Serenity at Lgar
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Turtle Creek, PA
CMS overall rating Info 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.

Serenity at Lgar

Nursing Home, Memory Care, Respite Care & Skilled Nursing · Turtle Creek, PA
CMS overall rating Info 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.
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Serenity at Lgar accepts Medicare, Medicaid, and private pay.

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.

Since 2025 · 1 year of data 7 citations 0 complaints 1 inspection 0 waivers
We don't publish a score for assisted living residences with fewer than three inspections on record. This would unfairly reward providers with limited inspection history or those that have not been operating long enough to be cited.

Inspection score unavailable

Not enough inspection history to generate a score.

Average score for Pennsylvania assisted living residences: B 83/100

Inspection score not available. Not enough inspection history to score against the Pennsylvania benchmark.

Inspection Scorecard Info 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.

Since 2025 vs. Pennsylvania state average
Overall vs. PA average 2 Worse Metrics worse than Pennsylvania average:
• Citations per inspection (23% above)
• Inspection citation rate (37% above)
5 Better Metrics better than Pennsylvania average:
• Total citations (89% below)
• Citations per year (89% below)
• Inspections with citations (88% below)
• Total complaints (100% below)
• Complaints per year (100% below)
Latest Inspection August 20, 2025 Original Licensing

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityPA Averagevs. PA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 763 This facility has 89% fewer total citations than a typical Pennsylvania assisted living residence (7 vs. PA avg 63).↓ 89% better Rank #35 / 478 Total citations — State benchmarked This home is ranked 35th out of 478 homes in Pennsylvania. Shows this facility's total citations compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.
Citations per year Info Average citations per year since 2025. 763 This facility has 89% fewer citations per year than a typical Pennsylvania assisted living residence (7 vs. PA avg 63).↓ 89% better
Citations per inspection Info Average citations per inspection. 75.7 This facility has 23% more citations per inspection than a typical Pennsylvania assisted living residence (7 vs. PA avg 5.7).↑ 23% worse Rank #389 / 478 Citations per inspection — State benchmarked This home is ranked 389th out of 478 homes in Pennsylvania. Shows this facility's citations per inspection compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityPA Averagevs. PA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 111 This facility has had 91% fewer total inspections than the Pennsylvania average (1 vs. PA avg 11). More inspections can mean more regulatory scrutiny rather than worse care.↓ 91% fewer
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 18 This facility has 88% fewer inspections with citations than a typical Pennsylvania assisted living residence (1 vs. PA avg 8).↓ 88% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 100%73% This facility has 27 percentage points higher inspection citation rate than a typical Pennsylvania assisted living residence (100% vs. PA avg 73%).↑ 27% worse Rank #462 / 478 Inspection citation rate — State benchmarked This home is ranked 462nd out of 478 homes in Pennsylvania. Shows this facility's % of inspections with citations compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityPA Averagevs. PA Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 04 This facility has 100% fewer total complaints than a typical Pennsylvania assisted living residence (0 vs. PA avg 4).↓ 100% better Rank #1 / 478 Total complaints — State benchmarked This home is ranked 1st out of 478 homes in Pennsylvania. Shows this facility's complaint inspections compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.
Complaints per year Info Average complaints per year since 2025. 04 This facility has 100% fewer complaints per year than a typical Pennsylvania assisted living residence (0 vs. PA avg 4).↓ 100% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • August 20, 2025 licensing inspection found seven deficiencies including emergency exit obstructions, missing influenza posters, and improper emergency preparedness documentation.
  • Plans of correction for all deficiencies were accepted and implemented, with follow-up inspections scheduled to verify compliance.
  • Deficiencies involved safety themes such as obstructed egress routes, lack of electronic locking systems on exit doors, and lint accumulation in dryers.

Health Inspection History

Inspections since 2022
Total health inspections 5

State average N/A


Last Health inspection on Oct 2024

Total health citations
10 Rank #67 / 207Health citations — State benchmarkedThis home is ranked 67th out of 207 homes in Pennsylvania. Shows this facility's total health deficiency citations benchmarked to the Pennsylvania State average, with a ranking across all 207 PA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2 Rank #31 / 207Citations per inspection — State benchmarkedThis home is ranked 31st out of 207 homes in Pennsylvania. Shows average deficiency citations per CMS inspection for this facility versus the Pennsylvania mean across 207 facilities with citation data. Lower is better.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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

8 of 10 citations resulted from standard inspections; and 2 of 10 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

