Orchard Manor
20 Orchard Drive, Grove City, PA 16127 · Mercer County · 121 certified beds · avg 100 residents/day · certified since Jun 1, 1989
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 · Dec 18, 2025 · F-0689 · triggered by a complaint
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 (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.
Corrected: Jan 6, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 26, 2023 · F-0689 · triggered by a complaint
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: Nov 14, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| May 21, 2026 | E · Potential for harm, repeated | 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. · from a complaint |
| May 21, 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. · from a complaint |
| Dec 18, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 18, 2025 | 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. · from a complaint |
| Dec 18, 2025 | 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 |
| Dec 9, 2025 | 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. · from a complaint |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 5, 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. |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 5, 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. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 31, 2024 | 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. |
| Oct 31, 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. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 31, 2024 | 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. |
| Nov 9, 2023 | 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. |
| Sep 26, 2023 | ▲ 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. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 1 | G ▲ |
| 2024 | 5 | 0 | D |
| 2025 | 8 | 1 | J ▲ |
| 2026 | 2 | 0 | E |
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)
2 fines totaling $16,556.
| Date | Type | Amount / length |
|---|---|---|
| Dec 9, 2025 | Fine | $9,113 |
| Sep 26, 2023 | Fine | $7,443 |
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) | 3.67 | 3.94 | 3.95 | top 50% in Pennsylvania; bottom 45% in the U.S. |
| Registered Nurse hours | 0.51 | 0.80 | 0.69 | bottom 29% in Pennsylvania; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.23 | 3.58 | 3.50 | bottom 45% in Pennsylvania; bottom 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.56 | 0.48 | bottom 14% in Pennsylvania; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 55.3 | 44.5 | 45.8 | bottom 21% in Pennsylvania; bottom 24% in the U.S. |
| RN turnover (%) | 53.8 | 39.9 | 42.9 | bottom 24% in Pennsylvania; bottom 30% 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 3.66, RN 0.51, weekend 3.23. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dubinsky, Simcha | Individual | 5% or Greater Indirect Ownership Interest | 15% | 07/01/2024 |
| Greenzweig, Yosef | Individual | 5% or Greater Indirect Ownership Interest | 85% | 07/01/2024 |
| Grove City Pa Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2024 |
| Dubinsky, Simcha | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Dubinsky, Simcha | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Greenzweig, Yosef | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Greenzweig, Yosef | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/12/2024 |
| Grove City Pa Land Holdco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/12/2024 |
| Grove City Pa Propco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/12/2024 |
| Sprando, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/12/2024 |
| Sprando, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Tyhealthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/12/2024 |
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?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Grove Manor | 1.1 mi | Grove City, PA | ★★★☆☆ | 4/5 | |
| Quality Life Services - Grove City | 1.2 mi | Grove City, PA | ★★★★☆ | 3/5 | |
| Transitions Healthcare Autumn Grove Care Center | 3.8 mi | Harrisville, PA | ★★☆☆☆ | 2/5 | |
| Avalon Springs Care Center | 11.3 mi | Mercer, PA | ★★★★☆ | 4/5 | |
| Quality Life Services - Mercer | 11.3 mi | Mercer, PA | ★★★★★ | 4/5 | |
| Shenango Presbyterian Seniorcare | 13.6 mi | New Wilmington, PA | ★★★★★ | 5/5 | |
| Kadima Rehabilitation & Nursing at New Wilmington | 13.8 mi | New Wilmington, PA | ★★★★☆ | 4/5 | |
| Jameson Nursing and Rehab Center | 16.2 mi | New Castle, PA | ★★★★★ | 5/5 | |
| Haven Convalescent Home, INC | 17.1 mi | New Castle, PA | ★★★★★ | 5/5 | |
| Edison Manor Nursing & Rehabilitation Center | 17.4 mi | New Castle, PA | ★☆☆☆☆ | 1/5 | |
| Avalon Care Center | 17.6 mi | New Castle, PA | ★★☆☆☆ | 2/5 | |
| Quality Life Services - New Castle | 17.6 mi | New Castle, PA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395793.