10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Williamsport, PA
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
1900 Ravine Road, Williamsport, PA
(570) 323-8781
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
129
Certified beds
Average residents
120
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1984-11-01
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
0.49
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.01
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
4.36
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
434
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.01
Composite VBP score used to determine payment impact.
Payment multiplier
1.0224
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 15.01% · Performance 16.23% · Measure score 10 · Achievement 10 · Improvement 0
Healthcare-associated infections
10
Baseline 3.97% · Performance 4.95% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
2.45
Baseline 46.27% · Performance 53.66% · Measure score 2.45 · Achievement 2.45 · Improvement 0
Adjusted total nurse staffing
5.55
Baseline 4.61 hours · Performance 4.66 hours · Measure score 5.55 · Achievement 5.55 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.93% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 340 · Observed rate 8.24% · Lower 95% interval 7.87% |
| Discharge to community | 52.3% |
50.57%
1.7 pts better
|
No Different than the National Rate · Eligible stays 347 · Observed rate 48.41% · Lower 95% interval 47.33% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.13% |
95.27%
1.9 pts better
|
Numerator 203 · Denominator 209 |
| Falls with major injury | 1.91% |
0.77%
1.1 pts worse
|
Numerator 4 · Denominator 209 |
| Discharge self-care score | 56.57% |
53.69%
2.9 pts better
|
Numerator 99 · Denominator 175 |
| Discharge mobility score | 46.29% |
50.94%
4.6 pts worse
|
Numerator 81 · Denominator 175 |
| Pressure ulcers or injuries, new or worsened | 1.44% |
2.29%
0.9 pts better
|
Numerator 3 · Denominator 209 · Adjusted rate 1.68% |
| Healthcare-associated infections requiring hospitalization | 4.95% |
7.12%
2.2 pts better
|
No Different than the National Rate · Eligible stays 219 · Observed rate 2.74% · Lower 95% interval 3.12% |
| Staff COVID-19 vaccination coverage | 0.59% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 170 |
| Staff flu vaccination coverage | 46.45% |
42%
4.5 pts better
|
Numerator 98 · Denominator 211 |
| Discharge function score | 52% |
56.45%
4.5 pts worse
|
Numerator 91 · Denominator 175 |
| Transfer of health information to provider | 93.55% |
95.95%
2.4 pts worse
|
Numerator 29 · Denominator 31 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 127 · Denominator 127 |
| Resident COVID-19 vaccinations up to date | 25.93% |
25.2%
0.7 pts better
|
Numerator 28 · Denominator 108 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
86.9%
13.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| 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 3.2% · Q2 2.1% · Q3 4.7% · Q4 5.6% · 4Q avg 3.8% · 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 0.0% · Q2 5.6% · Q3 1.8% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
6.5%
2.7 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 6.8% · Q3 10.8% · Q4 9.3% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.2% |
19.9%
2.7 pts better
|
19.6%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 19.3% · Q3 17.9% · Q4 12.8% · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.1% |
18.7%
11.4 pts worse
|
16.7%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 28.6% · Q3 36.1% · Q4 32.9% · 4Q avg 30.1% · 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 | 20.1% |
19.6%
0.5 pts worse
|
16.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 30.3% · Q3 20.1% · Q4 7.5% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.3% |
18.3%
10 pts worse
|
14.9%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.3% · Q2 32.5% · Q3 28.8% · Q4 13.0% · 4Q avg 28.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.9%
0.5 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.4% · Q3 0.9% · Q4 0.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.7%
0.6 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 2.4% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.2% |
26.4%
8.8 pts worse
|
19.8%
15.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 36.3% · Q3 31.2% · Q4 38.7% · 4Q avg 35.2% |
| 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 1.1% · Q2 5.2% · Q3 7.3% · Q4 6.3% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
68.9%
30.1 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 98.9% · Q3 99.0% · Q4 99.0% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
9.8%
1.8 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.3% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.5%
1 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 1.6% · Q4 1.6% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% |
68.7%
28.3 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
23.1%
2.1 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 18.1% · Expected 20.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-02-10
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2026-02-10
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 2026-02-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-02-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-02-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2026-02-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-02-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-02-10
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-01
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 2025-04-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-03-08
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 2024-03-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-08
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-03-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-08
Inspection history
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Not marked corrected
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.
Not marked corrected
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Not marked corrected
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Not marked corrected
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.
Not marked corrected
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Not marked corrected
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Not marked corrected
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.
Not marked corrected
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 2025-04-14
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-14
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 2025-04-14
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 2025-04-14
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 2025-04-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-14
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-14
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 2025-04-14
Health
Provide or obtain dental services for each resident.
Corrected 2025-04-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-25
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-03-25
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 2024-03-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-25
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-03-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-25
Penalties and ownership
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Williamsport, PA
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Williamsport, PA
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
Williamsport, PA
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
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