Oak Hill Center for Rehabilitation and Nursing
1020 North Union Street · Middletown, PA · 17057 · 7179440451
136 certified beds For profit - Limited Liability company Chain: Mordechai Weisz Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $44,777 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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.
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.
3 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: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 3 · $61,932 |
Inspection citations (60 in the current record)
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Potential for harm · D April 7, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 4, 2026 · Quality of Life and Care
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Potential for harm · E December 4, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 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 January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 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 January 12, 2026 · Quality of Life and Care
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Potential for harm · E December 4, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · E December 4, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · E December 4, 2025
Observe each nurse aide's job performance and give regular training.
Corrected January 12, 2026 · Nursing and Physician Services
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Potential for harm · D December 4, 2025
Provide or obtain dental services for each resident.
Corrected January 12, 2026 · Quality of Life and Care
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Actual harm · G September 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · D August 4, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 19, 2025 · Pharmacy Service
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Actual harm · G June 4, 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 June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 4, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 17, 2025 · Nutrition and Dietary
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Potential for harm · D April 24, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · E November 21, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · E November 21, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · E November 21, 2024
Ensure each resident receives an accurate assessment.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · E November 21, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · E November 21, 2024
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 December 16, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · D November 21, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · E November 21, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 16, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 30, 2024 | Fine | $44,777 |
| April 8, 2024 | Fine | $8,167 |
| April 8, 2024 | Fine | $8,988 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395347 · certified since December 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.