13
Pennsylvania Nursing Care Facility Sanctions Facility Name Facility ID Survey Exit Date Sanction Issue Date P1 & CP P2 & CP P3 & CP P4 & CP P1 Only P2 Only P3 Only P4 Only Ban Lic Rev CP Only Amount Collected 1 GARDENS AT ORANGEVILLE, THE 379502 01/09/2014 02/11/2014 1 N/A 2 TWIN PINES HEALTH CARE CENTER 032102 01/08/2014 02/14/2014 1 $8,750.00 3 WILLOWBROOKE COURT AT GRANITE FARMS ESTATES 073602 01/13/2014 02/18/2014 1 $5,500.00 4 ROSE CITY NURSING AND REHAB AT LANCASTER 040702 02/28/2014 03/11/2014 1 $8,500.00 5 HARRISON SENIOR LIVING OF CHRISTIANA 080502 03/13/2014 03/26/2014 1 $8,500.00 6 WAYNESBURG HEALTHCARE AND REHABILITATION CENTER 074602 03/05/2014 03/28/2014 1 $3,500.00 7 GARDENS AT ORANGEVILLE, THE 379502 05/08/2014 06/09/2014 1 N/A 8 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 05/23/2014 06/26/2014 1 $2,000.00 9 GINO J. MERLI VETERANS CENTER 014902 06/20/2014 07/21/2014 1 N/A 10 GARDENS AT BLUE RIDGE, THE 022002 07/17/2014 08/19/2014 1 $9,000.00 11 SOUTHEASTERN PENNSYLVANIA VETERANS' CENTER 426002 08/15/2014 09/15/2014 1 N/A 12 CHARLES M MORRIS NURSING & REHAB CTR 101602 08/20/2014 10/15/2014 1 $2,500.00 13 HEARTHSIDE REHAB CENTER 940502 09/26/2014 10/24/2014 1 N/A 14 HANOVER HALL 590102 09/18/2014 10/24/2014 1 $1,500.00 15 GREEN MEADOWS NURSING & REHABILITATION CENTER 137702 09/19/2014 10/24/2014 1 $4,000.00 16 GINO J. MERLI VETERANS CENTER 014902 10/24/2014 11/12/2014 1 N/A 17 PEMBROOKE HEALTH AND REHABILITATION CENTER 230602 11/03/2014 12/09/2014 1 $8,250.00 18 LAUREL SQUARE HEALTHCARE AND REHABILITATION CENTER 131302 12/04/2014 01/09/2015 1 $3,750.00 19 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 12/09/2014 01/14/2015 1 $6,500.00 20 ASBURY HEALTH CENTER 132602 12/23/2014 01/16/2015 1 $7,000.00 21 CHESWICK REHABILITATION AND WELLNESS CENTER, LLC 740302 01/22/2015 03/02/2015 1 $4,000.00 22 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 01/27/2015 03/02/2015 1 $3,000.00 23 HOSPITALITY CARE CENTER OF HERMITAGE, INC. 011302 01/30/2015 03/02/2015 1 $4,750.00 24 HUNTINGDON PARK REHAB CENTER 083402 03/13/2015 04/07/2015 1 N/A 25 VILLAGE AT LUTHER SQUARE, THE 382602 03/20/2015 04/21/2015 1 $3,500.00 26 GINO J. MERLI VETERANS CENTER 014902 04/16/2015 05/19/2015 1 N/A 27 MAYBROOK HILLS REHABILITATION AND HEALTHCARE CENTER 480502 05/20/2015 06/19/2015 1 1 N/A 28 HARRISON SENIOR LIVING OF CHRISTIANA 080502 06/10/2015 07/13/2015 1 $12,000.00 29 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 06/12/2015 07/20/2015 1 $3,500.00 30 GREEN MEADOWS NURSING & REHABILITATION CENTER 137702 06/24/2015 07/29/2015 1 $8,750.00 31 PENNKNOLL VILLAGE 680602 06/29/2015 07/29/2015 1 $3,250.00 32 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 06/25/2015 07/29/2015 1 N/A 33 WESTMORELAND MANOR 231002 07/10/2015 08/07/2015 1 $4,250.00 34 PARK AVENUE REHAB CENTER 131702 07/17/2015 08/18/2015 1 $4,000.00 35 GREENERY CENTER FOR REHAB AND NURSING 135602 07/23/2015 08/20/2015 1 $9,250.00 36 WHITESTONE CARE CENTER 22480201 07/23/2015 08/24/2015 1 N/A 37 SHIPPENVILLE HEALTHCARE AND REHABILITATION CENTER 026002 07/23/2015 09/01/2015 1 $6,750.00 38 MANORCARE HEALTH SERVICES-YORK SOUTH 280402 07/30/2015 09/01/2015 1 $1,500.00 39 BROOKLINE MANOR AND REHABILITATIVE SERVICES 022902 07/31/2015 09/02/2015 1 N/A 40 GROVE AT LATROBE, THE 051202 08/15/2015 09/14/2015 1 N/A 41 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 08/18/2015 09/23/2015 1 $6,000.00 Page 1 of 13

Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

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Page 1: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

1 GARDENS AT ORANGEVILLE, THE 379502 01/09/2014 02/11/2014 1 N/A

2 TWIN PINES HEALTH CARE CENTER 032102 01/08/2014 02/14/2014 1 $8,750.00

3 WILLOWBROOKE COURT AT GRANITE FARMS ESTATES 073602 01/13/2014 02/18/2014 1 $5,500.00

4 ROSE CITY NURSING AND REHAB AT LANCASTER 040702 02/28/2014 03/11/2014 1 $8,500.00

5 HARRISON SENIOR LIVING OF CHRISTIANA 080502 03/13/2014 03/26/2014 1 $8,500.00

6 WAYNESBURG HEALTHCARE AND REHABILITATION CENTER 074602 03/05/2014 03/28/2014 1 $3,500.00

7 GARDENS AT ORANGEVILLE, THE 379502 05/08/2014 06/09/2014 1 N/A

8 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 05/23/2014 06/26/2014 1 $2,000.00

9 GINO J. MERLI VETERANS CENTER 014902 06/20/2014 07/21/2014 1 N/A

10 GARDENS AT BLUE RIDGE, THE 022002 07/17/2014 08/19/2014 1 $9,000.00

11 SOUTHEASTERN PENNSYLVANIA VETERANS' CENTER 426002 08/15/2014 09/15/2014 1 N/A

12 CHARLES M MORRIS NURSING & REHAB CTR 101602 08/20/2014 10/15/2014 1 $2,500.00

13 HEARTHSIDE REHAB CENTER 940502 09/26/2014 10/24/2014 1 N/A

14 HANOVER HALL 590102 09/18/2014 10/24/2014 1 $1,500.00

15 GREEN MEADOWS NURSING & REHABILITATION CENTER 137702 09/19/2014 10/24/2014 1 $4,000.00

16 GINO J. MERLI VETERANS CENTER 014902 10/24/2014 11/12/2014 1 N/A

17 PEMBROOKE HEALTH AND REHABILITATION CENTER 230602 11/03/2014 12/09/2014 1 $8,250.00

18 LAUREL SQUARE HEALTHCARE AND REHABILITATION CENTER 131302 12/04/2014 01/09/2015 1 $3,750.00

19 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 12/09/2014 01/14/2015 1 $6,500.00

20 ASBURY HEALTH CENTER 132602 12/23/2014 01/16/2015 1 $7,000.00

21 CHESWICK REHABILITATION AND WELLNESS CENTER, LLC 740302 01/22/2015 03/02/2015 1 $4,000.00

22 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 01/27/2015 03/02/2015 1 $3,000.00

23 HOSPITALITY CARE CENTER OF HERMITAGE, INC. 011302 01/30/2015 03/02/2015 1 $4,750.00

24 HUNTINGDON PARK REHAB CENTER 083402 03/13/2015 04/07/2015 1 N/A

25 VILLAGE AT LUTHER SQUARE, THE 382602 03/20/2015 04/21/2015 1 $3,500.00

26 GINO J. MERLI VETERANS CENTER 014902 04/16/2015 05/19/2015 1 N/A

27 MAYBROOK HILLS REHABILITATION AND HEALTHCARE CENTER 480502 05/20/2015 06/19/2015 1 1 N/A

28 HARRISON SENIOR LIVING OF CHRISTIANA 080502 06/10/2015 07/13/2015 1 $12,000.00

29 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 06/12/2015 07/20/2015 1 $3,500.00

