River's Bend Health & Rehab Center in Harrisburg, PA has a 1 out of 5 overall rating, with a 1-star health inspection rating and a 2-star staffing rating. It has the lowest overall rating, reported nurse staffing below the federal benchmark (3.56 vs. 4.1 hours per resident per day), and $0 in fines in the last 24 months.
Last inspection: March 12, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5565.
Staffing detail
Registered nurses
0.43
Licensed practical nurses
0.95
Nurse aides
2.18
Weekend nursing
3.25
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 82%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.7%Improving
Residents with a fall causing major injury
1.6%Steady
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
0.2%Improving
Residents who lost too much weight
10.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.9%Worsening
Residents whose ability to walk got worse
23.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.7%Worsening
Short-stay residents newly given an antipsychotic
0.4%Worsening
Residents with a long-term catheter
1%Improving
Residents with new or worsening incontinence
18.3%Improving
Residents with depressive symptoms
10.6%Worsening
Long-stay residents given the seasonal flu vaccine
96.3%Steady
Long-stay residents given the pneumonia vaccine
81%Worsening
Short-stay residents given the seasonal flu vaccine
40.4%Steady
Short-stay residents given the pneumonia vaccine
33.8%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure each resident got needed dental services. Cited March 2026 — isolated incident, actual harm.
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F-Tag 791 — 42 CFR §483.55 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure residents fully understood their health status, care, and treatments. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 552 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 18 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 12 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $19,841 in total fines.
Federal fine
Jan 2, 2024
$19,841
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SABER HEALTHCARE GROUP · 126 homes · 3 stars avg
Occupancy
151.1 residents on an average day (76% of 198 beds)
Resident voice
Resident council
Medicare history
Certified for 48 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.