St John Specialty Care Center
500 Wittenberg Way · Mars, PA · 16046 · 7246251571
150 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
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Red flags
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
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: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.07 | 0.55–0.75 |
| Weekend hours / resident-day | 3.67 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (54 in the current record)
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Actual harm · G February 11, 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 March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 11, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 11, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 15, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 14, 2025 · Resident Rights
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Potential for harm · D October 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 30, 2024 · Resident Rights
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Potential for harm · D October 11, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 30, 2024 · Resident Rights
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Potential for harm · D October 11, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 11, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected November 30, 2024 · Resident Rights
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Potential for harm · D October 11, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 30, 2024 · Resident Rights
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Potential for harm · D October 11, 2024
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.
Corrected November 30, 2024 · Resident Rights
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Potential for harm · D October 11, 2024
Ensure each resident receives an accurate assessment.
Corrected November 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 11, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 11, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 30, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 30, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 30, 2024 · Quality of Life and Care
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Potential for harm · E October 11, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 30, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected November 30, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected November 30, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 30, 2024 · Pharmacy Service
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Potential for harm · D October 11, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 30, 2024 · Pharmacy Service
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Potential for harm · D October 11, 2024
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 November 30, 2024 · Pharmacy Service
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Potential for harm · D October 11, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected November 30, 2024 · Nutrition and Dietary
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Potential for harm · F October 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 30, 2024 · Nutrition and Dietary
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Potential for harm · E October 11, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected November 30, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395164 · certified since January 26, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.