30 GREEN MEADOWS NURSING & REHABILITATION CENTER 137702 06/24/2015 07/29/2015 1 $8,750.00

31 PENNKNOLL VILLAGE 680602 06/29/2015 07/29/2015 1 $3,250.00

32 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 06/25/2015 07/29/2015 1 N/A

33 WESTMORELAND MANOR 231002 07/10/2015 08/07/2015 1 $4,250.00

34 PARK AVENUE REHAB CENTER 131702 07/17/2015 08/18/2015 1 $4,000.00

35 GREENERY CENTER FOR REHAB AND NURSING 135602 07/23/2015 08/20/2015 1 $9,250.00

36 WHITESTONE CARE CENTER 22480201 07/23/2015 08/24/2015 1 N/A

37 SHIPPENVILLE HEALTHCARE AND REHABILITATION CENTER 026002 07/23/2015 09/01/2015 1 $6,750.00

38 MANORCARE HEALTH SERVICES-YORK SOUTH 280402 07/30/2015 09/01/2015 1 $1,500.00

39 BROOKLINE MANOR AND REHABILITATIVE SERVICES 022902 07/31/2015 09/02/2015 1 N/A

40 GROVE AT LATROBE, THE 051202 08/15/2015 09/14/2015 1 N/A

41 MEADOWVIEW REHABILITATION AND NURSING CENTER 183202 08/18/2015 09/23/2015 1 $6,000.00

Page 1 of 13

Page 2: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

42 LOYALHANNA CARE CENTER 016702 08/20/2015 09/23/2015 1 N/A

43 CHESWICK REHABILITATION AND WELLNESS CENTER, LLC 740302 09/03/2015 10/05/2015 1 $5,000.00

44 LOYALHANNA CARE CENTER 016702 09/17/2015 10/21/2015 1 $3,700.00

45 KADIMA REHABILITATION & NURSING AT LITITZ 012302 09/18/2015 10/21/2015 1 $5,650.00

46 CROSS KEYS VILLAGE - BRETHREN HOME COMMUNITY, THE 022502 09/24/2015 10/23/2015 1 $4,250.00

47 MARGARET E. MOUL HOME 292402 09/30/2015 11/05/2015 1 $2,850.00

48 SOUTH HILLS REHABILITATION AND WELLNESS CENTER 193302 10/14/2015 11/09/2015 1 $9,000.00

49 PEMBROOKE HEALTH AND REHABILITATION CENTER 230602 10/13/2015 11/17/2015 1 $8,400.00

50 SQUIRREL HILL WELLNESS AND REHABILITATION CENTER 231602 10/19/2015 11/17/2015 1 $5,500.00

51 MAYBROOK HILLS REHABILITATION AND HEALTHCARE CENTER 480502 10/29/2015 11/18/2015 1 N/A

52 GARDENS AT WEST SHORE, THE 280202 10/22/2015 11/23/2015 1 $8,100.00

53 OXFORD HEALTH CENTER 410302 09/30/2015 12/03/2015 1 $9,350.00

54 HARRISON SENIOR LIVING OF CHRISTIANA 080502 11/09/2015 12/04/2015 1 N/A

55 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 11/05/2015 12/07/2015 1 $3,100.00

56 COLONIAL MANOR NURSING HOME 033402 11/09/2015 12/08/2015 1 $5,700.00

57 GREEN MEADOWS NURSING & REHABILITATION CENTER 137702 11/20/2015 12/15/2015 1 $5,200.00

58 GINO J. MERLI VETERANS CENTER 014902 09/25/2015 12/15/2015 1 N/A

59 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 11/23/2015 12/24/2015 1 $2,500.00

60 MANORCARE HEALTH SERVICES-KINGSTON 900102 10/30/2015 01/08/2016 1 $5,850.00

61 ABINGTON CREST HEALTHCARE AND REHABILITATION CENTER 181302 01/13/2016 02/18/2016 1 $8,350.00

62 MOUNTAIN VIEW, A NURSING AND REHABILITATION CENTER 390302 01/29/2016 03/11/2016 1 $6,700.00

63 CHESTNUT HILL LODGE HEALTH AND REHABILITATION CENTER 700102 02/08/2016 03/11/2016 1 $9,350.00

64 ST. MARTHA CENTER FOR REHABILITATION & HEALTHCARE 457402 02/04/2016 03/15/2016 1 $2,700.00

65 SHIPPENVILLE HEALTHCARE AND REHABILITATION CENTER 026002 02/11/2016 03/18/2016 1 N/A

66 MOUNTAIN VIEW CARE AND REHABILITATION CENTER 053602 03/07/2016 04/15/2016 1 $3,500.00

67 HARMON HOUSE CARE CENTER 086002 03/11/2016 04/15/2016 1 $5,100.00

68 HRH TRANSITIONAL CARE UNIT (A D/B/A ENTITY OF HRHS) 083902 03/07/2016 04/15/2016 1 $4,000.00

69 PROVIDENCE REHAB AND HEALTHCARE CENTER AT MERCY FITZGERALD 074902 03/31/2016 05/03/2016 1 $4,000.00

70 LOCUST GROVE RETIREMENT VILLAGE 123402 03/31/2016 05/04/2016 1 $5,300.00

71 NORMANDIE RIDGE 250902 03/30/2016 05/09/2016 1 $6,500.00

72 MAYBROOK HILLS REHABILITATION AND HEALTHCARE CENTER 480502 04/06/2016 05/09/2016 1 $1,600.00

73 OXFORD HEALTH CENTER 410302 04/07/2016 05/20/2016 1 $9,700.00

74 GARDENS AT WEST SHORE, THE 280202 04/28/2016 06/07/2016 1 N/A

75 HARBORVIEW REHABILITATION AND CARE CENTER AT LANSDALE 140502 05/12/2016 06/14/2016 1 $4,200.00

76 LIBERTY CENTER FOR REHABILITATION AND NURSING 193802 05/13/2016 06/14/2016 1 $4,500.00

77 WILLIAM PENN CARE CENTER 312402 05/19/2016 06/30/2016 1 $7,050.00

78 VILLAGE AT PENNWOOD 016002 05/27/2016 06/30/2016 1 N/A

79 MANORCARE HEALTH SERVICES-KING OF PRUSSIA 125902 05/19/2016 06/30/2016 1 $12,700.00

80 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 05/24/2016 06/30/2016 1 $5,000.00

81 CAMBRIA CARE CENTER 030202 05/31/2016 06/30/2016 1 $1,300.00

82 EPHRATA MANOR 053502 06/06/2016 07/01/2016 1 $6,000.00

Page 2 of 13

Page 3: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

83 GARDENS AT GETTYSBURG, THE 132802 06/08/2016 07/06/2016 1 $2,550.00

84 ELKINS CREST HEALTH & REHABILITATION CENTER 460502 06/10/2016 07/20/2016 1 $13,500.00

85 HEMPFIELD MANOR 085802 06/16/2016 07/20/2016 1 $2,700.00

86 STERLING HEALTH CARE AND REHAB CENTER 17450201 05/25/2016 07/20/2016 1 $4,000.00

87 ASBURY HEALTH CENTER 132602 06/22/2016 07/21/2016 1 $3,750.00

88 MOUNTAIN CITY NURSING & REHAB CTR 085602 06/23/2016 07/21/2016 1 $15,250.00

89 MOUNTAIN VIEW CARE AND REHABILITATION CENTER 053602 06/17/2016 07/21/2016 1 $13,250.00

90 WYNDMOOR HILLS HEALTH CARE & REHAB CENTER 21610201 06/14/2016 07/21/2016 1 $3,500.00

91 GETTYSBURG CENTER 078502 06/20/2016 07/21/2016 1 $3,500.00

92 UNIONTOWN HEALTHCARE AND REHABILITATION CENTER 062802 06/22/2016 07/21/2016 1 $5,500.00

93 CANTERBURY PLACE 050702 06/24/2016 07/21/2016 1 $3,000.00

94 MT. MACRINA MANOR 394102 06/24/2016 07/28/2016 1 $5,750.00

95 TOWNE MANOR EAST 125102 06/24/2016 07/29/2016 1 $6,000.00

96 PROSPECT PARK HEALTH AND REHABILITATION CENTER 162502 06/20/2016 07/29/2016 1 $7,250.00

97 GARDENS AT WEST SHORE, THE 280202 06/30/2016 08/05/2016 1 $60,800.00

98 SOUTHWESTERN VETERANS CENTER 068802 07/14/2016 08/18/2016 1 $4,750.00

99 HARSTON HALL 080702 06/27/2016 08/30/2016 1 $5,750.00

100 TOWNE MANOR EAST 125102 07/15/2016 09/08/2016 1 N/A

101 HUNTINGDON PARK REHAB CENTER 083402 07/11/2016 09/08/2016 1 N/A

102 SPRING CREEK REHABILITATION AND NURSING CENTER 040202 08/03/2016 09/08/2016 1 N/A

103 VALLEY VIEW REHAB AND NURSING CENTER 027602 07/11/2016 09/08/2016 1 N/A

104 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 07/22/2016 09/08/2016 1 N/A

