Montoursville, PA

Valley View Rehab And Nursing Center

4-star overall rating with 3-star inspections with $11,788 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2140 Warrensville Road, Montoursville, PA

(570) 433-3161

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

163

Certified beds

Average residents

130

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-04-21

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

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.20

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.67

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.53

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.86

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.12

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

5.00

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

17%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,241

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

Performance score

50.75

Composite VBP score used to determine payment impact.

Payment multiplier

1.0050

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.33% · Performance 23.43% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.28

Baseline 4.90% · Performance 6.26% · Measure score 5.28 · Achievement 5.28 · Improvement 0

Total nurse turnover

10

Baseline 28.23% · Performance 22.73% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

5.02

Baseline 4.14 hours · Performance 4.51 hours · Measure score 5.02 · Achievement 5.02 · Improvement 1.73

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.13%
10.72%
1.4 pts worse
No Different than the National Rate · Eligible stays 220 · Observed rate 12.27% · Lower 95% interval 9.23%
Discharge to community 38.16%
50.57%
12.4 pts worse
Worse than the National Rate · Eligible stays 211 · Observed rate 31.75% · Lower 95% interval 29.74%
Medicare spending per beneficiary 0.82
1.02
0.2 pts better
Drug regimen review with follow-up 99.17%
95.27%
3.9 pts better
Numerator 120 · Denominator 121
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 121
Discharge self-care score 62.86%
53.69%
9.2 pts better
Numerator 66 · Denominator 105
Discharge mobility score 59.05%
50.94%
8.1 pts better
Numerator 62 · Denominator 105
Pressure ulcers or injuries, new or worsened 1.65%
2.29%
0.6 pts better
Numerator 2 · Denominator 121 · Adjusted rate 1.67%
Healthcare-associated infections requiring hospitalization 6.26%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 123 · Observed rate 4.88% · Lower 95% interval 3.93%
Staff COVID-19 vaccination coverage 2.55%
8.2%
5.6 pts worse
Numerator 5 · Denominator 196
Staff flu vaccination coverage 87.5%
42%
45.5 pts better
Numerator 189 · Denominator 216
Discharge function score 65.71%
56.45%
9.3 pts better
Numerator 69 · Denominator 105
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 59 · Denominator 59
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 22 · Denominator 22
Resident COVID-19 vaccinations up to date 18.57%
25.2%
6.6 pts worse
Numerator 13 · Denominator 70

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.7
About the same
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.2
0.4 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
86.9%
12.2 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 97.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2%
93.5%
5.7 pts better
95.5%
3.7 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of long-stay residents experiencing one or more falls with major injury 3.8%
3.2%
0.6 pts worse
3.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 3.6% · Q3 3.3% · Q4 2.6% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.4%
6.5%
5.1 pts better
11.4%
10 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 3.6% · Q4 0.0% · 4Q avg 1.4%
Percentage of long-stay residents who lose too much weight 6.4%
6.5%
0.1 pts better
5.4%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 11.3% · Q3 7.0% · Q4 2.9% · 4Q avg 6.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.5%
19.9%
1.6 pts worse
19.6%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 21.1% · Q3 19.3% · Q4 21.3% · 4Q avg 21.5%
Percentage of long-stay residents who received an antipsychotic medication 30.4%
18.7%
11.7 pts worse
16.7%
13.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 30.8% · Q3 32.6% · Q4 33.7% · 4Q avg 30.4% · 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 18.0%
19.6%
1.6 pts better
16.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 13.0% · Q3 17.8% · Q4 21.9% · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 29.5%
18.3%
11.2 pts worse
14.9%
14.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 18.6% · Q3 30.7% · Q4 38.7% · 4Q avg 29.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4%
0.9%
1.5 pts worse
1.0%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 3.4% · Q3 2.2% · Q4 1.6% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
1.7%
1 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.4%
26.4%
3 pts worse
19.8%
9.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 29.7% · Q3 28.0% · Q4 28.9% · 4Q avg 29.4%
Percentage of long-stay residents with pressure ulcers 5.1%
5.3%
0.2 pts better
5.1%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.9% · Q3 3.2% · Q4 7.1% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.1%
68.9%
26.2 pts better
81.7%
13.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 90.1% · Q2 95.6% · Q3 98.1% · Q4 96.0% · 4Q avg 95.1%
Percentage of short-stay residents who had an outpatient emergency department visit 8.3%
9.8%
1.5 pts better
12.0%
3.7 pts better
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 8.5% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.5%
0.7 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 75.7%
68.7%
7 pts better
79.7%
4 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 14.2%
23.1%
8.9 pts better
23.9%
9.7 pts better
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 16.0% · Expected 27.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-23 · Fire 2025-05-23

