ORWIGSBURG NURSING AND REHABILITATION CENTER has an overall rating of 4 out of 5 stars, with a strong health inspection score but weaker staffing at 2 out of 5 stars. Reported nurse staffing is 3.33 hours per resident per day, below the federal benchmark of 4.1, and the facility had $17,895 in fines in the last 24 months with a recent federal penalty.
Last inspection: November 12, 2025Penalties, last 24 months: $17,895recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3295.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
0.95
Nurse aides
1.96
Weekend nursing
2.99
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.4%Improving
Residents with a fall causing major injury
3.1%Steady
Residents with pressure ulcers (bedsores)
6.7%Worsening
Residents with a urinary tract infection
2.4%Steady
Residents who lost too much weight
7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.9%Improving
Residents whose ability to walk got worse
18.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
21.2%Improving
Short-stay residents newly given an antipsychotic
1.2%Worsening
Residents with a long-term catheter
1%Improving
Residents with new or worsening incontinence
22.7%Improving
Residents with depressive symptoms
12.1%Worsening
Long-stay residents given the seasonal flu vaccine
85.4%Steady
Long-stay residents given the pneumonia vaccine
82.4%Improving
Short-stay residents given the seasonal flu vaccine
58.9%Steady
Short-stay residents given the pneumonia vaccine
78.5%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 583 — 42 CFR §483.10 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited July 2024 — isolated incident, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 2 health deficiencies.
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PENALTY
A federal fine of $17,895 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $22,128 in total fines.
Federal fine
Apr 11, 2025
$17,895
Federal fine
May 23, 2023
$4,233
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of IMPERIAL HEALTHCARE GROUP · 13 homes · 2.8 stars avg
Occupancy
106.1 residents on an average day (82% of 130 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.