Chambersburg, PA

Laurel Lakes Rehabilitation And Wellness Center

1-star overall rating with 1-star inspections with $224,602 in total fines with 16 recent health deficiencies

201 Franklin Farm Lane, Chambersburg, PA

(717) 264-2715

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

186

Certified beds

Average residents

173

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1984-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.44

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.29

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.27

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

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.43

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

55%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,901

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

Performance score

28.44

Composite VBP score used to determine payment impact.

Payment multiplier

0.9850

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.52

Baseline 18.95% · Performance 21.19% · Measure score 0.52 · Achievement 0.52 · Improvement 0

Healthcare-associated infections

6.07

Baseline 8.55% · Performance 6.21% · Measure score 6.07 · Achievement 5.42 · Improvement 6.07

Total nurse turnover

3.77

Baseline 63.70% · Performance 48.25% · Measure score 3.77 · Achievement 3.77 · Improvement 3.48

Adjusted total nurse staffing

1.02

Baseline 3.07 hours · Performance 3.37 hours · Measure score 1.02 · Achievement 1.02 · Improvement 0.6

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.01%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 247 · Observed rate 16.19% · Lower 95% interval 9.9%
Discharge to community	31.41%	50.57% 19.2 pts worse	Worse than the National Rate · Eligible stays 209 · Observed rate 22.49% · Lower 95% interval 24.15%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 218 · Denominator 218
Falls with major injury	0.92%	0.77% 0.2 pts worse	Numerator 2 · Denominator 218
Discharge self-care score	31.58%	53.69% 22.1 pts worse	Numerator 42 · Denominator 133
Discharge mobility score	30.83%	50.94% 20.1 pts worse	Numerator 41 · Denominator 133
Pressure ulcers or injuries, new or worsened	1.38%	2.29% 0.9 pts better	Numerator 3 · Denominator 218 · Adjusted rate 1%
Healthcare-associated infections requiring hospitalization	6.21%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 162 · Observed rate 6.79% · Lower 95% interval 3.85%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 148
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 233
Discharge function score	39.1%	56.45% 17.4 pts worse	Numerator 52 · Denominator 133
Transfer of health information to provider	98.48%	95.95% 2.5 pts better	Numerator 65 · Denominator 66
Transfer of health information to patient	98.04%	96.28% 1.8 pts better	Numerator 50 · Denominator 51
Resident COVID-19 vaccinations up to date	5.67%	25.2% 19.5 pts worse	Numerator 8 · Denominator 141

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.7 0.3 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.6 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.2 0.1 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	86.9% 12.3 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.3% · Q3 99.4% · Q4 98.7% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.2%	93.5% 4.7 pts better	95.5% 2.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2%
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 3.3% · Q2 1.4% · Q3 2.5% · Q4 3.2% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	6.5% 5.3 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.7% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	9.4%	6.5% 2.9 pts worse	5.4% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 11.4% · Q3 8.8% · Q4 9.7% · 4Q avg 9.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.0%	19.9% 3.1 pts worse	19.6% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 27.0% · Q3 20.9% · Q4 16.9% · 4Q avg 23.0%
Percentage of long-stay residents who received an antipsychotic medication	24.5%	18.7% 5.8 pts worse	16.7% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 28.4% · Q3 21.5% · Q4 20.5% · 4Q avg 24.5% · 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	15.2%	19.6% 4.4 pts better	16.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 11.0% · Q3 10.6% · Q4 6.9% · 4Q avg 15.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.2%	18.3% 5.1 pts better	14.9% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 12.2% · Q3 8.8% · Q4 9.4% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.9% 0.5 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.6% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	1.7% 1.3 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.0% · Q3 2.7% · Q4 2.1% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.2%	26.4% 2.2 pts better	19.8% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 24.3% · Q3 19.7% · Q4 24.8% · 4Q avg 24.2%
Percentage of long-stay residents with pressure ulcers	3.8%	5.3% 1.5 pts better	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.7% · Q3 2.3% · Q4 3.4% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.0%	68.9% 22.1 pts better	81.7% 9.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 93.4% · Q2 99.3% · Q3 95.0% · Q4 76.9% · 4Q avg 91.0%
Percentage of short-stay residents who had an outpatient emergency department visit	8.6%	9.8% 1.2 pts better	12.0% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 10.0% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.5% 1.3 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.4% · Q3 2.7% · Q4 1.1% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.6%	68.7% 29.9 pts better	79.7% 18.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.7%	23.1% 3.6 pts worse	23.9% 2.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.7% · Observed 31.9% · Expected 28.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-31 · Fire 2025-07-31

16 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-22 · Fire 2024-08-22

16 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-09-21 · Fire 2023-09-21

19 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

G · Actual harm 2026-01-13

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 2026-01-02

E · Potential for more than minimal harm 2025-07-31

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 2025-09-16

E · Potential for more than minimal harm 2025-07-31

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 2025-09-16

E · Potential for more than minimal harm 2025-07-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-16

E · Potential for more than minimal harm 2025-07-31

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-09-16

E · Potential for more than minimal harm 2025-07-31

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 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F585 · Resident Rights Deficiencies

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 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-16

D · Potential for more than minimal harm 2025-07-31

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 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-16

D · Potential for more than minimal harm 2025-07-31

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 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-16

D · Potential for more than minimal harm 2025-07-31

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-09-16

K · Immediate jeopardy 2024-10-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-18

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-08-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-02

E · Potential for more than minimal harm 2024-08-22

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 2024-10-02

E · Potential for more than minimal harm 2024-08-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-02

E · Potential for more than minimal harm 2024-08-22

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 2024-10-02

E · Potential for more than minimal harm 2024-08-22

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 2024-10-02

E · Potential for more than minimal harm 2024-08-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-08-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-08-22

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-08-22

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-07-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-08-20

E · Potential for more than minimal harm 2024-04-02

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-04-23

D · Potential for more than minimal harm 2024-04-02

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-04-23

D · Potential for more than minimal harm 2024-04-02

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 2024-04-23

D · Potential for more than minimal harm 2024-04-02

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 2024-04-23

E · Potential for more than minimal harm 2023-12-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-09-21

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 2023-11-01

E · Potential for more than minimal harm 2023-09-21

F758 · Pharmacy Service Deficiencies

Health

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-21

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 2023-11-01