Transitions Healthcare Allens Cove

Name: Transitions Healthcare Allens Cove
Address: 25 COVE ROAD, Duncannon, PA, 17020, US
Telephone: 7178344887

25 Cove Road, Duncannon, PA 17020 · Perry County · 60 certified beds · avg 57 residents/day · certified since Dec 8, 1993

Part of chain: TRANSITIONS HEALTHCARE (6 facilities, chain avg rating 2.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.78

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: 4/5

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.

All citations in the current public record (34)

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
Mar 19, 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.
Mar 19, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 19, 2026	E · Potential for harm, repeated	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Mar 19, 2026	D · Potential for harm, one-off	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.
Mar 19, 2026	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.
Mar 19, 2026	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.
Mar 19, 2026	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 19, 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.
Apr 23, 2025	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.
Apr 23, 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.
Apr 23, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 23, 2025	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.
Apr 23, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 23, 2025	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.
Apr 23, 2025	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.
Apr 23, 2025	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.
Mar 31, 2025	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. · from a complaint
Mar 31, 2025	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint
Sep 4, 2024	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. · from a complaint
May 9, 2024	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
May 9, 2024	E · Potential for harm, repeated	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
May 9, 2024	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
May 9, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 9, 2024	E · Potential for harm, repeated	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.
May 9, 2024	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.
May 9, 2024	D · Potential for harm, one-off	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.
May 9, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
May 9, 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.
May 9, 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.
May 9, 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.
May 9, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 13, 2023	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. · from a complaint
Aug 11, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Aug 11, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).

Year	Citations	Worst severity that year
2023	3	E
2024	13	E
2025	10	E
2026	8	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)

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)	3.78	3.94	3.95	top 46% in Pennsylvania; top 50% in the U.S.
Registered Nurse hours	0.51	0.80	0.69	bottom 28% in Pennsylvania; bottom 39% in the U.S.
Weekend total nurse staffing	3.47	3.58	3.50	top 44% in Pennsylvania; top 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.56	0.48	bottom 35% in Pennsylvania; bottom 43% in the U.S.
Total nursing staff turnover (%)	56.3	44.5	45.8	bottom 18% in Pennsylvania; bottom 22% in the U.S.
RN turnover (%)	62.5	39.9	42.9	bottom 14% in Pennsylvania; bottom 19% 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 3.69, RN 0.50, weekend 3.38. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Feldman, Marc	Individual	5% or Greater Direct Ownership Interest	33%	01/01/2023
Maurano, Matthew	Individual	5% or Greater Indirect Ownership Interest	33%	01/01/2023
Williams, Kevin	Individual	5% or Greater Direct Ownership Interest	33%	01/01/2023
Feldman, Marc	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Feldman, Marc	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Jones, Carl	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Jones, Carl	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Jones, Carl	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Maurano, Matthew	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Maurano, Matthew	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Maurano, Matthew	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Members First Federal Credit Unions	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	01/01/2023
Menon, Madhu	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2023
Menon, Madhu	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Menon, Madhu	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Transitions Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Transitions Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2023
Williams, Kevin	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Williams, Kevin	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023

Questions to ask on your visit

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

"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Stonebridge Health & Rehabilitation Center	3.1 mi	Duncannon, PA	★★★★★	4/5
Premier at Perry Village for Nursing and Rehab, LL	8.9 mi	New Bloomfield, PA	★★★★☆	4/5
Homeland Center	9.6 mi	Harrisburg, PA	★★★★☆	4/5
Gardens at West Shore, the	9.6 mi	Camp Hill, PA	★☆☆☆☆	1/5	abuse
Amoroso Healthcare and Rehabilitation Woodridge	9.6 mi	Harrisburg, PA	★☆☆☆☆	1/5
Gardens at Camp Hill, the	9.6 mi	Camp Hill, PA	★★★☆☆	2/5
Capitol Rehabilitation and Healthcare Center	10.1 mi	Harrisburg, PA	★★★☆☆	3/5
Vibra Rehabilitation Center	10.4 mi	Mechanicsburg, PA	★★★☆☆	2/5
Camp Hill Skilled Nursing and Rehabilitation Ctr	10.8 mi	Camp Hill, PA	★★☆☆☆	2/5	abuse
Fox Subacute at Mechanicsburg	10.8 mi	Mechanicsburg, PA	★★☆☆☆	3/5
Bethany Village Retirement Center	11.3 mi	Mechanicsburg, PA	★★★★★	4/5
Spring Creek Rehabilitation and Nursing Center	12.5 mi	Harrisburg, PA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Duncannon →

Facility data as of CMS processing date 2026-08-01. CCN 395915.

The Care File

Visit checklist — Transitions Healthcare Allens Cove

25 Cove Road, Duncannon, PA 17020 · 7178344887

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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 395915 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)