Federal inspection record · CMS data as of October 1, 2026
Saint John Xxiii Home
2250 Shenango Freeway, Hermitage, PA · (724) 981-3200
- CMS high-performer trophy
- Certified beds
- 90
- Residents per day
- 45
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1989
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Saint John Xxiii Home carries 3 inspection points. That is fewer than 94% of Pennsylvania's 652 rated homes.
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
4 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-20
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-03-28
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-04-25
1 health deficiencies · 9 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 45 min of nursing staff time a day, 1 h 19 min of it from a registered nurse.
This home
3 h 45 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 23% of nursing staff and 8% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 0.6 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 1.9 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts worse | 86.0% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 97.8% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts worse | 7.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts worse | 14.5% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 8.2% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.3 pts better | 11.8% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts worse | 24.0% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts worse | 20.2% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased18.6 pts worse | 35.0% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.1 pts worse | 2.7% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 2.5% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts better | 21.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 4.7% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 70.8% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts worse | 10.8% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.7 pts better | 84.6% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better | 20.0% | 22.0% | 23.4% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Abbott, Michael | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Abbott, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Abbott, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dunn, Dana | Corporate Director · Individual | 0% | 1 facilities |
| Hawthorne, Kirk | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hawthorne, Kirk | Corporate Officer · Individual | 0% | 1 facilities |
| John Xxiii Home | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Lackey, Gary | Corporate Director · Individual | 0% | 1 facilities |
| Linn, Jeff | Corporate Director · Individual | 0% | 1 facilities |
| Mclaughlin, Joseph | Corporate Officer · Individual | 0% | 1 facilities |
| Roman Catholic Diocese Of Erie | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress4C
- C
Meet other general requirements.
- C
Have properly located and lighted "Exit" signs.
- B
Meet other general requirements.
- B
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems4F
- C
Have power receptacles that are properly grounded.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have power receptacles that are properly grounded.
- B
Ensure proper usage of power strips and extension cords.
Smoke2F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1C
- C
Meet other general requirements.
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Other homes nearby
-
Hermitage Nursing And Rehabilitation
Hermitage, PA · Embassy Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 3 min
- Fines
- $0
-
Clepper Manor
Sharon, PA · Embassy Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 40 min
- Fines
- $169,599
-
O'brien Memorial Health Care C
Masury, OH · Windsor House, Inc.
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
- $68,952