Federal inspection record · CMS data as of October 1, 2026

Riverstreet Manor

440 North River Street, Wilkes-Barre, PA · (570) 825-5611

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
122
Residents per day
106
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 5, 1985

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Pennsylvania homes

Riverstreet Manor carries 114 inspection points. That is fewer than 23% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 114 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–33 pts
  • 3★ 33–65 pts
  • 2★ 65–128 pts
  • 1★ over 128 pts

Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

50 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 32 4 pts
E 14 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 21, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 2, 2025

Everything else, by area of care

Quality of Life and Care17E
  1. D

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

    May 28, 2026 · Complaint · F686 · Corrected July 7, 2026

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    May 28, 2026 · Complaint · F690 · Corrected July 7, 2026

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 17, 2026 · Standard · F689 · Corrected July 7, 2026

  4. D

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

    April 17, 2026 · Standard · F692 · Corrected July 7, 2026

  5. E

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

    June 26, 2025 · Complaint · F677 · Corrected August 19, 2025

  6. E

    Provide safe, appropriate pain management for a resident who requires such services.

    June 26, 2025 · Standard · F697 · Corrected August 19, 2025

  7. D

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

    June 26, 2025 · Standard · F684 · Corrected August 19, 2025

  8. D

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    June 26, 2025 · Standard · F691 · Corrected August 19, 2025

  9. D

    Provide care or services that was trauma informed and/or culturally competent.

    June 26, 2025 · Standard · F699 · Corrected August 19, 2025

  10. D

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

    September 6, 2024 · Standard · F684 · Corrected October 9, 2024

  11. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    September 6, 2024 · Standard · F694 · Corrected October 9, 2024

  12. D

    Provide safe, appropriate pain management for a resident who requires such services.

    September 6, 2024 · Standard · F697 · Corrected October 9, 2024

  13. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    September 6, 2024 · Standard · F745 · Corrected October 9, 2024

  14. D

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    August 11, 2024 · Complaint · F678 · Corrected October 9, 2024

  15. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 11, 2024 · Complaint · F689 · Corrected October 9, 2024

  16. E

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

    April 24, 2024 · Complaint · F695 · Corrected May 29, 2024

  17. D

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

    January 18, 2024 · Complaint · F684 · Corrected February 27, 2024

Nutrition and Dietary7F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 17, 2026 · Standard · F812 · Corrected July 7, 2026

  2. E

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    April 17, 2026 · Standard · F809 · Corrected July 7, 2026

  3. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 21, 2025 · Complaint · F812 · Corrected December 2, 2025

  4. E

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    June 26, 2025 · Standard · F809 · Corrected August 19, 2025

  5. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 6, 2024 · Standard · F812 · Corrected October 9, 2024

  6. E

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    April 24, 2024 · Complaint · F806 · Corrected May 29, 2024

  7. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 18, 2024 · Complaint · F812 · Corrected February 27, 2024

Pharmacy Service7D
  1. D

    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.

    April 17, 2026 · Standard · F761 · Corrected July 7, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    December 30, 2025 · Complaint · F760 · Corrected February 4, 2026

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 26, 2025 · Standard · F755 · Corrected August 19, 2025

  4. D

    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.

    June 26, 2025 · Standard · F761 · Corrected August 19, 2025

  5. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 6, 2024 · Standard · F755 · Corrected October 9, 2024

  6. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    September 6, 2024 · Standard · F758 · Corrected October 9, 2024

  7. D

    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.

    August 11, 2024 · Complaint · F761 · Corrected October 9, 2024

Resident Rights6E
  1. D

    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.

    December 30, 2025 · Complaint · F585 · Corrected February 4, 2026

  2. E

    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.

    October 21, 2025 · Complaint · F584 · Corrected December 2, 2025

  3. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 6, 2024 · Standard · F550 · Corrected October 9, 2024

  4. D

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    September 6, 2024 · Standard · F559 · Corrected October 9, 2024

  5. D

    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.

    September 6, 2024 · Standard · F578 · Corrected October 9, 2024

  6. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 24, 2024 · Complaint · F550 · Corrected May 29, 2024

Resident Assessment and Care Planning4E
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    April 17, 2026 · Standard · F655 · Corrected July 7, 2026

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    June 26, 2025 · Standard · F658 · Corrected August 19, 2025

  3. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 6, 2024 · Standard · F657 · Corrected October 9, 2024

  4. D

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

    August 11, 2024 · Complaint · F842 · Corrected October 9, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    June 24, 2026 · Complaint · F607 · Corrected July 7, 2026

  2. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    April 17, 2026 · Standard · F605 · Corrected July 7, 2026

  3. D

    Respond appropriately to all alleged violations.

