Tremont, PA

Tremont Health & Rehabilitation Center

4-star overall rating with 4-star inspections with 2 recent health deficiencies

44 Donaldson Road, Tremont, PA

(570) 695-3141

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

164

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1981-02-20

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

Hours and turnover

RN hours / resident day

0.49

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

2.23

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.46

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.11

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

4.18

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,095

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

Performance score

18.04

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.17% · Performance 21.35% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.38

Baseline 7.65% · Performance 6.53% · Measure score 4.38 · Achievement 4.38 · Improvement 3.74

Total nurse turnover

2.20

Performance 54.67% · Measure score 2.20 · Achievement 2.20 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0.63

Baseline 2.81 hours · Performance 3.14 hours · Measure score 0.63 · Achievement 0 · Improvement 0.63

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 90 · Observed rate 8.89% · Lower 95% interval 6.7%
Discharge to community 37.11%
50.57%
13.5 pts worse
Worse than the National Rate · Eligible stays 81 · Observed rate 28.4% · Lower 95% interval 26.39%
Medicare spending per beneficiary 0.78
1.02
0.2 pts better
Drug regimen review with follow-up 98.31%
95.27%
3 pts better
Numerator 58 · Denominator 59
Falls with major injury 1.69%
0.77%
0.9 pts worse
Numerator 1 · Denominator 59
Discharge self-care score 53.49%
53.69%
0.2 pts worse
Numerator 23 · Denominator 43
Discharge mobility score 30.23%
50.94%
20.7 pts worse
Numerator 13 · Denominator 43
Pressure ulcers or injuries, new or worsened 1.69%
2.29%
0.6 pts better
Numerator 1 · Denominator 59 · Adjusted rate 1.94%
Healthcare-associated infections requiring hospitalization 6.52%
7.12%
0.6 pts better
No Different than the National Rate · Eligible stays 60 · Observed rate 5% · Lower 95% interval 3.8%
Staff COVID-19 vaccination coverage 1.9%
8.2%
6.3 pts worse
Numerator 3 · Denominator 158
Staff flu vaccination coverage 77.25%
42%
35.2 pts better
Numerator 129 · Denominator 167
Discharge function score 46.51%
56.45%
9.9 pts worse
Numerator 20 · Denominator 43
Transfer of health information to provider 95%
95.95%
1 pts worse
Numerator 19 · Denominator 20
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 16.67%
25.2%
8.5 pts worse
Numerator 5 · Denominator 30

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.7
0.8 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · 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 1.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.0%
86.9%
4.1 pts better
93.4%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 89.5% · Q2 90.1% · Q3 90.5% · Q4 93.5% · 4Q avg 91.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.2%
93.5%
1.3 pts worse
95.5%
3.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.2%
Percentage of long-stay residents experiencing one or more falls with major injury 4.7%
3.2%
1.5 pts worse
3.3%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 4.9% · Q3 3.4% · Q4 5.8% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.8%
6.5%
1.7 pts better
11.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 2.9% · Q4 12.0% · 4Q avg 4.8%
Percentage of long-stay residents who lose too much weight 4.3%
6.5%
2.2 pts better
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 4.7% · Q3 2.2% · Q4 4.1% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.6%
19.9%
2.7 pts worse
19.6%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 21.1% · Q3 22.0% · Q4 23.6% · 4Q avg 22.6%
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 15.6% · Q2 13.5% · Q3 14.8% · Q4 15.7% · 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 14.0%
19.6%
5.6 pts better
16.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 15.5% · Q3 9.2% · Q4 13.0% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.1%
18.3%
7.2 pts better
14.9%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 11.2% · Q3 6.9% · Q4 11.6% · 4Q avg 11.1% · 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 0.7% · 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 2.6%
1.7%
0.9 pts worse
1.7%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.9% · Q3 2.1% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.4%
26.4%
5 pts better
19.8%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 18.9% · Q3 20.6% · Q4 20.0% · 4Q avg 21.4%
Percentage of long-stay residents with pressure ulcers 3.2%
5.3%
2.1 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.3% · Q3 2.5% · Q4 1.5% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 65.2%
68.9%
3.7 pts worse
81.7%
16.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 66.2% · Q2 48.4% · Q3 63.2% · Q4 87.5% · 4Q avg 65.2%
Percentage of short-stay residents who had an outpatient emergency department visit 9.8%
9.8%
About the same
12.0%
2.2 pts better
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 10.0% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.5%
0.3 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 57.0%
68.7%
11.7 pts worse
79.7%
22.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.9%
23.1%
3.8 pts worse
23.9%
3 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 25.0% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-14 · Fire 2025-03-14

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-23 · Fire 2024-02-23

7 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 2023-03-10 · Fire 2023-03-10

4 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-14

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-03-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-08

E · Potential for more than minimal harm 2024-09-11

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 2024-10-22

E · Potential for more than minimal harm 2024-09-11

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-09-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-22

D · Potential for more than minimal harm 2024-05-30

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 2024-06-18

D · Potential for more than minimal harm 2024-02-23

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 2024-03-12

D · Potential for more than minimal harm 2024-02-23

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 2024-03-12

D · Potential for more than minimal harm 2024-02-23

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 2024-03-12

D · Potential for more than minimal harm 2023-10-28

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 2023-11-14

D · Potential for more than minimal harm 2023-03-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-11

D · Potential for more than minimal harm 2023-03-10

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 2023-04-11

D · Potential for more than minimal harm 2023-03-10

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-04-11

Penalties and ownership

What sits behind the stars

Ownership

Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Bnv Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2020-12-31
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Graf, Andrew

Operational/Managerial Control · Individual

0% 4 facilities 2024-11-01
Nicoluzakis, Gregory

Corporate Officer · Individual

0% 117 facilities 2019-03-01
Saber Healthcare Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2018-04-01
Saber Pa Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 35 facilities 2025-04-01
Sakalas, Lori

Operational/Managerial Control · Individual

0% 10 facilities 2024-05-06
Shg Management LLC

Operational/Managerial Control · Organization

0% 86 facilities 2019-09-01
Shg Rewd LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2018-04-01
Tobias, Kristine

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-30
Volpe, Benjamin

Corporate Director · Individual

0% 122 facilities 2019-03-01
Volpe, Benjamin

Corporate Officer · Individual

0% 122 facilities 2019-03-01
Weisberg, William

Corporate Director · Individual

0% 123 facilities 2019-03-01
Weisberg, William

Corporate Officer · Individual

0% 123 facilities 2019-03-01
Wiw Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01

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