Gettysburg Center
867 York Road · Gettysburg, PA · 17325 · 7173373238
118 certified beds For profit - Corporation Chain: Genesis Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- 4 citations involved actual harm to residents.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 2.94 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 1 · $12,735 |
Inspection citations (34 in the current record)
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Actual harm · G April 22, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 22, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · E April 14, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 29, 2026 · Nutrition and Dietary
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Potential for harm · D April 14, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 29, 2026 · Nutrition and Dietary
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Potential for harm · D March 19, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 21, 2026 · Pharmacy Service
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Potential for harm · D March 19, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 21, 2026 · Nutrition and Dietary
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Potential for harm · D March 19, 2026
Provide and implement an infection prevention and control program.
Corrected April 21, 2026 · Infection Control
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Potential for harm · D September 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 21, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 14, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 9, 2025 · Pharmacy Service
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Potential for harm · D August 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 9, 2025 · Infection Control
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Actual harm · G March 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 9, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2025 · Quality of Life and Care
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Potential for harm · E February 20, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 1, 2025 · Resident Rights
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Potential for harm · D February 20, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · E February 20, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 1, 2025 · Pharmacy Service
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Potential for harm · D February 20, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 1, 2025 · Nutrition and Dietary
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No harm found · C February 20, 2025
Post nurse staffing information every day.
Corrected April 1, 2025 · Nursing and Physician Services
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Potential for harm · D July 31, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · E June 6, 2024 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected June 18, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2025 | Fine | $12,735 |
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 395733 · certified since July 7, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.