Cycle 1
Health 2025-01-16 · Fire 2025-01-16
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Oxford, PA
Oxford Health Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
7 East Locust Street, Oxford, PA
(610) 998-2400
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
90
Certified beds
Average residents
78
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Senior Living
Operator or chain grouping
Approved since
1977-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 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
Staffing
Hours and turnover
RN hours / resident day
0.76
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.94
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.65
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.86
CMS adjusted RN staffing hours
Adjusted total hours
4.48
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
593
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.85
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
6.51
Baseline 18.20% · Performance 18.42% · Measure score 6.51 · Achievement 6.51 · Improvement 0
Healthcare-associated infections
10
Baseline 4.54% · Performance 4.64% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
6.44
Performance 37.35% · Measure score 6.44 · Achievement 6.44 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.79
Baseline 4.24 hours · Performance 4.16 hours · Measure score 3.79 · Achievement 3.79 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.49% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 272 · Observed rate 8.82% · Lower 95% interval 7.96% |
| Discharge to community | 64.41% |
50.57%
13.8 pts better
|
Better than the National Rate · Eligible stays 259 · Observed rate 62.16% · Lower 95% interval 58.92% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 175 · Denominator 175 |
| Falls with major injury | 0.57% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 175 |
| Discharge self-care score | 52.35% |
53.69%
1.3 pts worse
|
Numerator 78 · Denominator 149 |
| Discharge mobility score | 64.43% |
50.94%
13.5 pts better
|
Numerator 96 · Denominator 149 |
| Pressure ulcers or injuries, new or worsened | 1.14% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 175 · Adjusted rate 1.35% |
| Healthcare-associated infections requiring hospitalization | 4.64% |
7.12%
2.5 pts better
|
No Different than the National Rate · Eligible stays 190 · Observed rate 1.58% · Lower 95% interval 2.6% |
| Staff COVID-19 vaccination coverage | 35.07% |
8.2%
26.9 pts better
|
Numerator 47 · Denominator 134 |
| Staff flu vaccination coverage | 16.16% |
42%
25.8 pts worse
|
Numerator 37 · Denominator 229 |
| Discharge function score | 60.4% |
56.45%
3.9 pts better
|
Numerator 90 · Denominator 149 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 99 · Denominator 99 |
| Transfer of health information to patient | 95.83% |
96.28%
0.5 pts worse
|
Numerator 46 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 15.05% |
25.2%
10.1 pts worse
|
Numerator 14 · Denominator 93 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.7 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 53.2% |
86.9%
33.7 pts worse
|
93.4%
40.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 37.7% · Q3 71.2% · Q4 74.5% · 4Q avg 53.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 83.1% |
93.5%
10.4 pts worse
|
95.5%
12.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 83.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.2%
0.6 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.9% · Q3 3.4% · Q4 5.5% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.4% |
6.5%
8.9 pts worse
|
11.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 18.9% · Q3 15.9% · Q4 8.3% · 4Q avg 15.4% |
| Percentage of long-stay residents who lose too much weight | 2.5% |
6.5%
4 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 3.9% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.7% |
19.9%
0.2 pts better
|
19.6%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 21.4% · Q3 18.9% · Q4 16.3% · 4Q avg 19.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.8% |
18.7%
2.9 pts better
|
16.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 16.7% · Q3 15.6% · Q4 18.2% · 4Q avg 15.8% · 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 | 27.9% |
19.6%
8.3 pts worse
|
16.3%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 29.9% · Q3 28.4% · Q4 33.3% · 4Q avg 27.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.3% |
18.3%
14 pts worse
|
14.9%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 38.5% · Q3 22.4% · Q4 36.4% · 4Q avg 32.3% · 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 | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 36.0% |
26.4%
9.6 pts worse
|
19.8%
16.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 36.4% · Q3 32.4% · Q4 45.9% · 4Q avg 36.0% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
5.3%
0.7 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 3.5% · Q3 3.1% · Q4 4.8% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 16.6% |
68.9%
52.3 pts worse
|
81.7%
65.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 15.2% · Q3 14.4% · Q4 20.5% · 4Q avg 16.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
