Every Medicare-certified nursing home in Pennsylvania, graded on inspections, staffing, turnover
and enforcement history.
24 homes
in the state sit in the federal Special Focus programme.
Squirrel Hill Wellness and Rehabilitation Center is a 178-bed for-profit home in Pittsburgh, and the federal numbers behind its record are hard to dress up. Since its last inspection in February 2025, CMS has logged 108 deficiencies, 14 tied to abuse and 5 serious enough to put residents in immediate harm, along with two fines totaling $184,782. It sits in the Special Focus Facility program, the government's list for homes with a pattern of persistent problems. Staffing is the other warning sign: one star, well below what you'd want for 178 residents. Ownership is corporate and for-profit. If you're considering this one, ask directly what's changed since February.
Elan Skilled Nursing and Rehab runs 145 certified beds in Scranton under nonprofit ownership, and its staffing is genuinely a strength, 4.47 nurse hours per resident day, about 16% above the national average. The catch is that weekends run roughly 11% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover sits at 46.8%, essentially the national rate. The bigger concern is the inspection record: 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $19,105 fine. That's a lot of findings against a 2-out-of-5 health inspection rating, even with a recent November 2025 inspection. Ask about weekend staffing and how the abuse-related citations were resolved.
Embassy of Saxonburg has a serious compliance problem. Federal inspectors have cited 64 deficiencies, including three that put residents in immediate harm and seven tied to abuse, enough to land it in CMS's Special Focus Facility program, which tracks the worst-performing homes in the country, and to draw $339,073 in fines. Staffing sits about 13% under the national average at 3.36 nurse hours per resident day, and the 52% annual turnover means the aides and nurses working weekends, already 4% leaner than weekdays, are often new. The quality star rating looks decent, but a one-star inspection record with abuse citations on file is the part that matters most.
Embassy Of Scranton carries 84 deficiencies on its current record, including two at the harm or jeopardy level and seven tied to abuse. That's the kind of inspection history that lands a home in CMS's Special Focus Facility program, which it is. It's owned by a for-profit limited liability company and holds 139 certified beds. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, with weekends about 4% thinner than weekdays. Turnover is 47.5%, just above the national figure of 45.8%. Two fines totaling $33,670 are also on record. The quality measure rating sits at three stars, but the inspection record is where the real story is.
Wecare At South Hills runs about 18% below the national average on nurse staffing, at 3.15 hours per resident day, and weekend coverage slips roughly 6% below what it manages during the week. Staff turnover sits at 65.4%, well above the 45.8% national figure, which means the people caring for residents are changing constantly. The deficiency record is the part that should get your attention: 66 total, four serious enough to involve harm or jeopardy, and eight tied to abuse. CMS has placed this home in its Special Focus Facility program and fined it $32,386. Its most recent inspection was January 23, 2026.
Independence Rehab and Nursing is a 255-bed nonprofit home in Philadelphia, and the numbers on its record are hard to get past. State inspectors cited 61 deficiencies, seven of them serious enough to involve harm or jeopardy, and six tied to abuse, with five fines totaling $353,465. Staffing sits around 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends run even leaner than weekdays. Annual turnover is 54.3%, meaning more than half the nursing staff leaves each year, well above the 45.8% national figure. The most recent inspection was in December 2025. If you're considering this home, ask directly how they plan to fix the abuse-related findings and what keeps staff from walking out the door.
Onyx Wellness Center runs 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends drop about 8% below its own weekday staffing. That gap matters because 69.4% of staff left over the past year, against a national average near 46%. The inspection record shows 25 deficiencies, four at harm or jeopardy level, one tied to abuse, and two fines totaling $109,654; the most recent inspection was March 5, 2026. Its quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.
Embassy Of Tunkhannock carries a federal Special Focus Facility designation, which CMS reserves for homes with a persistent record of poor care, and the numbers behind that status are hard to argue with. Fifty-seven deficiencies sit on the current record, five of them serious enough to involve harm or jeopardy to residents, and five tied to abuse. Nurse staffing runs about 20% below the national average, weekends dip below weekdays, and over half the nursing staff turned over in a year. A for-profit LLC operates the 124-bed building, and CMS has logged two fines totaling $103,502. The most recent inspection was January 30, 2026.
Emerald Nursing and Rehabilitation runs 73 beds in Elizabethtown under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.70 hours per resident day, under the national average, and weekends drop roughly 14 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 69.7 percent against a 45.8 percent national rate, which means caregivers are cycling out faster than most homes can replace them. Forty deficiencies sit on the current record, including four at harm or jeopardy level and two tied to abuse, with $35,265 in fines across three penalties. The last inspection was May 2026.
Armstrong Rehabilitation and Nursing Center is a 113-bed for-profit in Kittanning, and the numbers here deserve a close look before you consider it. The staffing rating sits at 1 out of 5, and the inspection record shows 106 deficiencies, including three at the level where residents were actually harmed or put in immediate jeopardy and twelve tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems, and there are three fines totaling $29,346. The most recent inspection was in December 2025, so the record is current. When staffing is thin and the deficiency list is this long, the day-to-day experience for residents tends to reflect it.
