Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Friendship Rehab and Health is one of the largest nursing homes in Pennsylvania, with 589 certified beds, and it's owned by a for-profit limited liability company. The staffing numbers are the first thing you'd notice: 2.40 nurse hours per resident per day, roughly 38% under the national average, with weekends running about 18% below its own weekday levels. Staff turnover sits at 66.2% a year against a national average of 45.8%. The inspection record is heavy, 173 deficiencies, 10 of them at harm or jeopardy level, 13 abuse-related, and five fines totaling $234,389. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems.
Champion City is a 187-bed for-profit home in Pittsburgh, and the federal numbers paint a rough picture from every angle. Staff turnover runs at 60.7 percent a year, well above the national average of 45.8, and its staffing, quality, and health inspection ratings each sit at the lowest mark CMS gives. The current record carries 90 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse. CMS has placed it in the Special Focus Facility program, which the agency reserves for the homes with the most persistent problems. Its last inspection was March 27, 2026, and there's one fine on record, totaling $7,656.
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.
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.
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.
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.
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.
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.
Rochester Residence and Care Center carries a record that should give any family pause. State and federal inspectors have cited 141 deficiencies here, ten of them tied to abuse and eight serious enough to put residents in immediate harm's way. Six fines total $390,255, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the small share of nursing homes with a persistent pattern of serious problems. It's a for-profit limited liability company with 119 certified beds. The most recent inspection, in February 2026, is recent enough that these findings reflect how the place operates now, not some distant past. If you're considering this home, ask hard questions before you sign anything.
Kadima Rehabilitation & Nursing At Campbelltown runs 53 beds in Palmyra, and the numbers here are hard to dress up. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and it thins out further on weekends, about 8% below the home's own weekday level. Meanwhile, annual turnover hits 84.1% against a national average of 45.8%, so the aides and nurses cycling through the building rarely stay long.
The inspection record tells the same story: 74 deficiencies, two at harm or jeopardy level, four tied to abuse, and a one-star rating across health inspections, quality measures, and staffing. CMS has placed it in the Special Focus Facility program, which it reserves for the country's most persistently troubled homes.
Grandview Nursing And Rehabilitation in Danville carries one of the heavier regulatory loads in Pennsylvania. The 172-bed for-profit home has 117 deficiencies on its current record, including 8 at the harm or jeopardy level and 5 tied to abuse, and CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of persistent problems. Staffing sits at 3.82 nurse hours per resident day, slightly under the national figure, and drops about 15% on weekends. Turnover runs 50.9% against a 45.8% national average, meaning roughly half the nursing staff leaves each year. Four fines totaling $157,241 round out the record.
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 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.
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.
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.
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.
Burgh Care Center is a for-profit, 126-bed home in Pittsburgh that the federal government has flagged for its Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. Its inspection history backs that up: 120 deficiencies on the current record, including five at the harm or jeopardy level and 14 tied to abuse, plus $347,202 in fines across three cases. Nurse staffing runs about 12% below the national average, weekends dip further, and turnover sits at 51.4%, well above the 45.8% norm. A recent inspection in April 2026 doesn't erase a pattern this deep. Worth asking hard questions before considering it.
Care Pavilion is a 396-bed for-profit home in Philadelphia, and the numbers that stand out most aren't about its size. State inspectors have cited 96 deficiencies on the current record, including five at the harm or jeopardy level and nine tied to abuse, a volume that suggests problems aren't isolated incidents. Federal fines total $185,704 across three actions. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average, and weekends run about 11% thinner than weekdays. One relative bright spot: staff turnover is 32.4%, better than the 45.8% national figure. The last inspection was December 22, 2025, so that record is recent.
Bridgeville Rehabilitation & Care Center runs 194 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.39 nurse hours per resident day, about 12% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover sits at 60.5% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The inspection record is heavier still, 73 deficiencies, four serious enough to reach harm or jeopardy, twelve tied to abuse, and $209,858 in fines across three penalties. A 1-out-of-5 health inspection rating and a recent August 2025 inspection round out the picture.
Inners Creek runs 202 certified beds in Dallastown under corporate ownership, and the numbers here deserve a close look before you decide anything. Nurse staffing sits at 3.37 hours per resident day, roughly 13 percent under the national average, and it thins out further on weekends, dropping about 7 percent below the home's own weekday level. Staff turnover is 54 percent a year against a national 45.8 percent, meaning more than half the caregivers are new to their jobs within twelve months. On the inspection side, the current record shows 62 deficiencies, including 2 at the harm level and 4 tied to abuse, with two fines totaling $47,031. The most recent inspection was October 25, 2024.
The Gardens at Orangeville runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays. Turnover sits at 45.7%, almost exactly the national figure, so this isn't a retention crisis so much as a steady churn. State inspectors logged 42 deficiencies on the current record, none at the harm or jeopardy level, though one is abuse-related. The last inspection was September 2025. It's a for-profit limited liability company with 119 beds, and the federal stars split the difference: three for health inspections, two each for quality measures and staffing.
Cranberry Place runs 150 certified beds in Butler County under nonprofit ownership, and its nurse staffing sits right at the national average, about 3.90 hours per resident day. The problem is who's left on weekends, when coverage drops roughly 15% below its own weekday level, and how fast the staff turns over: 66.3% annually against a national 45.8%. That churn shows up in the inspection record, where 87 deficiencies include 9 abuse-related citations and 6 at the harm or jeopardy level, drawing two fines totaling $42,774. The most recent inspection was January 31, 2026, so the record is current. Families weighing this home should ask specifically how weekend coverage and staff retention are being addressed.
The numbers at Mountain City start with the nursing hours: 3.35 per resident day against a national average of 3.86, and weekends run about a tenth thinner than weekdays, so coverage is weakest exactly when families tend to visit. Fifty-one deficiencies sit on the current record, five of them serious enough to involve harm or jeopardy, six tied to abuse, plus a $171,403 fine. Turnover at 36.2% is actually better than the 45.8% national figure, which tells you the problem here isn't retention so much as how few hours each resident gets. State inspectors were last in on February 7, 2025.
Gettysburg Center runs on thinner staffing than most homes its size, and that gap shows up on weekends when coverage drops another 8 percent below its own weekday level. The 34 deficiencies on record, four of them serious enough to put residents in harm's way, three tied to abuse, point to problems that go beyond paperwork. Annual turnover sits at 52.7 percent, meaning more than half the nursing staff leaves each year, which makes consistent care hard to sustain. A for-profit corporation operates the 118-bed building, and its most recent inspection was in March 2026.
