York, PA

Rest Haven-York

2-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1050 South George Street, York, PA

(717) 843-9866

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

159

Certified beds

Average residents

132

Average occupied residents

Ownership

For-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

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

0.00

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

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

5,925

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

34.58

Composite VBP score used to determine payment impact.

Payment multiplier

0.9885

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.51

Baseline 19.89% · Performance 20.27% · Measure score 2.51 · Achievement 2.51 · Improvement 0

Healthcare-associated infections

1.11

Baseline 6.64% · Performance 7.50% · Measure score 1.11 · Achievement 1.11 · Improvement 0

Total nurse turnover

8.73

Baseline 16.50% · Performance 28.00% · Measure score 8.73 · Achievement 8.73 · Improvement 0

Adjusted total nurse staffing

1.48

Baseline 3.62 hours · Performance 3.5 hours · Measure score 1.48 · Achievement 1.48 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.58%	10.72% 2.9 pts worse	Worse than the National Rate · Eligible stays 242 · Observed rate 16.12% · Lower 95% interval 11.22%
Discharge to community	58.81%	50.57% 8.2 pts better	Better than the National Rate · Eligible stays 243 · Observed rate 51.44% · Lower 95% interval 52.01%
Medicare spending per beneficiary	0.76	1.02 0.3 pts better
Drug regimen review with follow-up	97.96%	95.27% 2.7 pts better	Numerator 144 · Denominator 147
Falls with major injury	0.68%	0.77% 0.1 pts better	Numerator 1 · Denominator 147
Discharge self-care score	24.07%	53.69% 29.6 pts worse	Numerator 26 · Denominator 108
Discharge mobility score	21.3%	50.94% 29.6 pts worse	Numerator 23 · Denominator 108
Pressure ulcers or injuries, new or worsened	2.72%	2.29% 0.4 pts worse	Numerator 4 · Denominator 147 · Adjusted rate 2.3%
Healthcare-associated infections requiring hospitalization	7.5%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 148 · Observed rate 7.43% · Lower 95% interval 4.5%
Staff COVID-19 vaccination coverage	3.66%	8.2% 4.5 pts worse	Numerator 7 · Denominator 191
Staff flu vaccination coverage	37.86%	42% 4.1 pts worse	Numerator 78 · Denominator 206
Discharge function score	21.3%	56.45% 35.2 pts worse	Numerator 23 · Denominator 108
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 80 · Denominator 80
Transfer of health information to patient	97.56%	96.28% 1.3 pts better	Numerator 40 · Denominator 41
Resident COVID-19 vaccinations up to date	12.5%	25.2% 12.7 pts worse	Numerator 11 · Denominator 88

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.4	1.7 1.3 pts better	1.9 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.5 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.3	1.2 0.9 pts better	1.8 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.1%	86.9% 0.2 pts better	93.4% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 90.1% · Q3 84.7% · Q4 77.2% · 4Q avg 87.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.9%	93.5% 0.4 pts better	95.5% 1.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.2% 1 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 5.4% · Q3 3.6% · Q4 3.5% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	10.1%	6.5% 3.6 pts worse	11.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 8.3% · Q3 10.2% · Q4 13.1% · 4Q avg 10.1%
Percentage of long-stay residents who lose too much weight	5.5%	6.5% 1 pts better	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.5% · Q3 4.3% · Q4 3.1% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.6%	19.9% 2.7 pts worse	19.6% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 19.8% · Q3 20.8% · Q4 24.5% · 4Q avg 22.6%
Percentage of long-stay residents who received an antipsychotic medication	27.5%	18.7% 8.8 pts worse	16.7% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 28.1% · Q3 27.8% · Q4 28.1% · 4Q avg 27.5% · 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	23.5%	19.6% 3.9 pts worse	16.3% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 10.6% · Q3 41.8% · Q4 33.8% · 4Q avg 23.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.5%	18.3% 5.2 pts worse	14.9% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 55.7% · Q2 15.9% · Q3 5.7% · Q4 14.0% · 4Q avg 23.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.4%	0.9% 2.5 pts worse	1.0% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.2% · Q3 3.7% · Q4 2.2% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.1%	1.7% 1.4 pts worse	1.7% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.8% · Q3 2.7% · Q4 4.5% · 4Q avg 3.1% · 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 36.0% · Q2 35.1% · Q3 23.1% · Q4 20.6% · 4Q avg 28.9%
Percentage of long-stay residents with pressure ulcers	3.0%	5.3% 2.3 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.2% · Q3 3.1% · Q4 2.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	54.2%	68.9% 14.7 pts worse	81.7% 27.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 68.6% · Q2 71.5% · Q3 46.0% · Q4 27.5% · 4Q avg 54.2%
Percentage of short-stay residents who had an outpatient emergency department visit	6.2%	9.8% 3.6 pts better	12.0% 5.8 pts better	Short Stay · 20240701-20250630 · Adjusted 6.2% · Observed 6.1% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.5% 0.6 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	47.5%	68.7% 21.2 pts worse	79.7% 32.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 47.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.7%	23.1% 4.6 pts worse	23.9% 3.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 26.7% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-30 · Fire 2025-01-30

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-03-04 · Fire 2024-03-04

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-14

E · Potential for more than minimal harm 2024-03-04

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-03-04

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 2024-04-05

E · Potential for more than minimal harm 2024-03-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-03-04

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-04-05

C · Minimal harm 2024-03-04

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-04-05

E · Potential for more than minimal harm 2023-03-09

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 2023-05-05

E · Potential for more than minimal harm 2023-03-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-05

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-01-30

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 2025-03-28

E · Potential for more than minimal harm 2025-01-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-30

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-30

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-30

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-30

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 2025-03-28

D · Potential for more than minimal harm 2024-05-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-04

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-04-30

D · Potential for more than minimal harm 2024-03-04

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-30

G · Actual harm 2023-03-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-03-09

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-03-09

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-03-09

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-03-09

F761 · Pharmacy Service Deficiencies

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 2023-05-05

D · Potential for more than minimal harm 2023-03-09

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 2023-05-05

Penalties and ownership