D

EMBASSY OF HILLSDALE PARK

383 MOUNTAIN VIEW DRIVE, HILLSDALE, PA 15746
Score: 51 / 100

CMS data shows Embassy Of Hillsdale Park earning a D grade with a score of 51/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.

With 3.33 total nurse hours per resident per day, Embassy Of Hillsdale Park falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 34 deficiencies at Embassy Of Hillsdale Park. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.33 3.8 Below Average
Registered Nurses (RN) 0.63 0.7 Average
Licensed Practical Nurses (LPN) 0.84 0.7 Above Average
Certified Nursing Assistants (CNA) 1.86 2.4 Below Average
Weekend Total Nursing 3.01 3.8 Below Average
Weekend RN Hours 0.49 0.7 Below Average

🔍 Inspection & Deficiency History

34
Total Deficiencies
Mar 5, 2025
Most Recent Inspection
🟠 34 Moderate
View recent deficiencies (5 shown)
  • Tag 0600 Severity E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Mar 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Mar 5, 2025 · Resident Rights Deficiencies
  • Tag 0655 Severity D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Mar 5, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Mar 5, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Mar 5, 2025 · Resident Assessment and Care Planning 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 8.7% 4.5% Worse
Falls with major injury 3.9% 3.0% Worse
On antipsychotic medication 58.5% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 9.5% 14.0% Better
Excessive weight loss 7.2% 7.5% Average
New/worsened incontinence 21.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
74
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 5, 2025
Deficiencies (Cycle 1)
12