Lakewood Rehabilitation & Healthcare Center runs 110 certified beds in Nanticoke under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.45 nurse hours per resident day, it sits about 11% under the national average of 3.86, weekends dip roughly 8% below its own weekday levels, and annual turnover hits 58.9% against a national 45.8%. The inspection record is the harder problem: 100 deficiencies on file, six at harm or jeopardy level, nine abuse-related, and four fines totaling $291,613, with the most recent inspection dated April 2026 giving a 1-star health inspection rating. Quality measures score well at 4 stars, but staffing earns 2, a gap worth asking about directly.
Quality Life Services - Apollo runs 177 certified beds under for-profit LLC ownership, and its nursing staff provides 3.25 hours of care per resident each day, roughly 16 percent below the national average of 3.86. Weekends dip about 9 percent below its own weekday coverage, and annual turnover sits at 61.7 percent against a national rate of 45.8, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 73 deficiencies, three of them at the harm or jeopardy level and five tied to abuse, with one fine of $43,759 and a survey from May 2025.
River's Bend is a 198-bed for-profit home in Harrisburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, and it drops about 10% further on weekends, so coverage is thinnest exactly when families tend to be there. The inspection record is the bigger concern: 56 deficiencies, five of them at harm or jeopardy level and two tied to abuse, with the most recent inspection in March 2026. Staff turnover runs 48.1%, above the national rate, which means caregivers are cycling through. One fine of $19,841 is on file. Ask direct questions about weekend staffing and how abuse allegations get handled.
Oak Ridge runs 142 certified beds in Taylor under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits roughly 14% under the national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 45%, basically level with the national figure, so that's not the differentiator here. The inspection record is: 65 deficiencies, six at harm or jeopardy level, nine abuse-related, and two fines totaling $104,143. CMS scored its last inspection on February 6, 2026, one star, with staffing also one star.
Chestnut Hill runs 180 certified beds in Wilkes Barre under corporate for-profit ownership, and the numbers that stand out most are on the staffing side. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 11% below its own weekday levels, meaning coverage is thinnest exactly when families tend to visit. Turnover is 61.5% against a national 45.8%, so the aides and nurses caring for your relative are more likely than not to be new to the building within the year. The current record carries 66 deficiencies, four of them abuse-related, though none at the harm level, and the last inspection was February 2026.
Bethlehem South runs 227 certified beds as a for-profit corporation, and its staffing numbers are the clearest thing on the page: 3.30 nurse hours per resident day against a national average of 3.86, with weekends running about 12% thinner than weekdays. That shortfall shows up in CMS's staffing rating of 1 out of 5, and turnover sits at 52.2% versus 45.8% nationally, roughly half the nursing staff cycling through in a year. The inspection record holds 28 deficiencies, none at harm level but three tied to abuse, plus one fine of $27,378. A September 2025 inspection is recent, so the picture is current rather than stale.
Cedar Haven is a 324-bed for-profit partnership in Lebanon, and the numbers that matter most here are the staffing and inspection records. Nurses provide about 3.05 hours of care per resident per day against a national average of 3.86, roughly a fifth less, and the home runs even leaner on weekends than it does during the week. That staffing level earns one star from CMS and sits alongside a one-star health inspection rating, with 24 deficiencies on the current record, including two involving harm or jeopardy and two tied to abuse. Fines total $65,692 across two penalties, and the most recent inspection was in November 2024. Turnover, at 40.1%, is actually a bit below the national rate, that's the one figure working in its favor.
Kadima Rehabilitation & Nursing At Latrobe runs 107 certified beds as a for-profit LLC, and the numbers that stand out most are about people, not beds. Annual staff turnover hits 71.4 percent here against a national average of 45.8 percent, that's a building where most of the caregivers you meet this year likely won't be there next year. Federal inspectors have logged 70 deficiencies on the current record, including four serious enough to involve harm or jeopardy and seven tied to abuse. The staffing and health inspection ratings both sit at the lowest mark CMS gives, and the most recent inspection was March 19, 2026. That combination, thin, unstable staffing plus a long paper trail, is what drives the low grade.
The numbers that stand out at Linwood aren't the inspection score, it's the staffing. A one-out-of-five staffing rating at a 102-bed nonprofit in Scranton means the people providing daily care are spread thin by federal standards, and that's the thing families feel first. The inspection record backs it up: 59 deficiencies, including five tied to abuse and three serious enough to put residents in harm's way, plus a recent inspection in March 2026 with a $113,348 fine on the books. Quality measures land at a middling three, but good clinical numbers can't carry a building when there aren't enough hands on the floor. Ask about direct-care hours per resident per day, and ask what changed after that last survey.
Kadima Rehabilitation & Nursing At Harmony is a 115-bed for-profit home in Butler County, and the numbers behind its federal record are hard to dress up. Inspectors have cited 75 deficiencies, including two at the level where residents were actually harmed or put in immediate jeopardy, plus 11 tied to abuse, and two fines totaling $174,201 suggest the problems weren't paperwork. Staffing sits in the bottom tier nationally, and the most recent inspection was May 2025, so this isn't a stale record. Ownership is a limited liability company, which can make accountability harder to trace. One bright spot: the quality measure rating lands middle of the pack, meaning some clinical outcomes look average. But average care measures don't offset a staffing shortfall and that citation history.
Meadowcrest is a 50-bed for-profit in Bethel Park, and the inspection record is where the trouble sits: 42 deficiencies, including one at the harm or jeopardy level and three tied to abuse. A one-star health inspection rating backs that up. The last inspection was in March 2026, so the file is recent rather than stale. Staffing isn't the headline problem, 3.76 nurse hours per resident day is only about 3% under the national average, though weekends run roughly 7% thinner than weekdays, and turnover at 46.5% sits just above the national figure. The quality measure rating, 3 out of 5, suggests some clinical care is being tracked well despite the citations.
Rose Meadows runs about 200 certified beds in Pittsburgh under corporate ownership, and the staffing numbers are where the trouble starts: 3.60 nurse hours per resident day against a national average of 3.86, with weekends running roughly 8% thinner than weekdays. Staff turnover sits at 56.1% while the national figure is 45.8%, so the people around your family member change often. The inspection record is heavier still, 31 deficiencies, including 6 at harm or jeopardy level and 8 tied to abuse, with a single fine of $274,651. The quality measure score is strong, but that reflects charted care, not the conditions a state surveyor last documented in December 2025.
