9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Pittsburgh, PA
5-star overall rating with 3-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
111 Perrymont Road, Pittsburgh, PA
(412) 366-5600
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
106
Certified beds
Average residents
91
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
1.27
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.56
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.09
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.00
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.26
CMS adjusted RN staffing hours
Adjusted total hours
4.51
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
8,793
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.69
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.96
Baseline 20.38% · Performance 20.99% · Measure score 0.96 · Achievement 0.96 · Improvement 0
Healthcare-associated infections
2.57
Baseline 4.83% · Performance 7.07% · Measure score 2.57 · Achievement 2.57 · Improvement 0
Total nurse turnover
1.68
Baseline 43.23% · Performance 56.82% · Measure score 1.68 · Achievement 1.68 · Improvement 0
Adjusted total nurse staffing
5.07
Baseline 3.98 hours · Performance 4.52 hours · Measure score 5.07 · Achievement 5.07 · Improvement 2.48
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.99% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 307 · Observed rate 9.45% · Lower 95% interval 7.65% |
| Discharge to community | 50.95% |
50.57%
0.4 pts better
|
No Different than the National Rate · Eligible stays 307 · Observed rate 48.53% · Lower 95% interval 45.75% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.83% |
95.27%
2.6 pts better
|
Numerator 180 · Denominator 184 |
| Falls with major injury | 0.54% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 184 |
| Discharge self-care score | 60.14% |
53.69%
6.5 pts better
|
Numerator 89 · Denominator 148 |
| Discharge mobility score | 48.65% |
50.94%
2.3 pts worse
|
Numerator 72 · Denominator 148 |
| Pressure ulcers or injuries, new or worsened | 3.8% |
2.29%
1.5 pts worse
|
Numerator 7 · Denominator 184 · Adjusted rate 3.88% |
| Healthcare-associated infections requiring hospitalization | 7.07% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 190 · Observed rate 5.79% · Lower 95% interval 4.1% |
| Staff COVID-19 vaccination coverage | 4.33% |
8.2%
3.9 pts worse
|
Numerator 12 · Denominator 277 |
| Staff flu vaccination coverage | 5.25% |
42%
36.8 pts worse
|
Numerator 31 · Denominator 590 |
| Discharge function score | 60.81% |
56.45%
4.4 pts better
|
Numerator 90 · Denominator 148 |
| Transfer of health information to provider | 89.66% |
95.95%
6.3 pts worse
|
Numerator 26 · Denominator 29 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 144 · Denominator 144 |
| Resident COVID-19 vaccinations up to date | 13% |
25.2%
12.2 pts worse
|
Numerator 13 · Denominator 100 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.7
0.7 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.2
0.4 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
86.9%
10.9 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 96.8% · Q3 98.1% · Q4 100.0% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.0% |
93.5%
3.5 pts better
|
95.5%
1.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.2%
1.4 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 1.9% · Q4 2.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.6% |
6.5%
6.1 pts worse
|
11.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 11.7% · Q3 10.2% · Q4 15.9% · 4Q avg 12.6% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.5%
0.7 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 6.7% · Q3 5.6% · Q4 9.7% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.3% |
19.9%
14.6 pts better
|
19.6%
14.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.3% · Q3 5.6% · Q4 3.1% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
18.7%
11.4 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.5% · Q3 8.8% · Q4 6.9% · 4Q avg 7.3% · 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 | 28.3% |
19.6%
8.7 pts worse
|
16.3%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · 4Q avg 28.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% |
18.3%
9.6 pts better
|
14.9%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 5.0% · Q3 9.4% · Q4 7.4% · 4Q avg 8.7% · 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 | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 27.1% |
26.4%
0.7 pts worse
|
19.8%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 18.8% · Q3 31.4% · Q4 27.9% · 4Q avg 27.1% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
5.3%
1.2 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 8.1% · Q3 5.2% · Q4 5.8% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
68.9%
20.8 pts better
|
81.7%
8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 87.8% · Q3 88.8% · Q4 94.7% · 4Q avg 89.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
9.8%
0.2 pts worse
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 9.2% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.3% · Q3 0.5% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
68.7%
19.3 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
23.1%
1 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 17.9% · Expected 19.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-04
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-04
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-04
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-06-17
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 2025-06-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-17
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 2025-06-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-17
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-07-15
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-15
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-07-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-15
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 2024-07-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-15
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 2024-07-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-20
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-12-13
Health
Keep all essential equipment working safely.
Corrected 2023-12-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-12
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-12
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-12
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-26
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-26
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 2023-04-26
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Pittsburgh, PA
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $37,516 in total fines with 43 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Pittsburgh, PA
2-star overall rating with 1-star inspections with abuse icon flag with $90,344 in total fines with 21 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Wexford, PA
1-star overall rating with 1-star inspections with $18,223 in total fines with 29 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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