6375 Chambersburg Road, Fayetteville, PA 17222 (opens Google Maps) · Franklin County · (717) 352-2721· 92 certified beds · avg 85 residents/day · certified since Dec 1, 1986 · 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 →
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 31, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 31, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.
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 F-0684
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 F-0689
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. F-0605
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 6, 2025 | ▲ J · Immediate jeopardy, isolated | 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 · F-0684 |
| Oct 6, 2025 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| Jun 5, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0605 |
| Jun 5, 2025 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jun 5, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Jun 5, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0690 |
| Jun 5, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0699 |
| Jun 5, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jun 5, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Mar 10, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| Jul 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jul 3, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Jul 3, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Jul 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jul 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694 |
| Jul 3, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Jul 3, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Aug 10, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Aug 10, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0688 |
| Aug 10, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0606 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0661 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Aug 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
2 fines totaling $17,345.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Oct 6, 2025 | Fine | $8,672 |
| Oct 6, 2025 | Fine | $8,673 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.44 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Paramount Nursing and Rehab at Fayetteville, LLC. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 13 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 395721.
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