105 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 07/19/2016 09/08/2016 1 N/A

106 SUSQUEHANNA VALLEY NURSING & REHABILITATION CENTER 084802 07/01/2016 09/08/2016 1 N/A

107 HARMON HOUSE CARE CENTER 086002 08/25/2016 09/30/2016 1 N/A

108 OXFORD HEALTH CENTER 410302 08/18/2016 09/30/2016 1 N/A

109 ST. MARTHA CENTER FOR REHABILITATION & HEALTHCARE 457402 07/22/2016 09/30/2016 1 N/A

110 FORBES CENTER FOR REHABILITATION AND HEALTHCARE 060402 07/30/2016 09/30/2016 1 N/A

111 LOYALSOCK REHAB CENTER 194402 08/05/2016 09/30/2016 1 N/A

112 GROVE AT NORTH HUNTINGDON, THE 281002 08/11/2016 09/30/2016 1 N/A

113 GETTYSBURG CENTER 078502 08/23/2016 09/30/2016 1 N/A

114 ABINGTON MANOR 053202 09/02/2016 10/17/2016 1 N/A

115 GARDENS AT STROUD, THE 194002 09/16/2016 10/18/2016 1 N/A

116 MANORCARE HEALTH SERVICES-POTTSVILLE 383802 09/23/2016 10/20/2016 1 N/A

117 CONCORDIA LUTHERAN HEALTH AND HUMAN CARE 900202 07/27/2016 10/21/2016 1 $14,000.00

118 CHRIST THE KING MANOR 290102 09/22/2016 11/07/2016 1 N/A

119 PHOENIX CENTER FOR REHABILITATION AND NURSING, THE 160702 09/30/2016 11/10/2016 1 N/A

120 BARCLAY FRIENDS 092702 09/30/2016 11/10/2016 1 N/A

121 PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION, LLC 451902 10/06/2016 11/15/2016 1 N/A

122 BELAIR HEALTHCARE AND REHABILITATION CENTER 021002 10/14/2016 11/21/2016 1 N/A

123 TOWNE MANOR EAST 125102 10/03/2016 11/21/2016 1 N/A

Page 3 of 13

Page 4: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

124 LOYALHANNA CARE CENTER 016702 10/06/2016 11/21/2016 1 N/A

125 ELKINS CREST HEALTH & REHABILITATION CENTER 460502 10/21/2016 11/22/2016 1 N/A

126 VILLAGE AT PENNWOOD 016002 09/19/2016 11/22/2016 1 N/A

127 SAINT JOSEPH VILLA 711102 11/01/2016 12/01/2016 1 N/A

128 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 10/25/2016 12/01/2016 1 N/A

129 PEMBROOKE HEALTH AND REHABILITATION CENTER 230602 11/04/2016 12/07/2016 1 N/A

130 CARING HEART REHABILITATION AND NURSING CENTER 191802 11/03/2016 12/08/2016 1 N/A

131 UNITED ZION RETIREMENT COMMUNITY 470402 10/28/2016 12/08/2016 1 N/A

132 MEADOW VIEW NURSING CENTER 191702 06/27/2016 12/19/2016 1 $14,250.00

133 VALLEY VIEW REHAB AND NURSING CENTER 027602 07/11/2016 12/19/2016 1 $2,500.00

134 WHITESTONE CARE CENTER 22480201 08/04/2016 12/19/2016 1 $14,000.00

135 MANORCARE HEALTH SERVICES-BETHLEHEM 2021 900302 08/05/2016 12/19/2016 1 $4,750.00

136 GARDENS AT MILLVILLE, THE 022202 08/24/2016 12/19/2016 1 $4,250.00

137 SWAIM HEALTH CENTER 970502 07/28/2016 12/20/2016 1 $5,750.00

138 JEWISH HOME OF GREATER HARRISBURG 102002 06/29/2016 12/29/2016 1 $5,250.00

139 FALLING SPRING NURSING AND REHABILITATION CENTER 061302 07/15/2016 12/29/2016 1 $2,250.00

140 NORTHAMPTON COUNTY HOME- GRACEDALE 072802 09/21/2016 12/29/2016 1 $2,500.00

141 GOOD SHEPHERD HOME- BETHLEHEM 12650202 08/08/2016 12/29/2016 1 $1,000.00

142 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 07/19/2016 12/29/2016 1 $12,000.00

143 WATSONTOWN REHABILITATION AND NURSING CENTER 110702 11/17/2016 12/29/2016 1 $6,000.00

144 TREMONT HEALTH & REHABILITATION CENTER 271102 09/14/2016 12/29/2016 1 $1,500.00

145 SUSQUEHANNA VALLEY NURSING & REHABILITATION CENTER 084802 07/01/2016 12/29/2016 1 $11,250.00

146 HUNTINGDON PARK REHAB CENTER 083402 07/11/2016 12/30/2016 1 $4,500.00

147 LOYALSOCK REHAB CENTER 194402 08/05/2016 12/30/2016 1 $18,250.00

148 HUNTINGDON PARK REHAB CENTER 083402 08/17/2016 12/30/2016 1 $4,000.00

149 SPRING CREEK REHABILITATION AND NURSING CENTER 040202 07/20/2016 12/30/2016 1 $7,500.00

150 SPRING CREEK REHABILITATION AND NURSING CENTER 040202 08/03/2016 12/30/2016 1 $2,500.00

151 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 11/14/2016 01/10/2017 1 $20,500.00

152 GRANDVIEW NURSING AND REHABILITATION 591602 07/29/2016 01/10/2017 1 $6,250.00

153 GARDENS AT ORANGEVILLE, THE 379502 09/20/2016 01/10/2017 1 $6,000.00

154 OLD ORCHARD HEALTH CARE CENTER 09350200 09/08/2016 01/10/2017 1 $1,500.00

155 BLOOMSBURG CARE AND REHABILITATION CENTER 130602 08/12/2016 01/10/2017 1 $7,750.00

156 WATSONTOWN REHABILITATION AND NURSING CENTER 110702 09/09/2016 01/10/2017 1 $2,500.00

157 HOLLIDAYSBURG VETERANS' HOME 341402 09/01/2016 01/11/2017 1 N/A

158 LACKAWANNA HEALTH AND REHAB CENTER 134902 09/29/2016 01/12/2017 1 $15,000.00

159 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 07/22/2016 01/12/2017 1 $8,500.00

