Vibra Rehabilitation Center
707 Sheperdstown Rd · Mechanicsburg, PA · 17055 · 7175912125
48 certified beds For profit - Limited Liability company Chain: Vibra Healthcare
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
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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.
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.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · E August 28, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2025
Assess the resident when there is a significant change in condition
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 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 September 30, 2025 · Pharmacy Service
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Potential for harm · D August 28, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · E August 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · E August 28, 2025
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected September 30, 2025 · Administration
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Potential for harm · E August 28, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected September 30, 2025 · Administration
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Potential for harm · F August 28, 2025
Provide and implement an infection prevention and control program.
Corrected September 30, 2025 · Infection Control
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Potential for harm · D August 28, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 30, 2025 · Nursing and Physician Services
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Actual harm · G January 30, 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 February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected October 5, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024
Respond appropriately to all alleged violations.
Corrected October 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 19, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 4, 2024 · Resident Rights
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Potential for harm · E September 19, 2024
Observe each nurse aide's job performance and give regular training.
Corrected October 12, 2024 · Nursing and Physician Services
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Potential for harm · D September 19, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected October 5, 2024 · Nursing and Physician Services
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Potential for harm · E January 4, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 5, 2024 · Quality of Life and Care
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Potential for harm · E January 4, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 22, 2024 · Pharmacy Service
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Potential for harm · D October 5, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 28, 2023 · Resident Rights
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Potential for harm · D October 5, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 28, 2023 · Resident Rights
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Potential for harm · D October 5, 2023
Assess the resident when there is a significant change in condition
Corrected November 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 5, 2023
Ensure each resident receives an accurate assessment.
Corrected November 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 5, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 5, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 28, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 396133 · certified since February 11, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.