Federal inspection record · CMS data as of October 1, 2026
Northern Dauphin Nursing And Rehabilitation Center
990 Medical Road, Millersburg, PA · (717) 692-4751
- Cited for abuse (CMS abuse icon)
- Certified beds
- 194
- Residents per day
- 170
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1979
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Pennsylvania homes
Northern Dauphin Nursing And Rehabilitation Center carries 103.75 inspection points. That is fewer than 26% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care15E
- E
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- E
Provide or obtain dental services for each resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning4E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights4E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Keep residents' personal and medical records private and confidential.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Observe each nurse aide's job performance and give regular training.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
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.
- D
Provide and implement an infection prevention and control program.
Administration3F
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- F
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
- D
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Pharmacy Service2D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
2026-07-09
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2025-06-12
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-07-11
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 19 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 19 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 38% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.6 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 89.1% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 98.8% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 3.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.4 pts better | 4.4% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 6.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better | 18.1% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts worse | 20.2% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts worse | 17.4% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts worse | 19.9% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.3 pts worse | 3.7% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse | 26.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 7.1% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 75.1% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.5 pts better | 0.0% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.6 pts better | 90.5% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.6 pts better | 11.4% | 22.0% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Premier Members | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| El Buckeye East LLC | 5% Or Greater Indirect Ownership Interest · Organization | 25% | 2 facilities |
| Gamzeh, Kathleen | 5% Or Greater Indirect Ownership Interest · Individual | 25% | 2 facilities |
| Glatzer, Akiva | 5% Or Greater Indirect Ownership Interest · Individual | 25% | 12 facilities |
| 990 Medical Road Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Clinical Consulting Services LLC | Operational/Managerial Control · Organization | 0% | 45 facilities |
| Clinical Consulting Services LLC | Adp Of The SNF · Organization | 0% | 45 facilities |
| Dalberto, Pamela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dalberto, Pamela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ettlinger, Robert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ettlinger, Robert | Adp Of The SNF · Individual | 0% | 1 facilities |
| Priority Care Group LLC | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Summation Financial Services LLC | Operational/Managerial Control · Organization | 0% | 51 facilities |
| Summation Financial Services LLC | Adp Of The SNF · Organization | 0% | 51 facilities |
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