Cycle 1
Health 2025-05-30 · Fire 2025-05-30
6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
North Huntingdon, PA
Transitions Healthcare North Huntingdon
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
8850 Barnes Lake Road, North Huntingdon, PA
(724) 864-7190
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Transitions Healthcare
Operator or chain grouping
Approved since
1983-08-17
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
No
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
0.53
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.37
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
0.56
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,083
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9881
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.63
Baseline 19.55% · Performance 19.29% · Measure score 4.63 · Achievement 4.63 · Improvement 0.57
Healthcare-associated infections
2.21
Baseline 7.43% · Performance 7.17% · Measure score 2.21 · Achievement 2.21 · Improvement 0.54
Total nurse turnover
4.86
Baseline 57.94% · Performance 43.81% · Measure score 4.86 · Achievement 4.86 · Improvement 3.77
Adjusted total nurse staffing
1.92
Baseline 3.29 hours · Performance 3.62 hours · Measure score 1.92 · Achievement 1.92 · Improvement 0.83
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.9% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 108 · Observed rate 7.41% · Lower 95% interval 6.52% |
| Discharge to community | 52.73% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 92 · Observed rate 42.39% · Lower 95% interval 42.38% |
| Medicare spending per beneficiary | 0.7 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 96.97% |
95.27%
1.7 pts better
|
Numerator 64 · Denominator 66 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 66 |
| Discharge self-care score | 57.41% |
53.69%
3.7 pts better
|
Numerator 31 · Denominator 54 |
| Discharge mobility score | 46.3% |
50.94%
4.6 pts worse
|
Numerator 25 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 66 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.17% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 48 · Observed rate 8.33% · Lower 95% interval 3.97% |
| Staff COVID-19 vaccination coverage | 16.2% |
8.2%
8 pts better
|
Numerator 23 · Denominator 142 |
| Staff flu vaccination coverage | 39.75% |
42%
2.2 pts worse
|
Numerator 64 · Denominator 161 |
| Discharge function score | 55.56% |
56.45%
0.9 pts worse
|
Numerator 30 · Denominator 54 |
| 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 | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 21.28% |
25.2%
3.9 pts worse
|
Numerator 10 · Denominator 47 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.8% |
86.9%
3.9 pts better
|
93.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 85.4% · Q3 94.1% · Q4 90.4% · 4Q avg 90.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.8% |
93.5%
1.3 pts better
|
95.5%
0.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.2%
2.6 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
6.5%
5.9 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 6.0% |
6.5%
0.5 pts better
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.8% · Q3 5.3% · Q4 11.8% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.5% |
19.9%
5.6 pts worse
|
19.6%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 28.6% · Q3 18.7% · Q4 24.7% · 4Q avg 25.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.7% |
18.7%
5 pts better
|
16.7%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.2% · Q3 10.0% · Q4 6.5% · 4Q avg 13.7% · 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 | 25.2% |
19.6%
5.6 pts worse
|
16.3%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q4 23.2% · 4Q avg 25.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.0% |
18.3%
1.3 pts better
|
14.9%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 16.5% · Q3 17.8% · Q4 18.1% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.9%
0.6 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.9% · Q3 2.5% · Q4 1.4% · 4Q avg 1.5% · 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 3.4% · Q3 4.8% · Q4 1.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.4% |
26.4%
4 pts better
|
19.8%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 15.4% · Q3 28.0% · Q4 29.8% · 4Q avg 22.4% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
5.3%
3.3 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 12.1% · Q3 6.1% · Q4 8.8% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 54.8% |
68.9%
14.1 pts worse
|
81.7%
26.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.7% · Q2 52.3% · Q3 62.6% · Q4 53.5% · 4Q avg 54.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
9.8%
3.6 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 13.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.5% · Q4 0.9% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.8% |
68.7%
17.9 pts worse
|
79.7%
28.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% |
23.1%
3.7 pts better
|
23.9%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 20.3% · Expected 25.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-07 · Fire 2024-06-07
8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-06-23 · Fire 2023-06-23
8 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-05-30
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-17
E · Potential for more than minimal harm
2025-05-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-17
E · Potential for more than minimal harm
2024-06-07
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-11
F · Potential for more than minimal harm
2023-06-23
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-08-04
F · Potential for more than minimal harm
2023-06-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
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 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-08-04
E · Potential for more than minimal harm
2023-06-23
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-04
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-15
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-10
D · Potential for more than minimal harm
2026-01-15
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 2026-02-10
D · Potential for more than minimal harm
2025-12-03
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-12-08
E · Potential for more than minimal harm
2025-09-03
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-10-02
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 2025-06-25
D · Potential for more than minimal harm
2025-05-30
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 2025-06-25
F · Potential for more than minimal harm
2025-02-06
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-03-11
E · Potential for more than minimal harm
2025-02-06
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 2025-03-11
E · Potential for more than minimal harm
2024-06-07
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-06-27
E · Potential for more than minimal harm
2024-06-07
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-06-27
E · Potential for more than minimal harm
2024-06-07
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-06-07
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 2024-06-27
E · Potential for more than minimal harm
2024-05-19
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-13
D · Potential for more than minimal harm
2024-04-02
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 2024-03-12
E · Potential for more than minimal harm
2023-06-23
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-25
D · Potential for more than minimal harm
2023-06-23
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 2023-07-25
D · Potential for more than minimal harm
2023-06-23
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 2023-07-25
D · Potential for more than minimal harm
2023-06-23
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 2023-07-25
D · Potential for more than minimal harm
2023-06-23
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 2023-07-25
D · Potential for more than minimal harm
2023-06-23
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-07-25
D · Potential for more than minimal harm
2023-06-23
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-25
D · Potential for more than minimal harm
2023-06-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-25
Penalties and ownership
What sits behind the stars
Ownership
Capital Finance LLC
5% Or Greater Security Interest · Organization
Feldman, Marc
5% Or Greater Direct Ownership Interest · Individual
Feldman, Marc
Operational/Managerial Control · Individual
Maurano, Matthew
5% Or Greater Direct Ownership Interest · Individual
Maurano, Matthew
Operational/Managerial Control · Individual
Transitions Healthcare LLC
Operational/Managerial Control · Organization
Williams, Kevin
5% Or Greater Direct Ownership Interest · Individual
Williams, Kevin
Operational/Managerial Control · Individual
Wilson, Dayna
Operational/Managerial Control · Individual
Zdrale, Nikolai
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Kadima Rehabilitation & Nursing At Irwin
North Huntingdon, PA
1-star overall rating with 1-star inspections with $184,982 in total fines with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Hempfield Manor
Greensburg, PA
4-star overall rating with 3-star inspections with $24,569 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Westmoreland Manor
Greensburg, PA
2-star overall rating with 2-star inspections with abuse icon flag with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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