Kirkland Village

Nursing Home in Bethlehem

CMS overall rating Info 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.
Kirkland Village

Nursing Home in Bethlehem

CMS overall rating Info 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.

Overview of Kirkland Village

Set in the sunny and charming neighborhood of Bethlehem, PA, Kirkland Village is a warm and welcoming senior living community that delivers exceptional independent living, personal care, memory care, and transitional care. To further enhance residents’ convenience, the community also provides home care services, skilled nursing for residents undergoing recovery, as well as end of life care. Offering convenient access to the historic downtown of Bethlehem, the community allows residents to enjoy the city’s vibrant offerings conveniently.

The community provides every resident with maintenance-free accommodations in a variety of floor plans, including charming cottages and luxury terrace homes. A vibrant array of amenities, such as a library, day spa, on-site pub, aquatic, and fitness center are also offered to give residents a more enjoyable living experience. With access to a wide array of services, residents of Kirkland Village are guaranteed to age in place comfortably.

(610) 691-4500

Managed by Susan Regalis

Personal Care Administrator

Susan Regalis serves as the Personal Care Administrator at Kirkland Village. She is responsible for overseeing personal care services within the community, ensuring residents receive attentive and compassionate support tailored to their needs.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5 ▲ 1.2 Pennsylvania average: 3.9/5
Health Inspection Info 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.
5/5 ▲ 1.5 Pennsylvania average: 3.5/5
Staffing Info 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.
5/5 ▲ 0.9 Pennsylvania average: 4.1/5
Quality Measures Info 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.
5/5 ▲ 1.2 Pennsylvania average: 3.8/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Pennsylvania state averages

Total nursing care / resident Info This home is ranked 76th out of 168 homes in Pennsylvania.

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.
4h 18m per day
This facility Pennsylvania avg (4h 35m per day)
vs Pennsylvania avg
-6%

1 of 5 metrics below state avg

Standout metric Registered Nurse (RN) is +51% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 1h 11m per day ▲ 51% State avg: 47m per day · National avg: 41m per day
Nurse Aide Info 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 3m per day ▼ 7% State avg: 2h 12m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info 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 35m per day ■ Avg State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 9m per day ▲ 50% State avg: 6m per day · National avg: 4m per day
RN (Weekend) Info 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. 45m per day ▲ 36% State avg: 33m per day · National avg: 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 64
Avg. Length of Stay
30 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

52% of new residents, usually for short-term rehab.

Typical stay 15 days

Private pay

48% of new residents, often for short stays.

Typical stay 1 - 2 months

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$29.5M
Surplus of revenue
$2.3M
Voluntary non-profit community Operated by a church.
Home revenue
$29.5M
Surplus of revenue
$2.3M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.6M
25.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.6M
Total costs $27.2M
Bed community size
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 12 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
47%
In line with Pennsylvania average
Occupied beds
30 / 64
Average residents 103 per day

License Details

Facility TypePersonal Care Homes
StatusLicensed
IssuanceFebruary 19, 2025
ExpirationFebruary 19, 2026
CountyNorthampton
License Number220500
CMS Certification Number395916

Ownership & Operating Entity

Kirkland Village is legally operated by Presbyterian Homes, Inc..

Profit StatusNON-PROFIT

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Theresa Engleman, Executive Artistic Director

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Memory & Specialized Care

1 service
Alzheimer's Certification

Additional Services

3 services
Personal Care
Transitional Care
End Of Life And Comfort Care

State Inspection Report (PA)

May 20, 2025
31 Total Daily Staff
23 Waking Staff
0 Resident Support Staff
30 Residents Served

Resident Conditions (PA)

Age 60+ 30 (100%)
Mobility Need 1 (3%)

Additional Policies & Features

Minimum Age55

Amenities & Lifestyle

10 amenities
Aquatic And Fitness Center
Casual
Formal
And Private Dining
On-Site Pub
Fitness And Wellness Programs
Resident Flower Gardens
Library
Day Spa
Many Clubs And Groups
Specific ProgramsResidential Living, Supportive Living, Personal Care, At Home Services, Transitional Care, End of Life and Comfort Care

Pricing & Financial Information

What does this home offer?

Room sizes icon
Room sizes icon

Room Sizes: 260 - 2110 sq. ft

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Mid-rise

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Kirkland Village

Independent Living Assisted Living Memory Care

Contact Kirkland Village

Inspection History

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.

