13 health deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Pottsville, PA
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1000 Schuylkill Manor Rd, Pottsville, PA
(570) 622-9666
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
190
Certified beds
Average residents
163
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-06-27
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
Staffing
RN hours / resident day
0.39
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.25
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.23
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,986
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.76% · Performance 23.26% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.08
Baseline 5.04% · Performance 5.72% · Measure score 7.08 · Achievement 7.08 · Improvement 0
Total nurse turnover
5.32
Baseline 60.34% · Performance 41.94% · Measure score 5.32 · Achievement 5.32 · Improvement 4.69
Adjusted total nurse staffing
0.04
Baseline 3.01 hours · Performance 3.16 hours · Measure score 0.04 · Achievement 0 · Improvement 0.04
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.33% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 268 · Observed rate 10.45% · Lower 95% interval 7.78% |
| Discharge to community | 29.76% |
50.57%
20.8 pts worse
|
Worse than the National Rate · Eligible stays 246 · Observed rate 23.98% · Lower 95% interval 22.77% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.84% |
95.27%
2.6 pts better
|
Numerator 226 · Denominator 231 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 3 · Denominator 231 |
| Discharge self-care score | 38.79% |
53.69%
14.9 pts worse
|
Numerator 64 · Denominator 165 |
| Discharge mobility score | 52.73% |
50.94%
1.8 pts better
|
Numerator 87 · Denominator 165 |
| Pressure ulcers or injuries, new or worsened | 3.46% |
2.29%
1.2 pts worse
|
Numerator 8 · Denominator 231 · Adjusted rate 3.01% |
| Healthcare-associated infections requiring hospitalization | 5.72% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 189 · Observed rate 4.23% · Lower 95% interval 3.32% |
| Staff COVID-19 vaccination coverage | 0.44% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 226 |
| Staff flu vaccination coverage | 13.04% |
42%
29 pts worse
|
Numerator 30 · Denominator 230 |
| Discharge function score | 48.48% |
56.45%
8 pts worse
|
Numerator 80 · Denominator 165 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 57 · Denominator 57 |
| Transfer of health information to patient | 92.31% |
96.28%
4 pts worse
|
Numerator 84 · Denominator 91 |
| Resident COVID-19 vaccinations up to date | 15.32% |
25.2%
9.9 pts worse
|
Numerator 19 · Denominator 124 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.2
1.4 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
86.9%
11.6 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.3% · Q4 96.5% · 4Q avg 98.5% |
| 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 | 7.4% |
3.2%
4.2 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.5% · Q3 8.2% · Q4 5.6% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
6.5%
5.1 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.4% · Q4 1.6% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.5%
2.9 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.1% · Q3 3.0% · Q4 5.4% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.7% |
19.9%
12.8 pts worse
|
19.6%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 33.8% · Q3 31.0% · Q4 32.6% · 4Q avg 32.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.9% |
18.7%
7.8 pts better
|
16.7%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 11.1% · Q3 8.3% · Q4 10.8% · 4Q avg 10.9% · 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 | 17.8% |
19.6%
1.8 pts better
|
16.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 22.8% · Q3 12.7% · Q4 10.2% · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
18.3%
About the same
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 20.5% · Q3 16.3% · Q4 12.2% · 4Q avg 18.3% · 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 | 1.8% |
1.7%
0.1 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.4% · Q3 0.0% · Q4 1.5% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.7% |
26.4%
2.7 pts better
|
19.8%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 21.4% · Q3 25.4% · Q4 28.5% · 4Q avg 23.7% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
5.3%
0.4 pts worse
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 7.5% · Q3 6.0% · Q4 3.5% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.2% |
68.9%
4.3 pts better
|
81.7%
8.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 80.3% · Q2 68.6% · Q3 73.1% · Q4 71.4% · 4Q avg 73.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
9.8%
2.4 pts worse
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 12.1% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.5%
0.3 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.3% · Q3 0.0% · Q4 0.8% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.6% |
68.7%
2.9 pts better
|
79.7%
8.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.9% |
23.1%
0.8 pts worse
|
23.9%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 23.8% · Expected 23.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-07-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-30
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 2025-07-30
Fire Safety
Meet other general requirements.
Corrected 2025-07-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-19
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 2024-06-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-06-19
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-06-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-19
Fire Safety
Meet other general requirements.
Corrected 2023-08-08
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-08-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-08
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-08
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-08
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 2023-08-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-08
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-08
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-08
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-27
Health
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.
Corrected 2026-01-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-30
Health
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.
Corrected 2025-07-30
Health
Post nurse staffing information every day.
Corrected 2025-07-30
Health
Dispose of garbage and refuse properly.
Corrected 2025-07-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-19
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-06-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-19
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-19
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-06-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-08
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-08-08
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 2023-08-08
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-08
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Pottsville, PA
2-star overall rating with 2-star inspections with abuse icon flag with $240,099 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Pottsville, PA
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
Pottsville, PA
3-star overall rating with 3-star inspections with $10,033 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out