Gettysburg, PA

Transitions Healthcare Gettysburg

3-star overall rating with 3-star inspections with $16,334 in total fines with 6 recent health deficiencies

595 Biglerville Road, Gettysburg, PA

(717) 334-6249

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

135

Certified beds

Average residents

127

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Transitions Healthcare

Operator or chain grouping

Approved since

1989-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 3 health / 3 staffing / 3 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

0.40

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.64

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.37

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.86

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

41%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,668

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

Performance score

43.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9962

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.80

Baseline 18.33% · Performance 18.74% · Measure score 5.80 · Achievement 5.80 · Improvement 0

Healthcare-associated infections

7.26

Baseline 7.51% · Performance 5.67% · Measure score 7.26 · Achievement 7.26 · Improvement 6.84

Total nurse turnover

2.82

Baseline 36.52% · Performance 52.14% · Measure score 2.82 · Achievement 2.82 · Improvement 0

Adjusted total nurse staffing

1.40

Baseline 3.21 hours · Performance 3.48 hours · Measure score 1.40 · Achievement 1.40 · Improvement 0.55

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.52%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 204 · Observed rate 8.82% · Lower 95% interval 7.06%
Discharge to community	55.66%	50.57% 5.1 pts better	No Different than the National Rate · Eligible stays 204 · Observed rate 49.51% · Lower 95% interval 48.18%
Medicare spending per beneficiary	0.79	1.02 0.2 pts better
Drug regimen review with follow-up	97.89%	95.27% 2.6 pts better	Numerator 93 · Denominator 95
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 95
Discharge self-care score	48.1%	53.69% 5.6 pts worse	Numerator 38 · Denominator 79
Discharge mobility score	51.9%	50.94% 1 pts better	Numerator 41 · Denominator 79
Pressure ulcers or injuries, new or worsened	3.16%	2.29% 0.9 pts worse	Numerator 3 · Denominator 95 · Adjusted rate 3.64%
Healthcare-associated infections requiring hospitalization	5.66%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 96 · Observed rate 3.13% · Lower 95% interval 3.58%
Staff COVID-19 vaccination coverage	7.18%	8.2% 1 pts worse	Numerator 13 · Denominator 181
Staff flu vaccination coverage	51.05%	42% 9 pts better	Numerator 121 · Denominator 237
Discharge function score	50.63%	56.45% 5.8 pts worse	Numerator 40 · Denominator 79
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	98.41%	96.28% 2.1 pts better	Numerator 62 · Denominator 63
Resident COVID-19 vaccinations up to date	12%	25.2% 13.2 pts worse	Numerator 6 · Denominator 50

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.7 0.7 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.2 0.7 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	83.3%	86.9% 3.6 pts worse	93.4% 10.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 76.1% · Q2 83.8% · Q3 85.6% · Q4 88.0% · 4Q avg 83.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.6%	93.5% 2.9 pts worse	95.5% 4.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.6%
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 1.8% · Q2 4.5% · Q3 4.5% · Q4 2.8% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	6.5% 6.5 pts better	11.4% 11.4 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 who lose too much weight	4.0%	6.5% 2.5 pts better	5.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.0% · Q3 4.0% · Q4 4.1% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.8%	19.9% 4.1 pts better	19.6% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 17.5% · Q3 14.4% · Q4 17.0% · 4Q avg 15.8%
Percentage of long-stay residents who received an antipsychotic medication	24.0%	18.7% 5.3 pts worse	16.7% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 23.2% · Q3 24.4% · Q4 23.4% · 4Q avg 24.0% · 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	30.4%	19.6% 10.8 pts worse	16.3% 14.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 32.2% · Q3 31.6% · Q4 24.6% · 4Q avg 30.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	32.3%	18.3% 14 pts worse	14.9% 17.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q2 35.4% · Q3 36.8% · Q4 25.8% · 4Q avg 32.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	0.9% 0.5 pts worse	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.2% · Q3 0.8% · Q4 0.7% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.8%	1.7% 1.1 pts worse	1.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.7% · Q3 2.8% · Q4 3.8% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.7%	26.4% 4.7 pts better	19.8% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 21.9% · Q3 23.7% · Q4 15.3% · 4Q avg 21.7%
Percentage of long-stay residents with pressure ulcers	3.7%	5.3% 1.6 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.5% · Q3 3.2% · Q4 2.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	43.9%	68.9% 25 pts worse	81.7% 37.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 64.9% · Q2 40.3% · Q3 23.5% · Q4 46.9% · 4Q avg 43.9%
Percentage of short-stay residents who had an outpatient emergency department visit	13.7%	9.8% 3.9 pts worse	12.0% 1.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 13.5% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.5% 1.4 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.4% · Q3 3.4% · Q4 3.6% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	51.8%	68.7% 16.9 pts worse	79.7% 27.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 51.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.6%	23.1% 6.5 pts better	23.9% 7.3 pts better	Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 16.7% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-18 · Fire 2024-08-15

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-15 · Fire 2023-10-26

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-10-26 · Fire 2022-11-16

11 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-18

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-11-21

E · Potential for more than minimal harm 2025-11-18

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-11-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-11-18

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 2025-11-21

D · Potential for more than minimal harm 2025-11-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-11-18

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-11-21

E · Potential for more than minimal harm 2024-08-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-26

E · Potential for more than minimal harm 2024-08-15

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 2024-09-26

E · Potential for more than minimal harm 2024-08-15

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-15

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 2024-09-26

D · Potential for more than minimal harm 2024-08-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-08-15

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-09-26

G · Actual harm 2024-06-11

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 2024-06-20

G · Actual harm 2024-06-11

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 2024-06-20