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5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 79th out of 203 homes in Pennsylvania for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 47m per day | ■ Avg State avg: 47m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ▼ 10% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 12m per day | ■ Avg State avg: 2h 12m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 11m per day | ▼ 10% State avg: 3h 32m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▼ 20% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 28m per day | ▼ 15% State avg: 33m per day · National avg: 29m per day |
Higher than the Pennsylvania average: 78.7%Cross Keys Village – the Brethren Home Community is legally operated by The Brethren Home Community Inc.
In Pennsylvania, the Department of Human Services (for assisted living facilities) and the Department of Health (for nursing homes) conduct unannounced inspections to verify adherence to state regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Pennsylvania state average. The score below shows how many points this facility sits above or below the typical Pennsylvania assisted living residence score (the benchmark); higher is better.
17 points above the Pennsylvania average for assisted living residences (83/100)
Rank #1 / 460 in Pennsylvania Inspection Score — State benchmarked This home is ranked 1st out of 460 homes in Pennsylvania. Shows this facility's inspection score compared to the Pennsylvania average among 460 comparable communities in the ranking pool. Inspection score: 100 out of 100. Letter grade A+. 17 points above the Pennsylvania average for assisted living residences (83/100)
A higher number of waivers may indicate the facility relies on staff who don't fully meet standard credential requirements. A lower number may suggest the facility meets staffing qualification standards without exemptions.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Pennsylvania state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 63 | This facility has 84% fewer total citations than a typical Pennsylvania assisted living residence (10 vs. PA avg 63).↓ 84% better Rank #47 / 482 Total citations — State benchmarked This home is ranked 47th out of 482 homes in Pennsylvania. Shows this facility's total citations compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
|
Citations per year
Average citations per year since 2021.
| 2 | 12.6 | This facility has 84% fewer citations per year than a typical Pennsylvania assisted living residence (2 vs. PA avg 12.6).↓ 84% better |
|
Citations per inspection
Average citations per inspection.
| 2.5 | 5.7 | This facility has 56% fewer citations per inspection than a typical Pennsylvania assisted living residence (2.5 vs. PA avg 5.7).↓ 56% better Rank #130 / 482 Citations per inspection — State benchmarked This home is ranked 130th out of 482 homes in Pennsylvania. Shows this facility's citations per inspection compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
Inspections
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 11 | This facility has 64% fewer total inspections than a typical Pennsylvania assisted living residence (4 vs. PA avg 11).↓ 64% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 3 | 8 | This facility has 63% fewer inspections with citations than a typical Pennsylvania assisted living residence (3 vs. PA avg 8).↓ 63% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 75% | 73% | This facility has 2 percentage points higher inspection citation rate than a typical Pennsylvania assisted living residence (75% vs. PA avg 73%).↑ 2% worse Rank #315 / 482 Inspection citation rate — State benchmarked This home is ranked 315th out of 482 homes in Pennsylvania. Shows this facility's % of inspections with citations compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
Complaints & Investigations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 0 | 4 | This facility has 100% fewer total complaints than a typical Pennsylvania assisted living residence (0 vs. PA avg 4).↓ 100% better Rank #1 / 482 Total complaints — State benchmarked This home is ranked 1st out of 482 homes in Pennsylvania. Shows this facility's complaint inspections compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
|
Complaints per year
Average complaints per year since 2021.
| 0 | 0.8 | This facility has 100% fewer complaints per year than a typical Pennsylvania assisted living residence (0 vs. PA avg 0.8).↓ 100% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 6.7
Last Health inspection on Mar 2025
State average 31.3
State average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
100% better than State averageState average: 0.3
100% better than State averageState average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
44% more staff per resident than Pennsylvania average
14% worse than Pennsylvania average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 17 RN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursAssists with medical care and medications.
All 33 LPN Staff are full-time employees. No contractors work on this role.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hoursHelps with daily care and mobility.
All 114 CNA Staff are full-time employees. No contractors work on this role.
114
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,549 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 114 | 0 | 114 | 17,911 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 33 | 0 | 33 | 6,371 | 92 | 100% | 6.6 |
| Clinical Nurse Specialist | 18 | 0 | 18 | 3,799 | 91 | 99% | 7.7 |
| Registered Nurse | 17 | 0 | 17 | 2,106 | 92 | 100% | 7.2 |
| Speech Language Pathologist | 0 | 11 | 11 | 1,487 | 80 | 87% | 4.6 |
| Other Social Services Staff | 3 | 0 | 3 | 1,278 | 78 | 85% | 7.6 |
| Qualified Social Worker | 0 | 4 | 4 | 902 | 64 | 70% | 5.2 |
| Administrator | 2 | 0 | 2 | 886 | 64 | 70% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 848 | 79 | 86% | 7.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 822 | 61 | 66% | 8.8 |
| Physical Therapy Aide | 0 | 6 | 6 | 745 | 74 | 80% | 4.6 |
| Physical Therapy Assistant | 0 | 6 | 6 | 711 | 77 | 84% | 5.3 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 647 | 65 | 71% | 4.5 |
| Nurse Practitioner | 1 | 0 | 1 | 505 | 61 | 66% | 8.3 |
| Dental Services Staff | 1 | 0 | 1 | 464 | 57 | 62% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 439 | 54 | 59% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 272 | 34 | 37% | 8 |
| Medical Director | 0 | 2 | 2 | 205 | 40 | 43% | 3.7 |
| Feeding Assistant | 0 | 1 | 1 | 29 | 9 | 10% | 3.2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
22% worse than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.7
33% worse than Pennsylvania averagePennsylvania average: 22.2
Percent of long-stay residents whose need for help with daily activities has increased
28.7%
51% worse than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
31.7%
50% worse than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.6%
7% worse than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
28% better than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.3%
76% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
3.3%
87% worse than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
3.2%
52% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.4%
93% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
25.3%
48% worse than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
12% better than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Pennsylvania averagePennsylvania average: 93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
18% better than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
39% better than Pennsylvania averagePennsylvania average: 68.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Cross Keys Village – the Brethren Home Community from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #7 / 205Payroll — State benchmarkedThis home is ranked 7th out of 205 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
57.4 miles from city center
Estimated distance in miles from New Oxford's city center to Cross Keys Village – the Brethren Home Community's address, calculated via Google Maps.
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Cross Keys Village – the Brethren Home Community is located in NEW OXFORD, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
The legal owner and operator of Cross Keys Village – the Brethren Home Community is The Brethren Home Community Inc.
Cross Keys Village – the Brethren Home Community has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to PA state health department records, Cross Keys Village – the Brethren Home Community's license number is 342870.
According to PA state health department records, Cross Keys Village – the Brethren Home Community's license expires on November 10, 2026.
Cross Keys Village – the Brethren Home Community's occupancy is 88%.
Cross Keys Village – the Brethren Home Community is registered as a non-profit in PA.
Cross Keys Village – the Brethren Home Community has 104 beds.
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