Kingston, PA

Third Avenue Health & Rehab Center

3-star overall rating with 2-star inspections with $7,443 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

702 Third Avenue, Kingston, PA

(570) 283-5848

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1993-08-09

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.78

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.54

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.79

CMS adjusted RN staffing hours

Adjusted total hours

3.58

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,353

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

20.68

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.86

Baseline 18.58% · Performance 20.11% · Measure score 2.86 · Achievement 2.86 · Improvement 0

Healthcare-associated infections

4.05

Baseline 5.95% · Performance 6.62% · Measure score 4.05 · Achievement 4.05 · Improvement 0

Total nurse turnover

Baseline 61.70% · Performance 69.23% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.36

Baseline 2.81 hours · Performance 3.37 hours · Measure score 1.36 · Achievement 1.01 · Improvement 1.36

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.04%	10.72% 2.3 pts worse	No Different than the National Rate · Eligible stays 106 · Observed rate 16.98% · Lower 95% interval 9.95%
Discharge to community	32.68%	50.57% 17.9 pts worse	Worse than the National Rate · Eligible stays 96 · Observed rate 23.96% · Lower 95% interval 24.76%
Medicare spending per beneficiary	0.7	1.02 0.3 pts better
Drug regimen review with follow-up	93.1%	95.27% 2.2 pts worse	Numerator 27 · Denominator 29
Falls with major injury	3.45%	0.77% 2.7 pts worse	Numerator 1 · Denominator 29
Discharge self-care score	72%	53.69% 18.3 pts better	Numerator 18 · Denominator 25
Discharge mobility score	48%	50.94% 2.9 pts worse	Numerator 12 · Denominator 25
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 29 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.63%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 4.65% · Lower 95% interval 3.66%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 66
Staff flu vaccination coverage	43.94%	42% 1.9 pts better	Numerator 29 · Denominator 66
Discharge function score	64%	56.45% 7.5 pts better	Numerator 16 · Denominator 25
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	86.9% 12 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9%
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	2.2%	3.2% 1 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.5% · Q3 2.1% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.9%	6.5% 3.6 pts better	11.4% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 6.7% · 4Q avg 2.9%
Percentage of long-stay residents who lose too much weight	3.2%	6.5% 3.3 pts better	5.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.6% · Q3 5.0% · Q4 2.4% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.6%	19.9% 6.7 pts worse	19.6% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 22.5% · Q3 26.2% · Q4 19.5% · 4Q avg 26.6%
Percentage of long-stay residents who received an antipsychotic medication	14.9%	18.7% 3.8 pts better	16.7% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 18.9% · Q3 13.9% · Q4 11.4% · 4Q avg 14.9% · 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	17.5%	19.6% 2.1 pts better	16.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.7%	18.3% 8.6 pts better	14.9% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 11.1% · Q3 10.3% · Q4 10.8% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.9% 0.2 pts better	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.3%	1.7% 0.6 pts worse	1.7% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 4.3% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.6%	26.4% 11.8 pts better	19.8% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 11.7% · Q3 20.2% · Q4 18.6% · 4Q avg 14.6%
Percentage of long-stay residents with pressure ulcers	1.7%	5.3% 3.6 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 4.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	87.6%	68.9% 18.7 pts better	81.7% 5.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 86.8% · Q3 98.1% · Q4 98.4% · 4Q avg 87.6%
Percentage of short-stay residents who had an outpatient emergency department visit	18.6%	9.8% 8.8 pts worse	12.0% 6.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 17.2% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.5% 0.1 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 3.2% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.2%	68.7% 27.5 pts better	79.7% 16.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.9%	23.1% 7.2 pts better	23.9% 8 pts better	Short Stay · 20240701-20250630 · Adjusted 15.9% · Observed 13.8% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-30 · Fire 2025-05-30

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-31 · Fire 2024-07-31

19 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-01 · Fire 2023-06-01

10 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-05-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-05-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-05-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-23

E · Potential for more than minimal harm 2024-07-31

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-07-22

E · Potential for more than minimal harm 2024-07-31

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 2024-07-22

E · Potential for more than minimal harm 2024-07-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-22

E · Potential for more than minimal harm 2023-06-01

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 2023-06-30

E · Potential for more than minimal harm 2023-06-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-01

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-30

C · Minimal harm 2023-06-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-01

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-12-02

G · Actual harm 2025-05-30

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 2025-06-19

E · Potential for more than minimal harm 2025-05-30

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 2025-06-19

E · Potential for more than minimal harm 2025-05-30

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-30

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-30

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 2025-06-19

D · Potential for more than minimal harm 2025-05-30

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 2025-06-19

E · Potential for more than minimal harm 2024-09-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

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 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-09-20

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-08

E · Potential for more than minimal harm 2024-07-31