160 COLONIAL PARK CARE CENTER 640202 08/29/2016 01/12/2017 1 $5,000.00

161 FORBES CENTER FOR REHABILITATION AND HEALTHCARE 060402 07/30/2016 01/12/2017 1 $21,250.00

162 FORBES CENTER FOR REHABILITATION AND HEALTHCARE 060402 11/29/2016 01/12/2017 1 $9,000.00

163 ELKINS CREST HEALTH & REHABILITATION CENTER 460502 07/28/2016 01/17/2017 1 $3,250.00

164 CHAPEL POINTE AT CARLISLE 010602 08/12/2016 01/17/2017 1 $8,000.00

Page 4 of 13

Page 5: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

165 ST. MARTHA CENTER FOR REHABILITATION & HEALTHCARE 457402 12/19/2016 01/17/2017 1 $13,000.00

166 HARMON HOUSE CARE CENTER 086002 08/25/2016 01/17/2017 1 $8,750.00

167 TOWNE MANOR EAST 125102 07/15/2016 01/20/2017 1 $6,500.00

168 CONNER-WILLIAMS NURSING HOME 033802 11/18/2016 01/20/2017 1 $8,250.00

169 GETTYSBURG CENTER 078502 08/23/2016 01/23/2017 1 $6,500.00

170 ST. MARTHA CENTER FOR REHABILITATION & HEALTHCARE 457402 07/22/2016 01/24/2017 1 $19,500.00

171 ABINGTON MANOR 053202 09/02/2016 01/26/2017 1 $8,750.00

172 SPIRITRUST LUTHERAN THE VILLAGE AT SHREWSBURY 970902 09/01/2016 01/26/2017 1 $1,500.00

173 WILLIAMSPORT HOME, THE 491902 10/19/2016 01/26/2017 1 $4,500.00

174 GARDENS AT STROUD, THE 194002 09/16/2016 01/26/2017 1 $15,750.00

175 MANORCARE HEALTH SERVICES-POTTSVILLE 383802 09/23/2016 01/26/2017 1 $5,250.00

176 HEARTHSIDE REHAB CENTER 940502 09/23/2016 01/26/2017 1 $16,500.00

177 CENTRE CREST 031702 11/18/2016 01/26/2017 1 $4,000.00

178 GROVE AT NORTH HUNTINGDON, THE 281002 08/11/2016 01/26/2017 1 $3,750.00

179 LEBANON VALLEY BRETHREN HOME 380602 10/28/2016 01/26/2017 1 $2,750.00

180 GROVE AT NORTH HUNTINGDON, THE 281002 08/05/2016 01/26/2017 1 $6,250.00

181 GROVE AT NORTH HUNTINGDON, THE 281002 09/15/2016 01/26/2017 1 $10,750.00

182 ALTOONA CENTER FOR NURSING CARE 065402 08/27/2016 01/26/2017 1 $3,500.00

183 PAVILION AT SAINT LUKE VILLAGE, THE 455202 10/04/2016 01/30/2017 1 $10,500.00

184 ATHENS HEALTH AND REHABILITATION CENTER 24210201 12/16/2016 01/30/2017 1 $13,500.00

185 VILLAGE AT PENNWOOD 016002 09/19/2016 02/06/2017 1 $4,000.00

186 OXFORD HEALTH CENTER 410302 08/18/2016 02/06/2017 1 $13,250.00

187 GROVE AT LATROBE, THE 051202 09/23/2016 02/06/2017 1 $11,750.00

188 DUBOIS NURSING HOME 560402 09/09/2016 02/06/2017 1 $9,750.00

189 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 10/25/2016 02/06/2017 1 $11,250.00

190 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 09/12/2016 02/06/2017 1 $6,000.00

191 KIRKLAND VILLAGE 055402 12/08/2016 02/06/2017 1 $2,000.00

192 NORMANDIE RIDGE 250902 09/09/2016 02/06/2017 1 $9,250.00

193 INGLIS HOUSE 090202 11/11/2016 02/07/2017 1 $9,500.00

194 GROVE AT NORTH HUNTINGDON, THE 281002 01/11/2017 02/08/2017 1 N/A

195 CHRIST THE KING MANOR 290102 09/22/2016 02/09/2017 1 $9,250.00

196 ELKINS CREST HEALTH & REHABILITATION CENTER 460502 10/21/2016 02/10/2017 1 $13,250.00

197 LGAR HEALTH & REHABILITATION CTR 074802 09/29/2016 02/21/2017 1 $7,500.00

198 MANORCARE HEALTH SERVICES-CHAMBERSBURG 640702 09/30/2016 02/21/2017 1 $12,500.00

199 LOYALHANNA CARE CENTER 016702 10/06/2016 02/22/2017 1 $12,000.00

200 LUTHERAN HOME AT JOHNSTOWN, THE 270102 10/12/2016 02/22/2017 1 $3,000.00

201 EDISON MANOR NURSING & REHAB CENTER 025902 10/07/2016 02/22/2017 1 $7,500.00

202 RIVERSIDE REHABILITATION AND NURSING CENTER 201302 11/18/2016 02/24/2017 1 $14,000.00

203 HIGHLAND MANOR REHABILITATION AND NURSING CENTER 340902 12/08/2016 02/24/2017 1 $11,250.00

204 BELAIR HEALTHCARE AND REHABILITATION CENTER 021002 10/14/2016 02/24/2017 1 $5,000.00

205 PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION, LLC 451902 10/06/2016 02/28/2017 1 $5,000.00

Page 5 of 13

Page 6: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

206 BALDWIN HEALTH CENTER 026702 10/21/2016 02/28/2017 1 $4,000.00

207 WILLOW TERRACE 072102 07/24/2016 02/28/2017 1 $3,750.00

208 JOHN J KANE REGIONAL CENTER- MCKEESPORT 364702 10/31/2016 03/10/2017 1 $9,750.00

209 PARK AVENUE REHAB CENTER 131702 12/30/2016 03/10/2017 1 $5,000.00

210 PHILADELPHIA NURSING HOME 163902 08/01/2016 03/10/2017 1 $13,000.00

211 LUTHERAN HOME AT KANE 902802 09/29/2016 03/10/2017 1 $10,000.00

212 BRANDYWINE HALL 023902 08/09/2016 03/10/2017 1 $13,250.00

213 RIDGEVIEW HEALTHCARE AND REHABILITATION CENTER 015002 11/14/2016 03/10/2017 1 $3,000.00

214 GERMANTOWN HOME 122702 08/10/2016 03/10/2017 1 $8,500.00

215 INN AT FREEDOM VILLAGE, THE 105502 08/09/2016 03/10/2017 1 $14,500.00

216 MANORCARE HEALTH SERVICES-CARLISLE 392802 11/18/2016 03/10/2017 1 $8,250.00

217 MANORCARE HEALTH SERVICES-POTTSVILLE 383802 01/27/2017 03/22/2017 1 N/A

218 SHIPPENSBURG HEALTH CARE CENTER 035002 11/22/2016 03/24/2017 1 $4,000.00

219 IMMACULATE MARY CENTER FOR REHABILITATION & HEALTHCARE 090902 08/19/2016 03/29/2017 1 $9,250.00

220 WESTMORELAND MANOR 231002 12/01/2016 03/29/2017 1 $2,750.00

221 LOYALHANNA CARE CENTER 016702 02/17/2017 03/30/2017 1 N/A

222 OXFORD HEALTH CENTER 410302 02/16/2017 04/03/2017 1 N/A

223 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 12/13/2016 04/07/2017 1 $3,500.00

224 HILLCREST CENTER 034402 09/23/2016 04/07/2017 1 $7,500.00

225 PRESBYTERIAN CENTER FOR CONTINUING CARE 421102 10/07/2016 04/07/2017 1 $5,000.00

226 ARTMAN LUTHERAN HOME 011102 09/16/2016 04/07/2017 1 $7,000.00

227 BARCLAY FRIENDS 092702 09/30/2016 04/10/2017 1 $9,750.00

228 PHOENIX CENTER FOR REHABILITATION AND NURSING, THE 160702 09/30/2016 04/10/2017 1 $13,250.00

229 ST. JOSEPH'S MANOR (A D/B/A ENTITY OF HRHS) 451002 08/29/2016 04/10/2017 1 $9,000.00

230 FAIRVIEW NURSING AND REHABILITATION CENTER 320402 11/01/2016 04/10/2017 1 $8,500.00

231 FOX SUBACUTE AT CLARA BURKE 036302 12/02/2016 04/10/2017 1 $8,000.00

232 BELAIR HEALTHCARE AND REHABILITATION CENTER 021002 03/31/2017 04/11/2017 1 N/A

233 UNITED ZION RETIREMENT COMMUNITY 470402 10/28/2016 04/14/2017 1 $10,500.00

234 TRANSITIONS HEALTHCARE NORTH HUNTINGDON 020102 12/09/2016 04/14/2017 1 $4,500.00

235 TOWNE MANOR EAST 125102 10/03/2016 04/14/2017 1 $12,000.00

236 SOMERTON NURSING AND REHABILITATION CENTER 131602 12/22/2016 04/14/2017 1 $5,500.00

237 ST. JOHN NEUMANN CENTER FOR REHABILITATION & HEALTHCARE 452202 10/21/2016 04/14/2017 1 $10,000.00

238 MAPLEWOOD NURSING AND REHABILITATION CENTER 033002 12/16/2016 04/18/2017 1 $9,750.00

239 INGLIS HOUSE 090202 01/23/2017 04/18/2017 1 N/A

240 FALLING SPRING NURSING AND REHABILITATION CENTER 061302 03/09/2017 04/19/2017 1 N/A

241 CARING HEART REHABILITATION AND NURSING CENTER 191802 11/03/2016 04/19/2017 1 $4,500.00

242 NORRITON SQUARE NURSING AND REHABILITATION CENTER 068202 12/05/2016 04/20/2017 1 $5,250.00

243 ST. MONICA CENTER FOR REHABILITATION & HEALTHCARE 232602 12/01/2016 04/20/2017 1 $13,500.00

244 MEYERSDALE HEALTHCARE AND REHABILITATION CENTER 136802 12/29/2016 04/20/2017 1 $13,750.00

245 QUALITY LIFE SERVICES - NEW CASTLE 850302 12/05/2016 04/20/2017 1 $11,750.00

246 STONEBRIDGE HEALTH & REHABILITATION CENTER 197302 12/20/2016 04/20/2017 1 $3,500.00

Page 6 of 13

Page 7: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

247 PEMBROOKE HEALTH AND REHABILITATION CENTER 230602 11/04/2016 04/20/2017 1 $11,500.00

248 ARBUTUS PARK MANOR 012002 12/23/2016 04/20/2017 1 $8,500.00

249 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 03/17/2017 04/21/2017 1 N/A

