Sinking Spring, PA

Sinking Spring Skilled Nursing And Rehabilitation

2-star overall rating with 2-star inspections with abuse icon flag with 9 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

3000 Windmill Road, Sinking Spring, PA

(610) 670-2100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

214

Certified beds

Average residents

186

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

1982-09-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.39

Registered nurse staffing

LPN hours / resident day

0.89

Licensed practical nurse staffing

Aide hours / resident day

1.91

Nurse aide staffing

Weekend hours

2.92

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.7
0.4 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.2
0.5 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
86.9%
11.9 pts better
93.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 5.8%
3.2%
2.6 pts worse
3.3%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 5.0%
6.5%
1.5 pts better
11.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 9.8%
6.5%
3.3 pts worse
5.4%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.8%
19.9%
0.1 pts better
19.6%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 25.7%
18.7%
7 pts worse
16.7%
9 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 9.2%
19.6%
10.4 pts better
16.3%
7.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.8%
18.3%
9.5 pts better
14.9%
6.1 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 1.4%
1.7%
0.3 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.3%
26.4%
1.9 pts worse
19.8%
8.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.8%
5.3%
0.5 pts better
5.1%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.1%
68.9%
17.2 pts better
81.7%
4.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.8%
9.8%
2 pts worse
12.0%
0.2 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.5%
0.9 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.5%
68.7%
18.8 pts better
79.7%
7.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.3%
23.1%
7.2 pts worse
23.9%
6.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-26 · Fire 2024-08-27

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-08-27 · Fire 2023-09-29

12 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-09-29 · Fire 2022-10-27

10 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-15

F · Potential for more than minimal harm 2024-08-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-10-15

E · Potential for more than minimal harm 2024-08-27

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-27

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 2024-10-15

D · Potential for more than minimal harm 2024-08-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-15

C · Minimal harm 2024-08-27

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-10-15

C · Minimal harm 2024-08-27

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-15

C · Minimal harm 2024-08-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-10-15

C · Minimal harm 2024-08-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-15

C · Minimal harm 2024-08-27

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-10-15

C · Minimal harm 2024-08-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-15

F · Potential for more than minimal harm 2023-09-29

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2023-12-11

F · Potential for more than minimal harm 2023-09-29

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-10-31

F · Potential for more than minimal harm 2023-09-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-31

E · Potential for more than minimal harm 2023-09-29

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 2023-10-31

E · Potential for more than minimal harm 2023-09-29

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-09-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-09-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-09-29

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-31

C · Minimal harm 2023-09-29

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-10-31

C · Minimal harm 2023-09-29

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-31

C · Minimal harm 2023-09-29

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-10-31

C · Minimal harm 2023-09-29

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-10-31

F · Potential for more than minimal harm 2022-10-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-30

E · Potential for more than minimal harm 2022-10-27

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 2022-11-30

D · Potential for more than minimal harm 2022-10-27

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-11-30

Inspection history

Recent health citations

J · Immediate jeopardy 2026-01-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2026-02-06

G · Actual harm 2026-01-08

F550 · Resident Rights Deficiencies

Health

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

Corrected 2026-02-06

D · Potential for more than minimal harm 2026-01-08

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.

Corrected 2026-02-06

F · Potential for more than minimal harm 2025-09-26

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 2025-11-05

D · Potential for more than minimal harm 2025-09-26

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-09-26

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-11-05

D · Potential for more than minimal harm 2025-07-09

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-07-31

G · Actual harm 2025-03-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-25

D · Potential for more than minimal harm 2024-10-17

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-27

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-08-27

F584 · Resident Rights Deficiencies

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 2024-10-08

D · Potential for more than minimal harm 2024-08-27

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.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-08-27

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-08-27

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-08-27

F806 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-08-27

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 2024-10-08

C · Minimal harm 2024-08-27

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-10-08

C · Minimal harm 2024-08-27

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-07-24

F584 · Resident Rights Deficiencies

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 2024-08-13

D · Potential for more than minimal harm 2024-06-06

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-07-10

D · Potential for more than minimal harm 2023-10-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-12-06

F · Potential for more than minimal harm 2023-09-29

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 2023-11-21

E · Potential for more than minimal harm 2023-09-29

F584 · Resident Rights Deficiencies

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 2023-11-21

D · Potential for more than minimal harm 2023-09-29

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-09-29

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-09-29

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-09-29

F699 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-09-29

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 2023-11-21

B · Minimal harm 2023-09-29

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-11-21

B · Minimal harm 2023-09-29

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-11-21

Penalties and ownership

What sits behind the stars

Ownership

Genesis Pm Pa Operations LLC

5% Or Greater Direct Ownership Interest · Organization

100% 22 facilities 2022-11-15
Berg, Michael

Corporate Officer · Individual

0% 175 facilities 2022-11-15
Bridgeford, Laura

Corporate Officer · Individual

0% 150 facilities 2024-04-01
Fc-Gen Operations Investment LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 171 facilities 2022-11-15
Gen Operations I LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2022-11-15
Gen Operations Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2022-11-15
Genesis Healthcare Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 180 facilities 2022-11-15
Genesis Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 181 facilities 2022-11-15
Genesis Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 169 facilities 2022-11-15
Ghc Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 124 facilities 2022-11-15
Hccf Management Group Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 184 facilities 2022-11-15
Marinita, Domnique

Operational/Managerial Control · Individual

0% 1 facilities 2022-12-10
Mendelson, Avi

Corporate Officer · Individual

0% 149 facilities 2024-04-01
Sun Healthcare Group Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 174 facilities 2022-11-15
Sundance Rehabilitation Holdco Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 163 facilities 2022-11-15
Welltower Op LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 197 facilities 2022-11-15
Zac Properties Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 175 facilities 2022-11-15

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