Twin Lakes Rehabilitation and Healthcare Center is a for-profit, 137-bed home in Greensburg that Medicare has flagged for its Special Focus Facility program, the designation CMS reserves for the homes with the most persistent quality problems. The inspection record backs that up: 83 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $29,035. Staffing sits at 3.15 nurse hours per resident day, roughly 18% under the national average, and weekends run about 6% thinner than weekdays. Annual turnover is 47.3%, a bit above the national figure. The quality measure stars look good, but they're self-reported data, the inspection and staffing numbers tell the more reliable story.
Kadima Rehabilitation & Nursing At Palmyra carries 72 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse. That's a lot for a 39-bed home, and it's why CMS has placed it in the Special Focus Facility program, the designation reserved for the homes with the most persistent problems. Nurse staffing sits at 3.61 hours per resident day, about 6% under the national average, and weekends run roughly 8% thinner than weekdays. Staff turnover is 63% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. One fine totaling $30,884 is on file.
Kadima Rehabilitation & Nursing At Cheswick carries a CMS health inspection rating of 1 out of 5 and currently sits in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The record backs that up: 77 deficiencies, including six tied to abuse and two at the level where residents were harmed or put in immediate jeopardy, plus a $72,725 fine. Staffing tells its own story, 3.32 nurse hours per resident day, roughly 14% under the national average, with weekends about 11% thinner than weekdays, and 52% annual turnover against a 45.8% national figure. Its quality measure score of 4 out of 5 stands out against everything else, but quality measures come from resident assessments, not from how well a building is run day to day.
Spring Hill Rehabilitation and Nursing Center is a 100-bed for-profit home in Pittsburgh, and the federal numbers behind its grade are hard to read any other way. CMS has cited 146 deficiencies on the current record, including 12 tied to abuse and four serious enough to put residents in immediate harm or jeopardy. Staffing sits at one star, well below what CMS expects. Drugstore fines total $19,366 across three penalties. The home is in CMS's Special Focus Facility program, meaning the agency tracks it for persistent trouble. The inspection in May 2026 is recent, but the record behind it is long. Families should ask hard questions before choosing this one.
Wecare At Monroeville Rehabilitation And Nsg Ctr carries a record that's hard to look past. The home has 73 deficiencies on file, five of them serious enough to cause harm or put residents in jeopardy, and eight tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. Two fines totaling $232,130 have been levied.
Staffing sits at 2.87 nurse hours per resident per day, well under the national average. Weekends run thinner than weekdays, when coverage already isn't strong. The most recent inspection in April 2026 confirms the pattern rather than resolving it. If you're weighing this one, ask the administrator directly what's changed since CMS flagged it.
Providence Health & Rehab Center runs 180 certified beds under for-profit LLC ownership, and its staffing sits about 15% under the national average at 3.27 nurse hours per resident day. Weekends dip roughly 8% below its own weekday coverage, so the thinnest shifts land when families often visit. The inspection record is the heavier concern: 91 deficiencies, three at harm or jeopardy level, and 17 tied to abuse. Eleven fines total $45,593, and the most recent inspection was August 2025. Turnover at 41.7% is slightly better than the 45.8% national figure, which is the one number here working in its favor.
Greenery Center For Rehab And Nursing is a 140-bed for-profit home in Canonsburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average, and weekends run about 8% thinner than weekdays, so coverage is stretched even at its best. Staff turnover is 71.4% a year against a national rate near 46%, which means the people caring for residents are, more often than not, new. CMS has placed it in the Special Focus Facility program, its last inspection was April 2026, and its record shows 65 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $35,133 in fines.
Heritage Care Center is a 143-bed for-profit home in Pittsburgh that CMS has placed in its Special Focus Facility program, a designation reserved for the homes with the most persistent inspection problems. The record backs that up: 114 deficiencies, including seven tied to abuse and two at the level where residents were actually harmed or put in jeopardy. Staffing sits at 2.96 nurse hours per resident per day, roughly a quarter below the national average, with weekends running about 12% thinner than weekdays. Turnover is 60.2%, well above the national 45.8%, meaning the aides and nurses who know your family member are likely to leave within the year.
Southwestern runs on 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 7% below its own weekday levels. Staff turnover sits at 65.4% against a 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 56 deficiencies, four serious enough to put residents in harm or jeopardy and three tied to abuse. Add a $60,520 fine and a January 2025 inspection, and the pattern is a for-profit home running lean on the people who do the daily work, with a documented history of things going wrong.
Maple Heights runs 301 beds in Ebensburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent under the national average, and weekends drop about 8 percent below what the home staffs on weekdays. Staff turnover is 50.4 percent, so half the people caring for residents in a given year are gone by the next. On inspections, CMS has cited 115 deficiencies, including 5 at the harm or jeopardy level and 10 tied to abuse; three fines total $76,416, and the home sits in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. The most recent inspection was November 2025.