C77

GARDENS AT ORANGEVILLE, THE

Grade C 77/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

119

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

200 BERWICK ROAD, ORANGEVILLE, PA 17859
5706835036

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.58h
LPN
0.96h
CNA
1.89h
Total
3.43h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MAYBROOK-P OPCO HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2016

100%

BL CAPITAL GROUP HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2020

24%

FAIR OAKS FAMILY HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2020

12%

LME FAMILY HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2020

PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2016

26%

SAMARA HOLDINGS COMPANY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2020

10%

STRAWBERRY HILL HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2020

11%

SEBBAG, GABRIEL

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2016

5%

CLINICAL CONSULTING SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

PRIORITY CARE GROUP LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

SUMMATION FINANCIAL SERVICES

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

BASHA, SAMER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2018

WHITMIRE, DENISE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

Penalties & Fines (2)

DateTypeDescriptionAmount
Oct 17, 2024Payment Denial
Feb 2, 2024Payment Denial

Health Inspection Deficiencies (42)

September 19, 2025Health8 deficiencies
0571DMinimal harm, Isolated

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Resident Rights Deficiencies

Corrected Nov 4, 2025
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Nov 4, 2025
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Nov 4, 2025
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Nov 4, 2025
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 4, 2025
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Nov 4, 2025
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 4, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Nov 4, 2025
June 4, 2025Health1 deficiency
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jul 3, 2025
January 23, 2025Health1 deficiency
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Feb 18, 2025
December 6, 2024Health7 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jan 23, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 23, 2025
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 23, 2025
0694DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 23, 2025
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jan 23, 2025
0801FMinimal harm, Widespread

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies

Corrected Jan 23, 2025
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jan 23, 2025
October 17, 2024Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 6, 2024
May 30, 2024Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 2, 2024
April 16, 2024Health5 deficiencies
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected May 30, 2024
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected May 30, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected May 30, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 2, 2024
0806EMinimal harm, Pattern

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected May 30, 2024
February 2, 2024Health15 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 16, 2024
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Apr 16, 2024
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected May 30, 2024
0600DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 16, 2024
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 16, 2024
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Apr 16, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 2, 2024
0690EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 16, 2024
0694DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 16, 2024
0744DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies

Corrected Apr 16, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Apr 16, 2024
0801FMinimal harm, Widespread

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies

Corrected Apr 16, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Apr 16, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 16, 2024
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Apr 16, 2024
August 23, 2023Health1 deficiency
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Sep 26, 2023
March 24, 2023Health1 deficiency
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Apr 27, 2023
January 24, 2023Health1 deficiency
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Feb 23, 2023

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Frequently Asked Questions

What is the CareGrader rating for GARDENS AT ORANGEVILLE, THE?

GARDENS AT ORANGEVILLE, THE in ORANGEVILLE, Pennsylvania has a CareGrader grade of C (Average), with a composite score of 77 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for GARDENS AT ORANGEVILLE, THE?

GARDENS AT ORANGEVILLE, THE has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does GARDENS AT ORANGEVILLE, THE have?

GARDENS AT ORANGEVILLE, THE has 42 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does GARDENS AT ORANGEVILLE, THE have?

GARDENS AT ORANGEVILLE, THE has 119 certified beds with approximately 79 current residents (66% occupancy). The facility is located at 200 BERWICK ROAD, ORANGEVILLE, Pennsylvania 17859. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.