Cycle 1
Health 2025-06-06 · Fire 2025-06-06
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
State College, PA
Village At Penn State, The
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
260 Lion's Hill Road, State College, PA
(814) 238-1949
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
36
Certified beds
Average residents
33
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-07-06
CMS approved date
Coverage
Medicare
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
0.97
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.86
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.08
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.96
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.09
CMS adjusted RN staffing hours
Adjusted total hours
5.72
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
119
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
84.11
Composite VBP score used to determine payment impact.
Payment multiplier
1.0266
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
8.75
Baseline 35.71% · Performance 27.91% · Measure score 8.75 · Achievement 8.75 · Improvement 6.69
Adjusted total nurse staffing
8.07
Baseline 5.58 hours · Performance 5.37 hours · Measure score 8.07 · Achievement 8.07 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.63% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 7.02% |
| Discharge to community | 23.14% |
50.57%
27.4 pts worse
|
Worse than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 13.04% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 20 · Denominator 20 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 20 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 20 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 12.68% |
8.2%
4.5 pts better
|
Numerator 9 · Denominator 71 |
| Staff flu vaccination coverage | 38.16% |
42%
3.8 pts worse
|
Numerator 29 · Denominator 76 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| 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 | Not Available |
25.2%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
86.9%
10.5 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.3% · Q2 93.1% · Q3 100.0% · Q4 100.0% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
93.5%
3.2 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.2%
2 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 6.9% · Q4 10.0% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
6.5%
4.7 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 10.4% |
6.5%
3.9 pts worse
|
5.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 12.0% · Q3 20.0% · Q4 9.1% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.5% |
19.9%
12.4 pts better
|
19.6%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.7% · Q3 7.7% · Q4 7.4% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.4% |
18.7%
12.3 pts better
|
16.7%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.5% · Q3 4.0% · Q4 8.7% · 4Q avg 6.4% · 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 | 27.3% |
19.6%
7.7 pts worse
|
16.3%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 35.4% · 4Q avg 27.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.4% |
18.3%
14.1 pts worse
|
14.9%
17.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 20.0% · Q3 24.0% · Q4 57.7% · 4Q avg 32.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.9%
0.3 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 38.1% |
26.4%
11.7 pts worse
|
19.8%
18.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 46.3% · Q2 48.8% · Q3 32.4% · Q4 24.6% · 4Q avg 38.1% |
| Percentage of long-stay residents with pressure ulcers | 10.4% |
5.3%
5.1 pts worse
|
5.1%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 16.4% · Q3 14.5% · Q4 9.2% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.6% |
68.9%
10.3 pts worse
|
81.7%
23.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 51.6% · Q2 55.9% · Q3 61.5% · Q4 70.0% · 4Q avg 58.6% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.9% |
68.7%
15.8 pts worse
|
79.7%
26.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.9% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-19 · Fire 2024-07-19
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-08-11 · Fire 2023-08-11
15 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-06-06
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-07-28
E · Potential for more than minimal harm
2025-06-06
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 2025-07-28
E · Potential for more than minimal harm
2025-06-06
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-07-28
E · Potential for more than minimal harm
2025-06-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-28
E · Potential for more than minimal harm
2025-06-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-28
E · Potential for more than minimal harm
2025-06-06
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-28
E · Potential for more than minimal harm
2025-06-06
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-28
E · Potential for more than minimal harm
2025-06-06
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-07-28
E · Potential for more than minimal harm
2024-07-19
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 2024-08-26
E · Potential for more than minimal harm
2024-07-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-26
C · Minimal harm
2024-07-19
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-08-26
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-06-06
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 2025-07-28
E · Potential for more than minimal harm
2025-06-06
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-06
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-07-28
D · Potential for more than minimal harm
2025-06-06
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 2025-07-28
E · Potential for more than minimal harm
2024-07-19
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 2024-08-26
D · Potential for more than minimal harm
2024-07-19
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 2024-08-26
D · Potential for more than minimal harm
2024-07-19
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 2024-08-26
E · Potential for more than minimal harm
2023-08-11
F625 · Resident Rights Deficiencies
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 2023-10-05
E · Potential for more than minimal harm
2023-08-11
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 2023-10-05
E · Potential for more than minimal harm
2023-08-11
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 2023-10-05
E · Potential for more than minimal harm
2023-08-11
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 2023-10-05
E · Potential for more than minimal harm
2023-08-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
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 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-11
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-05
B · Minimal harm
2023-08-11
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 2023-10-05
Penalties and ownership
What sits behind the stars
Ownership
Liberty Lutheran Services
5% Or Greater Direct Ownership Interest · Organization
Barnum, John
Corporate Officer · Individual
Bortz, Beverly
Corporate Director · Individual
Comstock, Amy
Operational/Managerial Control · Individual
Corbin, Ellen
Operational/Managerial Control · Individual
Ducato, Frank
Corporate Director · Individual
First Citizens Community Bank
5% Or Greater Mortgage Interest · Organization
Fisher, Luanne
Corporate Officer · Individual
Galante, Michael
Operational/Managerial Control · Individual
Hill, Nikki
Corporate Director · Individual
Hopke, Fred
Corporate Director · Individual
Kramer, Tamia
Corporate Director · Individual
Liberty Lutheran Services
Operational/Managerial Control · Organization
Lynn, Paul
Corporate Director · Individual
Mercer Bucks Medical Association Pc
Operational/Managerial Control · Organization
Myers, Joan
Corporate Officer · Individual
Prince, Edward
Corporate Director · Individual
Silvis, Nancy
Corporate Director · Individual
Sliwinski, Martin
Corporate Director · Individual
Williams, Sara
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Juniper Village At Brookline-Rehabilitation And Sk
State College, PA
3-star overall rating with 4-star inspections with 5 recent health deficiencies
#2
Foxdale Village
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
#3
Embassy Of Hearthside
State College, PA
1-star overall rating with 1-star inspections with abuse icon flag with $23,995 in total fines with 22 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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