9 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Oct 18, 2024
Corrected

Quality of Care moderate citation Oct 18, 2024
Corrected

Nursing Services minor citation Oct 26, 2023
Corrected

Pharmacy moderate citation Oct 26, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 151
Employees 55
Contractors 96
Staff to resident ratio 2.80 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 32
Average shift 7.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,917

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 10 RN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 29 total: 12 full-time employees and 17 contractors. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 84 total: 24 full-time employees and 60 contractors. 84
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

22.6%

4,725 contractor hours this quarter

Certified Nursing Assistant: 60 Licensed Practical Nurse: 17 Qualified Social Worker: 4 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 2 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2460849,47992100%7.3
Licensed Practical Nurse1217294,00692100%7.1
Registered Nurse100102,73292100%8.2
Administrator2029006571%8
Speech Language Pathologist0336407076%6.3
Other Dietary Services Staff3035828087%5.6
Clinical Nurse Specialist1014316065%7.2
Physical Therapy Aide0224056571%6.1
Physical Therapy Assistant0443976571%5.8
Nurse Practitioner1013905358%7.4
Qualified Social Worker0443756672%5.7
Respiratory Therapy Technician0332005257%3.9
Occupational Therapy Aide0111443639%4
RN Director of Nursing1011281617%8
Dietitian1014367%7.2
Occupational Therapy Assistant011361415%2.6
Medical Director011301617%1.9
84 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
2 Administrator
% of Days 71%
3 Speech Language Pathologist
% of Days 76%
3 Other Dietary Services Staff
% of Days 87%
1 Clinical Nurse Specialist
% of Days 65%
2 Physical Therapy Aide
% of Days 71%
4 Physical Therapy Assistant
% of Days 71%
1 Nurse Practitioner
% of Days 58%
4 Qualified Social Worker
% of Days 72%
3 Respiratory Therapy Technician
% of Days 57%
1 Occupational Therapy Aide
% of Days 39%
1 RN Director of Nursing
% of Days 17%
1 Dietitian
% of Days 7%
1 Occupational Therapy Assistant
% of Days 15%
1 Medical Director
% of Days 17%

Penalties and fines

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.

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
10% better than State average

State average: 11.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.8
In line with State average

State average: 22.2

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.6%
13% better than State average

State average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.9%
22% worse than State average

State 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 23.0%
14% better than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.1%
33% better than State average

State average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
68% better than State average

State average: 5.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.3%
88% worse than State average

State average: 1.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.3%
51% better than State average

State average: 6.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 5.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.0%
23% worse than State average

State average: 17.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
14% better than State average

State average: 86.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
7% better than State average

State average: 93.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.3%
40% better than State average

State average: 68.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.7%
139% worse than State average

State average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 75.0%
9% better than State average

State average: 68.7%

Breakdown by payment type

Medicare

25% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

70% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

5% of new residents, often for long-term daily care.

Typical stay 9 - 10 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 54
Medicare
6
11.1% of residents
Medicaid
26
48.1% of residents
Private pay or other
22
40.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.8M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.3M Rank #201 / 209Revenue — State benchmarkedThis home is ranked 201st out of 209 homes in Pennsylvania. Shows this facility's annual revenue compared to the Pennsylvania average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.8M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$132.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #192 / 209Payroll — State benchmarkedThis home is ranked 192nd out of 209 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.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.2M 78.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #4 / 209Payroll % — State benchmarkedThis home is ranked 4th out of 209 homes in Pennsylvania. Shows payroll as a percentage of revenue versus the Pennsylvania average. Well-run Pennsylvania facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.1M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (70% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
80 total

Coverage residents most often arrive under.

Medicare 25%
Private pay 70%
Medicaid 5%
Discharges
86 total

Coverage residents most often leave under.

Medicare 15%
Private pay 62%
Medicaid 23%

Places of interest near Serenity at Lgar

Address 0.0 miles from city center Info Estimated distance in miles from Turtle Creek's city center to Serenity at Lgar's address, calculated via Google Maps.

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Frequently Asked Questions about Serenity at Lgar

Who is the owner of Serenity at Lgar?

Serenity at Lgar is legally operated by Lgarpa Corp.

Is Serenity at Lgar in a walkable area?

Serenity at Lgar has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Serenity at Lgar?

According to PA state health department records, Serenity at Lgar's license number is 456950.

When does Serenity at Lgar's license expire?

According to PA state health department records, Serenity at Lgar's license expires on September 19, 2026.

What is the occupancy rate at Serenity at Lgar?

Serenity at Lgar's occupancy is 42%.

Does Serenity at Lgar operate as a for-profit or non-profit?

Serenity at Lgar is registered as a non-profit in PA.

How many beds does Serenity at Lgar have?

Serenity at Lgar has 40 beds.

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