Public Record
Hermitage Nursing and Rehabilitation
Operated by Embassy Healthcare
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 105
- Avg. residents per day
- 86.4
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 21
- Fire safety findings
- 11
- Inspections on file
- 13
- Last inspection
- 2025-12-04
*CMS
*CMS
*CMS
*CMS
Citations
21 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0625Generalno actual harm
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.
- 0761Generalpotential for harm
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.
- 0623Generalno actual harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0585Generalpotential for harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0758Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0655Generalno actual harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0761Generalpotential for harm
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.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0660Generalpotential for harm
Plan the resident's discharge to meet the resident's goals and needs.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0678Generalpotential for harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- 0625Generalno actual harm
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.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety2 deficiencies
- Inspection2 deficiencies
395231 12/04/2025 Hermitage Nursing and Rehabilitation 500 Clarksville Road Hermitage, PA 16148 F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve…
Read full statement of deficiencies - View inspection reportInspection1 deficiency
- Inspection3 deficiencies
395231 11/15/2024 Hermitage Nursing and Rehabilitation 500 Clarksville Road Hermitage, PA 16148 F 0623 Level of Harm - Potential for minimal harm Residents Affected - Some Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before…
Read full statement of deficiencies - View inspection reportInspectionFire Safety4 deficiencies
- Inspection1 deficiency
395231 03/21/2024 Hermitage Nursing and Rehabilitation 500 Clarksville Road Hermitage, PA 16148 F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must…
Read full statement of deficiencies - View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety5 deficiencies
- Inspection6 deficiencies
395231 12/21/2023 Hermitage Nursing and Rehabilitation 500 Clarksville Road Hermitage, PA 16148 F 0655 Level of Harm - Potential for minimal harm Residents Affected - Some Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being…
Read full statement of deficiencies - Inspection3 deficiencies
395231 08/08/2023 Hermitage Nursing and Rehabilitation 500 Clarksville Road Hermitage, PA 16148 F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not…
Read full statement of deficiencies
Showing the 10 most recent inspections. 3 earlier inspections are also on record.
Ownership
Embassy Healthcare
35nursing homes nationwide, in CMS records
12 in Pennsylvania, 23 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Hermitage Nursing and Rehabilitation?
- Hermitage Nursing and Rehabilitation is a Medicare- and Medicaid-certified nursing home in Hermitage, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 395231.
- What is the CMS rating for Hermitage Nursing and Rehabilitation?
- Hermitage Nursing and Rehabilitation has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Hermitage Nursing and Rehabilitation have?
- Hermitage Nursing and Rehabilitation is certified for 105 beds. It serves an average of 86.4 residents per day.
- How many citations does Hermitage Nursing and Rehabilitation have?
- Hermitage Nursing and Rehabilitation has 21 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Hermitage Nursing and Rehabilitation last inspected?
- Hermitage Nursing and Rehabilitation was last inspected on December 4, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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