York, PA

Margaret E. Moul Home

3-star overall rating with 4-star inspections with $15,382 in total fines with 4 recent health deficiencies

2050 Barley Road, York, PA

(717) 767-6463

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

82

Certified beds

Average residents

81

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1999-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

588

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

Performance score

66.93

Composite VBP score used to determine payment impact.

Payment multiplier

1.0206

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.19

Performance 34.29% · Measure score 7.19 · Achievement 7.19 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

6.20

Baseline 4.09 hours · Performance 4.84 hours · Measure score 6.20 · Achievement 6.20 · Improvement 3.93

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.63%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 39 · Observed rate 5.13% · Lower 95% interval 6.85%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	0.55	1.02 0.5 pts better
Drug regimen review with follow-up	96.67%	95.27% 1.4 pts better	Numerator 29 · Denominator 30
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 30
Discharge self-care score	42.86%	53.69% 10.8 pts worse	Numerator 9 · Denominator 21
Discharge mobility score	61.9%	50.94% 11 pts better	Numerator 13 · Denominator 21
Pressure ulcers or injuries, new or worsened	13.33%	2.29% 11 pts worse	Numerator 4 · Denominator 30 · Adjusted rate 6.84%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	5.92%	8.2% 2.3 pts worse	Numerator 9 · Denominator 152
Staff flu vaccination coverage	91.35%	42% 49.3 pts better	Numerator 169 · Denominator 185
Discharge function score	57.14%	56.45% 0.7 pts better	Numerator 12 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

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 1.8 · Expected 1.4 · 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 0.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.9% 13.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	0.0%	3.2% 3.2 pts better	3.3% 3.3 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 who have depressive symptoms	0.7%	6.5% 5.8 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.3% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight	2.6%	6.5% 3.9 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 7.8% · Q3 1.4% · Q4 0.0% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.5%	19.9% 1.6 pts worse	19.6% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 21.0% · Q3 23.4% · Q4 21.8% · 4Q avg 21.5%
Percentage of long-stay residents who received an antipsychotic medication	18.8%	18.7% 0.1 pts worse	16.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 17.8% · Q3 19.4% · Q4 19.7% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	70.1%	0.2% 69.9 pts worse	0.1% 70 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 74.1% · Q2 74.4% · Q3 63.8% · Q4 67.9% · 4Q avg 70.1%
Percentage of long-stay residents whose need for help with daily activities has increased	14.2%	18.3% 4.1 pts better	14.9% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 18.2% · Q3 25.8% · Q4 3.7% · 4Q avg 14.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.4%	0.9% 1.5 pts worse	1.0% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.5% · Q3 1.3% · Q4 1.4% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.5%	1.7% 2.8 pts worse	1.7% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.7% · Q3 3.9% · Q4 1.3% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.6%	26.4% 4.8 pts better	19.8% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 27.2% · Q3 14.6% · Q4 19.0% · 4Q avg 21.6%
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 4.7% · Q2 8.4% · Q3 4.4% · Q4 4.5% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents who had an outpatient emergency department visit	7.2%	9.8% 2.6 pts better	12.0% 4.8 pts better	Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 10.0% · Expected 15.6% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.5%	23.1% 9.6 pts better	23.9% 10.4 pts better	Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 16.7% · Expected 29.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-04 · Fire 2025-09-04

4 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-28 · Fire 2024-08-28

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-10-26 · Fire 2023-10-26

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-08-28

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-09-17

C · Minimal harm 2024-08-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-17

C · Minimal harm 2024-08-28

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-09-17

C · Minimal harm 2024-08-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-09-17

E · Potential for more than minimal harm 2023-10-26

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-10-31

C · Minimal harm 2023-10-26

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-10-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-04

F582 · Resident Rights Deficiencies

Health

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

Corrected 2025-10-14

E · Potential for more than minimal harm 2025-09-04

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 2025-10-14

E · Potential for more than minimal harm 2025-09-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-14

D · Potential for more than minimal harm 2025-09-04

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 2025-10-14

E · Potential for more than minimal harm 2024-08-28

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-01

D · Potential for more than minimal harm 2023-10-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-11-21

Penalties and ownership

What sits behind the stars

$3,147 2023-09-25

Fine

Fine · fine $3,147

Fine

$2,797 2023-09-18

Fine

Fine · fine $2,797

Fine

$2,447 2023-09-11

Fine

Fine · fine $2,447

Fine

$2,098 2023-09-05

Fine

Fine · fine $2,098

Fine

$1,748 2023-08-28

Fine

Fine · fine $1,748

Fine

$3,145 2023-08-07

Fine

Fine · fine $3,145

Fine