Darway Healthcare and Rehabilitation Center

Name: Darway Healthcare and Rehabilitation Center
Address: 5865 ROUTE 154, Forksville, PA, 18616, US
Telephone: 5709243411

5865 Route 154, Forksville, PA 18616 · Sullivan County · 67 certified beds · avg 54 residents/day · certified since Sep 1, 1993

Part of chain: AKIKO IKE (6 facilities, chain avg rating 3.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.32

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 25, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Dec 12, 2025	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Dec 12, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 12, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 10, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 10, 2025	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
Feb 23, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 23, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 23, 2024	B · Minimal risk, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Worst severity that year
2024	6	E
2025	9	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.32	3.94	3.95	top 28% in Pennsylvania; top 28% in the U.S.
Registered Nurse hours	0.97	0.80	0.69	top 21% in Pennsylvania; top 17% in the U.S.
Weekend total nurse staffing	4.09	3.58	3.50	top 23% in Pennsylvania; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.56	0.48	top 28% in Pennsylvania; top 20% in the U.S.
Total nursing staff turnover (%)	27.6	44.5	45.8	top 11% in Pennsylvania; top 10% in the U.S.
RN turnover (%)	18.2	39.9	42.9	top 12% in Pennsylvania; top 12% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.60, RN 0.81, weekend 3.40. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Swales, Hedwig	Individual	W-2 Managing Employee	NOT APPLICABLE	02/15/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Highlands Rehabilitation and Healthcare	8.7 mi	Laporte, PA	★★☆☆☆	2/5

Compare this facility with the 1 closest →

All facilities in Forksville →

Facility data as of CMS processing date 2026-08-01. CCN 395909.

The Care File

Visit checklist — Darway Healthcare and Rehabilitation Center

5865 Route 154, Forksville, PA 18616 · 5709243411

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395909 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)