8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Pittston, PA
2-star overall rating with 3-star inspections with $8,021 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
209 Roberts Road, Pittston, PA
(570) 655-2891
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
111
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
United Methodist Homes
Operator or chain grouping
Approved since
1984-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
2 facilities
Chain averages 2 overall / 2 health / 1 staffing / 4 quality stars
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
0.39
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.15
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.13
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
0.98
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
1.78
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
2.20
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,572
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.70
Composite VBP score used to determine payment impact.
Payment multiplier
0.9893
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 16.60% · Performance 22.83% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.43
Baseline 5.50% · Performance 6.21% · Measure score 5.43 · Achievement 5.43 · Improvement 0
Total nurse turnover
5.24
Baseline 41.67% · Performance 42.28% · Measure score 5.24 · Achievement 5.24 · Improvement 0
Adjusted total nurse staffing
3.61
Baseline 3.75 hours · Performance 4.11 hours · Measure score 3.61 · Achievement 3.61 · Improvement 1.23
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.71% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 438 · Observed rate 9.36% · Lower 95% interval 7.53% |
| Discharge to community | 54.73% |
50.57%
4.2 pts better
|
No Different than the National Rate · Eligible stays 448 · Observed rate 46.65% · Lower 95% interval 50.08% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.63% |
95.27%
1.4 pts better
|
Numerator 287 · Denominator 297 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 297 |
| Discharge self-care score | 53.65% |
53.69%
About the same
|
Numerator 125 · Denominator 233 |
| Discharge mobility score | 56.22% |
50.94%
5.3 pts better
|
Numerator 131 · Denominator 233 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 296 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.21% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 276 · Observed rate 5.8% · Lower 95% interval 4.04% |
| Staff COVID-19 vaccination coverage | 2.52% |
8.2%
5.7 pts worse
|
Numerator 6 · Denominator 238 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 60.09% |
56.45%
3.6 pts better
|
Numerator 140 · Denominator 233 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 65 · Denominator 65 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 166 · Denominator 166 |
| Resident COVID-19 vaccinations up to date | 22.7% |
25.2%
2.5 pts worse
|
Numerator 32 · Denominator 141 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.7
0.8 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
86.9%
9 pts better
|
93.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 95.7% · Q3 96.6% · Q4 98.9% · 4Q avg 95.9% |
| 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 | 4.1% |
3.2%
0.9 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.4% · Q3 2.3% · Q4 5.7% · 4Q avg 4.1% · 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 | 3.0% |
6.5%
3.5 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.1% · Q3 3.3% · Q4 0.0% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.4% |
19.9%
11.5 pts better
|
19.6%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 7.4% · Q3 8.5% · Q4 9.2% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.7% |
18.7%
11 pts better
|
16.7%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.2% · Q3 7.8% · Q4 9.4% · 4Q avg 7.7% · 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 | 30.0% |
19.6%
10.4 pts worse
|
16.3%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 20.3% · Q3 26.4% · Q4 60.6% · 4Q avg 30.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.8% |
18.3%
3.5 pts worse
|
14.9%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 9.6% · Q3 15.2% · Q4 50.7% · 4Q avg 21.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.9%
About the same
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.1% · Q3 0.0% · Q4 1.1% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.7%
0.9 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.3% · Q3 1.2% · Q4 3.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.7% |
26.4%
6.3 pts worse
|
19.8%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 34.2% · Q3 27.2% · Q4 34.5% · 4Q avg 32.7% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.3%
0.4 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.8% · Q3 4.5% · Q4 2.3% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
68.9%
28 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 94.1% · Q3 98.4% · Q4 100.0% · 4Q avg 96.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
9.8%
2.9 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 11.4% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.5%
1.1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.5% |
68.7%
22.8 pts better
|
79.7%
11.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.0% |
23.1%
4.9 pts worse
|
23.9%
4.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.0% · Observed 26.1% · Expected 22.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
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 2025-06-24
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 2025-06-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-24
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 2024-08-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-27
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 2023-07-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-07-17
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-24
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-24
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-06-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-24
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-24
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 2025-06-24
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-24
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2025-06-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-17
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-09-17
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-09-17
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 2024-09-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-17
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 2024-09-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-17
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-09-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-17
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-15
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-08-22
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-08-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-08-22
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-08-22
Penalties and ownership
Fine · fine $8,021
Fine
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Nearby options
Wilkes-Barre, PA
1-star overall rating with 1-star inspections with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Exeter, PA
2-star overall rating with 2-star inspections with $19,760 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Kingston, PA
3-star overall rating with 2-star inspections with $7,443 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out