Cycle 1
Health 2025-04-10 · Fire 2025-04-10
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Harleysville, PA
Peter Becker Community
5-star overall rating with 4-star inspections with $3,174 in total fines with 2 recent health deficiencies
800 Maple Avenue, Harleysville, PA
(215) 256-9501
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
72
Certified beds
Average residents
54
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1984-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.12
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.80
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.86
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.11
CMS adjusted RN staffing hours
Adjusted total hours
4.30
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,302
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.35
Composite VBP score used to determine payment impact.
Payment multiplier
1.0045
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.50% · Performance 21.38% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.35
Baseline 4.81% · Performance 5.94% · Measure score 6.35 · Achievement 6.35 · Improvement 0
Total nurse turnover
8.24
Baseline 49.21% · Performance 30.00% · Measure score 8.24 · Achievement 8.24 · Improvement 7.39
Adjusted total nurse staffing
5.55
Baseline 4.52 hours · Performance 4.66 hours · Measure score 5.55 · Achievement 5.55 · Improvement 0.60
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.77% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 194 · Observed rate 9.28% · Lower 95% interval 7.83% |
| Discharge to community | 48.44% |
50.57%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 178 · Observed rate 44.94% · Lower 95% interval 40.76% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.21% |
95.27%
3.9 pts better
|
Numerator 125 · Denominator 126 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 1 · Denominator 126 |
| Discharge self-care score | 51.3% |
53.69%
2.4 pts worse
|
Numerator 59 · Denominator 115 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 46 · Denominator 115 |
| Pressure ulcers or injuries, new or worsened | 1.59% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 126 · Adjusted rate 1.69% |
| Healthcare-associated infections requiring hospitalization | 5.94% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 127 · Observed rate 3.15% · Lower 95% interval 2.78% |
| Staff COVID-19 vaccination coverage | 2.1% |
8.2%
6.1 pts worse
|
Numerator 3 · Denominator 143 |
| Staff flu vaccination coverage | 76.15% |
42%
34.2 pts better
|
Numerator 182 · Denominator 239 |
| Discharge function score | 57.39% |
56.45%
0.9 pts better
|
Numerator 66 · Denominator 115 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.47% |
96.28%
0.2 pts better
|
Numerator 82 · Denominator 85 |
| Resident COVID-19 vaccinations up to date | 76.56% |
25.2%
51.4 pts better
|
Numerator 49 · Denominator 64 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.2
1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
86.9%
9.2 pts better
|
93.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 97.4% · Q3 97.5% · Q4 97.0% · 4Q avg 96.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
93.5%
4.1 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.2% |
3.2%
4 pts worse
|
3.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 7.7% · Q3 7.5% · Q4 3.0% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 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 who lose too much weight | 12.2% |
6.5%
5.7 pts worse
|
5.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 15.6% · Q3 12.5% · Q4 7.7% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.8% |
19.9%
7.9 pts worse
|
19.6%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 29.4% · Q3 30.3% · Q4 26.9% · 4Q avg 27.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.8% |
18.7%
6.1 pts worse
|
16.7%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 29.2% · Q3 21.7% · Q4 20.0% · 4Q avg 24.8% · 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 | 35.4% |
19.6%
15.8 pts worse
|
16.3%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.0% |
18.3%
6.7 pts worse
|
14.9%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 14.8% · Q3 30.0% · Q4 31.8% · 4Q avg 25.0% · 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 | 4.0% |
1.7%
2.3 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.7% · Q3 2.6% · Q4 3.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.8% |
26.4%
3.4 pts worse
|
19.8%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 38.2% · Q3 24.2% · Q4 15.6% · 4Q avg 29.8% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
5.3%
5.3 pts better
|
5.1%
5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.3% |
68.9%
16.4 pts better
|
81.7%
3.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 85.6% · Q3 77.7% · Q4 86.3% · 4Q avg 85.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
9.8%
2.2 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.0% · Expected 8.9% · 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 | 91.4% |
68.7%
22.7 pts better
|
79.7%
11.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.7% |
23.1%
8.4 pts better
|
23.9%
9.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 11.0% · Expected 17.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-16 · Fire 2024-05-16
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2023-06-23 · Fire 2023-06-23
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2024-05-16
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-01
E · Potential for more than minimal harm
2023-06-23
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-07-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-10
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 2025-05-10
D · Potential for more than minimal harm
2025-04-10
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 2025-05-10
Penalties and ownership
What sits behind the stars
$3,174
2023-05-02
Fine
Fine · fine $3,174
Fine
Ownership
Bryant, Donald
Corporate Director · Individual
Clemmer, Lon
Corporate Director · Individual
Feiss Mckenna, Wendy
Corporate Director · Individual
Frankenfield, John
Corporate Director · Individual
Hacking, Marina
W-2 Managing Employee · Individual
Limbert, Cindy
Corporate Director · Individual
Nolan, Thomas
Corporate Director · Individual
Owens, Suzanne
Corporate Officer · Individual
Owens, Suzanne
W-2 Managing Employee · Individual
Page, Terry
Corporate Director · Individual
Seitz, Lon
Corporate Director · Individual
Stenner, Christine
Corporate Director · Individual
Suter, Stuart
Corporate Director · Individual
Symanski, Catherine
Corporate Officer · Individual
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