
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-06-25
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 2025-06-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-25
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-06-25
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-06-25
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-06-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-17
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 2024-12-17
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-17
Health
Keep all essential equipment working safely.
Corrected 2024-12-17
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 2024-11-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-04
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-07-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-10
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-07-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-10
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 2024-04-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-28
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-06-28
Penalties and ownership
Fine · fine $13,423
Fine
Fine · fine $21,710
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Canonsburg, PA
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Canonsburg, PA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with 26 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Canonsburg, PA
3-star overall rating with 3-star inspections with $4,580 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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