Paramount Nursing and Rehab at Fayetteville, LLC

Name: Paramount Nursing and Rehab at Fayetteville, LLC
Address: 6375 CHAMBERSBURG ROAD, Fayetteville, PA, 17222, US
Telephone: 7173522721

6375 Chambersburg Road, Fayetteville, PA 17222 · Franklin County · 92 certified beds · avg 85 residents/day · certified since Dec 1, 1986

1/5

Health inspection rating (on-site)

Serious findings on record

$17,345

Fines, last 3 years

3.51

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · 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 · Oct 6, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Oct 31, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Oct 6, 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.

Corrected: Oct 31, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (26)

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
Oct 6, 2025	▲ J · Immediate jeopardy, 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
Oct 6, 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
Jun 5, 2025	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jun 5, 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.
Jun 5, 2025	E · Potential for harm, repeated	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.
Jun 5, 2025	E · Potential for harm, repeated	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.
Jun 5, 2025	E · Potential for harm, repeated	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jun 5, 2025	E · Potential for harm, repeated	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.
Jun 5, 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.
Mar 10, 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
Jul 3, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 3, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 3, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jul 3, 2024	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 3, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Jul 3, 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.
Jul 3, 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.
Aug 10, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 10, 2023	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 10, 2023	E · Potential for harm, repeated	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.
Aug 10, 2023	D · Potential for harm, one-off	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings.
Aug 10, 2023	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.
Aug 10, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Aug 10, 2023	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.
Aug 10, 2023	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.
Aug 10, 2023	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	0	E
2024	7	0	D
2025	10	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)

2 fines totaling $17,345.

Date	Type	Amount / length
Oct 6, 2025	Fine	$8,672
Oct 6, 2025	Fine	$8,673

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)	3.51	3.94	3.95	bottom 43% in Pennsylvania; bottom 37% in the U.S.
Registered Nurse hours	0.43	0.80	0.69	bottom 14% in Pennsylvania; bottom 27% in the U.S.
Weekend total nurse staffing	3.20	3.58	3.50	bottom 43% in Pennsylvania; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.29	0.56	0.48	bottom 18% in Pennsylvania; bottom 29% in the U.S.
Total nursing staff turnover (%)	40.7	44.5	45.8	top 38% in Pennsylvania; top 38% in the U.S.
RN turnover (%)	12.5	39.9	42.9	top 6% in Pennsylvania; top 6% 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 3.44, RN 0.42, weekend 3.14. Staffing rating: 3/5.

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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Cox, James	Individual	5% or Greater Indirect Ownership Interest	100%	01/01/2018
Paramount Health Holdings Group INC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2017
Cox, James	Individual	Corporate Officer	NOT APPLICABLE	02/21/2017
Cox, James	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2018
Cox, James	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2018
Darmstadter, Chase	Individual	Operational/Managerial Control	NOT APPLICABLE	02/21/2017
Decort, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024
Paramount Health Holdings Group INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2018
Paramount Health Holdings Group INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2018
Paramount Health Resources INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2018
Paramount Health Resources INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2018
Randler, Melissa	Individual	Operational/Managerial Control	NOT APPLICABLE	12/27/2020
Randler, Melissa	Individual	ADP of the SNF	NOT APPLICABLE	12/27/2020

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"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 care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
South Mountain Restoration Cen	4.8 mi	South Mountain, PA	★★★★★	5/5
Concordia at Spiritrust Luther Ridge	7.5 mi	Chambersburg, PA	★★★☆☆	3/5
Quincy Retirement Community	9.8 mi	Waynesboro, PA	★★★★☆	4/5
Laurel Lakes Rehabilitation and Wellness Center	10.1 mi	Chambersburg, PA	★★☆☆☆	2/5
Gardens at Gettysburg, the	10.6 mi	Gettysburg, PA	★★★★☆	4/5
Menno Haven Rehabilitation Center	10.8 mi	Chambersburg, PA	★★★★★	4/5
Brookview Health Care Center	10.9 mi	Chambersburg, PA	★★★★☆	3/5
Chambersburg Skilled Nursing and Rehabilitation Ce	11.1 mi	Chambersburg, PA	★★☆☆☆	2/5	abuse
Shippensburg Rehabilitation and Health Care Center	11.4 mi	Shippensburg, PA	★★★★☆	4/5
Chambers Pointe Health Care Center	11.5 mi	Chambersburg, PA	★★★☆☆	2/5	abuse
Transitions Healthcare Shook Home	11.8 mi	Chambersburg, PA	★★★☆☆	2/5
Transitions Healthcare Gettysburg	11.9 mi	Gettysburg, PA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Fayetteville →

Facility data as of CMS processing date 2026-08-01. CCN 395721.

The Care File

Visit checklist — Paramount Nursing and Rehab at Fayetteville, LLC

6375 Chambersburg Road, Fayetteville, PA 17222 · 7173522721

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $17,345

Most serious findings on record:

▲ Oct 6, 2025 (F-0684, Immediate jeopardy, 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.
▲ Oct 6, 2025 (F-0689, 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "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 care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 395721 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)