Martinsburg, PA

Homewood Living Martinsburg, Inc

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

437 Givler Drive, Martinsburg, PA

(814) 793-3728

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

129

Certified beds

Average residents

108

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Homewood Retirement Centers

Operator or chain grouping

Approved since

1993-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

4 facilities

Chain averages 4 overall / 4 health / 5 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

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.24

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.07

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.83

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.73

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

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.76

CMS adjusted RN staffing hours

Adjusted total hours

4.10

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

90

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

87.12

Composite VBP score used to determine payment impact.

Payment multiplier

1.0270

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

10

Baseline 15.49% · Performance 15.83% · Measure score 10 · Achievement 10 · Improvement 0

Healthcare-associated infections

10

Baseline 4.72% · Performance 4.83% · Measure score 10 · Achievement 10 · Improvement 0

Total nurse turnover

10

Baseline 38.09% · Performance 24.60% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

4.85

Baseline 3.34 hours · Performance 4.46 hours · Measure score 4.85 · Achievement 4.85 · Improvement 4.09

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.07%
10.72%
1.7 pts better
No Different than the National Rate · Eligible stays 200 · Observed rate 7% · Lower 95% interval 6.92%
Discharge to community 57.74%
50.57%
7.2 pts better
No Different than the National Rate · Eligible stays 216 · Observed rate 52.31% · Lower 95% interval 50.27%
Medicare spending per beneficiary 0.79
1.02
0.2 pts better
Drug regimen review with follow-up 90.27%
95.27%
5 pts worse
Numerator 102 · Denominator 113
Falls with major injury 0.88%
0.77%
0.1 pts worse
Numerator 1 · Denominator 113
Discharge self-care score 58.16%
53.69%
4.5 pts better
Numerator 57 · Denominator 98
Discharge mobility score 45.92%
50.94%
5 pts worse
Numerator 45 · Denominator 98
Pressure ulcers or injuries, new or worsened 0.88%
2.29%
1.4 pts better
Numerator 1 · Denominator 113 · Adjusted rate 1.12%
Healthcare-associated infections requiring hospitalization 4.83%
7.12%
2.3 pts better
No Different than the National Rate · Eligible stays 108 · Observed rate 0% · Lower 95% interval 2.32%
Staff COVID-19 vaccination coverage 1.54%
8.2%
6.7 pts worse
Numerator 4 · Denominator 259
Staff flu vaccination coverage 47.77%
42%
5.8 pts better
Numerator 171 · Denominator 358
Discharge function score 48.98%
56.45%
7.5 pts worse
Numerator 48 · Denominator 98
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 65 · Denominator 65
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 27 · Denominator 27
Resident COVID-19 vaccinations up to date 24.14%
25.2%
1.1 pts worse
Numerator 14 · Denominator 58

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
1.7
0.7 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.3 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.2
0.6 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
86.9%
12.2 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
93.5%
5.4 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury 5.2%
3.2%
2 pts worse
3.3%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 4.7% · Q3 6.1% · Q4 5.6% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.3%
6.5%
6.2 pts better
11.4%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight 7.8%
6.5%
1.3 pts worse
5.4%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 4.9% · Q3 6.4% · Q4 8.0% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.7%
19.9%
0.2 pts better
19.6%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 20.5% · Q3 17.7% · Q4 21.8% · 4Q avg 19.7%
Percentage of long-stay residents who received an antipsychotic medication 23.7%
18.7%
5 pts worse
16.7%
7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.1% · Q3 24.7% · Q4 27.0% · 4Q avg 23.7% · 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 29.2%
19.6%
9.6 pts worse
16.3%
12.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 23.8% · Q3 36.0% · Q4 37.1% · 4Q avg 29.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 33.1%
18.3%
14.8 pts worse
14.9%
18.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.8% · Q2 27.9% · Q3 29.2% · Q4 33.8% · 4Q avg 33.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
0.9%
0.7 pts worse
1.0%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.3% · Q3 0.0% · Q4 0.9% · 4Q avg 1.6% · 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 2.4% · Q3 0.0% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.1%
26.4%
6.7 pts worse
19.8%
13.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.2% · Q2 28.5% · Q3 25.5% · Q4 37.3% · 4Q avg 33.1%
Percentage of long-stay residents with pressure ulcers 5.5%
5.3%
0.2 pts worse
5.1%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.9% · Q3 5.4% · Q4 3.8% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
68.9%
25.6 pts better
81.7%
12.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 97.5% · Q3 94.4% · Q4 91.6% · 4Q avg 94.5%
Percentage of short-stay residents who had an outpatient emergency department visit 6.6%
9.8%
3.2 pts better
12.0%
5.4 pts better
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 6.5% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.5%
0.5 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.8% · Q3 1.7% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.1%
68.7%
28.4 pts better
79.7%
17.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.4%
23.1%
4.7 pts better
23.9%
5.5 pts better
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 17.6% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-11-21 · Fire 2024-11-21