Saunders runs on 3.06 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop about 15% below what it manages on weekdays. That shortfall shows up in the inspection record: 46 deficiencies, seven of them abuse-related and three serious enough to put residents in harm's way, with a one-star health inspection rating and a single fine of $14,433 behind it. Staff turnover sits at 54.2%, well above the national 45.8%, so the people providing that already-thin care are leaving faster than average. The last inspection was May 2025, so the record is current. A for-profit limited liability company operates its 180 certified beds.
Chambersburg Skilled Nursing and Rehabilitation runs 210 certified beds under corporate for-profit ownership, and the staffing numbers are the place to start. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Annual turnover hits 60% against a national 45.8%, meaning well over half the nursing staff leaves each year, a churn rate that shows up in CMS's two-out-of-five staffing and quality measure ratings. The health inspection record is cleaner than those numbers suggest: 19 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated May 7, 2026.
Oakwood Heights Village runs about 106 beds in Oil City under for-profit LLC ownership, and the numbers worth noticing are the ones families feel day to day. Nurse staffing sits at 3.56 hours per resident, roughly 8 percent under the national figure, and weekends drop about 11 percent below what the home itself staffs on weekdays, so the coverage is thinnest exactly when many families visit and when backup is hardest to find. Staff turnover of 60.2 percent, against a national 45.8, means aides and nurses cycle through quickly.
The inspection record backs that up: 27 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $14,015 fine. The most recent inspection was February 2026. Ask about weekend coverage and how abuse complaints get handled.
Greene Health & Rehab Center runs 119 certified beds in Greensburg under for-profit limited liability ownership, and the numbers describe a building stretched thin on direct care. Nurses provide 3.35 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below the home's own weekday staffing, so the thinnest coverage lands when families tend to visit. Annual turnover of 57% sits well above the 45.8% national figure, meaning more than half the nursing staff turns over each year.
The current inspection record carries 89 deficiencies, five of them abuse-related, with one fine totaling $8,469 and a December 2025 inspection. The most recent federal ratings put health inspections at 1 of 5 stars, with quality measures and staffing both at 2.
Gracedale is a county-run home with 688 beds, and the numbers behind its record are worth understanding before you visit. Staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends drop about 12% below what the home provides on weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. The inspection history is the bigger concern: 22 deficiencies on the current record, six at harm or jeopardy level, three tied to abuse, and $122,572 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of serious problems. A 1-out-of-5 inspection rating reflects that pattern, not a single bad day.
Passavant Retirement and Health in Zelienople runs on strong staffing numbers: 4.51 nurse hours per resident day, roughly 17% above the national average, and turnover of 36.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits fall on Saturdays or Sundays. Then there's the inspection record, and it's the reason the grade lands where it does: 38 deficiencies on the current record, three at harm or jeopardy level and four abuse-related, with the most recent inspection dated February 27, 2026. A church-affiliated nonprofit with 102 beds, this home staffs well and scores well on quality measures, but its last survey turned up serious problems. Read that inspection report before you decide.
Eldercrest runs 48 beds in Munhall under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.59 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 58.6% runs well above the 45.8% national figure, which usually means less continuity for residents. The inspection record shows 36 deficiencies, including one at the harm level and seven tied to abuse, plus one fine of $18,962. Last inspection was November 2025. The quality measure stars look strong, but staffing and health inspection stars both sit at 2 out of 5, and that gap is worth asking about directly.
Good Shepherd Home Raker Center runs on a church-affiliated nonprofit model with 99 certified beds, and its nurse staffing sits at 4.79 hours per resident day, roughly 24% above the national average of 3.86. That cushion matters, though weekends dip about 9% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover is 32.1%, noticeably lower than the 45.8% national figure, which suggests a steadier workforce than many places manage. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Inspectors were last on site in September 2025, so the picture is recent. Federal ratings land at 4 out of 5 across health inspections, quality measures, and staffing, consistent, if not flawless.
Aristacare At Meadow Springs has 153 beds and enough nurses on paper, 4.64 hours per resident day, about a fifth above the national average. The trouble is what inspections keep finding: 40 deficiencies on the current record, three of them serious enough to cause harm or put residents in immediate jeopardy, and three tied to abuse. The health inspection rating sits at 1 out of 5, and staffing drops roughly 7% on weekends, when supervision is already thinner. Staff turnover of 42.5% is slightly better than the national 45.8%, which helps, but it doesn't offset that inspection history. One fine of $17,664 rounds out the record. If you're considering this home, ask directly how those abuse and harm findings were resolved.
Vincentian Home runs on a solid staffing base: 4.27 nurse hours per resident day, roughly 11% above the national average, with a 4-out-of-5 CMS staffing rating to match. Weekend coverage dips about 5% below its own weekday levels, and turnover sits at 40.2%, better than average, but still a lot of caregivers cycling through. The bigger issue is the record itself: 33 deficiencies, including 6 tied to abuse, with a 2-out-of-5 health inspection rating. None were flagged at harm or jeopardy level, and the most recent inspection was in May 2025, so the findings are current. Nonprofit ownership and steady nurse hours help; the inspection history is what pulls this one down.
Mountain View runs 271 certified beds in Coal Township under corporate ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That small gap matters less than the pattern around it: weekends drop about 16% below the home's own weekday coverage, and annual turnover hits 49%, well above the 45.8% national figure.
The inspection record is the real concern here. Seventy-nine deficiencies are on file, including four at the level where residents were actually harmed or put in jeopardy, and seven tied to abuse. Two fines total $24,854. The last inspection was May 2026, so the record is current, not stale. With a 1-out-of-5 health inspection rating, the compliance history is what separates this home from others with similar staffing.
Canterbury Place runs a solid nursing floor on paper: 3.96 nurse hours per resident day, slightly above the national figure, and turnover at 41.6% is better than average. What drags it down is the inspection record. Forty-two deficiencies is a lot, including five tied to abuse and two serious enough to put residents in harm's way, and the health inspection rating sits at 2 out of 5. Quality measures come in at 1 out of 5, the weakest bucket. Staffing also dips about 11% on weekends, so the coverage families see on a Tuesday isn't what a Saturday looks like. The last state visit was January 2026. Ask to see the plan of correction before you tour.