9 health deficiencies

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

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-06-20 · Fire 2024-06-20

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-07-28 · Fire 2023-07-28

5 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-23

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-06-02

E · Potential for more than minimal harm 2025-05-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-02

E · Potential for more than minimal harm 2024-06-20

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-07-08

E · Potential for more than minimal harm 2024-06-20

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 2024-07-08

D · Potential for more than minimal harm 2024-06-20

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 2024-07-08

D · Potential for more than minimal harm 2024-06-20

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-07-08

E · Potential for more than minimal harm 2023-07-28

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-08-04

E · Potential for more than minimal harm 2023-07-28

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 2023-07-28

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-08-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

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.

Not marked corrected

E · Potential for more than minimal harm 2025-05-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-05-23

F700 · Quality of Life and Care Deficiencies

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 2025-06-30

D · Potential for more than minimal harm 2025-05-23

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-05-23

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 2025-06-30

D · Potential for more than minimal harm 2025-05-23

F726 · Nursing and Physician Services Deficiencies

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 2025-06-30

D · Potential for more than minimal harm 2025-05-23

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-05-23

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-05-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-30

F · Potential for more than minimal harm 2024-06-20

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-20

F846 · Administration Deficiencies

Health

Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-20

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-20

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 2024-08-09

D · Potential for more than minimal harm 2024-06-20

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-20

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 2024-08-09

D · Potential for more than minimal harm 2024-06-20

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-20

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-20

F758 · Pharmacy Service Deficiencies

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 2024-08-09

D · Potential for more than minimal harm 2024-06-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-05

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-07-12

D · Potential for more than minimal harm 2023-11-14

F726 · Nursing and Physician Services Deficiencies

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 2023-12-15

G · Actual harm 2023-07-28

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-28

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 2023-08-25

D · Potential for more than minimal harm 2023-07-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-28

F700 · Quality of Life and Care Deficiencies

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 2023-08-25

Penalties and ownership

What sits behind the stars

$11,788 2023-07-28

Fine

Fine · fine $11,788

Fine

Ownership

Alexander, Amy

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-31
Alexander, Amy

Corporate Director · Individual

0% 1 facilities 2025-01-31
Calder, Stephanie

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-31
Calder, Stephanie

Corporate Director · Individual

0% 1 facilities 2025-01-31
Forquer, Adele

Operational/Managerial Control · Individual

0% 1 facilities 2022-01-31
Forquer, Adele

Corporate Director · Individual

0% 1 facilities 2021-01-31
Fry, Stephen

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-29
Fry, Stephen

Corporate Officer · Individual

0% 1 facilities 2023-10-29
Hostrander, Amy

Operational/Managerial Control · Individual

0% 1 facilities 2017-10-30
Hostrander, Amy

Corporate Officer · Individual

0% 1 facilities 2017-10-30
Johnson, Taryn

Operational/Managerial Control · Individual

0% 1 facilities 2023-11-12
Johnson, Taryn

Corporate Officer · Individual

0% 1 facilities 2023-11-12
Leidhecker, Robin

Corporate Director · Individual

0% 1 facilities 2023-01-31
Mccreary, Glenn

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-31
Mccreary, Glenn

Corporate Director · Individual

0% 1 facilities 2024-01-31
Mutchler, Richard

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-31
Mutchler, Richard

Corporate Director · Individual

0% 1 facilities 2024-01-31
Stroble, Tracey

Operational/Managerial Control · Individual

0% 1 facilities 2019-06-03
Stroble, Tracey

Corporate Officer · Individual

0% 1 facilities 2019-06-03
Vanemon, Kimberly

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-31
Vanemon, Kimberly

Corporate Director · Individual

0% 1 facilities 2025-01-31
White, Elizabeth

Operational/Managerial Control · Individual

0% 1 facilities 2022-01-31
White, Elizabeth

Corporate Director · Individual

0% 1 facilities 2022-01-31

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2-star overall rating with 2-star inspections with $305,250 in total fines with 15 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

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Fines
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#3

Edenbrook South

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1-star overall rating with 1-star inspections with $10,824 in total fines with 18 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
3 / 5
Fines
$10,824

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