Transitions Healthcare Gettysburg
595 Biglerville Road · Gettysburg, PA · 17325 · 7173346249
135 certified beds For profit - Limited Liability company Chain: Transitions Healthcare
- 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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.34 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $16,334 |
Inspection citations (25 in the current record)
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Potential for harm · E November 18, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D November 18, 2025
Ensure each resident receives an accurate assessment.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 18, 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 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 18, 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 November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 21, 2025 · Nutrition and Dietary
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Potential for harm · D August 15, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 15, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 15, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · E August 15, 2024
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 September 26, 2024 · Pharmacy Service
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Potential for harm · E August 15, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected September 26, 2024 · Nutrition and Dietary
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Actual harm · G June 11, 2024 · 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 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · E October 26, 2023
Ensure each resident receives an accurate assessment.
Corrected December 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 26, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 5, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
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 5, 2023 · Quality of Life and Care
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Potential for harm · E October 26, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 5, 2023 · Quality of Life and Care
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Potential for harm · D October 26, 2023
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 5, 2023 · Quality of Life and Care
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Potential for harm · E October 26, 2023
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 December 5, 2023 · Pharmacy Service
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Potential for harm · E October 26, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 5, 2023 · Nutrition and Dietary
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Potential for harm · E October 26, 2023
Provide and implement an infection prevention and control program.
Corrected December 5, 2023 · Infection Control
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Potential for harm · E October 26, 2023
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 5, 2023 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 11, 2024 | Fine | $8,167 |
| June 11, 2024 | Fine | $8,167 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395798 · certified since August 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.