13 health deficiencies
Top issue: Infection Control (3 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Sarver, PA
2-star overall rating with 3-star inspections with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
126 Iron Bridge Road, Sarver, PA
(724) 353-1531
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
66
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Quality Life Services
Operator or chain grouping
Approved since
1982-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 3 health / 3 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
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
82%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
71%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
12,842
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.78% · Performance 21.27% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.59% · Performance 9.05% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.22
Baseline 75.90% · Performance 67.11% · Measure score 1.22 · Achievement 0 · Improvement 1.22
Adjusted total nurse staffing
2.83
Baseline 3.68 hours · Performance 3.88 hours · Measure score 2.83 · Achievement 2.83 · Improvement 0.46
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.91% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 13.79% · Lower 95% interval 7.38% |
| Discharge to community | 50.87% |
50.57%
0.3 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 44.83% · Lower 95% interval 39.7% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 87.88% |
95.27%
7.4 pts worse
|
Numerator 29 · Denominator 33 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 33 |
| Discharge self-care score | 47.83% |
53.69%
5.9 pts worse
|
Numerator 11 · Denominator 23 |
| Discharge mobility score | 65.22% |
50.94%
14.3 pts better
|
Numerator 15 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 33 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.05% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 17.86% · Lower 95% interval 4.6% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 52.17% |
56.45%
4.3 pts worse
|
Numerator 12 · Denominator 23 |
| 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 | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
86.9%
9.7 pts better
|
93.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 100.0% · Q3 97.7% · Q4 95.5% · 4Q avg 96.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
93.5%
4.4 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.2%
0.8 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.2% · Q3 4.7% · Q4 4.5% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.4% |
6.5%
11.9 pts worse
|
11.4%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.4% · Q2 8.8% · Q3 5.6% · Q4 2.9% · 4Q avg 18.4% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
6.5%
1.1 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.0% · Q3 10.5% · Q4 5.0% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.4% |
19.9%
3.5 pts worse
|
19.6%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 27.5% · Q3 18.4% · Q4 22.5% · 4Q avg 23.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.9% |
18.7%
1.2 pts worse
|
16.7%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 21.2% · Q3 17.6% · Q4 17.6% · 4Q avg 19.9% · 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 | 11.1% |
19.6%
8.5 pts better
|
16.3%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.2% |
18.3%
10.1 pts better
|
14.9%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.2% · Q3 11.1% · Q4 0.0% · 4Q avg 8.2% · 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 | 5.1% |
1.7%
3.4 pts worse
|
1.7%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 6.5% · Q3 4.7% · Q4 6.8% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.9% |
26.4%
2.5 pts worse
|
19.8%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.5% · Q2 30.4% · Q3 26.0% · Q4 21.0% · 4Q avg 28.9% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
5.3%
2.4 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.5% · Q3 4.8% · Q4 10.4% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.8% |
68.9%
14.9 pts better
|
81.7%
2.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 86.2% · Q3 86.0% · Q4 78.1% · 4Q avg 83.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 33.7% |
9.8%
23.9 pts worse
|
12.0%
21.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.7% · Observed 34.6% · Expected 11.5% · 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 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.6% |
68.7%
18.9 pts better
|
79.7%
7.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.3% |
23.1%
10.8 pts better
|
23.9%
11.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 11.5% · Expected 22.4% · Used in QM five-star |
Survey summary
Top issue: Infection Control (3 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-01-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-06
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2026-01-06
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2024-10-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-14
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-26
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-10-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-28
Inspection history
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2026-01-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-06
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-06
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 2026-01-06
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-06
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-06
Health
Keep all essential equipment working safely.
Corrected 2026-01-06
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2026-01-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-30
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-04-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-25
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-11-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-12
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-12
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-11-12
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-12
Health
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.
Corrected 2024-11-12
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-11-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-12
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-12
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-11-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-12
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-12
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-10
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-12-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-20
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-22
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
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