Deficiency Index

Embassy of Wyoming Valley

Wilkes Barre, Pennsylvania · CCN 395456

53 surveys since 2011, 11 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
252
Surveys
53
Harm or worse
11
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse11

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file42/53

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Corporation
Chain
EMBASSY HEALTHCARE
County
Luzerne
Medicare-certified since
1979

CMS ratings

Overall
2
Health inspection
1
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 132 for-profit facilities of 100–127 beds in Pennsylvania.

Last survey on record

Jun 23, 2026

139 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.503.42
Registered-nurse hours per resident day0.64—
Annual nurse turnover42.4%47.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$20,652 across 2 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG23.9%H—I—
No harm, potential for more than minimalD2039.2%E2141.2%F611.8%
No harm, potential for minimalA—B23.9%C—
CMS’s current file: 51 of the 252 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5845×

    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.

  • F6003×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F7613×

    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.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

In the surveyor’s words

From the most serious findings on record at Embassy of Wyoming Valley, in the surveyor’s own words.

  • Actual harm, isolatedF600Jul 8, 2025

    Based on a review of clinical records, select facility policy, investigative documentation provided by the facility, and interviews with facility staff, it was determined the facility failed to protect one of five sampled residents (Resident 3) from neglect by not implementing the individualized care plan intervention of a mechanical lift for all transfers, resulting in actual harm in the form of a spiral fracture of the left tibia. This deficiency is cited as past noncompliance Findings include: A review of a facility policy titled Abuse, Neglect, and Exploitation, last reviewed by the facility on February 19, 2025, revealed it is the facility's policy to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies that prohibit… […]

  • Actual harm, isolatedF600Oct 1, 2024

    Based on review of clinical records, the facility's abuse prohibition policy, select investigative reports, and interviews with staff and residents, it was determined the facility failed to ensure that a resident was free from neglect by not providing care with assistance of two-persons as planned to ensure safety and prevent major injuries, fractures to the left distal femur and right distal tibial, for one resident, Resident 2, out of eight sampled residents for abuse prohibition. […]

  • No harm, potential for more than minimal, widespreadF812Aug 11, 2026

    Based on observation and staff interview, it was determined the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness in the dietary department.Findings include:Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. […]

  • No harm, potential for more than minimal, widespreadF802Jan 30, 2026

    Based on observation, resident and staff interviews, and review of facility dietary schedules, menus, and dietary records, it was determined the facility failed to consistently maintain sufficient dietary staff to effectively carry out the functions of the food and nutrition services department. This failure resulted in meals not being consistently served at palatable temperatures, the planned menu not being followed, and the food and nutrition services department not being maintained in a sanitary manner. Findings include: Review of the facility census revealed that on January 27, 2026, the facility census was 93 residents. […]

  • No harm, potential for more than minimal, widespreadF812Jan 30, 2026

    Based on observation, review of select facility policy, and staff interview, it was determined the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of foodborne illness in the food and nutrition services department and failed to ensure that food storage in personal refrigerators was adequately monitored and maintained within safe temperatures to prevent foodborne illness for one resident with a personal refrigerator (Resident 5).Findings include:Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. […]

Read 31 findings in full →The most serious and the most recent: 31 of 252 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 11, 2026Complaint1 finding
  • Jun 23, 2026Complaint3 findings
  • Mar 12, 2026Complaint2 findings
  • Jan 30, 2026Standard and complaint19 findings
  • Dec 3, 2025Complaint1 finding
  • Jul 8, 2025Complaint1 finding · 1 harm
  • Mar 14, 2025Standard12 findings
  • Jan 30, 2025Complaint2 findings
Show the 45 earlier surveys
  • Oct 1, 2024Complaint1 finding · 1 harm
  • Aug 14, 2024Complaint1 finding
  • Jun 27, 2024Complaint1 finding
  • Apr 26, 2024Standard8 findings
  • May 23, 2023Standard11 findings
  • Dec 28, 2022Complaint1 finding
  • Jun 17, 2022Standard11 findings
  • Oct 14, 2021Complaint1 finding
  • Jul 28, 2021Standard18 findings
  • Nov 24, 2020Infection control1 finding
  • Oct 30, 2020Standard7 findings
  • Sep 16, 2020Complaint1 finding
  • Aug 19, 2020Complaint2 findings
  • Feb 12, 2020Complaint2 findings
  • Oct 31, 2019Complaint2 findings · 1 harm
  • Oct 1, 2019Complaint3 findings
  • Apr 26, 2019Standard and complaint25 findings
  • Mar 6, 2019Complaint1 finding
  • Feb 13, 2019Complaint1 finding
  • Jan 11, 2019Complaint3 findings
  • Nov 14, 2018Complaint2 findings
  • Oct 19, 2018Complaint1 finding · 1 harm
  • May 18, 2018Standard and complaint12 findings
  • Oct 3, 2017Complaint4 findings · 1 harm
  • Apr 21, 2017Standard10 findings
  • Jan 31, 2017Complaint1 finding
  • Aug 30, 2016Complaint4 findings
  • Aug 3, 2016Complaint2 findings
  • Jun 14, 2016Complaint2 findings
  • May 5, 2016Standard11 findings
  • Oct 29, 2015Complaint2 findings · 1 harm
  • Jul 31, 2015Complaint1 finding
  • May 18, 2015Complaint1 finding · 1 harm
  • Apr 2, 2015Standard11 findings
  • May 15, 2014Standard8 findings
  • Oct 17, 2013—1 finding
  • Jul 11, 2013—1 finding
  • Apr 5, 2013—9 findings
  • Mar 25, 2013—2 findings
  • Jan 10, 2013—3 findings
  • Dec 17, 2012—2 findings
  • May 10, 2012—4 findings · 1 harm
  • Apr 19, 2012—2 findings · 1 harm
  • Apr 15, 2011—10 findings · 2 harm
  • Mar 31, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction