11 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Greensburg, PA
4-star overall rating with 3-star inspections with $24,569 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1118 Woodward Drive, Greensburg, PA
(724) 836-4424
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hcf Management
Operator or chain grouping
Approved since
1985-10-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 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
0.69
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.79
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.21
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
2.64
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,264
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.65
Composite VBP score used to determine payment impact.
Payment multiplier
0.9936
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.90
Baseline 19.56% · Performance 19.16% · Measure score 4.90 · Achievement 4.90 · Improvement 1.08
Healthcare-associated infections
1.43
Baseline 7.83% · Performance 7.41% · Measure score 1.43 · Achievement 1.43 · Improvement 1
Total nurse turnover
7.27
Baseline 53.27% · Performance 33.98% · Measure score 7.27 · Achievement 7.27 · Improvement 6.29
Adjusted total nurse staffing
2.66
Baseline 3.36 hours · Performance 3.83 hours · Measure score 2.66 · Achievement 2.66 · Improvement 1.46
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.45% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 7.78% · Lower 95% interval 6.21% |
| Discharge to community | 60.41% |
50.57%
9.8 pts better
|
No Different than the National Rate · Eligible stays 85 · Observed rate 55.29% · Lower 95% interval 48.39% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 88.89% |
95.27%
6.4 pts worse
|
Numerator 48 · Denominator 54 |
| Falls with major injury | 1.85% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 54 |
| Discharge self-care score | 75% |
53.69%
21.3 pts better
|
Numerator 33 · Denominator 44 |
| Discharge mobility score | 86.36% |
50.94%
35.4 pts better
|
Numerator 38 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 54 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.41% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 9.62% · Lower 95% interval 4.27% |
| Staff COVID-19 vaccination coverage | 11.46% |
8.2%
3.3 pts better
|
Numerator 18 · Denominator 157 |
| Staff flu vaccination coverage | 55.62% |
42%
13.6 pts better
|
Numerator 94 · Denominator 169 |
| Discharge function score | 81.82% |
56.45%
25.4 pts better
|
Numerator 36 · Denominator 44 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 33 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 19.05% |
25.2%
6.1 pts worse
|
Numerator 4 · Denominator 21 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
86.9%
12.8 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.7% |
| 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 | 2.7% |
3.2%
0.5 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.2% · Q3 3.4% · Q4 3.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
6.5%
5.8 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.5%
1 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 11.8% · Q3 4.1% · Q4 6.4% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% |
19.9%
3.3 pts better
|
19.6%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 16.9% · Q3 15.6% · Q4 17.5% · 4Q avg 16.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.3% |
18.7%
1.4 pts better
|
16.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 12.5% · Q3 17.7% · Q4 23.1% · 4Q avg 17.3% · 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 | 14.7% |
19.6%
4.9 pts better
|
16.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 8.2% · Q3 15.7% · Q4 13.5% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
18.3%
0.3 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 9.7% · Q3 21.9% · Q4 24.0% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · 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 1.1% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.6% |
26.4%
4.2 pts worse
|
19.8%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 39.6% · Q3 29.6% · Q4 25.8% · 4Q avg 30.6% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
5.3%
2.3 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 7.4% · Q3 6.5% · Q4 4.8% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
68.9%
28.6 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 90.7% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
9.8%
5.8 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 4.0% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
68.7%
31.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.9% |
23.1%
10.2 pts better
|
23.9%
11 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 14.0% · Expected 26.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-04
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-04-01
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 2024-04-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-04-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-12
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-27
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-04-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-30
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 2025-04-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-30
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 2025-04-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-30
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-30
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-15
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-08-15
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 2024-06-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-25
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-03-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-21
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-03-28
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-06-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-05
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-06-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-05
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-06-05
Health
Assess the resident when there is a significant change in condition
Corrected 2023-06-05
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-06-05
Penalties and ownership
Fine · fine $7,443
Fine
Fine · fine $7,815
Fine
Fine · fine $9,311
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · 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 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
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
Greensburg, PA
2-star overall rating with 2-star inspections with abuse icon flag with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Greensburg, PA
2-star overall rating with 2-star inspections with abuse icon flag with $8,159 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Greensburg, PA
1-star overall rating with 1-star inspections with abuse icon flag with $39,719 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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