Robert Packer Hospital Skilled Care and Rehabilit

Name: Robert Packer Hospital Skilled Care and Rehabilit
Address: 91 HOSPITAL DRIVE, Towanda, PA, 18848, US
Telephone: 5702682239

91 Hospital Drive, Towanda, PA 18848 · Bradford County · 68 certified beds · avg 65 residents/day · certified since Dec 1, 1975

Part of chain: GUTHRIE (2 facilities, chain avg rating 2.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

$33,027

Fines, last 3 years

4.21

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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)

▲ Actual harm, one-off · Jan 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 22, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (18)

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
Jan 13, 2026	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Jan 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.
Jan 13, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 13, 2026	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.
Jan 13, 2026	D · Potential for 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
Jan 13, 2026	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.
Jan 13, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jan 13, 2026	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.
Feb 12, 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 12, 2025	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Jan 6, 2025	▲ G · Actual 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
Mar 8, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Mar 8, 2024	D · Potential for harm, one-off	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Mar 8, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 8, 2024	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.
Mar 8, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Mar 8, 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.
Mar 8, 2024	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2024	7	0	E
2025	3	1	G ▲
2026	8	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)

1 fine totaling $33,027.

Date	Type	Amount / length
Jan 6, 2025	Fine	$33,027

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)	4.21	3.94	3.95	top 30% in Pennsylvania; top 32% in the U.S.
Registered Nurse hours	0.72	0.80	0.69	top 42% in Pennsylvania; top 35% in the U.S.
Weekend total nurse staffing	2.97	3.58	3.50	bottom 25% in Pennsylvania; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.56	0.48	bottom 40% in Pennsylvania; bottom 48% in the U.S.
Total nursing staff turnover (%)	23.0	44.5	45.8	top 5% in Pennsylvania; top 5% in the U.S.
RN turnover (%)	38.5	39.9	42.9	top 49% in Pennsylvania; top 44% 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 3.77, RN 0.64, weekend 2.65. Staffing rating: 4/5.

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: 1/5 · short-stay residents: 1/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
The Guthrie Clinic	Organization	Direct Ownership Interest	NOT APPLICABLE	04/01/2015
Macafee, Francis	Individual	Corporate Officer	NOT APPLICABLE	08/10/2020
Saggiomo, Lucia	Individual	Corporate Officer	NOT APPLICABLE	08/04/2017
Saggiomo, Lucia	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2015

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?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Athens Nursing and Rehabilitation Center	13.2 mi	Athens, PA	★☆☆☆☆	2/5
Sayre Health Care Center	15.5 mi	Sayre, PA	★★★☆☆	3/5
Elderwood at Waverly	16.2 mi	Waverly, NY	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Towanda →

Facility data as of CMS processing date 2026-08-01. CCN 395333.

The Care File

Visit checklist — Robert Packer Hospital Skilled Care and Rehabilit

91 Hospital Drive, Towanda, PA 18848 · 5702682239

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $33,027

Most serious findings on record:

▲ Jan 6, 2025 (F-0684, Actual 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 395333 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)