Gardens at Orangeville, the

200 Berwick Road · Orangeville, PA · 17859 · 5706835036

119 certified beds For profit - Limited Liability company Chain: Priority Healthcare Group

  • Inspection results have improved across recent cycles.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 100
Staffing 20% 63
Federal penalties 15% 64
Trend 10% 75
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.243.48 min · 4.1 strong
RN hours / resident-day0.570.55–0.75
Weekend hours / resident-day2.92≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (40 in the current record)

  • Potential for harm · D September 19, 2025

    Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

    Corrected November 4, 2025 · Resident Rights

  • Potential for harm · E September 19, 2025

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected November 4, 2025 · Resident Rights

  • Potential for harm · D September 19, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E September 19, 2025

    Provide activities to meet all resident's needs.

    Corrected November 4, 2025 · Quality of Life and Care

  • Potential for harm · D September 19, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 4, 2025 · Quality of Life and Care

  • Potential for harm · D September 19, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected November 4, 2025 · Quality of Life and Care

  • Potential for harm · D September 19, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 4, 2025 · Quality of Life and Care

  • Potential for harm · E September 19, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 4, 2025 · Nutrition and Dietary

  • Potential for harm · E June 4, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected July 3, 2025 · Resident Rights

  • Potential for harm · E January 23, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 18, 2025 · Quality of Life and Care

  • Potential for harm · E December 6, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 23, 2025 · Resident Rights

  • Potential for harm · D December 6, 2024

    Ensure each resident receives an accurate assessment.

    Corrected January 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 6, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 23, 2025 · Quality of Life and Care

  • Potential for harm · D December 6, 2024

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected January 23, 2025 · Quality of Life and Care

  • Potential for harm · D December 6, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected January 23, 2025 · Pharmacy Service

  • Potential for harm · F December 6, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected January 23, 2025 · Nutrition and Dietary

  • Potential for harm · E December 6, 2024 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected January 23, 2025 · Resident Rights

  • Potential for harm · D October 17, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 6, 2024 · Quality of Life and Care

  • Potential for harm · D May 30, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 2, 2024 · Quality of Life and Care

  • Potential for harm · D April 16, 2024 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · D April 16, 2024 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · D April 16, 2024 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected May 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 16, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 2, 2024 · Quality of Life and Care

  • Potential for harm · E April 16, 2024 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected May 30, 2024 · Nutrition and Dietary

  • Potential for harm · E February 2, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 16, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 17, 2024Payment Denial32 days
February 2, 2024Payment Denial61 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395899 · certified since July 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.