9.8%
1.1 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 8.1% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 19.0% |
68.7%
49.7 pts worse
|
79.7%
60.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 19.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% |
23.1%
1.7 pts better
|
23.9%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 18.6% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-15 · Fire 2024-02-15
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-04-20 · Fire 2023-04-20
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-09-25
K111 · Construction Deficiencies
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2025-10-20
E · Potential for more than minimal harm
2025-01-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-28
E · Potential for more than minimal harm
2024-02-15
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-31
E · Potential for more than minimal harm
2024-02-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-31
C · Minimal harm
2024-02-15
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-03-31
C · Minimal harm
2024-02-15
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-31
C · Minimal harm
2024-02-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-31
E · Potential for more than minimal harm
2023-04-20
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-04-20
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-20
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-20
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-01
D · Potential for more than minimal harm
2023-04-20
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-03
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 2025-12-05
D · Potential for more than minimal harm
2025-01-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-06
D · Potential for more than minimal harm
2024-12-09
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-02-15
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 2024-03-26
D · Potential for more than minimal harm
2024-02-15
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-26
D · Potential for more than minimal harm
2024-02-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-26
D · Potential for more than minimal harm
2024-02-15
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-26
D · Potential for more than minimal harm
2024-02-15
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 2024-03-26
D · Potential for more than minimal harm
2023-04-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-05
D · Potential for more than minimal harm
2023-04-20
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-06-01
Penalties and ownership
What sits behind the stars
Ownership
Phi
5% Or Greater Direct Ownership Interest · Organization
Benchmark Therapies, Inc.
Operational/Managerial Control · Organization
Bewley, Joseph
Operational/Managerial Control · Individual
Birdsall, James
Corporate Director · Individual
Bowser, Nicole
Operational/Managerial Control · Individual
Chottiner, Lawrence
Corporate Director · Individual
Curana Health Of Pennsylvania Pc
Operational/Managerial Control · Organization
Davis, Danny
Corporate Director · Individual
Davis, Danny
Corporate Officer · Individual
Davis, Todd
Corporate Officer · Individual
Denison, Barbara
Corporate Director · Individual
Derr, Scott
Corporate Director · Individual
Elliott, Brenda
Corporate Director · Individual
Fox, Cynthia
Corporate Director · Individual
Fox, Cynthia
Corporate Officer · Individual
Goldstein, Terry
Corporate Director · Individual
Hershey, Katherine
Corporate Director · Individual
Hershey, Katherine
Corporate Officer · Individual
Hoffman, Cynthia
Corporate Director · Individual
Hoffman, Cynthia
Corporate Officer · Individual
Katz, Paul
Operational/Managerial Control · Individual
Kelly, Sharon
Corporate Director · Individual
Kinard, Joseph
Corporate Director · Individual
Kinard, Joseph
Corporate Officer · Individual
Krieger, Daniel
Corporate Director · Individual
Krieger, Daniel
Corporate Officer · Individual
Loucks, Michelle
Operational/Managerial Control · Individual
Mcalister, Dyan
Corporate Director · Individual
Mcalister, Dyan
Corporate Officer · Individual
Phi
Operational/Managerial Control · Organization
Reimann, Susan
Corporate Director · Individual
Reimann, Susan
Corporate Officer · Individual
Rhodes, Cheryl
Corporate Director · Individual
Scott, William
Corporate Director · Individual
Seibert, Joseph
Corporate Director · Individual
Shropshire, Jennifer
Corporate Director · Individual
Stone, Robyn
Corporate Director · Individual
Wickline, Beverly
Corporate Officer · Individual
Nearby options
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3-star overall rating with 3-star inspections with 23 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#2
Preston Residence
West Grove, PA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Twin Pines Health Care Center
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5-star overall rating with 4-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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