Federal inspection record · CMS data as of October 1, 2026

Transitions Healthcare Gettysburg

595 Biglerville Road, Gettysburg, PA · (717) 334-6249

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
135
Residents per day
127
Ownership
For-Profit
Chain
Transitions Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 1989

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Transitions Healthcare Gettysburg carries 63 inspection points. That is fewer than 44% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 63 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–33 pts
  • 3★ 33–65 pts
  • 2★ 65–128 pts
  • 1★ over 128 pts

Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

22 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 8 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. K

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 6, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 4, 2026

  2. G

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

    June 11, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected June 20, 2024

  3. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 11, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 20, 2024

Everything else, by area of care

Resident Assessment and Care Planning7E
  1. E

    Ensure each resident receives an accurate assessment.

    August 20, 2026 · Standard · F641 · Corrected September 15, 2026

  2. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 20, 2026 · Standard · F656 · Corrected September 15, 2026

  3. D

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

    August 20, 2026 · Standard · F657 · Corrected September 15, 2026

  4. D

    Ensure each resident receives an accurate assessment.

    November 18, 2025 · Standard · F641 · Corrected November 21, 2025

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 18, 2025 · Standard · F656 · Corrected November 21, 2025

  6. D

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

    November 18, 2025 · Standard · F657 · Corrected November 21, 2025

  7. D

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

    August 15, 2024 · Standard · F658 · Corrected September 26, 2024

Nutrition and Dietary4E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 20, 2026 · Standard · F812 · Corrected September 15, 2026

  2. D

    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.

    July 20, 2026 · Complaint · F808 · Corrected August 14, 2026

  3. D

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

    November 18, 2025 · Standard · F804 · Corrected November 21, 2025

  4. E

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

    August 15, 2024 · Standard · F810 · Corrected September 26, 2024

Quality of Life and Care4E
  1. D

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

    August 20, 2026 · Standard · F695 · Corrected September 15, 2026

  2. E

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

    November 18, 2025 · Standard · F695 · Corrected November 21, 2025

  3. E

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

    August 15, 2024 · Standard · F686 · Corrected September 26, 2024

  4. D

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

    August 15, 2024 · Standard · F695 · Corrected September 26, 2024

Pharmacy Service2E
  1. D

    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.

    August 20, 2026 · Standard · F761 · Corrected September 15, 2026

  2. E

    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.

    August 15, 2024 · Standard · F761 · Corrected September 26, 2024

Resident Rights1E
  1. E

    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.

    November 18, 2025 · Standard · F585 · Corrected November 21, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    August 15, 2024 · Standard · F609 · Corrected September 26, 2024

Inspection history

  1. 2026-08-20

    8 health deficiencies · 0 fire-safety deficiencies

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

  2. 2025-11-18

    6 health deficiencies · 0 fire-safety deficiencies

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

  3. 2024-08-15

    8 health deficiencies · 0 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 53 min of nursing staff time a day, 28 min of it from a registered nurse.

This home

3 h 53 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 52% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$33,984 in federal fines on record over the past three years.

DatePenaltyAmount
2026-07-20Fine$17,650
2024-06-11Fine$8,167
2024-06-11Fine$8,167

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.51.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse2.11.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts worse85.9%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts worse91.8%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same3.1%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms13.8 pts better0.0%13.8%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better4.9%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts better18.0%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.4 pts worse26.0%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.8 pts worse20.2%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased14.9 pts worse31.3%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse0.8%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better1.2%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.7 pts better17.3%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts better3.3%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15 pts worse55.8%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit11.3 pts worse20.8%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better1.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine44 pts worse26.9%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts better15.5%22.0%23.4%

·

Who owns and runs it

24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Feldman, Marc5% Or Greater Direct Ownership Interest · Individual33%6 facilities
Maurano, Matthew5% Or Greater Direct Ownership Interest · Individual33%6 facilities
Williams, Kevin5% Or Greater Direct Ownership Interest · Individual33%7 facilities
Aviv Financing Ii LLC5% Or Greater Indirect Ownership Interest · Organization0%13 facilities
Aviv Healthcare Properties Operating Partnership I LP5% Or Greater Indirect Ownership Interest · Organization0%13 facilities
Aviv Op Limited Partner LLC5% Or Greater Indirect Ownership Interest · Organization0%8 facilities
Biglerville Road LLCAdp Of The SNF · Organization0%1 facilities
Corley, LisaManaging Control - Governing Body · Individual0%1 facilities
Corley, LisaOperational/Managerial Control · Individual0%1 facilities
Corley, LisaAdp Of The SNF · Individual0%1 facilities
Decort, RyanManaging Control - Governing Body · Individual0%3 facilities
Decort, RyanOperational/Managerial Control · Individual0%3 facilities
Decort, RyanAdp Of The SNF · Individual0%3 facilities
Feldman, MarcOperational/Managerial Control · Individual0%6 facilities
Feldman, MarcAdp Of The SNF · Individual0%6 facilities
Maurano, MatthewManaging Control - Governing Body · Individual0%6 facilities
Maurano, MatthewOperational/Managerial Control · Individual0%6 facilities
Maurano, MatthewAdp Of The SNF · Individual0%6 facilities
Ohi Healthcare Properties Holdco, Inc5% Or Greater Indirect Ownership Interest · Organization0%1 facilities
Ohi Healthcare Properties Limited Partnership5% Or Greater Indirect Ownership Interest · Organization0%15 facilities
Transitions Healthcare LLCOperational/Managerial Control · Organization0%5 facilities
Transitions Healthcare LLCAdp Of The SNF · Organization0%5 facilities
Williams, KevinOperational/Managerial Control · Individual0%7 facilities
Williams, KevinAdp Of The SNF · Individual0%7 facilities

·

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