Cycle 1
Health 2025-08-13 · Fire 2025-08-13
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Chambersburg, PA
Menno Haven Rehabilitation Center
5-star overall rating with 4-star inspections with 3 recent health deficiencies
2055 Scotland Avenue, Chambersburg, PA
(717) 262-1012
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
44
Certified beds
Average residents
38
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2019-02-21
CMS approved date
Coverage
Medicare
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
1.71
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.97
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.91
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.94
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
5.30
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.66
CMS adjusted RN staffing hours
Adjusted total hours
5.72
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,256
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.67
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
How the VBP score is built
Readmission
0
Baseline 13.42% · Performance 21.92% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.89
Baseline 3.29% · Performance 6.67% · Measure score 3.89 · Achievement 3.89 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
8.31
Baseline 5.32 hours · Performance 5.44 hours · Measure score 8.31 · Achievement 8.31 · Improvement 2.13
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.59% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 583 · Observed rate 10.63% · Lower 95% interval 9.32% |
| Discharge to community | 73.77% |
50.57%
23.2 pts better
|
Better than the National Rate · Eligible stays 626 · Observed rate 70.45% · Lower 95% interval 70.3% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.55% |
95.27%
3.3 pts better
|
Numerator 340 · Denominator 345 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 345 |
| Discharge self-care score | 59.8% |
53.69%
6.1 pts better
|
Numerator 180 · Denominator 301 |
| Discharge mobility score | 80.07% |
50.94%
29.1 pts better
|
Numerator 241 · Denominator 301 |
| Pressure ulcers or injuries, new or worsened | 1.74% |
2.29%
0.6 pts better
|
Numerator 6 · Denominator 345 · Adjusted rate 2.28% |
| Healthcare-associated infections requiring hospitalization | 6.67% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 391 · Observed rate 5.37% · Lower 95% interval 4.86% |
| Staff COVID-19 vaccination coverage | 5.51% |
8.2%
2.7 pts worse
|
Numerator 7 · Denominator 127 |
| Staff flu vaccination coverage | 56.19% |
42%
14.2 pts better
|
Numerator 59 · Denominator 105 |
| Discharge function score | 76.08% |
56.45%
19.6 pts better
|
Numerator 229 · Denominator 301 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 61 · Denominator 61 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 278 · Denominator 278 |
| Resident COVID-19 vaccinations up to date | 19.76% |
25.2%
5.4 pts worse
|
Numerator 33 · Denominator 167 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
68.9%
26.7 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.9% · Q3 92.0% · Q4 92.4% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.4% |
9.8%
3.4 pts better
|
12.0%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 5.7% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.5%
1.1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.9% · Q3 0.4% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.6% |
68.7%
28.9 pts better
|
79.7%
17.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
23.1%
4.6 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 15.2% · Expected 19.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-07 · Fire 2024-08-07
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-09-07 · Fire 2023-09-07
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-13
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
E · Potential for more than minimal harm
2024-08-07
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 2024-09-27
E · Potential for more than minimal harm
2024-08-07
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 2024-09-27
E · Potential for more than minimal harm
2024-08-07
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 2024-09-27
D · Potential for more than minimal harm
2024-08-07
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-08-07
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-08-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-08-07
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-09-27
E · Potential for more than minimal harm
2023-09-07
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-10-30
E · Potential for more than minimal harm
2023-09-07
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 2023-10-30
D · Potential for more than minimal harm
2023-09-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-30
Penalties and ownership
What sits behind the stars
Ownership
Beins, Roger
Corporate Officer · Individual
Diehl, Andrew
Operational/Managerial Control · Individual
Fritz, Ryan
Corporate Officer · Individual
George, Carolyn
Corporate Director · Individual
Gingrich, Charlene
Corporate Director · Individual
Gipe, Ronald
Corporate Director · Individual
Macbride, Lynn
Corporate Director · Individual
Manufacturers And Trades Trust Company
5% Or Greater Security Interest · Organization
Martin, Tiffany
Corporate Officer · Individual
Nelson, Charles
Corporate Officer · Individual
O'donnell, Patrick
Corporate Director · Individual
Peterson, Todd
Corporate Director · Individual
Sciamanna, David
Corporate Director · Individual
Trinh, Suzanne
Corporate Director · Individual
Warner, Paula
Corporate Director · Individual
Williams, Anthony
Corporate Director · Individual
Yeager, Wayne
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Brookview Health Care Center
Chambersburg, PA
4-star overall rating with 3-star inspections with $16,801 in total fines with 6 recent health deficiencies
#2
Chambers Pointe Health Care Center
Chambersburg, PA
3-star overall rating with 2-star inspections with abuse icon flag with $30,863 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Laurel Lakes Rehabilitation And Wellness Center
Chambersburg, PA
1-star overall rating with 1-star inspections with $224,602 in total fines with 16 recent health deficiencies
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