St. John Specialty Care Center in Mars runs high on nurse staffing, 3.96 hours per resident day, a bit above the national average, and that earned it a four-star staffing rating. But the inspection record tells a different story: 54 deficiencies on file, including 12 tied to abuse and two at the harm or jeopardy level, with the most recent inspection in October 2024. Staff turnover sits at 52.3%, well above the national 45.8%, and weekend coverage drops about 8% below weekday levels. A nonprofit corporation operates its 150 beds. Strong numbers on paper and repeated problems on inspection rarely point the same direction; here, the inspection history is what a family should weigh.
Yorkview runs 270 beds under limited-liability for-profit ownership, and the staffing numbers are where I'd start. At 2.90 nurse hours per resident day, it sits about a quarter below the national average of 3.86, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover is 48.3%, a few points above the national 45.8%. The inspection record is heavy: 65 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Its last inspection was May 2025. Quality measures score well, but staffing and inspections don't, and that gap is worth asking about directly.
Walnut Creek Nursing and Rehab runs 115 certified beds in Erie under for-profit LLC ownership, and the numbers land in the middle across the board, 3 out of 5 stars each for health inspections, quality measures, and staffing. Nurse staffing sits at 3.60 hours per resident per day, about 7% under the national average of 3.86, and weekends dip roughly 6% below the home's own weekday coverage, so the thinnest shifts come when oversight tends to be lightest. Turnover at 43% is slightly better than the national 45.8%. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2026.
The Gardens at West Shore is a 309-bed for-profit home in Camp Hill, and the numbers tell a split story. Its inspection record is the real problem: 58 deficiencies, including three at the harm or jeopardy level and four tied to abuse, which is a lot for one building to carry. Staffing sits at 3.16 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 36.6% is actually better than the 45.8% national figure, and the last inspection was recent, in August 2025. Read the inspection history closely before deciding.
Hamilton Arms Center runs 94 certified beds in Lancaster under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 8 percent below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor than midweek. Turnover is the brighter spot: 33.7 percent against a national 45.8 percent, meaning fewer caregivers cycling out than at the typical home.
The inspection record is where I'd slow down. Twenty-two deficiencies are logged, including one at the harm level and two tied to abuse, with three fines totaling $9,009. The last inspection was September 26, 2025, so that picture is current, not stale.
Greenfield runs on 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends dip about 9 percent below what the home staffs Monday through Friday. Annual turnover sits at 50 percent, higher than the 45.8 percent national figure, so the people providing that already-thin care are cycling out regularly. The inspection record is the harder problem: 56 deficiencies, three tied to abuse and two serious enough to put residents in harm's way. Federal inspectors last visited in January 2026 and rated health inspections and quality measures at one star each. A for-profit limited liability company owns the place, and the pattern across staffing, turnover, and enforcement history is consistent rather than isolated.
Pleasant Acres is a 375-bed for-profit home in York, and the numbers that matter most here aren't good. State inspectors cited 41 deficiencies on the current record, four of them serious enough to put residents in harm's way, plus three tied to abuse, and the fines total nearly $200,000. Staffing looks decent on paper at 3.26 nurse hours per resident day, but that's about 15% under the national average, and weekends run roughly 9% thinner than weekdays, which is when families tend to visit and notice. Turnover sits at 47.2%, slightly worse than the national figure, so the people caring for residents are often new. The quality measure score is middling, but a one-star inspection record is what should weigh on your decision.
Chestnut Hill Lodge runs 181 certified beds under for-profit LLC ownership, and the numbers show a building stretched thin. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, and weekends drop about 6% below what the home manages on weekdays, so the thinnest coverage lands when families tend to visit and when backup is hardest to find. Staff turnover is 53.9% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The inspection record shows 41 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, with a CMS health inspection rating of 2 out of 5 and quality measures at 1 out of 5.
Silver Stream runs on 3.36 nurse hours per resident per day, about 13% under the national figure, and weekend coverage drops roughly 7% below what the home staffs on weekdays. Turnover sits at 58% against a national 45.8%, so the faces change often, and 50 deficiencies sit on the current record, three tied to abuse, though none cited at the harm or jeopardy level. The last inspection came January 23, 2026. With a limited liability company operating the 120 beds for profit, the staffing and inspection scores both land at 2 out of 5. Worth asking how they hold weekend coverage and what those abuse-related citations actually involved.
Ellen Memorial runs about 3.57 nursing hours per resident day, roughly 8% under the national average, and weekends drop another 9% below its own weekday staffing. That thinner weekend coverage matters because 55.4% of staff turned over in a year, against a 45.8% national rate, so the aides and nurses on Saturday are more likely to be new. The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and five tied to abuse, and CMS rated health inspections 2 out of 5 stars. Quality measures scored 4 out of 5, but the staffing and inspection scores are where families should focus.
Edenbrook Of Yeadon runs 190 beds under for-profit LLC ownership, and the staffing picture is thinner than it looks at first glance. Total nurse coverage sits at 3.70 hours per resident day, about 4% under the national average, and weekends dip roughly 5% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 41% is actually a bit better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection side: 55 deficiencies on file, four at harm or jeopardy level and seven tied to abuse, plus four fines totaling $34,298, with the most recent inspection in May 2025.
Luther Acres Manor runs 106 certified beds in Lititz under corporate for-profit ownership, and its staffing sits at 3.94 nurse hours per resident day, slightly above the national average of 3.86, though weekends dip about 6% below its own weekday level. The bigger concern is turnover: 53.8% of staff leave annually, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines and changes. Inspections in November 2024 turned up 9 deficiencies, none at harm or jeopardy level, but 3 were abuse-related, and the quality measure rating sits at 1 out of 5 stars. Families should ask how the home addresses weekend coverage and what those abuse citations involved.
Laurel Center runs 130 beds in Hamburg under corporate ownership, and the staffing picture is the first thing to notice: 3.45 nurse hours per resident day, about 11% under the national average, with weekends dipping roughly 7% below its own weekday levels. Turnover sits at 34.9%, which is actually better than the 45.8% national figure, so the issue isn't churn so much as how many hands are on deck at any given time. The inspection record shows 9 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse, from a September 2024 survey. Quality measures score high; staffing and health inspection results don't.