250 QUINCY RETIREMENT COMMUNITY 170202 04/05/2017 04/25/2017 1 N/A

251 SAINT JOSEPH VILLA 711102 03/17/2017 04/26/2017 1 N/A

252 HARMARVILLAGE CARE CENTER 077802 03/20/2017 04/26/2017 1 N/A

253 MANORCARE HEALTH SERVICES - WALLINGFORD 230102 11/07/2016 04/26/2017 1 $10,000.00

254 KADIMA REHABILITATION & NURSING AT LITITZ 012302 11/07/2016 04/26/2017 1 $12,500.00

255 SAINT JOSEPH VILLA 711102 11/01/2016 04/26/2017 1 $3,250.00

256 POWERBACK REHABILITATION 3485 DAVISVILLE ROAD 069002 12/09/2016 04/27/2017 1 $5,500.00

257 WATSONTOWN REHABILITATION AND NURSING CENTER 110702 03/24/2017 05/02/2017 1 N/A

258 CHELTENHAM NURSING AND REHABILITATION CENTER 032202 03/08/2017 05/10/2017 1 N/A

259 INN AT FREEDOM VILLAGE, THE 105502 03/29/2017 05/10/2017 1 N/A

260 ABRAMSON RESIDENCE 09130200 02/21/2017 05/10/2017 1 N/A

261 GREEN MEADOWS NURSING & REHABILITATION CENTER 137702 03/27/2017 05/18/2017 1 N/A

262 ELKINS CREST HEALTH & REHABILITATION CENTER 460502 04/03/2017 05/23/2017 1 N/A

263 SUSQUEHANNA VALLEY NURSING & REHABILITATION CENTER 084802 05/06/2017 06/23/2017 1 N/A

264 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 06/01/2017 07/12/2017 1 N/A

265 SHOOK HOME, THE 100902 06/02/2017 07/21/2017 1 N/A

266 INGLIS HOUSE 090202 06/09/2017 07/21/2017 1 N/A

267 GROVE AT NORTH HUNTINGDON, THE 281002 07/13/2017 08/11/2017 1 $13,500.00

268 MANORCARE HEALTH SERVICES-POTTSVILLE 383802 07/14/2017 08/24/2017 1 N/A

269 CHELTENHAM NURSING AND REHABILITATION CENTER 032202 07/20/2017 08/24/2017 1 N/A

270 FALLING SPRING NURSING AND REHABILITATION CENTER 061302 08/03/2017 09/08/2017 1 N/A

271 GARDENS AT WEST SHORE, THE 280202 07/27/2017 09/29/2017 1 N/A

272 HIGHLAND MANOR REHABILITATION AND NURSING CENTER 340902 02/14/2017 11/21/2017 1 $4,500.00

273 SHIPPENSBURG HEALTH CARE CENTER 035002 09/22/2017 11/29/2017 1 N/A

274 CHARLES M MORRIS NURSING & REHAB CTR 101602 09/28/2017 12/13/2017 1 $15,250.00

275 GARDENS AT WEST SHORE, THE 280202 07/27/2017 12/13/2017 1 $82,500.00

276 HEARTHSIDE REHAB CENTER 940502 10/27/2017 12/13/2017 1 N/A

277 ST. FRANCIS CENTER FOR REHABILITATION & HEALTHCARE 190502 09/01/2017 12/15/2017 1 N/A

278 ST. FRANCIS CENTER FOR REHABILITATION & HEALTHCARE 190502 01/04/2017 12/15/2017 1 $100,000.00

279 ST. FRANCIS CENTER FOR REHABILITATION & HEALTHCARE 190502 08/23/2017 12/15/2017 1 $55,000.00

280 TOWNE MANOR WEST 124302 01/23/2017 12/22/2017 1 $26,500.00

281 MANATAWNY MANOR 130802 11/30/2017 01/22/2018 1 N/A

282 MANORCARE HEALTH SERVICES-EASTON 125202 03/09/2017 02/22/2018 1 $1,500.00

283 WESTMINSTER WOODS AT HUNTINGDON 077502 01/24/2017 03/22/2018 1 $3,500.00

284 WHITESTONE CARE CENTER 22480201 03/22/2017 03/23/2018 1 $6,750.00

285 GARDENS AT TUNKHANNOCK, THE 551002 03/09/2017 03/23/2018 1 $14,750.00

286 MOUNTAIN VIEW, A NURSING AND REHABILITATION CENTER 390302 02/10/2017 03/23/2018 1 $14,750.00

287 WAYNE WOODLANDS MANOR 065902 04/18/2017 03/26/2018 1 $12,500.00

Page 7 of 13

Page 8: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

288 PAUL'S RUN 161902 02/09/2017 04/02/2018 1 $6,000.00

289 GLENDALE UPTOWN HOME 210102 02/13/2017 04/02/2018 1 $16,000.00

290 JUNIPER VILLAGE AT BROOKLINE-REHABILITATION AND SKILLED CARE 281302 04/26/2017 04/17/2018 1 $14,500.00

291 WINDY HILL VILLAGE OF THE PRESBYTERIAN HOMES 164302 03/17/2017 04/24/2018 1 $10,000.00

292 JEWISH HOME OF EASTERN PA 360402 03/20/2017 04/26/2018 1 $12,750.00

293 HEMPFIELD MANOR 085802 02/28/2017 05/15/2018 1 $7,750.00

294 SUNNYVIEW NURSING AND REHABILITATION CENTER 970102 01/12/2017 05/15/2018 1 $14,250.00

295 MOUNTAIN CITY NURSING & REHAB CTR 085602 11/01/2017 05/15/2018 1 $11,250.00

296 MEADOW VIEW HEALTHCARE AND REHABILITATION CENTER 011202 11/02/2017 05/15/2018 1 $12,000.00

297 ALLIED SERVICES SKILLED NURSING CENTER 011902 11/17/2017 05/15/2018 1 $13,250.00

298 UPMC HERITAGE PLACE 086102 02/06/2017 05/23/2018 1 $5,931.90

299 MANORCARE HEALTH SERVICES-KINGSTON COURT 026302 01/26/2017 05/23/2018 1 $9,750.00

300 WATSONTOWN REHABILITATION AND NURSING CENTER 110702 03/24/2017 05/23/2018 1 $12,000.00

301 HEARTHSIDE REHAB CENTER 940502 10/27/2017 05/24/2018 1 $14,000.00

302 HEMPFIELD MANOR 085802 02/28/2017 05/30/2018 1 $7,750.00

303 GARDENS AT BLUE RIDGE, THE 022002 01/26/2017 06/06/2018 1 $18,250.00

304 WILLIAM PENN CARE CENTER 312402 03/01/2017 06/06/2018 1 $10,000.00

305 SPIRITRUST LUTHERAN THE VILLAGE AT SPRENKLE DRIVE 015902 01/10/2017 06/06/2018 1 $16,500.00

306 BEAVER VALLEY HEALTHCARE AND REHABILITATION CENTER 050402 01/24/2017 06/11/2018 1 $8,500.00

307 BROOKMONT HEALTHCARE CENTER, LLC 023002 04/25/2017 07/02/2018 1 $6,500.00

308 BRIGHTON REHABILITATION AND WELLNESS CENTER 020802 03/23/2017 07/03/2018 1 $21,000.00

309 MANORCARE HEALTH SERVICES-KINGSTON 900102 03/19/2017 07/03/2018 1 $11,750.00

310 MANORCARE HEALTH SERVICES-POTTSVILLE 383802 07/14/2017 07/03/2018 1 $12,000.00

311 SHIPPENSBURG HEALTH CARE CENTER 035002 02/09/2017 07/03/2018 1 $12,000.00

312 MAHONING VALLEY NURSING AND REHABILITATION CENTER 130202 03/31/2017 07/03/2018 1 $14,250.00

313 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 02/10/2017 07/11/2018 1 $6,500.00

314 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 03/17/2017 07/11/2018 1 $8,250.00

315 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 06/07/2017 07/11/2018 1 $10,500.00

