Abuse citation flag

Overview

Address
990 MEDICAL ROAD, MILLERSBURG, PA 17061
Phone
7176924751
Certified beds
194
Avg daily residents
162 (84% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1979-07-01
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.10 3.32 3.61 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.50 0.58 0.58 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.74 0.74 0.86
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.86 2.00 2.17
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.24
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.04

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.75
hrs / resident / day
RN (weekend)
0.40
hrs / resident / day
Total nurse (adjusted, weekend)
3.20
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
46.3%
annual
RN turnover
37.5%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.18
higher acuity than avg
Case-Mix Index Ratio
0.85
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-12 10 7 4 76 1 76
Cycle 2/3 (prior) 2024-07-11 25 13 14 211 1 211
Total weighted health score
109.8
lower is better

Deficiencies (44)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

42 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-12-23 2026-01-20
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-10-22 2025-10-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-06-12 2025-07-23
0692 Provide enough food/fluids to maintain a resident's health. E 2025-06-12 2025-07-23
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-06-12 2025-07-23
0791 Provide or obtain dental services for each resident. E 2025-06-12 2025-07-23
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2025-06-12 2025-07-23
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. E 2025-06-12 2025-07-23
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-06-12 2025-07-23
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-05-06 2025-05-27
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-12-10 2025-01-14
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2024-12-10 2025-01-14
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2024-12-10 2025-01-14
0583 Keep residents' personal and medical records private and confidential. D 2024-10-30 2024-11-18
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-07-11 2024-08-13
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. E 2024-07-11 2024-08-13
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-07-11 2024-08-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-07-11 2024-08-13
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2024-07-11 2024-08-13
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2024-07-11 2024-08-13
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-07-11 2024-08-13
0692 Provide enough food/fluids to maintain a resident's health. D 2024-07-11 2024-08-13
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-07-11 2024-08-13
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-07-11 2024-08-13
0880 Provide and implement an infection prevention and control program. D 2024-07-11 2024-08-13
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-07-11 2024-08-13
0836 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. F 2024-07-11 2024-08-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-04-19 2024-05-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2023-10-05 2023-10-17
0836 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. D 2023-10-05 2023-10-17
0641 Ensure each resident receives an accurate assessment. D 2023-09-14 2023-10-19
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-09-14 2023-10-19
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-09-14 2023-10-19
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. E 2023-09-14 2023-10-19
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-09-14 2023-10-19
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2023-09-14 2023-10-19
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2023-09-14 2023-10-19
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-09-14 2023-11-08
0880 Provide and implement an infection prevention and control program. D 2023-09-14 2023-10-19
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2023-09-14 2023-10-19
0908 Keep all essential equipment working safely. D 2023-09-14 2023-10-19
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-05-05 2023-06-01
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-05-05 2023-06-01
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-04-04 2023-04-27

Penalties (1)

Fines issued
1
last 3 years
Total fines
$11,921
Date Type Fine amount
2023-09-14 Fine $11,921

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 1.2% Medicaid 90.9% Other 7.8%

Operating performance

Operating Margin
-22.7%
Total Margin
-19.4%
Occupancy Rate
66.5%
Cost per Resident Day
$20

Revenue & costs

Net Patient Revenue
$12.2M
Total Costs
$960K
Net Income
-$2.4M

Balance sheet

Total Assets
$14.7M
Total Liabilities
$17.4M
Fund Balance
-$2.7M
Current Ratio
0.59

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: EPHRAM LAHASKY

Chain ID
205
Facilities in chain
28
Legal business name
PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION LLC
Chain-average star ratings (for peer context)
Overall
1.8
Health
1.9
Staffing
2.1
QM
2.7

Owner / manager organizations (5)

Organization Role Association
PREMIER MEMBERS 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/18/2017
EL BUCKEYE EAST LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2017
CLINICAL CONSULTING SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2019
PRIORITY CARE GROUP LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2019
SUMMATION FINANCIAL SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2019

Owner / manager individuals (5)

Name Role Association
GAMZEH, KATHLEEN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2017
GLATZER, AKIVA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2017
SCHAFFER, DANIEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2017
DALBERTO, PAMELA OPERATIONAL/MANAGERIAL CONTROL since 04/13/2024
ETTLINGER, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 09/18/2017

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $20 metrics.cost_per_resident_day
Cost Report Current Ratio 0.59 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 90.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.2% metrics.medicare_day_share
Cost Report Net Income ($) $-2,435,029 metrics.net_income
Cost Report Net Patient Revenue ($) $12,191,231 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 66.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -22.7% metrics.operating_margin
Cost Report Total Assets ($) $14,656,840 metrics.total_assets
Cost Report Total Costs ($) $959,811 metrics.total_costs
Cost Report Total Fund Balances ($) $-2,730,378 metrics.fund_balance
Cost Report Total Liabilities ($) $17,387,218 metrics.total_liabilities
Cost Report Total Margin (%) -19.4% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.85895 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.16561 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.58330 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.60786 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.20358 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 162.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.73635 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.00122 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.58040 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.31797 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.92444 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 205 Chain ID
Provider Information Chain Name EPHRAM LAHASKY Chain Name
Provider Information City/Town MILLERSBURG City/Town
Provider Information CMS Certification Number (CCN) 395428 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Dauphin County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1979-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 40.5526 Latitude
Provider Information Legal Business Name PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION LLC Legal Business Name
Provider Information Location 990 MEDICAL ROAD,MILLERSBURG,PA,17061 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -76.95 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 194 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 28 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.17541 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.85320 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 990 MEDICAL ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 280 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 76 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 4 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-12 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 76 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 10 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-07-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 211 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 14 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 211 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 25 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.40145 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 37.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.23943 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.73816 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.86106 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04141 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.50127 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.10049 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State PA State
Provider Information Telephone Number 7176924751 Telephone Number
Provider Information Total Amount of Fines in Dollars 11921.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.75307 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 46.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 109.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 17061 ZIP Code