Transitions Healthcare Shook Home
55 South Second Street, Chambersburg, PA 17201 · Franklin County · 65 certified beds · avg 60 residents/day · certified since Dec 13, 1993
Part of chain: TRANSITIONS HEALTHCARE (6 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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, repeated · Jun 20, 2024 · 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jul 9, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 20, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
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: Jul 9, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 22, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Jul 14, 2025 (Past Non-Compliance)
All citations in the current public record (30)
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 5, 2026 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 5, 2026 | 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. |
| Mar 5, 2026 | 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. |
| Mar 5, 2026 | D · Potential for harm, one-off | 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. |
| Mar 5, 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 5, 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. |
| Mar 5, 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. |
| Mar 5, 2026 | 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. |
| Jul 22, 2025 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Apr 3, 2025 | E · Potential for harm, repeated | 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 3, 2025 | 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. |
| Apr 3, 2025 | 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. |
| Apr 3, 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 3, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 3, 2025 | D · Potential for harm, one-off | 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. |
| Apr 3, 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. |
| Apr 3, 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 3, 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. |
| Apr 3, 2025 | 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. |
| Apr 3, 2025 | 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. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Mar 28, 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. · from a complaint |
| Jun 20, 2024 | ▲ K · Immediate jeopardy, repeated | 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 |
| Jun 20, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 30, 2024 | E · Potential for harm, repeated | 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. |
| May 30, 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 30, 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. |
| May 30, 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. |
| May 30, 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 30, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 8 | 2 | K ▲ |
| 2025 | 14 | 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 $205,694.
| Date | Type | Amount / length |
|---|---|---|
| May 30, 2024 | Fine | $205,694 |
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) | 4.35 | 3.94 | 3.95 | top 27% in Pennsylvania; top 27% in the U.S. |
| Registered Nurse hours | 0.89 | 0.80 | 0.69 | top 27% in Pennsylvania; top 21% in the U.S. |
| Weekend total nurse staffing | 3.83 | 3.58 | 3.50 | top 29% in Pennsylvania; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.66 | 0.56 | 0.48 | top 27% in Pennsylvania; top 19% in the U.S. |
| Total nursing staff turnover (%) | 33.9 | 44.5 | 45.8 | top 22% in Pennsylvania; top 22% in the U.S. |
| RN turnover (%) | 25.0 | 39.9 | 42.9 | top 21% in Pennsylvania; top 20% 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 3.98, RN 0.81, weekend 3.50. Staffing rating: 5/5.
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: 1/5 · 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% | 12/01/2023 |
| Maurano, Matthew | Individual | 5% or Greater Direct Ownership Interest | 33% | 12/01/2023 |
| Williams, Kevin | Individual | 5% or Greater Direct Ownership Interest | 33% | 12/01/2023 |
| Decort, Ryan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2023 |
| Decort, Ryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Decort, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Feldman, Marc | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Feldman, Marc | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Flasher, Douglas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2023 |
| Flasher, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Flasher, Douglas | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Maurano, Matthew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2023 |
| Maurano, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Maurano, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Members First Federal Credit Unions | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/01/2023 |
| Transitions Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Transitions Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Williams, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Williams, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Chambers Pointe Health Care Center | 1.3 mi | Chambersburg, PA | ★★★☆☆ | 2/5 | abuse |
| Chambersburg Skilled Nursing and Rehabilitation Ce | 1.5 mi | Chambersburg, PA | ★★☆☆☆ | 2/5 | abuse |
| Laurel Lakes Rehabilitation and Wellness Center | 1.6 mi | Chambersburg, PA | ★★☆☆☆ | 2/5 | |
| Menno Haven Rehabilitation Center | 2.1 mi | Chambersburg, PA | ★★★★★ | 4/5 | |
| Brookview Health Care Center | 2.4 mi | Chambersburg, PA | ★★★★☆ | 3/5 | |
| Concordia at Spiritrust Luther Ridge | 4.9 mi | Chambersburg, PA | ★★★☆☆ | 3/5 | |
| Quincy Retirement Community | 10.2 mi | Waynesboro, PA | ★★★★☆ | 4/5 | |
| Paramount Nursing and Rehab at Fayetteville, LLC | 11.8 mi | Fayetteville, PA | ★☆☆☆☆ | 1/5 | |
| South Mountain Restoration Cen | 12.1 mi | South Mountain, PA | ★★★★★ | 5/5 | |
| Shippensburg Rehabilitation and Health Care Center | 12.2 mi | Shippensburg, PA | ★★★★☆ | 4/5 | |
| Complete Care at Hagerstown | 16.3 mi | Hagerstown, MD | ★☆☆☆☆ | 1/5 | |
| Fulton County Medical Center | 18.5 mi | McConnellsburg, PA | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395918.