Mifflin Center
Shillington, Pennsylvania · CCN 395138
24 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 68
- Surveys
- 24
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 136
- Ownership
- For profit - Corporation
- Chain
- GENESIS HEALTHCARE
- County
- Berks
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 173 for-profit facilities with 128 or more beds in Pennsylvania.
Last survey on record
Mar 12, 2026
242 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 | 3.42 | 3.39 |
| Registered-nurse hours per resident day | 0.47 | — |
| Annual nurse turnover | 22.9% | 49.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1583.3% | E— | F211.1% |
| No harm, potential for minimal | A— | B15.6% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6902×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Mifflin Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Nov 15, 2024
Based on policy review and observation, it was determined that the facility failed to properly serve food and maintain sanitary conditions in the main kitchen. Findings include: Review of the facility policy entitled, Food: Preparation, last reviewed April 8, 2024, revealed that all staff were to practice proper hand hygiene and glove use. Dining Services staff were responsible for food preparation procedures and using serving utensils appropriately to prevent cross contamination. Observation of the tray line service on November 13, 2024, at 11:00 a.m., revealed the following: Dietary Employee 1 (DE 1) was wearing gloves and operating the tray line. DE 1 grabbed a smothered chicken breast without a serving utensil. […]
- No harm, potential for more than minimal, widespreadF812Dec 7, 2023
Based on observation, facility policy review, and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department and on one of four nursing units. (Cherry Tree Lane) Findings include: Observations during the kitchen tour on December 5, 2023, at 10:00 a.m., revealed that inside the Ice Cream Freezer, there were multiple areas of dried food debris on the wall and on the bottom. There was a leaf on the bottom of the freezer. There were two utensil drawers containing clean utensils. One drawer had a food scoop with dried food debris in it. The other drawer had dried food debris in it. When that drawer was open, there was long strand of hair sticking out from the inside track of the drawer, close to the clean utensils. […]
- No harm, potential for more than minimal, widespreadF812Nov 18, 2021
Based on policy review, observations, and staff interviews, it was determined that the facility failed to properly store items and failed to maintain sanitary conditions in the dietary department. Findings include: Review of the facility policy entitled, Food Storage:Cold Foods, last reviewed March 16, 2021, revealed a written record of daily temperatures was to be recorded for each freezer and that all foods in cold starage were to be labeled and dated. Review of the facility policy entitled, Food Storage: Dry Goods, last reviewed March 16, 2021, revealed that foods in dry storage areas were to be date marked as appropriate. […]
- No harm, potential for more than minimal, widespreadF812Feb 5, 2021
Based on observation, it was determined the facility failed to store food under sanitary conditions and ensure equipment was in clean operating condition in the kitchen. Findings include: Observation of the kitchen at 10:08 a.m., on February 3, 2021, revealed dirty water remained in a mop bucket in the chemical room, the mop was stored in the down press wringer compartment of the mop bucket. During the same tour, a dark, colored substance was observed on the back internal wall of the ice machine. There was an open bag of cheerios in the dry food preparation area that was not adequately closed with an air tight seal. There was one bucket of thickening powder in the food preparation area that was not dated. […]
- No harm, potential for more than minimal, patternF686Feb 26, 2022
Based on facility policy review, clinical record review and staff interview, it was determined that the facility failed to complete assessments and implement treatment and services consistent with professional standards of practice to promote healing of pressure ulcers for two of four residents who were at risk for developing pressure ulcers. (Residents CL1, R2) Findings include: Review of the facility policy entitled, Skin Integrity Management, dated June 1, 2021, revealed that the purpose was to provide safe and effective care to prevent the occurrence of pressure ulcers, manage treatment, and promote healing of all wounds. Staff was to perform weekly wound observations and measurements and complete a skin integrity report upon initial identification of altered skin integrity. […]
Read 20 findings in full →The most serious and the most recent: 20 of 68 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 12, 2026Complaint1 finding
- Jan 27, 2026Complaint3 findings
- Dec 19, 2025Standard3 findings
- Nov 15, 2024Standard3 findings
- Dec 7, 2023Standard8 findings
- Dec 1, 2022Standard6 findings
- May 24, 2022Complaint1 finding
- May 16, 2022Complaint1 finding
Show the 16 earlier surveys
- Feb 26, 2022Complaint2 findings
- Nov 18, 2021Standard8 findings
- Oct 18, 2021Complaint1 finding
- Apr 14, 2021Complaint1 finding
- Feb 5, 2021Standard4 findings
- Jul 20, 2018Standard3 findings
- Mar 13, 2018Complaint1 finding
- Aug 4, 2017Standard3 findings
- Jul 29, 2016Standard2 findings
- Aug 21, 2015Standard4 findings
- Sep 12, 2014Standard and complaint5 findings
- Oct 25, 2013—1 finding
- Nov 16, 2012—3 findings
- Sep 28, 2012—1 finding
- Oct 28, 2011—2 findings
- Sep 16, 2011—1 finding
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.
- Oxford Rehabilitation and Healthcare CenterLanghorneno harm findings
- Elkins Crest Health & Rehabilitation CenterElkins Park1 harm finding
- Oakwood Healthcare & Rehabilitation CenterPhiladelphiano harm findings
- Willow Brook Rehabilitation and Healthcare CenterKutztown2 harm findings
- Myerstown Nursing and Rehab LLCMyerstownno harm 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