316 MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CENTER 032702 01/13/2017 07/11/2018 1 $9,250.00

317 MANORCARE HEALTH SERVICES-WMSPT SOUTH 641502 05/31/2017 07/31/2018 1 $6,500.00

318 MOUNTAIN TOP HEALTHCARE AND REHABILITATION CENTER 040802 10/31/2017 08/01/2018 1 $9,750.00

319 COURTYARD GARDENS NURSING AND REHABILITATION CENTER 150302 03/23/2017 08/01/2018 1 $5,750.00

320 INGLIS HOUSE 090202 01/23/2017 01/03/2018 1

321 INGLIS HOUSE 090202 06/09/2017 03/26/2018 1

322 INGLIS HOUSE 090202 02/22/2017 08/01/2018 1

323 PLEASANT VALLEY MANOR, INC./ MONROE COUNTY HOME 161702 07/05/2017 08/02/2018 1 $10,750.00

324 BERKS HEIM NURSING & REHABILITATION 021202 06/16/2017 08/02/2018 1 $5,250.00

325 GARDENS AT ORANGEVILLE, THE 379502 06/16/2017 08/02/2018 1 $7,250.00

326 HEARTHSIDE REHAB CENTER 940502 06/16/2017 08/03/2018 1 $13,250.00

327 MANORCARE HEALTH SERVICES-POTTSVILLE 383802 01/27/2017 08/03/2018 1 $15,250.00

328 CEDAR HAVEN HEALTHCARE CENTER 290702 05/22/2017 08/03/2018 1 $2,722.00

$5,200.00

Page 8 of 13

Page 9: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

329 CEDAR HAVEN HEALTHCARE CENTER 290702 09/18/2017 08/03/2018 1 $3,913.00

330 AVENTURA AT CREEKSIDE 067702 08/03/2017 08/06/2018 1 $16,200.00

331 CATHEDRAL VILLAGE 030402 04/23/2018 08/08/2018 1 $52,250.00

332 SPRINGS AT THE WATERMARK, THE 127502 02/03/2017 08/09/2018 1 $13,750.00

333 FOREST PARK HEALTHCARE AND REHABILITATION CENTER 060802 02/22/2017 08/27/2018 1 $12,750.00

334 EPHRATA MANOR 053502 03/06/2017 08/27/2018 1 $20,750.00

335 MEADOW VIEW NURSING CENTER 191702 01/18/2018 08/29/2018 1 $9,000.00

336 GINO J. MERLI VETERANS CENTER 014902 01/26/2018 08/31/2018 1 $15,500.00

337 LONGWOOD AT OAKMONT 017202 01/09/2018 08/31/2018 1 $13,250.00

338 LOYALHANNA CARE CENTER 016702 06/14/2018 09/04/2018 1 N/A

339 BARNES-KASSON COUNTY HOSPITAL SNF 020502 04/13/2018 09/12/2018 1 $11,750.00

340 MANOR AT ST. LUKE VILLAGE, THE 195202 04/20/2018 09/12/2018 1 $8,000.00

341 HAMPTON HOUSE 080302 01/16/2018 09/12/2018 1 $12,500.00

342 CLIVEDEN NURSING AND REHABILITATION CENTER 330402 07/31/2017 09/12/2018 1 $9,750.00

343 LUTHER WOODS NURSING AND REHABILITATION CENTER 640302 02/09/2017 09/12/2018 1 $40,250.00

344 CENTRE CREST 031702 03/09/2018 09/12/2018 1 $2,550.00

345 BALA NURSING AND RETIREMENT CENTER 041402 04/03/2017 09/12/2018 1 $12,750.00

346 GARDENS AT EAST MOUNTAIN, THE 026502 06/09/2017 09/13/2018 1 $12,000.00

347 ELLEN MEMORIAL HEALTH CARE CENTER-HONESDALE, INC. 318502 03/16/2018 09/13/2018 1 $14,750.00

348 BLOOMSBURG CARE AND REHABILITATION CENTER 130602 07/21/2017 09/13/2018 1 $13,250.00

349 GARDENS AT MILLVILLE, THE 022202 04/28/2017 09/13/2018 1 $1,700.00

350 OXFORD HEALTH CENTER 410302 02/16/2017 09/18/2018 1 $12,250.00

351 MANORCARE HEALTH SERVICES-LANCASTER 231302 03/06/2017 09/18/2018 1 $23,250.00

352 RICHFIELD HEALTHCARE AND REHABILITATION CENTER 260202 01/31/2018 09/18/2018 1 $5,750.00

353 GROVE AT LATROBE, THE 051202 04/05/2017 09/19/2018 1 $13,250.00

354 SOUTH MOUNTAIN RESTORATION CTR 453402 03/30/2017 09/19/2018 1 $14,500.00

355 MANORCARE HEALTH SERVICES-SHADYSIDE 090302 04/18/2017 09/20/2018 1 $15,000.00

356 GREENSBURG CARE CENTER 073502 03/16/2018 09/25/2018 1 $17,400.00

357 OXFORD HEALTH CENTER 410302 06/06/2017 10/02/2018 1 $7,750.00

358 OXFORD HEALTH CENTER 410302 08/18/2017 10/02/2018 1 $15,500.00

359 MANORCARE HEALTH SERVICES-YORK SOUTH 280402 02/21/2018 10/02/2018 1 $18,750.00

360 MOUNTAIN CITY NURSING & REHAB CTR 085602 06/22/2018 10/03/2018 1 $9,250.00

361 SARAH REED SENIOR LIVING 710402 09/29/2017 10/03/2018 1 $27,250.00

362 EPWORTH HEALTHCARE AND REHABILITATION CENTER 050802 07/28/2017 10/03/2018 1 $10,500.00

363 EPWORTH HEALTHCARE AND REHABILITATION CENTER 050802 11/02/2017 10/03/2018 1 $9,500.00

364 GARDENS AT WEST SHORE, THE 280202 03/16/2018 10/03/2018 1 $16,657.29

365 GARDENS AT CAMP HILL, THE 030502 07/06/2017 10/03/2018 1 $19,442.09

366 PREMIER AT PERRY VILLAGE FOR NURSING AND REHABILITATION, LLC 161002 02/24/2018 10/03/2018 1 $8,057.28

367 BERKSHIRE CENTER 044502 08/07/2018 10/04/2018 1 $6,250.00

368 POCOPSON HOME 162002 07/24/2017 10/04/2018 1 $3,854.35

369 ELKINS CREST HEALTH & REHABILITATION CENTER 460502 04/03/2017 10/10/2018 1 $12,750.00

Page 9 of 13

Page 10: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

370 MILTON REHABILITATION AND NURSING CENTER 379902 04/20/2018 10/11/2018 1 $12,250.00

371 PICKERING MANOR HOME 160802 07/27/2018 10/11/2018 1 $7,400.00

372 SCHUYLKILL CENTER 453002 06/05/2018 10/15/2018 1 $8,250.00

373 MOUNTAIN TOP HEALTHCARE AND REHABILITATION CENTER 040802 05/11/2018 10/16/2018 1 $29,000.00

374 BRANDYWINE HALL 023902 03/20/2018 10/18/2018 1 $18,000.00

375 JEWISH HOME OF EASTERN PA 360402 02/16/2018 10/19/2018 1 $14,000.00

376 RENAISSANCE HEALTHCARE & REHABILITATION CENTER 420302 03/30/2018 10/22/2018 1 $10,750.00

377 NUGENT CONVALESCENT HOME 140702 09/22/2017 10/25/2018 1 $13,750.00

378 HARRISON SENIOR LIVING OF CHRISTIANA 080502 05/25/2017 10/25/2018 1 $7,250.00

379 LUTHERAN HOME AT JOHNSTOWN, THE 270102 06/16/2017 10/26/2018 1 $7,500.00

380 FREY VILLAGE 062102 04/10/2017 10/26/2018 1 $1,500.00

381 INN AT FREEDOM VILLAGE, THE 105502 03/29/2017 10/31/2018 1 $18,500.00

382 FAIR ACRES GERIATRIC CENTER 061002 10/24/2017 10/31/2018 1 $3,750.00

383 BRIGHTON REHABILITATION AND WELLNESS CENTER 020802 07/11/2017 11/06/2018 1 $9,750.00

384 SUSQUEHANNA VALLEY NURSING & REHABILITATION CENTER 084802 06/20/2017 11/08/2018 1 $5,500.00

385 AVALON SPRINGS PLACE 132402 03/27/2017 11/08/2018 1 $15,250.00

386 LUTHERAN HOME AT KANE 902802 08/14/2017 11/08/2018 1 $9,250.00

387 MANCHESTER COMMONS OF PRESBYTERIAN SENIORCARE 075602 07/24/2017 11/08/2018 1 $12,000.00

388 PENNKNOLL VILLAGE 680602 06/08/2017 11/08/2018 1 $11,000.00

