Gettysburg Center
Gettysburg, Pennsylvania · CCN 395733
41 surveys since 2011, 10 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
- 168
- Surveys
- 41
- Harm or worse
- 10
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 118
- Ownership
- For profit - Corporation
- Chain
- GENESIS HEALTHCARE
- County
- Adams
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 132 for-profit facilities of 100–127 beds in Pennsylvania.
Last survey on record
Jun 11, 2026
151 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.28 | 3.42 |
| Registered-nurse hours per resident day | 0.68 | — |
| Annual nurse turnover | 52.7% | 47.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $12,735 across 1 penalty
- 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G616.7% | H— | I— |
| No harm, potential for more than minimal | D2363.9% | E616.7% | F— |
| No harm, potential for minimal | A— | B— | C12.8% |
Most frequently cited here
In CMS’s current monthly file.
- F6573×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- F8033×
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F8803×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Gettysburg Center, in the surveyor’s own words.
- Actual harm, isolatedF657Jun 11, 2026
Based on facility policy review, clinical record reviews, review of select facility documentation, and staff interviews, it was determined that the facility displayed past non-compliance in its failure to revise a resident's care plan to provide adequate supervision with eating for one of four residents reviewed (Resident 4), which resulted in actual harm as evidenced by Resident 4 choking and suffering death.Findings include: Review of facility policy titled OPS416 Person-Centered Care Plan, dated September 15, 2025, revealed, in part, 6. […]
- Actual harm, isolatedF689Jun 11, 2026
Based on facility policy review, clinical record review, review of select facility documentation, and staff interviews, it was determined that the facility displayed past non-compliance in its failure to provide adequate supervision to prevent accidents with eating for one of four residents reviewed (Resident 4), which resulted in actual harm as evidenced by Resident 4 choking and suffering death.Findings include: Review of facility policy, titled NSG107 Emergency: Medical Response, dated November 14, 2025, revealed, in part, Response to medical emergencies will be acted upon within the scope of practice of the licensed nursing staff. […]
- Actual harm, isolatedF600Apr 22, 2026
Based on facility policy review, clinical record review, review of facility investigation documentation, review of hospital documentation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure each resident the right to be free from neglect for one of four residents reviewed (Resident 1), which resulted in actual harm for Resident 1 as evidenced by a closed fracture of left hip.Findings include: Review of facility policy, titled Abuse Prohibition last reviewed on November 14, 2025, read, in part, Centers prohibit abuse, mistreatment, neglect, misappropriation of resident/patient property, and exploitation of all residents. […]
- Actual harm, isolatedF689Apr 22, 2026
Based on facility policy review, clinical record review, review of facility investigation documentation, review of hospital documentation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to ensure that each resident receives adequate supervision and assistance to prevent accidents based on individual needs for one of four resident's reviewed (Resident 1), which resulted in actual harm for Resident 1 as evidenced by a closed fracture of left hip. […]
- Actual harm, isolatedF600Mar 20, 2025
Based on facility policy review, clinical record review, facility documentation review, and staff interview, it was determined the facility failed to ensure each resident is free from neglect, which resulted in actual harm as evidenced by displaced hardware securing a fracture for one of three residents reviewed (Resident 3). Findings include: Review of facility policy, titled OPS 300 Abuse Prohibition with a last revision date of October 24, 2022, revealed Neglect is defined as the failure, indifference, or disregard of the Center, its employees, or service providers to provide care, comfort, safety, goods and services to a patient that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. […]
Read 24 findings in full →The most serious and the most recent: 24 of 168 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 11, 2026Complaint2 findings · 2 harm
- Apr 22, 2026Complaint2 findings · 2 harm
- Apr 14, 2026Complaint2 findings
- Mar 19, 2026Standard5 findings
- Sep 24, 2025Complaint1 finding
- Aug 14, 2025Complaint3 findings
- Mar 20, 2025Complaint3 findings · 2 harm
- Feb 20, 2025Standard7 findings
Show the 33 earlier surveys
- Jul 31, 2024Complaint1 finding
- Jun 6, 2024Complaint1 finding
- Apr 16, 2024Complaint1 finding
- Mar 21, 2024Standard6 findings
- Jan 12, 2024Complaint2 findings
- Apr 13, 2023Standard9 findings
- Feb 17, 2023Complaint1 finding
- May 19, 2022Standard10 findings
- Feb 5, 2022Complaint1 finding
- May 20, 2021Standard6 findings
- Mar 4, 2021Complaint2 findings
- Sep 19, 2019Standard and complaint11 findings
- Mar 25, 2019Complaint2 findings
- Sep 13, 2018Standard10 findings
- Oct 19, 2017Standard14 findings
- Jun 2, 2017Complaint2 findings
- May 19, 2017Complaint1 finding
- May 16, 2017Complaint2 findings
- Mar 28, 2017Complaint2 findings
- Jan 17, 2017Complaint1 finding
- Dec 8, 2016Standard8 findings
- Aug 23, 2016Complaint2 findings · 2 harm
- Jun 20, 2016Complaint2 findings · 1 harm
- May 18, 2016Complaint2 findings
- Mar 31, 2016Complaint5 findings
- Mar 15, 2016Complaint5 findings
- Nov 19, 2015Standard3 findings
- Dec 19, 2014Standard4 findings
- May 29, 2014Complaint1 finding
- Jan 16, 2014—17 findings · 1 harm
- Dec 13, 2012—2 findings
- Feb 16, 2012—3 findings
- Jan 11, 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.
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