Northern Dauphin runs 194 certified beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 12% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 50.6%, above the 45.8% national figure, which means a good share of caregivers are still learning the building. The inspection record shows 41 deficiencies, including two at harm or jeopardy level and one tied to abuse, with a $11,921 fine. Last survey was June 12, 2025. Quality measures score well, but that's the piece families should weigh against the staffing and inspection numbers.
Heritage Ridge is a for-profit LLC home with 63 certified beds in Johnstown, and its state inspection record is the part that should worry you most. CMS has tagged the current record with 68 deficiencies, including four at the harm or jeopardy level and eight tied to abuse, a pattern serious enough to pull the health inspection rating down to 1 out of 5 stars. Its last inspection, on January 14, 2026, found the home again without clearing that history. Staffing is the better news: 3.64 nurse hours per resident day, about 6% under the national average, with weekends roughly 2% thinner than weekdays, though turnover at 41.4% does beat the 45.8% national figure. The clinical quality measures sit at 3 stars. Given the inspection record, ask to see the last two years of state survey reports and the abuse-related plans of correction before you decide anything.
Camp Hill Skilled Nursing and Rehabilitation runs 123 beds as a for-profit corporate home, and its nurse staffing sits around 3.46 hours per resident day, roughly 10% under the national average, with weekends about 7% thinner than weekdays. Turnover lands at 41.9%, a bit better than the 45.8% national figure. The inspection record is the heavier issue: 39 deficiencies, including two at harm or jeopardy level and two tied to abuse, with the most recent inspection dated February 2026. Quality measures score well, but staffing and inspection results pull the overall picture down. Worth asking about weekend coverage and how those harm-level findings were resolved before deciding.
Chapel Manor runs 238 certified beds in Philadelphia under corporate ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 8 percent below the home's own weekday level, so coverage thins exactly when families tend to visit. The inspection record is where the real concern lives: 69 deficiencies, four of them serious enough to put residents in harm's way, plus three tied to abuse. Staff turnover at 43.4 percent is slightly better than the national figure, and one $17,192 fine is on file, with the most recent inspection done in December 2025.
Embassy Of Wyoming Valley runs 120 beds in Wilkes Barre under corporate ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average, with weekends running about 7% lighter than its own weekdays. Turnover lands at 42.4%, a touch better than the 45.8% national figure. What stands out more is the inspection record: 48 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $20,496, with the most recent inspection dated January 30, 2026. The quality measure stars look strong, but that scorecard reflects resident care metrics, not how safely the building is run day to day.
Crestview Center runs 180 beds in Langhorne under for-profit partnership ownership, and its staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 6% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover lands at 45.3%, essentially matching the national rate of 45.8%, so that's not the standout concern here. The inspection record is: 38 deficiencies, 5 at harm or jeopardy level, 3 abuse-related, with a 2/5 health inspection rating. The most recent inspection was July 2025, so the picture is current. Quality measures score well at 4/5, but that sits alongside a much weaker health inspection result.
Forest Hills runs on 3.41 nurse hours per resident day, about 12% under the national average, and weekends dip roughly another 10% below its own weekday numbers, so the thinnest coverage lands when families visit and doctors don't. The inspection record is the bigger issue: 36 deficiencies, including 2 at harm or jeopardy level and 7 abuse-related, with a 2/5 health inspection rating and 1/5 staffing from CMS. Quality measures score 3/5, which suggests charted care looks better than the staffing and inspection history support. It's a 200-bed for-profit LLC in Weatherly, last inspected March 13, 2026. Ask specifically how weekends are covered and what changed since those abuse citations.
Graduate Post Acute runs 150 beds in Philadelphia under for-profit LLC ownership, and its staffing sits around 3.49 nurse hours per resident day, roughly 10 percent below the national average of 3.86. Weekends drop about 9 percent below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the real story: 84 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with $17,940 in fines across two penalties. Staff turnover of 41.8 percent is slightly better than the 45.8 percent national figure, and the most recent inspection was December 2025. CMS rates the quality measures 5 out of 5 but health inspections just 1 out of 5, a split worth asking about directly.
Stroudsburg Post Acute runs 174 certified beds under for-profit LLC ownership, and its staffing sits at 3.73 nurse hours per resident day, roughly 3% under the national average of 3.86, with weekends about 10% thinner than its own weekdays. Annual turnover is 52.4%, well above the 45.8% national figure, so the people around your relative change often. The inspection record is the bigger concern: 44 deficiencies, three of them at harm or jeopardy level, three tied to abuse, and a single $112,359 fine, with the most recent inspection dated May 22, 2026.
Slate Belt runs lean on nursing hours, 2.98 per resident day against a national average of 3.86, with weekends about 12% thinner than weekdays. Staff turnover lands at 43.3%, slightly better than the national 45.8%, so the problem isn't retention so much as how many aides and nurses are on the floor at once. The current record shows 15 deficiencies, including one at the harm or jeopardy level and two tied to abuse, though the most recent inspection was January 2026 and the health inspection rating sits at 4 out of 5. Under a for-profit limited liability company, the pattern reads as a building that inspects well on paper while daily staffing stays well under what residents typically need.
Sinking Spring Skilled Nursing runs 214 certified beds under corporate ownership, and the numbers show a building stretched thin on the floor. Nurse staffing sits at 3.20 hours per resident day, roughly 17 percent below the national average, and weekend coverage drops another 6 percent below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover of 46.1 percent means nearly half the nursing workforce turns over in a year, which matters more when a home is already short-staffed. The inspection record is the harder read: 32 deficiencies, three at harm or jeopardy level and three tied to abuse, plus one fine totaling $17,342.
Mountain Top Rehabilitation & Healthcare Center runs about 18% leaner on nursing hours than the national average, and weekends are thinner still, roughly 7% below what the building staffs on weekdays. Turnover sits at 40.4%, which is actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how few hours each resident gets. The inspection record is the harder read: 29 deficiencies, three serious enough to reach harm or jeopardy, two tied to abuse, and a February 2026 inspection that's still recent. Quality measures score well, but staffing and inspections don't, and that gap is worth asking about directly.
The Reformed Presbyterian Home runs on about 3.97 nurse hours per resident per day, a bit above the national average, and its staff turnover of 36.7% is noticeably better than the 45.8% typical elsewhere. Those are real strengths, and they're why staffing earns top marks. The trouble sits on the other side of the ledger: 40 deficiencies on the current record, including two at the harm level and four tied to abuse, with the most recent inspection in June 2025. Weekend coverage also dips about 8% below its own weekday staffing. This is a nonprofit home where the care hours and retention look solid, but the inspection history is heavy enough that you'd want to read the actual reports and ask questions before deciding.
Meadows Nursing and Rehabilitation Center runs 130 certified beds in Luzerne County under nonprofit ownership, and its staffing numbers tell a mixed story. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip roughly 12% below its own weekday coverage. Where it stands out is retention: 30.2% turnover beats the 45.8% national figure by a wide margin, which matters for continuity of care. The inspection record is the harder part to swallow, 24 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus a $52,135 fine, with the most recent inspection in July 2025.
Mount Carmel Senior Living Community runs about 3.15 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips another 9% below its own weekdays. That thin staffing shows in the CMS staffing rating of 1 out of 5, and turnover sits at 46.9%, slightly above the national 45.8%. The inspection record is heavy: 51 deficiencies, two at harm or jeopardy level, two tied to abuse, with one fine of $24,700 and a health inspection rating of 2 out of 5. The most recent inspection was July 2025. Quality measures score a middling 3 out of 5, but staffing and inspections are where the problems concentrate at this for-profit LLC.
John J. Kane Regional Center-Ro runs 240 beds under Allegheny County's ownership, and its inspection record is the hardest thing to get past: 66 deficiencies on file, including four at the harm or jeopardy level and ten tied to abuse. Two fines totaling $90,344 sit alongside that history. Staffing hours come in around 3.59 per resident day, roughly 7% under the national average, and turnover runs at 61.9% against a national 45.8%, meaning well over half the nursing staff leaves each year. Weekend coverage actually runs slightly above its own weekday level, which is unusual. The county's most recent inspection closed in April 2025.
Rouse Warren County Home sits in Youngsville, and it's owned by the county, which tends to mean slower change and steadier budgets than a for-profit chain. The staffing numbers are genuinely good, 4.18 nurse hours per resident day, about 8% above the national average, but weekends run roughly 9% thinner than weekdays, so the coverage your relative gets on a Saturday may not match what they get on a Tuesday. Turnover of 48.4% is slightly worse than the national average, meaning familiar faces cycle out faster than you'd hope. The current inspection record shows 19 deficiencies, including two at harm level and one abuse-related, with a $22,967 fine.
John J. Kane Regional Center-Sc runs 311 certified beds as a county-owned home in Pittsburgh, and the staffing numbers sit roughly 9% under the national average at 3.52 nurse hours per resident day. Weekends dip about 5% below its own weekday coverage, while turnover at 44.3% actually edges slightly under the national rate. What stands out is the inspection record: 12 deficiencies, including two at harm or jeopardy level and five tied to abuse, with the most recent inspection in September 2024. The quality measure stars look strong, but that inspection history is the piece worth asking about directly.
Marywood Heights sits in Scranton with 72 certified beds, run by a for-profit limited liability company. The staffing numbers are the strongest part of the picture: 4.03 nurse hours per resident day, roughly 4% above the national average, though weekends run about 6% thinner than weekdays. Turnover lands at 45.7%, essentially identical to the national rate. Where it slips is inspections, a 2-out-of-5 health inspection rating, 33 deficiencies on record including 3 at the harm or jeopardy level and 4 tied to abuse, plus one fine of $32,646. The most recent inspection was March 2026. Quality measures rate 3 out of 5. Decent hands on deck, but a troubling inspection history.
Penn Highlands Jefferson Manor runs 160 beds as a nonprofit corporation, and its staffing picture is genuinely solid on paper, 3.88 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating and turnover at 39.4% versus 45.8% nationally. But weekends run about 7% leaner than weekdays, and the inspection record is where things get harder to explain: 23 deficiencies, three of them at harm or jeopardy level and one abuse-related, across two fines totaling $15,160. That combination, good staffing numbers sitting alongside serious inspection findings, is why the health inspection rating lands at 2 out of 5. The most recent survey was December 2025, so the picture is current.
The Kane Regional Center's Glen Hazel campus runs on thin nurse coverage: 2.82 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday level. That gap shows up in the staffing rating, which sits down with the inspection and quality ratings. Inspectors cited 18 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Staff turnover of 56.3% runs well above the 45.8% national figure, so residents see a lot of new faces. Allegheny County owns and operates it, and the last state survey was in June 2025.
Southmont of Presbyterian Seniorcare runs 3.90 nurse hours per resident day, just barely above the national average of 3.86, though weekends dip about 9% below its own weekday staffing. Turnover sits at 34.4%, better than the 45.8% national figure, which matters for consistency of care. The trouble is inspections: 14 deficiencies on record, including 3 at harm or jeopardy level and 2 tied to abuse, with one fine of $8,824. That inspection history is what drags the overall picture down, despite solid staffing numbers and a recent survey date of May 2026.
Riverstreet Manor runs on thin staffing. At 3.16 nurse hours per resident day, it sits about 18 percent under the national average, and weekends drop roughly another 9 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 43.8 percent is nearly a point better than the national figure, which matters less than it sounds given how many aides still cycle through each year. The inspection record is the bigger concern: 49 deficiencies, including one at the harm level and three tied to abuse, with the most recent survey dated April 2026. For-profit corporate ownership, a $8,278 fine on file, and a two-star health inspection rating round out a picture worth weighing carefully.
Transitions Healthcare Washington Pa runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.54 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. Annual turnover sits at 47.3%, slightly above the national 45.8%, and CMS gives staffing just 1 out of 5 stars even as quality measures score 4 out of 5. The inspection record shows 19 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection dated March 25, 2026. Ownership, turnover, and thin weekend coverage are the pieces worth weighing before you decide.
Willows of Presbyterian Senior has 193 certified beds and solid nurse staffing on paper, 3.88 hours per resident day, essentially matching the national average, with a 4-star staffing rating. But that coverage thins on weekends, dropping roughly 11% below weekday levels, and turnover sits at 45.5%. The real problem is the inspection record: 56 deficiencies, including four at the harm or jeopardy level and six tied to abuse, plus three fines totaling $132,149. A 1-star health inspection rating against a 3-star quality measure score tells you the care concerns here aren't about numbers on a page, they're about what surveyors actually found.
Sena Kean runs about 3.44 nurse hours per resident per day, roughly 11% under the national average, with weekends dipping another 13% below its own weekday levels. That thin coverage is the main reason its staffing rating sits at 1 out of 5, and it's hard to separate from a 64.6% annual turnover rate, well above the 45.8% national figure. The health inspection record shows 21 deficiencies, including two at harm or jeopardy level and one abuse-related, with a 2/5 inspection rating despite a recent April 2026 survey. Quality measures score well at 4/5, but that reflects resident outcomes, not the hands available to deliver care.
Fair Acres is one of the largest county-run homes in Pennsylvania, with 778 beds, and its staff retention is genuinely unusual: turnover of 21.5% sits far below the national rate of 45.8%, meaning the people who work here tend to stay. The problem is how few of them there are per resident, 2.79 nursing hours per resident day against a national average of 3.86, and weekend coverage drops roughly 7% below its own weekday level. Inspectors cited eight deficiencies on the current record, including one at the harm level and one abuse-related, with the most recent inspection dated February 2026. Low turnover helps, but it doesn't stretch thin staffing.
Peters Township Post Acute runs about 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends dip another 13 percent below its own weekday levels. That thin coverage shows up in the staffing picture: 61 percent annual turnover against a national 45.8 percent, and 19 deficiencies on the current record, including one at the harm level and two tied to abuse. The 5/5 quality measure score reflects how residents' conditions are tracked, but it sits alongside the staffing and inspection numbers rather than cancelling them out. A December 2025 inspection is recent, and the for-profit corporate owner means decisions about hours and retention get made well above the building.
Sunnyview runs 220 beds in Butler under for-profit LLC ownership, and its 3.01 nurse hours per resident day sit well under the national figure of 3.86, roughly a fifth less hands-on time than average, with weekends thinner still. Turnover at 43.3% is near the national mark, so the problem isn't retention so much as how few staff hours the building puts on the floor. What stands out most is the inspection record: 93 deficiencies, four serious enough to endanger residents, eight tied to abuse, plus one fine of $30,011 and a place in CMS's Special Focus Facility program. That program exists for homes with a pattern of persistent problems, and a July 2025 inspection hasn't changed the picture.
Montgomeryville Skilled Nursing and Rehabilitation runs 155 certified beds as a for-profit corporation, and its staffing is the number to sit with. At 3.66 nurse hours per resident day, it's about 5% under the national average, and weekends drop roughly 17% below its own weekday level, so the coverage your relative gets on a Saturday won't match a Tuesday. Annual turnover of 81.8% against a national 45.8% means the aides and nurses cycling through are still learning the hall. The 40 deficiencies on record include none flagged for harm or abuse, and its last inspection was recent enough to mean something. Low staffing plus heavy churn is the story here.
Emmanuel Center For Nursing runs about 4.52 nurse hours per resident day, roughly 17% above the national average of 3.86, though weekends dip about 10% below its own weekday level. That staffing cushion hasn't translated into a clean inspection record: 42 deficiencies on file, none at harm or jeopardy level, but two tied to abuse, which is the kind of finding families should ask about directly. The last inspection was recent, December 2024, so the picture is current rather than stale. Quality measures score well, inspections don't, and this church-affiliated nonprofit sits somewhere in between, decent hands-on care, a paper trail worth reading closely before you decide.
Highland Hills Post Acute runs 200 certified beds in Pittsburgh under for-profit LLC ownership, and its current record carries 99 deficiencies, two at the harm or jeopardy level and 15 tied to abuse. That volume of citations, with those categories in the mix, is the kind of pattern families ask about directly, and it's worth asking the administrator to walk you through each one. Staffing sits at 3.19 nurse hours per resident day against a national average of 3.86, with weekends running about 11% thinner than weekdays, and turnover at 48.5%. The most recent inspection was December 2025, so the picture is current. Two fines total $27,709.
Lebanon Valley Home runs a tight ship on the numbers that matter most. Nurses deliver 4.68 hours of care per resident each day, roughly a fifth more than the national average, and weekend coverage barely dips below weekday levels. Staff turnover sits at 17.7 percent, well under half the national rate, which means the people caring for residents tend to stick around. The inspection record backs it up: two deficiencies total, none causing harm and none tied to abuse, with the most recent state visit in September 2025. As a nonprofit, it isn't answerable to shareholders. The care hours are there, the staff are stable, and the record is clean.
Rehab & Nursing Ctr Greater Pittsburgh runs 120 beds under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 3.95 nurse hours per resident day against a national average of 3.86, with turnover at 34.8% versus 45.8% nationally. Weekends dip about 8% below weekday coverage, which is common but worth asking about. The problem sits on the inspection side. Seventeen deficiencies are on the current record, five of them serious enough to involve harm or jeopardy, and four tied to abuse. A 2/5 inspection rating with that many harm-level findings is the number that matters most here. The $8,159 fine is modest. Last inspection: November 2025.
Embassy of Hearthside runs 157 beds as a for-profit LLC, and the staffing numbers are where families should start, the federal staffing rating sits at just one star. That's the piece you feel day to day: how long it takes someone to answer a call light, whether there's enough help at meals and overnight. Its inspection record is the other concern. Seventy-seven deficiencies are on file, including three at the harm level and six tied to abuse, with six fines totaling $174,194. The last inspection was February 2026, so the record is current, not stale. Quality measures score well at four stars, but strong chart numbers don't offset thin staffing and a heavy enforcement history.
Quality Life Services - Markleysburg runs 60 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average of 3.86, with weekends dipping about 3% below its own weekday levels. Annual turnover is 54.9%, well above the 45.8% national figure, meaning the people caring for residents are cycling out faster than usual. The 26 deficiencies on the current record, including 4 at harm or jeopardy level and 3 abuse-related, is a lot for a home this size, and the 2/5 inspection and staffing stars reflect it; the 4/5 quality measure score is the one bright spot. A recent July 2025 inspection means the record is current.
Valley View runs on a nonprofit model with 163 certified beds, and its staffing is the strongest part of the picture: 4.47 nurse hours per resident day, about 16% above the national average, with a 5-star staffing rating to match. Turnover sits at 26.7% against a national average of 45.8%, which matters for whether your family sees the same faces month to month. The tradeoffs are elsewhere, 34 deficiencies on record including 5 abuse-related, though none reached harm or jeopardy, and weekend staffing dips roughly 10% below weekday levels. One fine totaling $11,788 and an April 2026 inspection round out a record that's solid but not spotless.
