6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bangor, PA
4-star overall rating with 4-star inspections with 6 recent health deficiencies
701 Slate Belt Blvd, Rd 3, Bangor, PA
(610) 588-6161
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
119
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1981-01-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
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
0.56
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.71
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.01
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
2.64
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
3.13
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
8,426
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.78
Composite VBP score used to determine payment impact.
Payment multiplier
0.9843
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.40
Baseline 23.63% · Performance 20.39% · Measure score 4.40 · Achievement 2.24 · Improvement 4.40
Healthcare-associated infections
1.54
Baseline 6.77% · Performance 7.38% · Measure score 1.54 · Achievement 1.54 · Improvement 0
Total nurse turnover
4.04
Baseline 50.00% · Performance 47.17% · Measure score 4.04 · Achievement 4.04 · Improvement 0.63
Adjusted total nurse staffing
0.73
Baseline 3.28 hours · Performance 3.29 hours · Measure score 0.73 · Achievement 0.73 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.43% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 204 · Observed rate 11.27% · Lower 95% interval 8.97% |
| Discharge to community | 44.85% |
50.57%
5.7 pts worse
|
No Different than the National Rate · Eligible stays 210 · Observed rate 39.52% · Lower 95% interval 38.91% |
| Medicare spending per beneficiary | 1.02 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 62.79% |
95.27%
32.5 pts worse
|
Numerator 81 · Denominator 129 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 129 |
| Discharge self-care score | 32.32% |
53.69%
21.4 pts worse
|
Numerator 32 · Denominator 99 |
| Discharge mobility score | 23.23% |
50.94%
27.7 pts worse
|
Numerator 23 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 6.98% |
2.29%
4.7 pts worse
|
Numerator 9 · Denominator 129 · Adjusted rate 6.43% |
| Healthcare-associated infections requiring hospitalization | 7.38% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 127 · Observed rate 7.09% · Lower 95% interval 4.61% |
| Staff COVID-19 vaccination coverage | 2.29% |
8.2%
5.9 pts worse
|
Numerator 3 · Denominator 131 |
| Staff flu vaccination coverage | 26.52% |
42%
15.5 pts worse
|
Numerator 35 · Denominator 132 |
| Discharge function score | 35.35% |
56.45%
21.1 pts worse
|
Numerator 35 · Denominator 99 |
| Transfer of health information to provider | 80.77% |
95.95%
15.2 pts worse
|
Numerator 21 · Denominator 26 |
| Transfer of health information to patient | 93.33% |
96.28%
3 pts worse
|
Numerator 56 · Denominator 60 |
| Resident COVID-19 vaccinations up to date | 21.13% |
25.2%
4.1 pts worse
|
Numerator 15 · Denominator 71 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 2.2 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.2
0.3 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.3% |
86.9%
4.6 pts worse
|
93.4%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 71.9% · Q2 78.1% · Q3 84.4% · Q4 94.8% · 4Q avg 82.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.2% |
93.5%
0.7 pts better
|
95.5%
1.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.2%
0.2 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 4.2% · Q3 3.1% · Q4 5.2% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
6.5%
4.9 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.2% · Q3 2.2% · Q4 1.1% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 8.1% |
6.5%
1.6 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 11.8% · Q3 5.5% · Q4 9.8% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.4% |
19.9%
1.5 pts worse
|
19.6%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 18.9% · Q3 21.5% · Q4 23.4% · 4Q avg 21.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.6% |
18.7%
7.1 pts better
|
16.7%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 8.7% · Q3 9.8% · Q4 10.1% · 4Q avg 11.6% · 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 | 20.4% |
19.6%
0.8 pts worse
|
16.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 18.7% · Q3 10.4% · Q4 19.7% · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
18.3%
2.6 pts better
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.5% · Q3 12.9% · Q4 18.6% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.9%
0.7 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
1.7%
1.2 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.2% · Q3 2.1% · Q4 3.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
26.4%
5.9 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 26.6% · Q3 13.2% · Q4 15.5% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.3%
1 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.8% · Q3 5.0% · Q4 5.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 34.7% |
68.9%
34.2 pts worse
|
81.7%
47 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 36.0% · Q3 35.2% · Q4 48.4% · 4Q avg 34.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
9.8%
3.8 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 13.2% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.5%
0.4 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 1.6% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.2% |
68.7%
28.5 pts worse
|
79.7%
39.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
23.1%
0.7 pts worse
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 25.6% · Expected 25.6% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-02-11
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-02-11
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2026-02-11
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-11
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-02-11
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 2025-06-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-23
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-02-23
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-23
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
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