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Nursing HomeMedicaid Investigative

Paramount Nursing and Rehab at Fayetteville, LLC

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

6375 Chambersburg Road, Fayetteville, PA 1722292 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 18 Google reviews

5
4
3
2
1
Paramount Nursing and Rehab at Fayetteville, LLC Nursing Home in Fayetteville, PA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (10 vs median 8.0)

Bottom 25% in PA · Below recommended RN staffing · $26,685 in fines

Source: Medicare data

What this means for your family

While the nursing staff is frequently praised for their compassion, families should be aware of recurring issues regarding the loss of personal property and medication management. We recommend clearly labeling all personal items and maintaining a proactive, documented dialogue with the administration regarding your loved one's medication schedule.

Google Reviews

Google Reviews

18 reviews on Google
Paramount Nursing and Rehab at Fayetteville receives praise for its compassionate nursing staff and the quality of care provided during end-of-life stays. However, families have raised significant concerns regarding administrative transparency, the loss of personal belongings, and recurring issues with medication management.

Quality Themes

Tap a score for details
Food2.0Staff7.0Clean8.0ActivitiesN/AMeds2.0MemoryN/AComms6.0Value2.0

Strengths

  • Compassionate and attentive nursing staff
  • Effective end-of-life care
  • Professional and proactive communication

Concerns

  • Loss of personal belongings and clothing (mentioned by 2 reviewers)
  • Medication management issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.12019(7)3.02020(1)1.02021(2)3.72023(3)3.52024(2)3.02025(2)3.32026(3)

Distribution · 20 analyzed

5
8
4
4
3
1
2
2
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on medication management, what specific protocols or double-check systems do you have in place to ensure residents receive the correct dosages at the right times?
  • 2I noticed some concerns regarding personal belongings; what is your process for labeling, tracking, and securing a resident's clothing and personal items to prevent them from going missing?
  • 3With the current CMS health inspection ratings, what specific steps is the facility taking to improve compliance and ensure the highest standards of care for residents?
  • 4Since dining is an area you are working to improve, could you walk me through how you handle special dietary needs and what the process is for residents to provide feedback on their meals?
  • 5I appreciate the positive feedback regarding your end-of-life care; how do you ensure that same level of compassionate, attentive support is consistently provided to residents during their daily routines?
  • 6What does a typical day look like for a resident in terms of structured activities and social engagement to ensure they remain active and connected within the community?

Personalized based on this facility's data


Key Review Excerpts

My mother was a resident here... After Paramount took over there were constant issues with my mother's meds. 1st there were constant issues with the med machine then it was

Long-term resident's family · 2021☆☆☆☆

Nice place, nurses are great. Administrators are another story. Saw right through the fake smiles. Do not take any nice clothes there, they will lose them and they do not care.

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

Both of my grandmothers have received excellent care at this facility. They have easily transitioned with the help of the staff to new accommodations as their level of need and assistance increased.

Long-term resident's family · 2023★★★★★
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.64hrs
89%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
0%
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

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.5%
Worse than Avg
Here
33.5%
US
19.4%
PA
26.0%
Franklin
19.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
PA
87.1%
Franklin
95.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
PA
8.3%
Franklin
12.0%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.0%
Worse than Avg
Here
29.0%
US
19.5%
PA
19.9%
Franklin
22.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.1%
Worse than Avg
Here
24.1%
US
15.5%
PA
17.7%
Franklin
17.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
15.3%
PA
18.4%
Franklin
15.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
PA
69.2%
Franklin
85.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.4%
Better than Avg
Here
89.4%
US
79.8%
PA
68.7%
Franklin
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.8%
Worse than Avg
Here
1.8%
US
1.6%
PA
1.4%
Franklin
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Near state avg (10.1)
3 complaint-triggered
$26,685 in fines

Families have filed complaint reports resulting in deficiencies related to treatment quality and safety supervision, indicating ongoing concerns. The facility shows recurring issues across care planning, clinical care quality, and building safety systems spanning multiple surveys from 2023 to 2025. While all deficiencies show correction dates, the pattern of repeated problems in core care areas like assessments, wound care, and infection control suggests systemic challenges that families should investigate further during visits.

Oct 6, 2025Complaint
2
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Immediate jeopardy · 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.

Jun 5, 2025Routine
8
0605Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0699Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Mar 10, 2025Complaint
1
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jul 3, 2024Routine
11
0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 10, 2023Routine
17
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0606Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Federal Penalties

Fine

Oct 6, 2025

$8,672

Fine

Oct 6, 2025

$8,673

Ownership & Operations

Who Operates This Facility

Owner / Operator

Paramount Nursing and Rehab at Fayetteville, LLC

Organization Type

for profit

Ownership & Management

Owners

Paramount Health Holdings Group INC

Owner · Organization

100%

Cox, James

Owner (parent company)

100%

Key personnel

Cox, JamesOfficer / DirectorParamount Health Holdings Group INCManagerParamount Health Resources INCManagerCox, JamesManagerDarmstadter, ChaseManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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