Mechanicsburg, PA

Vibra Rehabilitation Center

3-star overall rating with 2-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

707 Sheperdstown Rd, Mechanicsburg, PA

(717) 591-2125

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vibra Healthcare

Operator or chain grouping

Approved since

2014-02-11

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

3 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

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

1.13

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.26

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.77

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.16

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

2.39

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.71

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.84

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.12

CMS adjusted RN staffing hours

Adjusted total hours

4.14

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,910

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

Performance score

31.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9865

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.66

Baseline 17.22% · Performance 20.20% · Measure score 2.66 · Achievement 2.66 · Improvement 0

Healthcare-associated infections

1.70

Baseline 5.45% · Performance 7.33% · Measure score 1.70 · Achievement 1.70 · Improvement 0

Total nurse turnover

2.04

Baseline 68.85% · Performance 57.69% · Measure score 2.04 · Achievement 1.46 · Improvement 2.04

Adjusted total nurse staffing

6.14

Baseline 3.67 hours · Performance 4.82 hours · Measure score 6.14 · Achievement 6.14 · Improvement 4.96

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.75%	10.72% 1 pts worse	No Different than the National Rate · Eligible stays 147 · Observed rate 11.56% · Lower 95% interval 8.47%
Discharge to community	72.17%	50.57% 21.6 pts better	Better than the National Rate · Eligible stays 138 · Observed rate 71.74% · Lower 95% interval 63.12%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	57.89%	95.27% 37.4 pts worse	Numerator 55 · Denominator 95
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 95
Discharge self-care score	69.05%	53.69% 15.4 pts better	Numerator 58 · Denominator 84
Discharge mobility score	53.57%	50.94% 2.6 pts better	Numerator 45 · Denominator 84
Pressure ulcers or injuries, new or worsened	1.05%	2.29% 1.2 pts better	Numerator 1 · Denominator 95 · Adjusted rate 1.39%
Healthcare-associated infections requiring hospitalization	7.33%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 78 · Observed rate 6.41% · Lower 95% interval 4.39%
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 95 · Denominator 95
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	69.05%	56.45% 12.6 pts better	Numerator 58 · Denominator 84
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 81 · Denominator 81
Resident COVID-19 vaccinations up to date	84.48%	25.2% 59.3 pts better	Numerator 49 · Denominator 58

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	68.9% 29.9 pts better	81.7% 17.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 98.2% · Q3 99.4% · Q4 99.4% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit	1.4%	9.8% 8.4 pts better	12.0% 10.6 pts better	Short Stay · 20240701-20250630 · Adjusted 1.4% · Observed 1.2% · Expected 9.9% · 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 1.1% · Q2 0.5% · Q3 0.5% · Q4 1.2% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.5%	68.7% 27.8 pts better	79.7% 16.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.0%	23.1% 7.1 pts better	23.9% 7.9 pts better	Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 13.6% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

10 health deficiencies

Top issue: Administration (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-09-19 · Fire 2024-09-19

7 health deficiencies

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

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2023-10-05 · Fire 2023-10-05

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-04

F · Potential for more than minimal harm 2024-09-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-05

E · Potential for more than minimal harm 2024-09-19

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2024-09-05

E · Potential for more than minimal harm 2024-09-19

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-09-05

C · Minimal harm 2024-09-19

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-09-05

E · Potential for more than minimal harm 2023-10-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-11-27

E · Potential for more than minimal harm 2023-10-05

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 2023-11-27

E · Potential for more than minimal harm 2023-10-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-28

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-28

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 2025-09-30

E · Potential for more than minimal harm 2025-08-28

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-28

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

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 2025-09-30

D · Potential for more than minimal harm 2025-08-28

F808 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-28

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-09-30

G · Actual harm 2025-01-30

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 2025-02-10

E · Potential for more than minimal harm 2024-09-19

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-04

E · Potential for more than minimal harm 2024-09-19

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-10-12

D · Potential for more than minimal harm 2024-09-19

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-10-05

D · Potential for more than minimal harm 2024-09-19

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-10-12

D · Potential for more than minimal harm 2024-09-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-05

D · Potential for more than minimal harm 2024-09-19

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-10-05

E · Potential for more than minimal harm 2024-01-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-05

E · Potential for more than minimal harm 2024-01-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-22

E · Potential for more than minimal harm 2023-10-05

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 2023-11-28