Jersey Shore, PA

Jersey Shore Skilled Nursing And Rehabilitation Ce

1-star overall rating with 1-star inspections with $46,196 in total fines with 24 recent health deficiencies

1008 Thompson Street, Jersey Shore, PA

(570) 398-4747

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

1977-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

193 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

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

0.59

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.74

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.43

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

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.93

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

84%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,540

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9823

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.74

Baseline 22.06% · Performance 20.43% · Measure score 2.74 · Achievement 2.16 · Improvement 2.74

Healthcare-associated infections

Baseline 6.21% · Performance 7.54% · Measure score 1 · Achievement 1 · Improvement 0

Total nurse turnover

3.50

Baseline 44.59% · Performance 49.38% · Measure score 3.50 · Achievement 3.50 · Improvement 0

Adjusted total nurse staffing

0.77

Baseline 3.21 hours · Performance 3.30 hours · Measure score 0.77 · Achievement 0.77 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.19%	10.72% 1.5 pts better	No Different than the National Rate · Eligible stays 96 · Observed rate 6.25% · Lower 95% interval 6.88%
Discharge to community	50.71%	50.57% 0.1 pts better	No Different than the National Rate · Eligible stays 84 · Observed rate 41.67% · Lower 95% interval 40.64%
Medicare spending per beneficiary	0.96	1.02 0.1 pts better
Drug regimen review with follow-up	98.48%	95.27% 3.2 pts better	Numerator 65 · Denominator 66
Falls with major injury	3.03%	0.77% 2.3 pts worse	Numerator 2 · Denominator 66
Discharge self-care score	53.85%	53.69% 0.2 pts better	Numerator 21 · Denominator 39
Discharge mobility score	48.72%	50.94% 2.2 pts worse	Numerator 19 · Denominator 39
Pressure ulcers or injuries, new or worsened	1.52%	2.29% 0.8 pts better	Numerator 1 · Denominator 66 · Adjusted rate 1.2%
Healthcare-associated infections requiring hospitalization	7.54%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 64 · Observed rate 9.38% · Lower 95% interval 4.35%
Staff COVID-19 vaccination coverage	2.75%	8.2% 5.4 pts worse	Numerator 3 · Denominator 109
Staff flu vaccination coverage	70.29%	42% 28.3 pts better	Numerator 123 · Denominator 175
Discharge function score	51.28%	56.45% 5.2 pts worse	Numerator 20 · Denominator 39
Transfer of health information to provider	86.96%	95.95% 9 pts worse	Numerator 20 · Denominator 23
Transfer of health information to patient	92.31%	96.28% 4 pts worse	Numerator 24 · Denominator 26
Resident COVID-19 vaccinations up to date	72.97%	25.2% 47.8 pts better	Numerator 27 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.7 0.5 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.6 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	1.2 1.7 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.0%	86.9% 5.1 pts better	93.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 91.8% · Q3 89.5% · Q4 90.0% · 4Q avg 92.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.5%	93.5% 2 pts better	95.5% About the same	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5%
Percentage of long-stay residents experiencing one or more falls with major injury	7.3%	3.2% 4.1 pts worse	3.3% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 7.1% · Q3 6.6% · Q4 7.1% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.0%	6.5% 8.5 pts worse	11.4% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 10.0% · Q3 19.7% · Q4 12.3% · 4Q avg 15.0%
Percentage of long-stay residents who lose too much weight	8.6%	6.5% 2.1 pts worse	5.4% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 8.1% · Q3 13.0% · Q4 9.2% · 4Q avg 8.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.1%	19.9% 3.2 pts worse	19.6% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 26.3% · Q3 23.9% · Q4 22.7% · 4Q avg 23.1%
Percentage of long-stay residents who received an antipsychotic medication	32.7%	18.7% 14 pts worse	16.7% 16 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 31.6% · Q3 34.0% · Q4 34.0% · 4Q avg 32.7% · 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	30.5%	19.6% 10.9 pts worse	16.3% 14.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 34.7% · Q3 30.3% · Q4 24.0% · 4Q avg 30.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	31.2%	18.3% 12.9 pts worse	14.9% 16.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 31.8% · Q3 34.8% · Q4 26.2% · 4Q avg 31.2% · 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	3.6%	1.7% 1.9 pts worse	1.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 5.4% · Q4 7.2% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.5%	26.4% 2.9 pts better	19.8% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 24.3% · Q3 28.1% · Q4 27.7% · 4Q avg 23.5%
Percentage of long-stay residents with pressure ulcers	6.2%	5.3% 0.9 pts worse	5.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 8.5% · Q3 8.1% · Q4 5.8% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	47.0%	68.9% 21.9 pts worse	81.7% 34.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 57.5% · Q2 49.3% · Q3 39.7% · Q4 41.2% · 4Q avg 47.0%
Percentage of short-stay residents who had an outpatient emergency department visit	21.2%	9.8% 11.4 pts worse	12.0% 9.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 20.0% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	5.6%	1.5% 4.1 pts worse	1.6% 4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 12.5% · Q4 8.7% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	58.1%	68.7% 10.6 pts worse	79.7% 21.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 58.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.4%	23.1% 4.3 pts worse	23.9% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 28.3% · Expected 24.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-16 · Fire 2025-05-16

24 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-10 · Fire 2024-04-10

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-11 · Fire 2023-05-11

19 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-10-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-04

E · Potential for more than minimal harm 2025-10-01

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 2025-11-04

E · Potential for more than minimal harm 2025-08-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-23

D · Potential for more than minimal harm 2025-08-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-09-23

F · Potential for more than minimal harm 2025-05-16

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 2025-06-19

E · Potential for more than minimal harm 2025-05-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-05-16

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-06-24

E · Potential for more than minimal harm 2025-05-16

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 2025-06-19

E · Potential for more than minimal harm 2025-05-16

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-05-16

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F726 · Nursing and Physician Services Deficiencies

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 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-16

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-06-19

C · Minimal harm 2025-05-16

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-06-19

B · Minimal harm 2025-05-16

F628 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-04-15

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 2025-06-10

G · Actual harm 2025-01-21

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 2025-02-25

D · Potential for more than minimal harm 2024-08-29

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-08-06

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 2024-10-04

F · Potential for more than minimal harm 2024-04-10

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 2024-05-27

E · Potential for more than minimal harm 2024-04-10

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 2024-05-27

E · Potential for more than minimal harm 2024-04-10

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-27

E · Potential for more than minimal harm 2024-04-10

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 2024-05-27

D · Potential for more than minimal harm 2024-04-10

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-05-27

D · Potential for more than minimal harm 2024-04-10

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-05-27

D · Potential for more than minimal harm 2024-04-10

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 2024-05-27

D · Potential for more than minimal harm 2024-04-10

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-05-27

D · Potential for more than minimal harm 2024-04-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-27

D · Potential for more than minimal harm 2024-04-10

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 2024-05-27

D · Potential for more than minimal harm 2024-04-10

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 2024-05-27

D · Potential for more than minimal harm 2024-04-10

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-05-27

E · Potential for more than minimal harm 2024-03-22

F840 · Administration Deficiencies

Health

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Corrected 2024-05-03

D · Potential for more than minimal harm 2024-03-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-03

D · Potential for more than minimal harm 2024-03-22

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 2024-05-03

G · Actual harm 2023-12-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-09-25

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 2023-11-06

E · Potential for more than minimal harm 2023-05-11

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-07-03