EMBASSY OF HILLSDALE PARK
383 MOUNTAIN VIEW DRIVE, HILLSDALE, PA 15746 · CCN 395569
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 74
- Avg residents/day
- 71.5
- Phone
- 8147436613
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-06 | 12 | 10.1 | 9.5 | +1.9 worse |
| 2 | 2024-04-11 | 12 | 10.9 | 9.8 | +1.1 worse |
| 3 | 2023-05-11 | 10 | 10.5 | 9.3 | -0.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.33 | 30.8% |
| RN staffing (reported) | 0.63 | 25.0% |
| Total nurse staffing (adjusted) | 3.97 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- EMBASSY HEALTHCARE
- Facilities in chain
- 37
- Chain avg overall
- 2.50 / 5
Inspection citations (34)
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0688Provide 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.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0758Implement 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.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-03-06 · Health · corrected 2025-04-18
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- EF0761Ensure 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.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-11 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-20 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0761Ensure 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.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-11 · Health · corrected 2023-07-01
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-23 · Health · corrected 2023-04-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EMBASSY PA TENANT 2 HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-11-10 |
| 2020 GSR DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-09 |
| AARON HANDLER FAMILY DYNASTY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-09 |
| AH DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-09 |
| EMBASSY HEALTHCARE HOLDINGS INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-11-10 |
| GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-11-09 |
| EMBASSY HEALTHCARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| HERITAGE EMPLOYMENT SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| HANDLER, AARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-10 |
| REPCHICK, GEORGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-10 |
| ROSCOE, BRANDON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| ROWLES, SHANNON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 |
Other facilities in HILLSDALE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.