B

WILLIAM PENN NURSING AND REHAB

163 SUMMIT DRIVE, LEWISTOWN, PA 17044
Score: 74 / 100

With a score of 74/100 and a B grade, William Penn Nursing And Rehab is a well-regarded option in Lewistown, Pennsylvania. The facility performs above average in most CMS categories, placing it in the 73th percentile statewide.

Staffing at William Penn Nursing And Rehab is near the national average, with 3.58 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 25 deficiencies at William Penn Nursing And Rehab. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.58 3.8 Average
Registered Nurses (RN) 0.55 0.7 Below Average
Licensed Practical Nurses (LPN) 0.90 0.7 Above Average
Certified Nursing Assistants (CNA) 2.13 2.4 Below Average
Weekend Total Nursing 3.20 3.8 Below Average
Weekend RN Hours 0.31 0.7 Below Average

🔍 Inspection & Deficiency History

25
Total Deficiencies
May 8, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 23 Moderate
View recent deficiencies (5 shown)
  • Tag 0641 Severity E
    Ensure each resident receives an accurate assessment.
    May 8, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0791 Severity E
    Provide or obtain dental services for each resident.
    May 8, 2025 · Quality of Life and Care Deficiencies
  • Tag 0887 Severity E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document
    May 8, 2025 · Infection Control Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    May 8, 2025 · Resident Rights Deficiencies
  • Tag 0725 Severity D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    May 8, 2025 · Nursing and Physician Services Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.1% 4.5% Better
Falls with major injury 3.1% 3.0% Average
On antipsychotic medication 22.0% 14.5% Worse
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 21.3% 14.0% Worse
Excessive weight loss 3.2% 7.5% Better
New/worsened incontinence 26.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 74 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
121
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 8, 2025
Deficiencies (Cycle 1)
7