9 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Results

4 with citations

5 without citations

Pennsylvania average: 4 complaint visits

Pennsylvania average: 8 inspections with citations

Latest inspection

Date August 28, 2025
Plan Of Correction

11 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Pennsylvania average: 63 citations

19 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Pennsylvania average: 59 deficiencies

Inspection Report Summary for Kirkland Village

The most recent inspection of Kirkland Village on August 28, 2025, found no health deficiencies. Earlier inspections showed some deficiencies related to fire safety inspections and medication administration training, as well as issues with resident monitoring, infection control, timely assessments, wound care, fall prevention, and clinical documentation. Complaint investigations identified substantiated deficiencies in areas such as failure to notify responsible parties of significant weight loss, incomplete physician order implementation, and infection control measures, though enforcement actions were not listed in the available reports. Prior deficiencies in medication management and documentation were addressed with accepted plans of correction. The facility’s inspection history shows improvement over time, with recent inspections free of deficiencies after earlier issues were corrected.

Health Inspection History

Inspections
Total health inspections 2

Pennsylvania average 6.7


Last Health inspection on Sep 2024

Total health citations 8

Pennsylvania average 31.3

Citations per inspection
4

Pennsylvania average 4.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 8 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Pennsylvania average

Pennsylvania average: 0.3


Serious Health citations More info 0
100% better than Pennsylvania average

Pennsylvania average: 0.6

0 critical citations More info Pennsylvania average: 0.3

0 serious citations More info Pennsylvania average: 0.6

8 moderate citations More info Pennsylvania average: 29.5

0 minor citations More info Pennsylvania average: 0.8
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 12, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 12, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 12, 2024
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Sep 12, 2024
Corrected

Compare Nursing Homes around Bethlehem The information below is reported by the Pennsylvania Department of Human Services and Department of Health.

5 facilities compared · CMS & PA Dept. of Health data · Updated Apr 2026

Filter by care type
Kirkland Village
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Bethlehem60 69.0% -12%4.30 +35%+4%084.0041A+ 12 Presbyterian Homes, Inc.$28.9M$7.6M26.2%395916
Country Meadows of Bethlehem V
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bethlehem70 77.3% -2%4.08 -11%-2%063.0062--Leader Holdings, Lp$11.6M$5.5M47.7%396053
Chestnut Hill Lodge
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Glenside181 92.1% +17%4.18 -54%+1%3485.32162- 56 Ch Operating Holdings Llc$18.6M$5.5M29.3%395334
Alexandria Manor of Allentown – Bethlehem Campus -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bethlehem58--------000.00--------
Meadows Living Center at Country Meadows of Bethlehem -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bethlehem64--------000.00--------

Living Spaces & Floor Plans

Kirkland Village3
Kirkland Village2
Kirkland Village1
Kirkland Village

Financial Assistance for
Nursing Home in Pennsylvania

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Community HealthChoices (CHC)

PA Medicaid CHC

Age 65+ or disabled
General Pennsylvania resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
PA

Managed care model; high urban demand (e.g., Philadelphia, Pittsburgh).

Benefits
Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Pennsylvania OPTIONS Program

PA OPTIONS

Age 60+
General Pennsylvania resident, at risk of nursing home placement.
Income Limits ~$2,000/month individual, varies by region
Asset Limits $8,000 individual
PA

Cost-sharing required above certain income; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Living Independence for the Elderly (LIFE)

Pennsylvania LIFE (PACE)

Age 55+
General PA resident (specific counties), NFLOC, safe with LIFE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
PA

16 providers in 25 counties (e.g., Allegheny, Luzerne); LIFE branding unique to PA.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Pennsylvania Medicare Savings Program

Age 65+ or disabled
General PA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
PA

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Pennsylvania LIHEAP

Age 60+ prioritized
General PA resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
PA

Cash grants and crisis aid; serves ~600,000 households annually.

Benefits
Heating/cooling aid ($300-$1,000/season) Crisis aid ($500 max)

Family Caregiver Support Program (FCSP)

Pennsylvania Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; PA resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; reimbursements up to $600/month if care recipient income < ~$2,322/month 185% FPL
Asset Limits Not assessed; need-based.
PA

High demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Supplies (~$2,000/year) Caregiver training

Senior Community Service Employment Program (SCSEP)

Pennsylvania SCSEP

Age 55+
General unemployed, low-income, PA resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
PA

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Pennsylvania VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General PA resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
PA

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax/Rent Rebate Program (PTRR)

Pennsylvania Property Tax/Rent Rebate Program

Age 65+
General PA resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year individual or couple, excludes half of Social Security
Asset Limits Not assessed; income-focused.
PA

Rebates up to $1,000; ~600,000 eligible annually.