Providence Rehab and Healthcare Center in Yeadon runs 129 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average of 3.86. Weekends are thinner still, about 15% below the home's own weekday levels, which matters when families can't visit and problems go unnoticed. Turnover lands at 43.4%, slightly better than the 45.8% national figure, so the same faces stick around a bit more than average. The current record shows 27 deficiencies, none at harm or jeopardy level but three tied to abuse, and the most recent inspection was January 14, 2026. CMS rates its health inspection and staffing at 2 out of 5 stars, while quality measures score 5.
Norriton Square runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 8% below the home's own weekday levels, so coverage thins out when families tend to visit. The current inspection record carries 39 deficiencies, five of them abuse-related, though none rose to harm or jeopardy. Staff turnover of 46.5% is nearly identical to the national 45.8%, so that's not the outlier here, the thin staffing and the inspection history are. The most recent survey was January 23, 2026, so the findings are recent.
Westminster Woods At Huntingdo runs 64 certified beds as a nonprofit corporation, and its staffing sits at 3.69 nurse hours per resident day, roughly 4% under the national average of 3.86, with weekends running about 6% lighter than its own weekdays. Turnover is 38.3%, better than the 45.8% national figure, so the same faces are likelier to stay. The harder numbers are on the inspection side: 25 deficiencies on record, 4 of them abuse-related, though none reached harm or jeopardy, and the last inspection was recent. The two CMS ratings that matter most to families, health inspections and quality measures, both land at 2 out of 5.
Redstone Highlands has the staff most families are looking for, 4.59 nurse hours per resident day, well above average, and turnover at 42.4% actually beats the national figure. But staffing is only one part of the picture, and the rest is troubling. The current inspection record shows 45 deficiencies, including 7 at the harm or jeopardy level and 4 abuse-related, plus six fines totaling $67,296. That inspection history is why the health inspection rating sits at 1 out of 5. Weekend coverage runs about 13% thinner than weekdays, so the strong weekday numbers don't hold steady across the week.
Monumentalpostacutecare at Woodside Park is a 180-bed for-profit partnership in Philadelphia, and its inspection record is the first thing a family should see. Fifty deficiencies on the current record, including two at the harm or jeopardy level and six tied to abuse, is a lot of documented trouble for one building. Staffing sits at the lowest federal tier while quality measures land mid-range, and two fines totaling $30,752 are on file. The last inspection was December 11, 2025, so the record is recent, not stale. If you're considering this home, ask directly about the abuse-related findings and how the current administrator has addressed them.
Sterling Health Care and Rehab Center runs 164 beds in Media under corporate ownership, and the numbers show strain across the board. Nurse staffing sits at 3.51 hours per resident per day, roughly 9% under the national average, and weekends drop about 9% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 51.3% tops the national rate, and a 2/5 inspection rating comes alongside 34 deficiencies, including three at the harm or jeopardy level and four tied to abuse, plus $25,625 in fines. The most recent inspection was in October 2024.
Little Sisters Of The Poor runs a tight ship on the staffing side, 5.26 nurse hours per resident day beats the national average by more than a third, weekend coverage holds up reasonably well, and turnover at 32.8% is well below the typical 45.8%. That's genuinely hard to find. The trouble is everything else. Forty-six deficiencies sit on the current record, four of them serious enough to put residents in harm's way, three tied to abuse, and the inspection history has drawn four fines totaling $59,057. The most recent state visit was January 22, 2026, so the record is current, not stale. Strong hours per resident don't mean much when the survey record shows this many repeated problems.
Willow Terrace runs 174 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8 percent under the national average of 3.86. Weekend coverage drops about 10 percent below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 47.6 percent against a national average of 45.8 percent, meaning nearly half the nursing workforce turns over in a year. The inspection record carries 61 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with one fine of $9,113. A January 2025 inspection is recent, but the 1-star health inspection rating against a 4-star quality measure score suggests the care problems are real and documented, not just paperwork.
Fox Subacute At South Philadelphia runs on a nonprofit corporate structure and 53 certified beds, and its nurse staffing comes in at 5.71 hours per resident day, roughly 48% above the national average of 3.86. But the inspection record is where the story turns: 18 deficiencies on file, two of them serious enough to reach harm or jeopardy level, plus two abuse-related citations and a $12,735 fine. Weekend staffing drops about 10% below the home's own weekday level, so the coverage families see on a Tuesday isn't necessarily what shows up on a Saturday. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the most recent inspection was February 2026.
Tunkhannock Rehabilitation & Health Care Center runs 52 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record carries six deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated February 20, 2026. CMS gives it 2 out of 5 stars on health inspections, while quality measures and staffing each land at 3. If you're weighing this one, ask directly how the abuse findings were resolved and what weekend nurse coverage actually looks like on the schedule.
Delaware Valley Veteran's Home is state-run and holds 171 certified beds, and its staffing numbers are its strongest asset: 4.23 nurse hours per resident day, roughly 10% above the national average, with turnover at 29.6% compared to 45.8% nationally. Weekend coverage dips about 14% below weekday levels, so families should ask how that gap gets managed. The inspection record is where the picture dims. Twenty-two deficiencies are on file, three at harm or jeopardy level and two abuse-related, with a $10,036 fine and a survey completed in July 2025. Strong quality and staffing ratings sit alongside real regulatory findings, worth weighing carefully before deciding.
Hollidaysburg Veterans Home runs on unusually deep staffing for a nursing home, 5.13 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only about 10% below weekdays. Turnover sits at 23.3%, about half the national rate, which suggests aides and nurses tend to stay. The trouble shows up in inspections: 41 deficiencies on the current record, including three at harm or jeopardy level and five tied to abuse, and the state's most recent look came in June 2025. A state-run veterans home with steady staff and a thin inspection record is the tradeoff here, call about those harm-level findings before you visit.
Southwestern Veterans Center has real strengths on paper. Its 4.27 nurse staffing hours per resident day beats the national average by about 11%, and that shows up in a five-star staffing rating. But weekends run roughly 13% thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. The trouble sits elsewhere: 36 deficiencies on the current record, including three at harm or jeopardy level and two tied to abuse, plus a $245,564 fine. Staff turnover matches the national rate at 45.8%, meaning nearly half the nursing staff leaves each year. Quality measures look strong at four stars, but a two-star inspection record is what's dragging this home's overall standing down.