Cycle 1
Health 2025-07-25 · Fire 2025-07-25
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Muncy, PA
Muncy Place
2-star overall rating with 2-star inspections with abuse icon flag with 9 recent health deficiencies
215 East Water Street, Muncy, PA
(570) 546-4017
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
138
Certified beds
Average residents
102
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Upmc Senior Communities
Operator or chain grouping
Approved since
1983-04-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 4 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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.98
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
2.47
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.38
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.91
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.71
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
0.91
CMS adjusted RN staffing hours
Adjusted total hours
4.07
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
965
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.60
Composite VBP score used to determine payment impact.
Payment multiplier
1.0166
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.84
Baseline 16.55% · Performance 17.34% · Measure score 8.84 · Achievement 8.84 · Improvement 0
Healthcare-associated infections
4.73
Baseline 5.93% · Performance 6.42% · Measure score 4.73 · Achievement 4.73 · Improvement 0
Total nurse turnover
6.35
Baseline 44.80% · Performance 37.70% · Measure score 6.35 · Achievement 6.35 · Improvement 3.06
Adjusted total nurse staffing
4.72
Baseline 3.92 hours · Performance 4.42 hours · Measure score 4.72 · Achievement 4.72 · Improvement 2.18
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.62% |
10.72%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 107 · Observed rate 17.76% · Lower 95% interval 8.82% |
| Discharge to community | 45.03% |
50.57%
5.5 pts worse
|
No Different than the National Rate · Eligible stays 93 · Observed rate 40.86% · Lower 95% interval 35.74% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 68 · Denominator 68 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 68 |
| Discharge self-care score | 52.83% |
53.69%
0.9 pts worse
|
Numerator 28 · Denominator 53 |
| Discharge mobility score | 56.6% |
50.94%
5.7 pts better
|
Numerator 30 · Denominator 53 |
| Pressure ulcers or injuries, new or worsened | 5.88% |
2.29%
3.6 pts worse
|
Numerator 4 · Denominator 68 · Adjusted rate 5.83% |
| Healthcare-associated infections requiring hospitalization | 6.42% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 3.57% · Lower 95% interval 3.18% |
| Staff COVID-19 vaccination coverage | 0.9% |
8.2%
7.3 pts worse
|
Numerator 2 · Denominator 223 |
| Staff flu vaccination coverage | 97.02% |
42%
55 pts better
|
Numerator 163 · Denominator 168 |
| Discharge function score | 75.47% |
56.45%
19 pts better
|
Numerator 40 · Denominator 53 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 37 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 9.52% |
25.2%
15.7 pts worse
|
Numerator 4 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.7
0.7 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.6 · 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 | 96.7% |
93.5%
3.2 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.2%
1 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.5% · Q3 4.4% · Q4 6.6% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
6.5%
5.9 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 7.0% |
6.5%
0.5 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.1% · Q3 10.7% · Q4 8.8% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.3% |
19.9%
4.4 pts worse
|
19.6%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 22.6% · Q3 28.1% · Q4 22.5% · 4Q avg 24.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.3% |
18.7%
13.4 pts better
|
16.7%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 5.6% · Q3 3.8% · Q4 3.8% · 4Q avg 5.3% · 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 | 14.6% |
19.6%
5 pts better
|
16.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 12.2% · Q3 9.7% · Q4 10.8% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.7% |
18.3%
6.6 pts better
|
14.9%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 10.0% · Q3 3.8% · Q4 16.9% · 4Q avg 11.7% · 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 | 1.7% |
1.7%
About the same
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.2% · Q3 3.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.6% |
26.4%
1.8 pts better
|
19.8%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 19.6% · Q3 17.3% · Q4 23.1% · 4Q avg 24.6% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
5.3%
About the same
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 6.6% · Q3 3.9% · Q4 5.6% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
68.9%
29.7 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 96.5% · Q4 100.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.3% |
9.8%
5.5 pts worse
|
12.0%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 15.3% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.5% |
68.7%
19.8 pts better
|
79.7%
8.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
23.1%
0.3 pts better
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 25.0% · Expected 26.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-16 · Fire 2024-08-16
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2023-09-15 · Fire 2023-09-15
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-08-16
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-08-30
E · Potential for more than minimal harm
2024-08-16
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-08-30
E · Potential for more than minimal harm
2023-09-15
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-31
E · Potential for more than minimal harm
2023-09-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-31
E · Potential for more than minimal harm
2023-09-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-31
E · Potential for more than minimal harm
2023-09-15
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-07-25
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 2025-08-22
E · Potential for more than minimal harm
2025-07-25
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 2025-08-22
D · Potential for more than minimal harm
2025-07-25
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 2025-08-22
D · Potential for more than minimal harm
2025-07-25
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 2025-08-22
D · Potential for more than minimal harm
2025-07-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-25
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 2025-08-22
D · Potential for more than minimal harm
2025-07-25
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-22
G · Actual harm
2025-06-09
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 2025-06-27
E · Potential for more than minimal harm
2024-08-16
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 2024-09-18
D · Potential for more than minimal harm
2024-08-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-18
D · Potential for more than minimal harm
2024-08-16
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-09-18
D · Potential for more than minimal harm
2024-08-16
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-09-18
D · Potential for more than minimal harm
2024-08-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-18
E · Potential for more than minimal harm
2023-09-15
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
D · Potential for more than minimal harm
2023-09-15
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 2023-11-01
D · Potential for more than minimal harm
2023-09-15
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-11-01
D · Potential for more than minimal harm
2023-09-15
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-01
D · Potential for more than minimal harm
2023-09-15
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-11-01
D · Potential for more than minimal harm
2023-09-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-01
D · Potential for more than minimal harm
2023-06-06
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-07-11
D · Potential for more than minimal harm
2023-06-06
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 2023-07-11
Penalties and ownership
What sits behind the stars
Ownership
Upmc Muncy
5% Or Greater Direct Ownership Interest · Organization
Alexander, Aubrey
Corporate Director · Individual
Brown, Kim
Corporate Director · Individual
Elangbam, Dilip
Operational/Managerial Control · Individual
Engel, Brian
Corporate Officer · Individual
Glunk, Daniel
Corporate Director · Individual
Glunk, Robert
Corporate Director · Individual
Jackson Gehris, Patricia
Corporate Director · Individual
Jacobs, Teresa
Corporate Director · Individual
Jarrett, Roger
Corporate Director · Individual
Moyle, Rhondel
Operational/Managerial Control · Individual
Nolan, Christine
Corporate Director · Individual
Pepperman, Ann
Corporate Director · Individual
Reynolds, Ron
Corporate Officer · Individual
Trevouledes, Peter
Corporate Director · Individual
Upmc
5% Or Greater Indirect Ownership Interest · Organization
Yost, Roger
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Watsontown Rehabilitation And Nursing Center
Watsontown, PA
2-star overall rating with 2-star inspections with $29,208 in total fines with 15 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Valley View Rehab And Nursing Center
Montoursville, PA
4-star overall rating with 3-star inspections with $11,788 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Wecare At Sycamore Rehabilitation And Nursing Cent
Montoursville, PA
1-star overall rating with 1-star inspections with 28 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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