Benefits
Rebates ($250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Senior Farmers’ Market Nutrition Program (SFMNP)

Pennsylvania SFMNP

Age 60+
General PA resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
PA

Vouchers (~$50/season) via 52 AAAs; serves ~200,000 annually.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Places of interest near Kirkland Village

Address 2.1 miles from city center Info Estimated distance in miles from Bethlehem's city center to Kirkland Village's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 81
Employees 64
Contractors 17
Staff to resident ratio 0:0
100% worse than Pennsylvania average

Pennsylvania average ratio: 1.94:1

Avg staff/day 36
Average shift 6.8 hours
13% worse than Pennsylvania average

Pennsylvania average: 7.8 hours

Total staff hours (quarter) 22,342
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

14.4%

3,215 contractor hours this quarter

Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Physical Therapy Assistant: 3 Physical Therapy Aide: 3 Qualified Social Worker: 2
Staff by category
Certified Nursing Assistant250257,82591100%6.7
Licensed Practical Nurse120123,69491100%7.6
Registered Nurse130132,77591100%6.7
Physical Therapy Assistant0331,2238492%6.4
Clinical Nurse Specialist3031,1138897%7.9
Dietitian3031,0808492%7.7
Occupational Therapy Aide3037356268%7.2
Speech Language Pathologist0446207684%4.9
Other Dietary Services Staff2026117279%6.3
Respiratory Therapy Technician0555908088%4.4
Nurse Practitioner1014595763%8.1
Administrator1014405560%8
Qualified Social Worker0224096369%6.5
Dental Services Staff1013975358%7.5
Physical Therapy Aide0333736369%5.6
25 Certified Nursing Assistant
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
3 Physical Therapy Assistant
% of Days 92%
3 Clinical Nurse Specialist
% of Days 97%
3 Dietitian
% of Days 92%
3 Occupational Therapy Aide
% of Days 68%
4 Speech Language Pathologist
% of Days 84%
2 Other Dietary Services Staff
% of Days 79%
5 Respiratory Therapy Technician
% of Days 88%
1 Nurse Practitioner
% of Days 63%
1 Administrator
% of Days 60%
2 Qualified Social Worker
% of Days 69%
1 Dental Services Staff
% of Days 58%
3 Physical Therapy Aide
% of Days 69%

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.9
9% better than Pennsylvania average

Pennsylvania average: 11.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.4
In line with Pennsylvania average

Pennsylvania average: 22.2

Long-stay resident measures
Significantly above average Pennsylvania avg: 3.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.1%
36% better than Pennsylvania average

Pennsylvania average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.1%
28% worse than Pennsylvania average

Pennsylvania average: 21.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.0%
5% worse than Pennsylvania average

Pennsylvania average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.3%
In line with Pennsylvania average

Pennsylvania average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.5%
73% better than Pennsylvania average

Pennsylvania average: 5.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
37% better than Pennsylvania average

Pennsylvania average: 1.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.8%
13% better than Pennsylvania average

Pennsylvania average: 6.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.6%
19% worse than Pennsylvania average

Pennsylvania average: 5.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.2%
6% worse than Pennsylvania average

Pennsylvania average: 17.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 79.4%
9% worse than Pennsylvania average

Pennsylvania average: 86.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.7%
In line with Pennsylvania average

Pennsylvania average: 93.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.05
38% better than Pennsylvania average

Pennsylvania average: 1.68

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.58
52% better than Pennsylvania average

Pennsylvania average: 1.20

Short-stay resident measures
Significantly above average Pennsylvania avg: 2.8 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 65.8%
In line with Pennsylvania average

Pennsylvania average: 68.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
75% better than Pennsylvania average

Pennsylvania average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 45.5%
34% worse than Pennsylvania average

Pennsylvania average: 68.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 32.6%
41% worse than Pennsylvania average

Pennsylvania average: 23.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.9%
30% better than Pennsylvania average

Pennsylvania average: 9.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.5%
42% better than Pennsylvania average

Pennsylvania average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 53.0%
In line with Pennsylvania average

Pennsylvania average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 57.5%
14% better than Pennsylvania average

Pennsylvania average: 50.6%

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