    September 6, 2024 · Standard · F610 · Corrected October 9, 2024

Nursing and Physician Services2D
  1. D

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    June 26, 2025 · Standard · F711 · Corrected August 19, 2025

  2. C

    Post nurse staffing information every day.

    August 11, 2024 · Complaint · F732 · Corrected October 9, 2024

Administration1E
  1. E

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    April 17, 2026 · Standard · F868 · Corrected July 7, 2026

Environmental1E
  1. E

    Have policies on smoking.

    October 21, 2025 · Complaint · F926 · Corrected December 2, 2025

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    June 26, 2025 · Standard · F880 · Corrected August 19, 2025

Inspection history

  1. 2026-04-17

    17 health deficiencies · 9 fire-safety deficiencies

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

  2. 2025-06-26

    11 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2024-09-06

    22 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 16 min of nursing staff time a day, 36 min of it from a registered nurse.

This home

3 h 16 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 70% of registered nurses left in the past year, along with 3 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$8,278 in federal fines on record over the past three years.

DatePenaltyAmount
2025-10-21Fine$8,278

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts worse2.21.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better0.71.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts better97.5%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same3.1%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms10.5 pts better3.3%13.8%13.5%
Percentage of long-stay residents who lose too much weight1 pts better5.0%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.1 pts worse21.2%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication11.1 pts worse28.7%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.2 pts worse15.6%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts better14.8%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse0.7%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts worse2.0%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts worse26.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts better3.5%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.4 pts better91.2%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3 pts worse12.5%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same1.4%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21 pts better91.9%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts worse22.8%22.0%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Rscnhhc LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Sar Ft 2021 Family Trust5% Or Greater Indirect Ownership Interest · Organization100%1 facilities
Eichhorn, HollyOperational/Managerial Control · Individual0%1 facilities
Eichhorn, HollyAdp Of The SNF · Individual0%1 facilities
Mandel, AvitalOperational/Managerial Control · Individual0%6 facilities

·

Fire safety

21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke14F
  1. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 17, 2026 · K321 · Corrected June 26, 2026

  2. E

    Provide properly protected cooking facilities.

    April 17, 2026 · K324 · Corrected June 26, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    April 17, 2026 · K353 · Corrected June 26, 2026

  4. E

    Install corridor and hallway doors that block smoke.

    April 17, 2026 · K363 · Corrected June 26, 2026

  5. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    April 17, 2026 · K372 · Corrected June 26, 2026

  6. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    April 17, 2026 · K374 · Corrected June 26, 2026

  7. C

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

    April 17, 2026 · K345 · Corrected June 26, 2026

  8. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 26, 2025 · K353 · Corrected July 22, 2025

  9. D

    Install corridor and hallway doors that block smoke.

    June 26, 2025 · K363 · Corrected July 22, 2025

  10. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 6, 2024 · K321 · Corrected November 5, 2024

  11. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 6, 2024 · K353 · Corrected November 5, 2024

  12. E

    Install corridor and hallway doors that block smoke.

    September 6, 2024 · K363 · Corrected November 5, 2024

  13. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    September 6, 2024 · K374 · Corrected November 5, 2024

  14. C

    Provide properly protected cooking facilities.

    September 6, 2024 · K324 · Corrected November 5, 2024

Miscellaneous3E
  1. E

    Have simulated fire drills held at unexpected times.

    April 17, 2026 · K712 · Corrected June 26, 2026

  2. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    April 17, 2026 · K741 · Corrected June 26, 2026

  3. E

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

    June 26, 2025 · K761 · Corrected July 22, 2025

Egress2E
  1. E

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

    June 26, 2025 · K211 · Corrected July 22, 2025

  2. E

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

    September 6, 2024 · K291 · Corrected November 5, 2024

Gas, Vacuum, and Electrical Systems2E
  1. E

    Meet requirements for the installation and maintenance of electrical systems.

    January 30, 2025 · K911 · Corrected March 4, 2025

  2. C

    Meet requirements for the installation and maintenance of electrical systems.

    September 6, 2024 · K911 · Corrected November 5, 2024

·

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