Nursing HomeMedicaid Investigative

Gettysburg Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

867 York Road, Gettysburg, PA 17325|118 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

3.9/5

based on 81 Google reviews

(717) 337-3238 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Abuse citation on record
Low overall rating (2/5 stars)
Low staffing rating (2/5 stars)
Above-median deficiencies (14 vs median 8.0)

Below average in PA · Below recommended RN staffing · No penalties on record · Abuse citation

Source: Medicare data

What this means for your family

While some families report positive interactions with staff, there is a consistent and alarming pattern of reports regarding neglect, hygiene issues, and slow response times. We strongly advise you to visit the facility unannounced during off-hours or weekends to observe the actual level of care and staffing responsiveness before making a decision.

Google Reviews

81 reviews on Google

“Gettysburg Center receives highly polarized feedback, with some families praising the staff's kindness and the facility's cleanliness, while others report severe neglect and dangerous understaffing. Critical concerns include residents being left in soiled conditions for extended periods, slow response times to call bells, and poor communication from management. Families considering this facility should be aware of the significant gap between the positive experiences of some and the distressing reports of neglect from others.”

Quality Themes

Tap a score for details

Strengths

Warm, attentive nursing staff
Clean, well-maintained building
Efficient and welcoming front desk
Effective COVID-19 safety protocols

Concerns

Severe understaffing and slow response to call bells (mentioned by 8 reviewers)
Poor hygiene and failure to assist with toileting/bathing (mentioned by 7 reviewers)
Lack of communication and responsiveness from management (mentioned by 4 reviewers)
Inadequate meal service and assistance with feeding (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 84 analyzed

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
2With the current staffing levels, what is the average response time for a resident who needs assistance via their call bell?
3Can you walk me through the current process for ensuring residents receive consistent, timely help with personal hygiene, bathing, and toileting?
4Given the recent feedback regarding meal service, what steps are you taking to ensure residents receive the necessary support and attention during mealtimes?
5How does your nursing team coordinate with families when there is a change in a resident's health status or a need for medication adjustments?
6What specific activities or social programs are currently in place to keep residents engaged and active throughout the week?

Personalized based on this facility's data

Key Review Excerpts

“The nurses and aides are knowledgeable, attentive, loving, patient and treat our Mom as if she was part of their own family.”

Memory care family member · 2021★★★★★

“I went to see them everyday and I had to go to the nurses station everyday to request a clean pull-up or that they be bathed. There were a few hard working nurses, but for the most part they sat and ate cake or wouldn’t even look up from their computer screens.”

Long-term resident's family · 2024★☆☆☆☆

“The facility is kept VERY CLEAN and each resident is treated as an individual. They did everything in their power to make him comfortable and also assist me in dealing with his condition.”

Long-term resident's family · 2020★★★★☆

Source: 81 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.65hrs

86%

Registered nurses for medical care

Total Nursing

3.31hrs

81%

All nurses + aides combined

Staff Turnover

50%

Lower is better (< 30% = good)

RN Turnover

25%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

2/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility31.8%

Worse than Avg

Here

31.8%

15.3%

18.4%

Adams

18.0%

😔

Residents with depression symptoms

↓ Lower is better

This Facility23.6%

Worse than Avg

Here

23.6%

12.1%

8.3%

Adams

8.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility79.3%

Worse than Avg

Here

79.3%

93.4%

87.1%

Adams

92.2%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility28.1%

Worse than Avg

Here

28.1%

14.4%

17.5%

Adams

17.5%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility32.9%

Worse than Avg

Here

32.9%

19.4%

26.0%

Adams

23.9%

🩹

Residents with pressure sores (bedsores)

↓ Lower is better

This Facility11.3%

Worse than Avg

Here

11.3%

4.9%

5.1%

Adams

4.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility48.5%

Worse than Avg

Here

48.5%

79.8%

68.7%

Adams

72.1%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility60.8%

Worse than Avg

Here

60.8%

81.8%

69.2%

Adams

74.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.3%

Worse than Avg

Here

2.3%

1.6%

1.4%

Adams

1.1%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies

1penalties

Above state avg (10.1)

16 complaint-triggered

Families have filed multiple complaints that led to serious deficiencies including resident abuse and neglect, improper restraint use, and medication errors, with the most recent complaint in September 2024. The facility repeatedly struggles with care planning, medication management, and infection control, with issues persisting across multiple surveys despite reported corrections. While all deficiencies show correction dates, the pattern of recurring problems in core care areas raises concerns about sustained quality improvements.

Apr 22, 2026Complaint2 findings

0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Apr 14, 2026Complaint2 findings

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Mar 19, 2026Routine5 findings

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 24, 2025Complaint1 finding

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Aug 14, 2025Complaint3 findings

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 20, 2025Complaint3 findings

0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Feb 20, 2025

$12,735

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gettysburg Center

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Chain avg rating: 2.4/5 · Rank 108 of 188

Ownership & Management

Owners

Genesis Operations LLC

Owner · Organization

Genesis Pa Holdings LLC

Owner · Organization

Ghc Holdings LLC

Owner · Organization

100%

Gen Operations I LLC