| Pleasant Acres Rehabilitation and Nursing Center | |
| 118 Pleasant Acres Rd,rd7, York, Pennsylvania 17402 | |
| (717) 840-7100 | |
| Name | Pleasant Acres Rehabilitation and Nursing Center |
|---|---|
| Location | 118 Pleasant Acres Rd,rd7, York, Pennsylvania |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 375 |
| Occupancy Rate | 94.96% |
| Medicare ID (CCN) | 395290 |
| Legal Business Name | Pleasant Acres Operating LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Jonathan Bleier (18 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1619459351 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pleasant Acres Operating, LLC |
| Address | 118 Pleasant Acres Rd, York, PA 17402 |
| Phone Number | 717-840-7100 |
| NPI Number | 1790757607 |
| Match | Possible same name, address or phone number |
| Organization Name | County of York |
| Doing Business As | Pleasant Acres Nursing & Rehabilitation Center |
| Address | 118 Pleasant Acres Rd, York, PA 17402 |
| Phone Number | 717-840-7103 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.26 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.36 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.93 | 0.86 |
| Nurse aide hours per resident per day | 1.98 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.97 | 3.42 |
| RN hours per resident per day on the weekend | 0.25 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 47.2% | 45.8% |
| Registered nurse turnover | 36.4% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $11,180 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 9, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 27, 2026 |
| Apr 9, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 27, 2026 |
| Apr 9, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 27, 2026 |
| Apr 9, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 27, 2026 |
| Apr 9, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 27, 2026 |
| Feb 9, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Mar 5, 2026 |
| Feb 9, 2026 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Complaint inspection | Potential for harm, isolated | Corrected by Mar 5, 2026 |
| Dec 22, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Mar 20, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 6, 2025 |
| Mar 20, 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 6, 2025 |
| Mar 20, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 6, 2025 |
| Mar 20, 2025 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 6, 2025 |
| Mar 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 6, 2025 |
| Mar 20, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2025 |
| Mar 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. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2025 |
| Mar 20, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2025 |
| Mar 20, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2025 |
| Mar 20, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2025 |
| Mar 20, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2025 |
| Mar 20, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 6, 2025 |
| Aug 28, 2024 | 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. F0584, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Oct 15, 2024 |
| Apr 25, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| Apr 25, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| Apr 25, 2024 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| Apr 25, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| Apr 25, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| Apr 25, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| Apr 25, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| Apr 25, 2024 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| Apr 25, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.31 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.39 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.98 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.53 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.8 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.39 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.32 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.95 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.02 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.55 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.5 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.68 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.6 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 29.12 | 15.38 |
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