TRANSITIONS HEALTHCARE SHOOK HOME (Chambersburg, PA) has a 1-star overall rating, with very weak quality measures (1 star) and below-benchmark nurse staffing at 3.87 hours per resident per day versus the 4.1 federal benchmark, though staffing is rated 4 stars. It also has a recent federal penalty and $205,694 in fines over the last 24 months.
Last inspection: March 5, 2026Penalties, last 24 months: $205,694recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8691.
Staffing detail
Registered nurses
0.86
Licensed practical nurses
0.77
Nurse aides
2.24
Weekend nursing
3.41
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 39%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
30.3%30.3%No change
Residents with a fall causing major injury
2.2%9.5%Worsening
Residents with pressure ulcers (bedsores)
7.1%4.4%Improving
Residents with a urinary tract infection
2.4%4.9%Worsening
Residents who lost too much weight
17.9%13.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.3%28.9%Improving
Residents whose ability to walk got worse
—27.3%—
Long-stay residents on antianxiety or sleep medication
19%21.1%Worsening
Short-stay residents newly given an antipsychotic
3%0%Improving
Residents with a long-term catheter
2.1%1.7%No change
Residents with new or worsening incontinence
26.7%16.6%Improving
Residents with depressive symptoms
0%2.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
82.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—87.3%—
Short-stay residents given the pneumonia vaccine
88.3%93.4%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to provide services that met professional standards of quality. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $205,694 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $205,694 in total fines.
Federal fine
May 30, 2024
$205,694
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of TRANSITIONS HEALTHCARE · 6 homes · 2.5 stars avg
Occupancy
59.9 residents on an average day (92% of 65 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.