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-12-21 · Fire 2023-12-21

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-12-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-08

F · Potential for more than minimal harm 2024-11-21

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-11-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-11-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-11-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-14

E · Potential for more than minimal harm 2024-11-21

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-01-14

D · Potential for more than minimal harm 2024-11-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-14

D · Potential for more than minimal harm 2024-11-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-14

C · Minimal harm 2024-11-21

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-01-14

C · Minimal harm 2024-11-21

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-01-14

F · Potential for more than minimal harm 2023-12-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-02-10

F · Potential for more than minimal harm 2023-12-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-10

E · Potential for more than minimal harm 2023-12-21

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-02-10

E · Potential for more than minimal harm 2023-12-21

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-10

E · Potential for more than minimal harm 2023-12-21

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-02-10

D · Potential for more than minimal harm 2023-12-21

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-02-10

D · Potential for more than minimal harm 2023-12-21

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 2024-02-10

D · Potential for more than minimal harm 2023-12-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-10

D · Potential for more than minimal harm 2023-12-21

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-02-10

D · Potential for more than minimal harm 2023-12-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-11

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-01-19

D · Potential for more than minimal harm 2025-12-11

F584 · Resident Rights Deficiencies

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 2026-01-19

D · Potential for more than minimal harm 2025-12-11

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2026-01-19

D · Potential for more than minimal harm 2024-11-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-21

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-01-06

D · Potential for more than minimal harm 2024-11-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-11-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-21

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-21

F849 · Administration Deficiencies

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 2025-01-06

D · Potential for more than minimal harm 2024-11-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-06-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-02

D · Potential for more than minimal harm 2023-12-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-01

D · Potential for more than minimal harm 2023-12-21

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-02-01

D · Potential for more than minimal harm 2023-12-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-01

D · Potential for more than minimal harm 2023-12-21

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-02-01

D · Potential for more than minimal harm 2023-12-21

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 2024-02-01

D · Potential for more than minimal harm 2023-12-21

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-02-01

D · Potential for more than minimal harm 2023-08-31

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-09-18

Penalties and ownership

What sits behind the stars

Ownership

Bice, Richard

Corporate Director · Individual

0% 1 facilities 2022-01-01
Bradley, Buffy

Operational/Managerial Control · Individual

0% 2 facilities 2025-01-01
Crampton, Wendy

Corporate Director · Individual

0% 4 facilities 2019-03-01
Eichelberger, John

Corporate Director · Individual

0% 1 facilities 2022-01-01
Hancock, Allan

Corporate Director · Individual

0% 1 facilities 2013-01-01
Hendricks, Mary

Corporate Director · Individual

0% 1 facilities 2024-01-01
Hoover, Daniel

Corporate Director · Individual

0% 1 facilities 2019-01-01
Miller, Richard

Corporate Director · Individual

0% 14 facilities 2021-01-01
Rothrock, Thad

Corporate Director · Individual

0% 4 facilities 2019-03-01
Stern, Robin

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-01
Winfield, Judy

Corporate Director · Individual

0% 1 facilities 2019-01-01

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Staffing
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Health
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Staffing
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Fines
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#3

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2-star overall rating with 2-star inspections with $101,905 in total fines with 14 recent health deficiencies

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$101,905

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