3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Richlandtown, PA
5-star overall rating with 4-star inspections with 3 recent health deficiencies
108 South Main Street, Richlandtown, PA
(267) 371-4512
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
143
Certified beds
Average residents
111
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
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
RN hours / resident day
0.93
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.19
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.84
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.94
CMS adjusted RN staffing hours
Adjusted total hours
4.26
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,151
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.23
Composite VBP score used to determine payment impact.
Payment multiplier
0.9905
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.53% · Performance 21.54% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.19
Baseline 4.93% · Performance 6.28% · Measure score 5.19 · Achievement 5.19 · Improvement 0
Total nurse turnover
6.32
Baseline 29.17% · Performance 37.84% · Measure score 6.32 · Achievement 6.32 · Improvement 0
Adjusted total nurse staffing
3.38
Baseline 4.06 hours · Performance 4.04 hours · Measure score 3.38 · Achievement 3.38 · Improvement 0
SNF QRP
| 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 340 · Observed rate 11.76% · Lower 95% interval 8.84% |
| Discharge to community | 59.27% |
50.57%
8.7 pts better
|
Better than the National Rate · Eligible stays 330 · Observed rate 53.94% · Lower 95% interval 53.23% |
| Medicare spending per beneficiary | 0.76 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.6% |
95.27%
2.3 pts better
|
Numerator 203 · Denominator 208 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 208 |
| Discharge self-care score | 60.63% |
53.69%
6.9 pts better
|
Numerator 77 · Denominator 127 |
| Discharge mobility score | 56.69% |
50.94%
5.8 pts better
|
Numerator 72 · Denominator 127 |
| Pressure ulcers or injuries, new or worsened | 0.48% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 208 · Adjusted rate 0.4% |
| Healthcare-associated infections requiring hospitalization | 6.28% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 207 · Observed rate 4.83% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 5.42% |
8.2%
2.8 pts worse
|
Numerator 9 · Denominator 166 |
| Staff flu vaccination coverage | 33.33% |
42%
8.7 pts worse
|
Numerator 45 · Denominator 135 |
| Discharge function score | 66.93% |
56.45%
10.5 pts better
|
Numerator 85 · Denominator 127 |
| Transfer of health information to provider | 97.78% |
95.95%
1.8 pts better
|
Numerator 44 · Denominator 45 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 120 · Denominator 120 |
| Resident COVID-19 vaccinations up to date | 18.58% |
25.2%
6.6 pts worse
|
Numerator 21 · Denominator 113 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.1 · Expected 2.2 · 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 1.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.5% |
86.9%
15.4 pts worse
|
93.4%
21.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.1% · Q2 71.6% · Q3 68.6% · Q4 68.2% · 4Q avg 71.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.1% |
93.5%
0.6 pts better
|
95.5%
1.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.2%
1.8 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.1% · Q3 1.2% · Q4 2.4% · 4Q avg 1.4% · 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 | 5.9% |
6.5%
0.6 pts better
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 8.4% · Q3 6.1% · Q4 5.6% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
19.9%
2.8 pts better
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 16.7% · Q3 12.9% · Q4 21.6% · 4Q avg 17.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.3% |
18.7%
9.6 pts worse
|
16.7%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 26.7% · Q3 28.8% · Q4 28.3% · 4Q avg 28.3% · 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 | 26.1% |
19.6%
6.5 pts worse
|
16.3%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 36.0% · Q3 22.3% · Q4 16.1% · 4Q avg 26.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.3% |
18.3%
3 pts worse
|
14.9%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 24.0% · Q3 14.1% · Q4 26.5% · 4Q avg 21.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.9%
0.8 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.0% · Q3 1.1% · Q4 2.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.8% |
1.7%
3.1 pts worse
|
1.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 8.5% · Q3 0.0% · Q4 3.6% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.5% |
26.4%
5.1 pts worse
|
19.8%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 28.6% · Q3 35.3% · Q4 32.7% · 4Q avg 31.5% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
5.3%
0.8 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.5% · Q3 5.4% · Q4 2.1% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 47.5% |
68.9%
21.4 pts worse
|
81.7%
34.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 54.4% · Q2 44.9% · Q3 46.2% · Q4 45.4% · 4Q avg 47.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.1% |
9.8%
0.3 pts worse
|
12.0%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.1% · Observed 9.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.4% · Q3 1.3% · Q4 1.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.1% |
68.7%
16.6 pts worse
|
79.7%
27.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
23.1%
0.4 pts better
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 19.6% · Expected 20.6% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-03-14
Inspection history
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-25
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-02-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-07
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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