DELAWARE VALLEY SKILLED NURSING & REHABILITATION C

111 RIVERS EDGE DRIVE
MATAMORAS, PA, 18336
5704911010
CCN: 396148
3
Overall
3
Health
3
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
PA TENANT 3 HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
2020 GSR DYNASTY LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
EAZ OPERATING COMPANY, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HELP FOR THE KIDS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
PA TENANT 3 MEZZ HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
PA TENANT 3 MEZZ, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
KEEFER, SUSAN5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
KELLY, MICHAEL5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
OXFORD FINANCE LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
OXFORD FINANCE LLC5% OR GREATER SECURITY INTERESTNOT APPLICABLE
FALCO, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FEDORKA, KELLYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HANRAHAN, STEPANIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HENTSCHEL, KATHLEENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KEEFER, SUSANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KELLY, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LEDERER, BRENDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MALLOY, CATHERINEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PALOVITZ, TRACYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PASCAL, SANDRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROGERS, HEATHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VERDE, RACHELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ESTELL, KAITLINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SENIOR HEALTH CARE SOLUTIONS LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2023-06-06Fine$8K
2023-06-06Payment Denial27 days
Health Deficiencies (27)
2025-05-01 · Health
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-08-08 · Health
D
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
E
F809 · Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
D
F791 · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-03-27 · Health
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-09-08 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F773 · Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
E
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F660 · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2023-06-06 · Health
D
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
B
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.75
3.68
RN Hrs/Resident/Day
0.72
0.54
LPN Hrs/Resident/Day
1.01
0.81
CNA Hrs/Resident/Day
2.01
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01