Stroudsburg Post Acute Nursing & Rehabilitationllc
4227 Manor Drive, Stroudsburg, PA 18360 · Monroe County · 174 certified beds · avg 124 residents/day · certified since Apr 9, 1980
Abuse citation flag (CMS)
Part of chain: THE ROSENBERG FAMILY (16 facilities, chain avg rating 2.7★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
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)
▲ Actual harm, one-off · May 5, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: May 18, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 25, 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 27, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (42)
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 22, 2026 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| May 22, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 22, 2026 | E · Potential for harm, repeated | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| May 22, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| May 22, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| May 22, 2026 | 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. |
| May 22, 2026 | D · Potential for harm, one-off | The facility did not provide proper care or assistance for a resident who uses a prosthesis, such as an artificial limb. |
| May 22, 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. |
| May 22, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| May 5, 2026 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 5, 2026 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| May 5, 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. · from a complaint |
| Mar 11, 2026 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint |
| Mar 11, 2026 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Mar 11, 2026 | 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. · from a complaint |
| Jul 25, 2025 | ▲ 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 |
| Jul 25, 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. |
| Jul 25, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 25, 2025 | E · Potential for harm, repeated | 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 |
| Jul 25, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 25, 2025 | 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 25, 2025 | 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. |
| Jul 25, 2025 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jul 25, 2025 | D · Potential for harm, one-off | The facility did not have policies on smoking. |
| Jul 25, 2025 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Apr 15, 2025 | 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. · from a complaint |
| Apr 15, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Sep 13, 2024 | E · Potential for harm, repeated | 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. |
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Sep 13, 2024 | 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. |
| Sep 13, 2024 | 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. |
| Sep 13, 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. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Sep 13, 2024 | D · Potential for harm, one-off | 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. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 13, 2024 | 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. |
| May 29, 2024 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 29, 2024 | D · Potential for harm, one-off | 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 |
| May 29, 2024 | 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 15, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Sep 15, 2023 | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 12 | 0 | E |
| 2025 | 12 | 1 | G ▲ |
| 2026 | 15 | 1 | G ▲ |
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)
No fines or payment denials in the published 3-year window.
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) | 3.97 | 3.94 | 3.95 | top 38% in Pennsylvania; top 41% in the U.S. |
| Registered Nurse hours | 0.64 | 0.80 | 0.69 | bottom 48% in Pennsylvania; top 43% in the U.S. |
| Weekend total nurse staffing | 3.56 | 3.58 | 3.50 | top 40% in Pennsylvania; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.56 | 0.48 | bottom 49% in Pennsylvania; top 43% in the U.S. |
| Total nursing staff turnover (%) | 52.4 | 44.5 | 45.8 | bottom 27% in Pennsylvania; bottom 31% in the U.S. |
| RN turnover (%) | 43.5 | 39.9 | 42.9 | bottom 41% in Pennsylvania; bottom 46% 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 3.73, RN 0.60, weekend 3.35. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rdy Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 04/01/2025 |
| Rosenberg, Moshe | Individual | 5% or Greater Indirect Ownership Interest | — | 04/01/2025 |
| Stroudsburg Post Acute Nursing & Rehabilitaion 2 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/01/2025 |
| 4227 Manor 2 LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2025 |
| 4227 Manor 2 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| 4227 Manor LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2025 |
| 4227 Manor LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Az 22 Tr | Organization | Trustee of the SNF | NOT APPLICABLE | 04/01/2025 |
| Gilphilin, Deverton | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Gilphilin, Deverton | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Lewis, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Lewis, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Rdy Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 04/01/2025 |
| Rosenberg, Avraham | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2025 |
| Rosenberg, Avraham | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2025 |
| Rosenberg, Avraham | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Rosenberg, Moshe | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2025 |
| Rosenberg, Moshe | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2025 |
| Rosenberg, Moshe | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "How do you explain health changes and treatment options to residents and their families?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "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 |
|---|---|---|---|---|---|
| Whitestone Care Center | 3.5 mi | Stroudsburg, PA | ★★★★☆ | 3/5 | |
| Sapphire Care and Rehab Center | 6.6 mi | East Stroudsburg, PA | ★☆☆☆☆ | 2/5 | |
| Slate Belt Health & Rehabilitation Center | 7.4 mi | Bangor, PA | ★★☆☆☆ | 2/5 | abuse |
| Brookmont Healthcare and Rehabilitation Center | 7.6 mi | Effort, PA | ★★★★☆ | 3/5 | |
| Clover Rest Home | 10.2 mi | Columbia, NJ | ★★★★★ | 5/5 | |
| Moravian Hall Square Health and Wellness Center | 14.2 mi | Nazareth, PA | ★★★★★ | 4/5 | |
| Northampton County-Gracedale | 14.8 mi | Nazareth, PA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Lopatcong Center | 17.8 mi | Phillipsburg, NJ | ★★★☆☆ | 2/5 | |
| Complete Care at Brakeley Park | 18.1 mi | Phillipsburg, NJ | ★★☆☆☆ | 2/5 | |
| New Eastwood Healthcare and Rehabilitation Center | 18.3 mi | Easton, PA | ★★★★★ | 4/5 | |
| Easton Skilled Nursing and Rehabilitation Center | 18.3 mi | Easton, PA | ★★★★★ | 4/5 | |
| Gardens for Memory Care at Easton, the | 18.6 mi | Easton, PA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395491.