Cycle 1
Health 2026-01-13 · Fire 2026-01-13
8 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Towanda, PA
Robert Packer Hospital Skilled Care And Rehabilit
2-star overall rating with 3-star inspections with $50,046 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
91 Hospital Drive, Towanda, PA
(570) 268-2239
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
68
Certified beds
Average residents
65
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-12-01
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.83
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.76
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
4.05
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,195
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9939
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.25
Baseline 19.56% · Performance 20.39% · Measure score 2.25 · Achievement 2.25 · Improvement 0
Healthcare-associated infections
2.19
Baseline 5.73% · Performance 7.18% · Measure score 2.19 · Achievement 2.19 · Improvement 0
Total nurse turnover
9
Baseline 98.00% · Performance 27.69% · Measure score 9 · Achievement 8.80 · Improvement 9
Adjusted total nurse staffing
2.94
Baseline 3.32 hours · Performance 3.91 hours · Measure score 2.94 · Achievement 2.94 · Improvement 1.92
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.39% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 119 · Observed rate 7.56% · Lower 95% interval 6.71% |
| Discharge to community | 45.18% |
50.57%
5.4 pts worse
|
No Different than the National Rate · Eligible stays 121 · Observed rate 38.02% · Lower 95% interval 36.08% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.74% |
95.27%
0.5 pts better
|
Numerator 90 · Denominator 94 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 94 |
| Discharge self-care score | 27.54% |
53.69%
26.1 pts worse
|
Numerator 19 · Denominator 69 |
| Discharge mobility score | 28.99% |
50.94%
21.9 pts worse
|
Numerator 20 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 3.19% |
2.29%
0.9 pts worse
|
Numerator 3 · Denominator 94 · Adjusted rate 3.09% |
| Healthcare-associated infections requiring hospitalization | 7.18% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 7.5% · Lower 95% interval 3.82% |
| Staff COVID-19 vaccination coverage | 2.17% |
8.2%
6 pts worse
|
Numerator 2 · Denominator 92 |
| Staff flu vaccination coverage | 86.42% |
42%
44.4 pts better
|
Numerator 70 · Denominator 81 |
| Discharge function score | 28.99% |
56.45%
27.5 pts worse
|
Numerator 20 · Denominator 69 |
| Transfer of health information to provider | 12.5% |
95.95%
83.5 pts worse
|
Numerator 4 · Denominator 32 |
| Transfer of health information to patient | 14.81% |
96.28%
81.5 pts worse
|
Numerator 4 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 20.45% |
25.2%
4.8 pts worse
|
Numerator 9 · Denominator 44 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.7
0.4 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.6 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.2
0.5 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
86.9%
9.9 pts better
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 88.7% · Q3 98.2% · Q4 100.0% · 4Q avg 96.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.7% |
93.5%
1.8 pts worse
|
95.5%
3.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.2%
2.3 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.8% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
6.5%
4.5 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 1.9% · Q4 1.9% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.5%
0.2 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.1% · Q3 8.3% · Q4 6.4% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.6% |
19.9%
0.7 pts worse
|
19.6%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 21.3% · Q3 21.6% · Q4 14.0% · 4Q avg 20.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.3% |
18.7%
0.4 pts better
|
16.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 15.8% · Q3 17.9% · Q4 20.0% · 4Q avg 18.3% · 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 | 39.6% |
19.6%
20 pts worse
|
16.3%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.7% · Q3 21.6% · 4Q avg 39.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.1% |
18.3%
14.8 pts worse
|
14.9%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 21.4% · Q3 23.4% · Q4 37.8% · 4Q avg 33.1% · 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 | 4.4% |
1.7%
2.7 pts worse
|
1.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.2% · Q3 3.8% · Q4 2.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.9% |
26.4%
4.5 pts worse
|
19.8%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 40.5% · Q3 20.6% · Q4 38.1% · 4Q avg 30.9% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
5.3%
0.9 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.6% · Q3 8.2% · Q4 9.1% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.7% |
68.9%
24.8 pts better
|
81.7%
12 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 93.2% · Q3 91.9% · Q4 94.9% · 4Q avg 93.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.1% |
9.8%
9.3 pts worse
|
12.0%
7.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 20.8% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.4% |
1.5%
5.9 pts worse
|
1.6%
5.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 2.7% · Q3 9.1% · Q4 8.6% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.3% |
68.7%
19.6 pts better
|
79.7%
8.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
23.1%
0.2 pts better
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 27.8% · Expected 28.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-02-12 · Fire 2025-02-12
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2024-03-08 · Fire 2024-03-08
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2026-01-13
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2026-02-09
E · Potential for more than minimal harm
2026-01-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-02-09
E · Potential for more than minimal harm
2026-01-13
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2026-02-09
E · Potential for more than minimal harm
2026-01-13
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2026-02-09
E · Potential for more than minimal harm
2026-01-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-02-09
E · Potential for more than minimal harm
2026-01-13
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2026-02-09
C · Minimal harm
2026-01-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-02-09
E · Potential for more than minimal harm
2025-02-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-11
C · Minimal harm
2025-02-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-11
C · Minimal harm
2025-02-12
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-11
E · Potential for more than minimal harm
2024-03-08
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-04-25
E · Potential for more than minimal harm
2024-03-08
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 2024-04-25
E · Potential for more than minimal harm
2024-03-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-25
E · Potential for more than minimal harm
2024-03-08
K902 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
Corrected 2024-04-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-13
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2026-01-30
D · Potential for more than minimal harm
2026-01-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-30
D · Potential for more than minimal harm
2026-01-13
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2026-01-30
D · Potential for more than minimal harm
2026-01-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-28
D · Potential for more than minimal harm
2026-01-13
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 2025-11-25
D · Potential for more than minimal harm
2026-01-13
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 2026-01-30
D · Potential for more than minimal harm
2026-01-13
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2026-01-30
D · Potential for more than minimal harm
2026-01-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-28
F · Potential for more than minimal harm
2025-02-12
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 2025-03-04
D · Potential for more than minimal harm
2025-02-12
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-03-04
G · Actual harm
2025-01-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-22
E · Potential for more than minimal harm
2024-03-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-04-17
D · Potential for more than minimal harm
2024-03-08
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-04-17
D · Potential for more than minimal harm
2024-03-08
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-04-17
D · Potential for more than minimal harm
2024-03-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-17
D · Potential for more than minimal harm
2024-03-08
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-04-17
D · Potential for more than minimal harm
2024-03-08
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-04-17
D · Potential for more than minimal harm
2024-03-08
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-04-17
Penalties and ownership
What sits behind the stars
$50,046
2025-01-06
Fine
Fine · fine $50,046
Fine
Ownership
The Guthrie Clinic
5% Or Greater Direct Ownership Interest · Organization
Macafee, Francis
Corporate Officer · Individual
Saggiomo, Lucia
Operational/Managerial Control · Individual
Saggiomo, Lucia
Corporate Officer · Individual
Nearby options
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2-star overall rating with 2-star inspections with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
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Sayre, PA
1-star overall rating with 2-star inspections with 18 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Elderwood At Waverly
Waverly, NY
1-star overall rating with 2-star inspections with $10,364 in total fines with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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