389 ABRAMSON RESIDENCE 09130200 08/17/2017 11/15/2018 1 $12,250.00

390 BELAIR HEALTHCARE AND REHABILITATION CENTER 021002 02/28/2017 11/20/2018 1 $15,250.00

391 ELIZABETH MANOR HEALTHCARE AND REHABILITATION CENTER 023202 01/17/2017 11/20/2018 1 $38,500.00

392 SILVER STREAM NURSING AND REHABILITATION CENTER 192702 03/25/2017 11/20/2018 1 $13,500.00

393 FALLING SPRING NURSING AND REHABILITATION CENTER 061302 03/09/2017 11/20/2018 1 $17,500.00

394 TWINBROOK HEALTHCARE AND REHABILITATION CENTER 200602 03/31/2017 11/20/2018 1 $24,250.00

395 DR. ARTHUR CLIFTON MCKINLEY HEALTH CENTER 421402 06/19/2017 11/20/2018 1 $15,500.00

396 BONHAM NURSING CENTER 022802 10/13/2017 11/27/2018 1 $10,250.00

397 MANORCARE HEALTH SERVICES-SUNBURY 123302 09/18/2017 11/27/2018 1 $7,000.00

398 ARBUTUS PARK MANOR 012002 05/03/2018 11/27/2018 1 $8,500.00

399 MANORCARE HEALTH SERVICES-LANCASTER 231302 10/06/2017 11/27/2018 1 $12,250.00

400 ARBUTUS PARK MANOR 012002 11/09/2017 11/27/2018 1 $15,750.00

401 CHRIST THE KING MANOR 290102 06/16/2017 11/27/2018 1 $16,250.00

402 CHRIST THE KING MANOR 290102 10/19/2017 11/27/2018 1 $20,250.00

403 CHAPEL MANOR 031602 08/14/2017 11/27/2018 1 $13,000.00

404 RIVERSTREET MANOR 185302 08/24/2018 11/27/2018 1 $13,250.00

405 ST. JOSEPH'S MANOR (A D/B/A ENTITY OF HRHS) 451002 04/21/2017 11/27/2018 1 $15,500.00

406 CHELTENHAM NURSING AND REHABILITATION CENTER 032202 03/08/2017 11/27/2018 1 $7,750.00

407 KADIMA REHABILITATION & NURSING AT LUZERNE 283802 10/18/2017 11/27/2018 1 $10,000.00

408 BROAD MOUNTAIN HEALTH & REHABILITATION CENTER 282802 09/26/2017 11/28/2018 1 $7,750.00

409 GUARDIAN HEALTHCARE AND REHABILITATION CENTER 191502 12/08/2017 11/28/2018 1 $13,000.00

410 HEMPFIELD MANOR 085802 06/23/2017 11/28/2018 1 $13,750.00

Page 10 of 13

Page 11: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

411 MOUNTAIN VIEW CARE AND REHABILITATION CENTER 053602 12/27/2017 11/28/2018 1 $9,250.00

412 HOMETOWN NSG & REHAB CTR 017902 10/11/2017 11/28/2018 1 $7,000.00

413 VALLEY VIEW HAVEN, INC. 220402 10/20/2017 11/28/2018 1 $9,394.55

414 MISERICORDIA NURSING & REHABILITATION CENTER 133302 10/06/2017 11/29/2018 1 $9,000.00

415 WESLEY ENHANCED LIVING MAIN LINE REHAB AND SKD NURSING 390102 09/18/2017 11/29/2018 1 $15,750.00

416 QUINCY RETIREMENT COMMUNITY 170202 04/05/2017 11/29/2018 1 $24,000.00

417 PARK AVENUE REHAB CENTER 131702 10/06/2017 11/29/2018 1 $10,000.00

418 GROVE AT GREENVILLE, THE 070402 06/11/2018 11/29/2018 1 $10,500.00

419 AVENTURA AT PEMBROOKE 230602 10/16/2017 11/29/2018 1 $10,500.00

420 WILLOWBROOKE COURTSKILLEDCARECENTER AT NORMANDYFARMS ESTATES 142502 05/11/2017 11/29/2018 1 $27,250.00

421 LUTHER WOODS NURSING AND REHABILITATION CENTER 640302 09/21/2017 11/29/2018 1 $12,000.00

422 HARLEE MANOR NURSING AND REHABILITATION CENTER 080402 09/14/2017 11/29/2018 1 $28,000.00

423 CONNER-WILLIAMS NURSING HOME 033802 09/26/2017 11/30/2018 1 $23,500.00

424 MANORCARE HEALTH SERVICES-LANCASTER 231302 09/15/2017 12/03/2018 1 $15,000.00

425 NORTH STRABANE REHABILITATION AND WELLNESS CENTER, LLC 09220200 10/18/2017 12/04/2018 1 $17,000.00

426 MANATAWNY MANOR 130802 11/30/2017 12/04/2018 1 $17,500.00

427 RIVERS EDGE NSG & REHAB CTR 183502 01/26/2018 12/04/2018 1 $9,250.00

428 WOODLAND PARK REHAB CENTER 233002 02/09/2018 12/04/2018 1 $6,250.00

429 PHILADELPHIA NURSING HOME 163902 12/21/2017 12/04/2018 1 $9,742.05

430 SWAIM HEALTH CENTER 970502 02/26/2018 12/06/2018 1 $6,000.00

431 MONROEVILLE REHABILITATION AND WELLNESS CENTER 026102 03/22/2018 12/06/2018 1 $7,000.00

432 BRIGHTON REHABILITATION AND WELLNESS CENTER 020802 04/02/2018 12/06/2018 1 $8,250.00

433 YORK NURSING AND REHABILITATION CENTER 023802 05/26/2017 12/06/2018 1 $18,000.00

434 PARKHOUSE REHABILITATION AND NURSING CENTER 133402 05/07/2018 12/06/2018 1 $35,000.00

435 SAINT JOSEPH VILLA 711102 03/17/2017 12/06/2018 1 $14,750.00

436 CHESTNUT HILL LODGE HEALTH AND REHABILITATION CENTER 700102 04/19/2017 12/06/2018 1 $21,500.00

437 TWINING HALL 071202 10/13/2017 12/06/2018 1 $13,750.00

438 STERLING HEALTH CARE AND REHAB CENTER 17450201 12/11/2017 12/06/2018 1 $20,000.00

439 SHIPPENSBURG HEALTH CARE CENTER 035002 07/26/2017 12/07/2018 1 $6,500.00

440 SUSQUEHANNA VALLEY NURSING & REHABILITATION CENTER 084802 05/06/2017 12/07/2018 1 $6,500.00

441 SARAH A. TODD MEMORIAL HOME 711402 05/12/2017 12/07/2018 1 $14,750.00

442 TEL HAI RETIREMENT COMMUNITY 200102 03/01/2018 12/07/2018 1 $16,750.00

443 SHIPPENSBURG HEALTH CARE CENTER 035002 09/22/2017 12/07/2018 1 $24,500.00

444 FREY VILLAGE 062102 05/22/2018 12/07/2018 1 $24,250.00

445 OAK HILL HEALTHCARE AND REHABILITATION CENTER 150702 08/16/2017 12/10/2018 1 $2,750.00

446 WATSONTOWN REHABILITATION AND NURSING CENTER 110702 11/21/2017 12/10/2018 1 $5,750.00

447 AVENTURA AT PROSPECT 162502 08/17/2017 12/10/2018 1 $9,000.00

448 MEADOWOOD 392602 03/08/2018 12/10/2018 1 $15,750.00

449 SHOOK HOME, THE 100902 06/02/2017 12/10/2018 1 $31,250.00

450 TRANSITIONS HEALTHCARE GETTYSBURG 071702 09/27/2017 12/10/2018 1 $9,810.00

451 GARDENS AT WYOMING VALLEY, THE 971402 10/03/2017 12/10/2018 1 $11,750.00

Page 11 of 13

Page 12: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

452 MAPLE WINDS HEALTHCARE AND REHABILITATION, LLC 09750201 10/19/2017 12/11/2018 1 $10,250.00

453 WILLIAM HOOD DUNWOODY CARE CENTER 041602 08/31/2017 12/11/2018 1 $17,500.00

454 CHAMBERS POINTE HEALTH CARE CENTER 064902 08/30/2017 12/11/2018 1 $22,000.00

455 RICHFIELD HEALTHCARE AND REHABILITATION CENTER 260202 11/14/2017 12/11/2018 1 $11,500.00

456 GROVE AT LATROBE, THE 051202 10/12/2017 12/12/2018 1 $5,000.00

457 ABRAMSON RESIDENCE 09130200 03/31/2017 12/12/2018 1 $7,750.00

458 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 05/20/2017 12/12/2018 1 $11,750.00

