12 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Mount Pleasant, PA
2-star overall rating with 2-star inspections with $32,394 in total fines with 12 recent health deficiencies
601 South Church Street, Mount Pleasant, PA
(724) 547-1890
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
Beds
109
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1987-02-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.68
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.64
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.49
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
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.58
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,003
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9883
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.53
Performance 20.26% · Measure score 2.53 · Achievement 2.53 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
1.61
Performance 7.35% · Measure score 1.61 · Achievement 1.61 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
6.88
Baseline 80.00% · Performance 39.29% · Measure score 6.88 · Achievement 5.97 · Improvement 6.88
Adjusted total nurse staffing
2.70
Baseline 3.39 hours · Performance 3.85 hours · Measure score 2.70 · Achievement 2.70 · Improvement 1.41
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.72% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 19.77% · Lower 95% interval 9.09% |
| Discharge to community | 53.3% |
50.57%
2.7 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 44.19% · Lower 95% interval 40.05% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 96.88% |
95.27%
1.6 pts better
|
Numerator 62 · Denominator 64 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 64 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 25 · Denominator 50 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 20 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 2 · Denominator 64 · Adjusted rate 2.86% |
| Healthcare-associated infections requiring hospitalization | 7.35% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 9.26% · Lower 95% interval 4.27% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 134 |
| Staff flu vaccination coverage | 44.72% |
42%
2.7 pts better
|
Numerator 72 · Denominator 161 |
| Discharge function score | 42% |
56.45%
14.5 pts worse
|
Numerator 21 · Denominator 50 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 94.59% |
96.28%
1.7 pts worse
|
Numerator 35 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.6% |
86.9%
7.3 pts worse
|
93.4%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 65.8% · Q2 71.6% · Q3 85.1% · Q4 94.2% · 4Q avg 79.6% |
| 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 | 2.4% |
3.2%
0.8 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.5% · Q3 2.3% · Q4 3.5% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.3% |
6.5%
1.8 pts worse
|
11.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 13.6% · Q3 5.7% · Q4 7.2% · 4Q avg 8.3% |
| Percentage of long-stay residents who lose too much weight | 11.3% |
6.5%
4.8 pts worse
|
5.4%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 16.0% · Q3 12.5% · Q4 5.0% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% |
19.9%
4.7 pts better
|
19.6%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 14.7% · Q3 13.6% · Q4 13.8% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.2% |
18.7%
16.5 pts better
|
16.7%
14.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 1.4% · Q4 1.5% · 4Q avg 2.2% · 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 | 29.8% |
19.6%
10.2 pts worse
|
16.3%
13.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 31.0% · Q3 23.0% · Q4 30.6% · 4Q avg 29.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.2% |
18.3%
11.9 pts worse
|
14.9%
15.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.9% · Q2 28.2% · Q3 26.9% · Q4 29.7% · 4Q avg 30.2% · 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 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.0% |
1.7%
7.3 pts worse
|
1.7%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 19.8% · Q3 8.1% · Q4 1.2% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
26.4%
4.2 pts better
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 25.4% · Q3 20.7% · Q4 16.5% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
5.3%
2.2 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 8.1% · Q3 6.3% · Q4 8.8% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.4% |
68.9%
6.5 pts better
|
81.7%
6.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.8% · Q2 73.7% · Q3 82.2% · Q4 79.1% · 4Q avg 75.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.5% |
9.8%
6.3 pts better
|
12.0%
8.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.5% · Observed 3.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.9% · Q3 2.2% · Q4 1.2% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.6% |
68.7%
13.9 pts better
|
79.7%
2.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.7% |
23.1%
7.4 pts better
|
23.9%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 16.1% · Expected 24.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-07-29
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-07-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-07-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-07-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-29
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-07-29
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-07-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-29
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-09-08
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-08
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-09-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-08
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-09-08
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-09-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-08
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 2023-09-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-08
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-09-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-08
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-12-29
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-27
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-06-30
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-06-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-30
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 2025-06-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-03
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-09-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-22
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-06-19
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-06-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-07-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-22
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-07-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-22
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 2024-07-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-22
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-07-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-18
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-08-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-06
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 2023-08-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-06
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-06
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-08-18
Penalties and ownership
Fine · fine $8,400
Fine
Fine · fine $8,401
Fine
Fine · fine $7,796
Fine
Fine · fine $7,797
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
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Greensburg, PA
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