Fair Acres Geriatric Center
340 N. Middletown Road, Lima, PA 19037 · Delaware County · 778 certified beds · avg 442 residents/day · certified since Feb 1, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 2, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Actual harm, one-off · Feb 13, 2026 · F-0602
The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Why it matters: Residents can lose money, jewelry, or cherished possessions to theft or misuse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 23, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (10)
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 |
|---|---|---|
| Jul 2, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 2, 2026 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Feb 13, 2026 | ▲ G · Actual harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Feb 13, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Feb 13, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 13, 2026 | 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 13, 2026 | 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. |
| Feb 13, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 18, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jan 24, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 2 | 0 | D |
| 2026 | 8 | 2 | J ▲ |
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) | 3.37 | 3.94 | 3.95 | bottom 33% in Pennsylvania; bottom 30% in the U.S. |
| Registered Nurse hours | 0.55 | 0.80 | 0.69 | bottom 35% in Pennsylvania; bottom 44% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.58 | 3.50 | bottom 38% in Pennsylvania; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.56 | 0.48 | bottom 25% in Pennsylvania; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 21.5 | 44.5 | 45.8 | top 4% in Pennsylvania; top 4% in the U.S. |
| RN turnover (%) | 21.1 | 39.9 | 42.9 | top 16% in Pennsylvania; top 16% 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 2.79, RN 0.45, weekend 2.58. Staffing rating: 1/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Delaware | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1966 |
| Bonner, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Bonner, James | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2012 |
| County of Delaware | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/1980 |
| D'amico, William | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2012 |
| Madden, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Madden, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Reuther, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Reuther, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Schaeffer, Elaine | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Schaeffer, Elaine | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Taylor, Monica | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Travaglini, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/03/2013 |
| Travaglini, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 12/03/2013 |
| Womack, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Womack, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "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 |
|---|---|---|---|---|---|
| Willowbrooke Court SKD Care Center at Lima Estates | 0.0 mi | Lima, PA | ★★★★★ | 5/5 | |
| Willowbrooke Court-Granite | 0.6 mi | Media, PA | ★★★★★ | 5/5 | |
| Sterling Health Care and Rehab Center | 2.8 mi | Media, PA | ★★☆☆☆ | 2/5 | abuse |
| HCC at White Horse Village | 3.5 mi | Newtown Square, PA | ★★★★★ | 5/5 | |
| Monticello House | 3.5 mi | Media, PA | ★★★★★ | 4/5 | |
| Brinton Manor Nursing and Rehabilitation Center | 3.6 mi | Glen Mills, PA | ★★★☆☆ | 3/5 | |
| Wallingford Skilled Nursing and Rehabilitation Cen | 3.7 mi | Wallingford, PA | ★☆☆☆☆ | 1/5 | |
| Belvedere Center, Genesis Healthcare, the | 4.7 mi | Chester, PA | ★★★☆☆ | 3/5 | |
| Continuing Care at Maris Grove | 4.9 mi | Glen Mills, PA | ★★★★★ | 4/5 | |
| Wesley Enhanced Living Main Line Rehab and SKD Nsg | 5.1 mi | Media, PA | ★★★★☆ | 3/5 | |
| Springfield Rehabilitation and Healthcare Center | 5.2 mi | Springfield, PA | ★★☆☆☆ | 2/5 | |
| Naamans Creek Country Manor | 5.5 mi | Boothwyn, PA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 395780.