9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Belleville, PA
5-star overall rating with 3-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4702 East Main Street, Belleville, PA
(717) 935-2105
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
162
Certified beds
Average residents
107
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.55
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.18
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.66
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.95
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
4.95
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
25%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
679
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.43
Composite VBP score used to determine payment impact.
Payment multiplier
1.0196
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.36
Baseline 16.52% · Performance 18.95% · Measure score 5.36 · Achievement 5.36 · Improvement 0
Healthcare-associated infections
5.86
Baseline 5.50% · Performance 6.08% · Measure score 5.86 · Achievement 5.86 · Improvement 0
Total nurse turnover
10
Baseline 42.42% · Performance 22.95% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
4.95
Baseline 4.32 hours · Performance 4.49 hours · Measure score 4.95 · Achievement 4.95 · Improvement 0.65
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.72% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 136 · Observed rate 5.88% · Lower 95% interval 6.23% |
| Discharge to community | 56.58% |
50.57%
6 pts better
|
No Different than the National Rate · Eligible stays 135 · Observed rate 57.78% · Lower 95% interval 47.07% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.97% |
95.27%
3.7 pts better
|
Numerator 96 · Denominator 97 |
| Falls with major injury | 3.09% |
0.77%
2.3 pts worse
|
Numerator 3 · Denominator 97 |
| Discharge self-care score | 63.1% |
53.69%
9.4 pts better
|
Numerator 53 · Denominator 84 |
| Discharge mobility score | 73.81% |
50.94%
22.9 pts better
|
Numerator 62 · Denominator 84 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 97 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.08% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 2.47% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 1.26% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 239 |
| Staff flu vaccination coverage | 67.66% |
42%
25.7 pts better
|
Numerator 182 · Denominator 269 |
| Discharge function score | 72.62% |
56.45%
16.2 pts better
|
Numerator 61 · Denominator 84 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 16.33% |
25.2%
8.9 pts worse
|
Numerator 8 · Denominator 49 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.2
0.2 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
86.9%
13.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.2% |
93.5%
0.7 pts better
|
95.5%
1.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.3% |
3.2%
4.1 pts worse
|
3.3%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.1% · Q3 6.3% · Q4 8.5% · 4Q avg 7.3% · 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 | 4.2% |
6.5%
2.3 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 7.7% · Q3 1.2% · Q4 3.3% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.9% |
19.9%
1 pts better
|
19.6%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 18.1% · Q3 14.8% · Q4 20.4% · 4Q avg 18.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
18.7%
9.2 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.8% · Q3 9.8% · Q4 10.8% · 4Q avg 9.5% · 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 | 20.1% |
19.6%
0.5 pts worse
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 28.3% · Q3 16.6% · Q4 12.6% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.8% |
18.3%
6.5 pts worse
|
14.9%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 35.6% · Q3 20.2% · Q4 15.6% · 4Q avg 24.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
1.7%
1 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 4.4% · Q4 2.2% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.2% |
26.4%
1.2 pts better
|
19.8%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 29.4% · Q3 17.3% · Q4 23.3% · 4Q avg 25.2% |
| Percentage of long-stay residents with pressure ulcers | 0.7% |
5.3%
4.6 pts better
|
5.1%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
68.9%
29.4 pts better
|
81.7%
16.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 97.7% · Q3 100.0% · Q4 99.1% · 4Q avg 98.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.8% |
9.8%
4 pts worse
|
12.0%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.8% · Observed 12.5% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
68.7%
25.3 pts better
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
23.1%
2.3 pts better
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 17.0% · Expected 19.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-27
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 2025-05-27
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-05-27
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-26
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 2024-06-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-22
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-22
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-27
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-27
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 2025-05-27
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-05-27
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-05-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-09
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-09
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-07-09
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-09
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-07-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-18
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-18
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-07-18
Health
Dispose of garbage and refuse properly.
Corrected 2023-07-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-07-18
Penalties and ownership
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Corporate Officer · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
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4-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Lewistown, PA
3-star overall rating with 2-star inspections with $21,491 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
State College, PA
5-star overall rating with 4-star inspections with $8,018 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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