Richfield, PA

Richfield Healthcare And Rehabilitation Center

5-star overall rating with 3-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

631 Main Street, Richfield, PA

(717) 694-3434

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

3 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Akiko Ike

Operator or chain grouping

Approved since

2004-09-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

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

1.06

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.61

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.54

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.94

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.85

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.59

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.20

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.20

CMS adjusted RN staffing hours

Adjusted total hours

5.15

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

178

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

Performance score

79.75

Composite VBP score used to determine payment impact.

Payment multiplier

1.0258

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

8.92

Baseline 77.78% · Performance 27.91% · Measure score 8.92 · Achievement 8.75 · Improvement 8.92

Adjusted total nurse staffing

7.03

Baseline 4.22 hours · Performance 5.08 hours · Measure score 7.03 · Achievement 7.03 · Improvement 4.99

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.41%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 17.86% · Lower 95% interval 7.56%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 22 · Denominator 22
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 22 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 82
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.0%	86.9% 4.1 pts better	93.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 93.3% · Q3 75.9% · Q4 93.3% · 4Q avg 91.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5% 6.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.2% 3.2 pts better	3.3% 3.3 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 who have depressive symptoms	3.5%	6.5% 3 pts better	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.4% · Q3 0.0% · Q4 3.6% · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight	4.3%	6.5% 2.2 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.7% · Q3 0.0% · Q4 0.0% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.8%	19.9% 2.1 pts better	19.6% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 17.2% · Q3 10.7% · Q4 17.9% · 4Q avg 17.8%
Percentage of long-stay residents who received an antipsychotic medication	26.0%	18.7% 7.3 pts worse	16.7% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 25.0% · Q4 20.0% · 4Q avg 26.0% · 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	13.5%	19.6% 6.1 pts better	16.3% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.7%	18.3% 2.4 pts worse	14.9% 5.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 25.0% · Q3 11.5% · Q4 7.7% · 4Q avg 20.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	0.9% 0.4 pts worse	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 2.6% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.7% 0.9 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.2%	26.4% 10.2 pts better	19.8% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 20.9% · Q3 14.3% · Q4 16.7% · 4Q avg 16.2%
Percentage of long-stay residents with pressure ulcers	1.7%	5.3% 3.6 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 3.4% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.0%	68.9% 22.1 pts better	81.7% 9.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 86.1% · Q3 85.4% · Q4 97.5% · 4Q avg 91.0%
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.5% 0.5 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.1%	68.7% 12.4 pts better	79.7% 1.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-22 · Fire 2026-01-22

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2025-02-06 · Fire 2025-02-06

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2024-03-01 · Fire 2024-03-01

8 health deficiencies

Top issue: Resident Rights (4 deficiencies)

10 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

F · Potential for more than minimal harm 2026-01-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Not marked corrected

C · Minimal harm 2026-01-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Not marked corrected

C · Minimal harm 2026-01-22

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Not marked corrected

C · Minimal harm 2026-01-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Not marked corrected

E · Potential for more than minimal harm 2025-02-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-11

E · Potential for more than minimal harm 2025-02-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-11

F · Potential for more than minimal harm 2024-03-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-25

F · Potential for more than minimal harm 2024-03-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-25

F · Potential for more than minimal harm 2024-03-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-25

E · Potential for more than minimal harm 2024-03-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-04-25

E · Potential for more than minimal harm 2024-03-01

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-04-25

E · Potential for more than minimal harm 2024-03-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-25

C · Minimal harm 2024-03-01

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-25

C · Minimal harm 2024-03-01

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-04-25

C · Minimal harm 2024-03-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-25

C · Minimal harm 2024-03-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-22

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F690 · Quality of Life and Care Deficiencies

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Not marked corrected

E · Potential for more than minimal harm 2025-02-06

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-03-18

E · Potential for more than minimal harm 2025-02-06

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 2025-03-18

E · Potential for more than minimal harm 2025-02-06