459 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 06/01/2017 12/12/2018 1 $14,000.00

460 SUBURBAN WOODS HEALTH & REHABILITATION CENTER 044002 04/04/2017 12/12/2018 1 $29,000.00

461 GREEN MEADOWS NURSING & REHABILITATION CENTER 137702 03/27/2017 12/12/2018 1 $37,500.00

462 CHELTENHAM NURSING AND REHABILITATION CENTER 032202 06/12/2018 12/12/2018 1 $34,250.00

463 GERMANTOWN HOME 122702 11/20/2017 12/12/2018 1 $15,500.00

464 SOUTHEASTERN PENNSYLVANIA VETERANS' CENTER 426002 10/11/2017 12/13/2018 1 $11,500.00

465 WILLOWBROOKE COURT SKILLED CARE CENTER AT LIMA ESTATES 151902 08/01/2017 12/13/2018 1 $16,750.00

466 CHURCH OF GOD HOME INC 291602 11/20/2017 12/13/2018 1 $13,250.00

467 GROVE AT NORTH HUNTINGDON, THE 281002 03/31/2017 12/13/2018 1 $26,500.00

468 WILLOWBROOKE COURT AT GRANITE FARMS ESTATES 073602 01/31/2018 12/14/2018 1 $12,250.00

469 GROVE AT GREENVILLE, THE 070402 01/24/2018 12/14/2018 1 $15,500.00

470 TWIN LAKES REHABILITATION AND HEALTHCARE CENTER 914302 06/08/2017 12/14/2018 1 $16,750.00

471 PLEASANT ACRES REHABILITATION AND NURSING CENTER 250102 07/19/2018 12/14/2018 1 $3,545.80

472 ST. JOSEPH'S MANOR (A D/B/A ENTITY OF HRHS) 451002 04/30/2018 12/20/2018 1 $17,250.00

473 GROVE AT LATROBE, THE 051202 07/20/2018 12/21/2018 1 $11,000.00

474 LUTHERAN HOME AT JOHNSTOWN, THE 270102 05/07/2018 12/21/2018 1 $16,250.00

475 WILLOW TERRACE 072102 05/02/2018 12/21/2018 1 $21,750.00

476 LUTHER ACRES MANOR 122402 06/26/2018 12/21/2018 1 $22,750.00

477 BRYN MAWR TERRACE, THE 023402 06/22/2018 12/21/2018 1 $2,850.00

478 MASONIC VILLAGE AT ELIZABETHTOWN 131502 08/10/2018 12/26/2018 1 $21,000.00

479 GARDENS AT WYOMING VALLEY, THE 971402 10/19/2018 12/26/2018 1 $3,250.00

480 SUSQUE- VIEW HOME, INC. 710802 10/10/2018 12/26/2018 1 $2,600.68

481 WILLOWCREST 232002 08/31/2018 12/27/2018 1 $12,250.00

482 UNITED ZION RETIREMENT COMMUNITY 470402 07/16/2018 12/27/2018 1 $24,500.00

483 PRESTON RESIDENCE 15700201 08/30/2018 12/27/2018 1 $13,500.00

484 MANATAWNY MANOR 130802 07/18/2018 12/27/2018 1 $29,750.00

485 WILLIAM PENN CARE CENTER 312402 06/07/2018 01/07/2019 1 $20,000.00

486 MANORCARE HEALTH SERVICES-KINGSTON COURT 026302 06/11/2018 01/07/2019 1 $19,500.00

487 MEADOW VIEW NURSING CENTER 191702 06/21/2018 01/07/2019 1 $14,750.00

488 RICHFIELD HEALTHCARE AND REHABILITATION CENTER 260202 06/26/2018 01/07/2019 1 $14,000.00

489 PLEASANT RIDGE MANOR- WEST 311002 09/14/2018 01/07/2019 1 $6,500.00

490 SPRING CREEK REHABILITATION AND NURSING CENTER 040202 07/09/2018 01/10/2019 1 $12,750.00

491 SOUTHWESTERN VETERANS CENTER 068802 07/12/2018 01/10/2019 1 $15,250.00

492 BARCLAY FRIENDS 092702 10/19/2017 01/11/2019 1 $8,000.00

Page 12 of 13

Page 13: Survey Exit Sanction P1 & P2 & P3 & P4 & P1 P2 P3 P4 Lic ......7 gardens at orangeville, the 379502 05/08/2014 06/09/2014 1 n/a 8 pleasant acres rehabilitation and nursing center 250102

Pennsylvania Nursing Care Facility Sanctions

Facility Name Facility IDSurvey Exit

Date

Sanction

Issue Date

P1 &

CP

P2 &

CP

P3 &

CP

P4 &

CP

P1

Only

P2

Only

P3

Only

P4

OnlyBan

Lic

Rev

CP

Only

Amount

Collected

493 QUALITY LIFE SERVICES - APOLLO 235502 08/06/2018 01/23/2019 1 $22,500.00

494 JEWISH HOME OF GREATER HARRISBURG 102002 07/19/2018 01/24/2019 1 $15,750.00

495 LUTHERAN HOME AT HOLLIDAYSBURG, THE 010502 07/31/2018 01/25/2019 1 $18,500.00

496 NORTH STRABANE REHABILITATION AND WELLNESS CENTER, LLC 09220200 08/16/2018 01/25/2019 1 $9,000.00

497 MEADOW VIEW NURSING CENTER 191702 09/28/2018 01/25/2019 1 $11,750.00

498 CENTRE CREST 031702 12/20/2018 01/28/2019 1 N/A

499 CORNER VIEW NURSING AND REHABILITATION CENTER 060402 09/18/2018 01/29/2019 1 $7,250.00

500 TWIN LAKES REHABILITATION AND HEALTHCARE CENTER 914302 10/10/2018 01/29/2019 1 $7,750.00

501 TWIN LAKES REHABILITATION AND HEALTHCARE CENTER 914302 05/11/2018 01/31/2019 1 $30,500.00

502 PREMIER ARMSTRONG REHABILITATION AND NURSING FACILITY 530602 11/14/2018 01/31/2019 1 $8,750.00

503 MID-VALLEY HEALTH CARE CENTER 027502 10/12/2018 02/01/2019 1 $13,250.00

504 LACKAWANNA HEALTH AND REHAB CENTER 134902 09/21/2018 02/04/2019 1 $10,500.00

505 FAIR ACRES GERIATRIC CENTER 061002 10/29/2018 02/05/2019 1 $4,250.00

506 CLIVEDEN NURSING AND REHABILITATION CENTER 330402 10/06/2018 02/05/2019 1 $8,000.00

507 ORCHARD MANOR INC 410802 09/21/2018 02/05/2019 1 $15,750.00

508 OHESSON MANOR 151202 10/26/2018 02/11/2019 1 $14,250.00

509 MANORCARE HEALTH SERVICES-POTTSVILLE 383802 01/18/2019 02/13/2019 1 N/A

510 GARDENS AT TUNKHANNOCK, THE 551002 11/30/2018 03/01/2019 1 $11,750.00

511 CENTRE CREST 031702 12/20/2018 03/01/2019 1 $4,750.00

512 PAVILION AT SAINT LUKE VILLAGE, THE 455202 10/26/2018 03/01/2019 1 $8,250.00

513 BROOKMONT HEALTHCARE CENTER, LLC 023002 11/02/2018 03/01/2019 1 $7,000.00

514 MANORCARE HEALTH SERVICES-JERSEY SHORE 121302 11/30/2018 03/01/2019 1 $11,250.00

515 RIVERS EDGE NSG & REHAB CTR 183502 12/20/2018 03/12/2019 1 $6,250.00

516 WELLINGTON TERRACE 21250201 11/02/2018 03/28/2019 1 $9,500.00

517 CARING HEART REHABILITATION AND NURSING CENTER 191802 11/27/2018 03/28/2019 1 $13,750.00

518 CARING HEART REHABILITATION AND NURSING CENTER 191802 12/28/2018 03/28/2019 1 $10,750.00

P1 = Provisional 1 License

P2 = Provisional 2 License

P3 = Provisional 3 License

P4 = Provisional 4 License

Ban = Ban on Admissions

N/A = Not Applicable

Lic Rev = License Revoked

CP = Civil Penalty

Abbreviation Key:

Page 13 of 13