Forest City Nursing and Rehab Center
915 Delaware Street, Forest City, PA 18421 · Susquehanna County · 132 certified beds · avg 102 residents/day · certified since Dec 1, 1982
Part of chain: LME FAMILY HOLDINGS (15 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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)
▲ Actual harm, one-off · Mar 22, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Apr 25, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Aug 7, 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. · from a complaint |
| Feb 7, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 7, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 7, 2025 | E · Potential for harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Feb 7, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 7, 2025 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Feb 7, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 7, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Mar 22, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 22, 2024 | D · Potential for harm, one-off | 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. |
| Apr 28, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 28, 2023 | F · Potential for harm, facility-wide | 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. |
| Apr 28, 2023 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 28, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 28, 2023 | D · Potential for harm, one-off | 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. |
| Apr 28, 2023 | D · Potential for harm, one-off | The facility did not keep complete, dated laboratory records in residents' files. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 9 | 0 | F |
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)
1 fine totaling $21,405.
| Date | Type | Amount / length |
|---|---|---|
| Mar 22, 2024 | Fine | $21,405 |
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) | 3.12 | 3.94 | 3.95 | bottom 17% in Pennsylvania; bottom 18% in the U.S. |
| Registered Nurse hours | 0.65 | 0.80 | 0.69 | bottom 50% in Pennsylvania; top 42% in the U.S. |
| Weekend total nurse staffing | 2.81 | 3.58 | 3.50 | bottom 16% in Pennsylvania; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.56 | 0.48 | top 37% in Pennsylvania; top 29% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 44.5 | 45.8 | — |
| RN turnover (%) | 0.0 | 39.9 | 42.9 | — |
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 3.21, RN 0.67, weekend 2.89. 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: 1/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Strawberry Hill Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 33% | 01/28/2020 |
| 915 FC Property LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2019 |
| Clinical Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Clinical Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| Hildebrand-Palkov, Karyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/13/2021 |
| Hildebrand-Palkov, Karyn | Individual | ADP of the SNF | NOT APPLICABLE | 06/20/2025 |
| Priority Care Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Summation Financial Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Summation Financial Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
| Tomazic, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Tomazic, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 |
|---|---|---|---|---|---|
| Carbondale Rehabilitation and Healthcare Center | 5.3 mi | Carbondale, PA | ★★★★★ | 4/5 | |
| Aventura at Creekside | 5.8 mi | Carbondale, PA | ★☆☆☆☆ | 1/5 | |
| Wayne Woodlands Manor | 6.0 mi | Waymart, PA | ★★☆☆☆ | 3/5 | |
| Ellen Memorial Rehabilitation and Healthcare Cente | 10.8 mi | Honesdale, PA | ★★☆☆☆ | 2/5 | abuse |
| Mid-Valley Health Care Center | 13.1 mi | Peckville, PA | ★★★☆☆ | 3/5 | |
| Julia Ribaudo Extended Care Center | 14.9 mi | Lake Ariel, PA | ★★☆☆☆ | 2/5 | |
| Abington Manor | 16.5 mi | Clarks Summit, PA | ★★★☆☆ | 2/5 | abuse |
| Marywood Heights | 17.5 mi | Scranton, PA | ★★☆☆☆ | 2/5 | abuse |
| Green Ridge Care Center | 17.7 mi | Scranton, PA | ★★★★☆ | 4/5 | |
| Allied Services Transitional Rehab Unit | 18.0 mi | Scranton, PA | ★★★★★ | 5/5 | |
| Allied Services Skilled Nursing Center | 18.0 mi | Scranton, PA | ★★★☆☆ | 3/5 | |
| Dunmore Health Care Center | 18.9 mi | Dunmore, PA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395554.