Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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HARMONY HILLS HEALTHCARE AND REHABILITATION CENTER has 55 certified beds in WEXFORD, Pennsylvania. The CMS overall rating is 2 of 5, compared with the Pennsylvania average of 3.0. The CMS health inspection rating is 2 of 5, compared with the Pennsylvania average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on Jul 17, 2025 lists 13 deficiencies, compared with the Pennsylvania average of 7.0. Total nurse staffing is 4.05 hours per resident day in 2026Q1, compared with the Pennsylvania average of 3.88.
CMS nursing home
Also known publicly as Harmony Hills Healthcare & Rehabilitation
WEXFORD, PA
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 395903.
At a glance
2 of 5
2 of 5
4 of 5
2 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2024-03-19.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jul 17, 2025 cited 13 deficiencies.
View inspection evidenceCMS-published records list 72 ownership or control parties.
CMS records show an ownership change effective March 2024.
View ownership evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
3 currently connected nursing homes share this CMS organization identity with LIMESTONE ENTERPRISES LLC.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 19, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 67%
Association date reported to CMS: Mar 19, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 30%
Association date reported to CMS: Mar 19, 2024
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 67%
Association date reported to CMS: Mar 19, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Mar 19, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 19, 2024
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 19, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Dec 16, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 19, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Mar 19, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 67%
Association date reported to CMS: Mar 19, 2024
CMS classifications: Holding company, Private equity company
Other facilities connected through this exact CMS organization identity: 2 across PA.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 30%
Association date reported to CMS: Mar 19, 2024
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 67%
Association date reported to CMS: Mar 19, 2024
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 19, 2024
Other facilities connected through this exact CMS organization identity: 24 across AL, CA, NJ, NY, PA, SC, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 1 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 1 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 21, 2025
Other facilities connected through this exact CMS organization identity: 2 across PA.
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Mar 19, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 19, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Dec 16, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 19, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 21, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across PA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 7, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Assess the resident when there is a significant change in condition
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Observe each nurse aide's job performance and give regular training.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Aug 2, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 15, 2023)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 15, 2023)
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 15, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 15, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
6 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
13 deficiencies were recorded.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: HARMONY HILLS HEALTHCARE LLC.
WEXFORD REHABILITATION AND WELLNESS CENTER LLC → HARMONY HILLS HEALTHCARE LLC
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.152 | 3.805 |
| RN categories | 0.782 | 0.541 |
Contract staff accounted for 9.6% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.035 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.384 | 0.666 | 1.134 | 2.584 | 15.3% | 91 |
| 2025Q3 | 4.248 | 0.659 | 1.113 | 2.476 | 17.5% | 92 |
| 2025Q4 | 4.113 | 0.677 | 1.066 | 2.369 | 10.5% | 92 |
| 2026Q1 | 4.052 | 0.712 | 1.022 | 2.318 | 9.6% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
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No paid placements. Facilities cannot pay to rank higher. We cite. You decide.