Embassy of Saxonburg
223 Pittsburgh St · Saxonburg, PA · 16056 · 7243529445
68 certified beds For profit - Corporation Chain: Embassy Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$63,990 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.31 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 2 · $68,184 |
Inspection citations (64 in the current record)
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Potential for harm · D April 23, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 23, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 23, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 23, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 23, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 23, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 19, 2026 · Pharmacy Service
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Potential for harm · D April 23, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected May 19, 2026 · Pharmacy Service
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Potential for harm · F April 23, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 19, 2026 · Nutrition and Dietary
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Potential for harm · D April 23, 2026
Provide and implement an infection prevention and control program.
Corrected May 19, 2026 · Infection Control
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Potential for harm · D April 23, 2026
Keep all essential equipment working safely.
Corrected May 19, 2026 · Environmental
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Potential for harm · D April 23, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 19, 2026 · Resident Rights
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Potential for harm · D April 23, 2026 · found via complaint
Provide activities to meet all resident's needs.
Corrected May 19, 2026 · Quality of Life and Care
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Potential for harm · F April 23, 2026 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 19, 2026 · Nursing and Physician Services
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Potential for harm · E April 23, 2026 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected May 19, 2026 · Nursing and Physician Services
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Immediate jeopardy · J March 14, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 14, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · E March 14, 2026 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected April 16, 2026 · Nursing and Physician Services
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Potential for harm · F March 14, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has plan of correction · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 13, 2025 | Fine | $63,990 |
| October 17, 2023 | Fine | $4,194 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395160 · certified since January 27, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.