St John specialty Care Center

CMS abuse icon · Continuing care retirement community · Non profit - Corporation · 150 certified beds · CCN 395164 · ST. JOHN LUTHERAN CARE CENTER · Butler · PA


St John specialty Care Center is a 150-bed nursing home in MARS, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1967-01-26. It averages 135.5 residents a day.

What harm was found in the violations cited at St John specialty Care Center?

CMS lists 55 health-inspection deficiencies for St John specialty Care Center since 2023-06-16, 50 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-23.

Survey dateTagDeficiencySeverity
2026-06-23F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2026-02-11F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-02-11F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-12-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-01-15F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2024-10-11F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-10-11F0690, F0849, F0880Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program.E
2024-10-11F0550, F0565, F0600, F0622, F0623, F0625, F0641, F0657, F0676, F0684, F0689, F0691, F0742, F0757, F0758, F0761, F0810, F0881, F0942, F0944Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / 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. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Implement a program that monitors antibiotic use. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D
2024-07-09F0657, F0689Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-06-18F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.E
2024-06-18F0600, F0604, F0607, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-12-01F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2023-12-01F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E
2023-12-01F0554, F0583, F0600, F0610, F0622, F0695, F0761, F0849, F0885Allow residents to self-administer drugs if determined clinically appropriate. / Keep residents' personal and medical records private and confidential. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Report COVID19 data to residents and families.D
2023-06-16F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-06-16F0656, F0695Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed.E
2023-06-16F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D
2023-06-16F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.B

How is St John specialty Care Center staffed?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.960353.88823
Total nursing staff turnover (%)52.344.5
Average number of residents per day135.5104.6

Who owns St John specialty Care Center?

St John specialty Care Center is registered with CMS as Non profit - Corporation, operates under the legal business name ST. JOHN LUTHERAN CARE CENTER.

RoleOwnerAssociation date
CORPORATE DIRECTORCARRAWAY, JEFFREY, FENOGLIETTO, DAVIDsince 05/27/2021
CORPORATE OFFICERCARRAWAY, JEFFREY, FENOGLIETTO, DAVIDsince 05/27/2021
OPERATIONAL/MANAGERIAL CONTROLRAPUK, SAMANTHsince 07/01/2023
TRUSTEE OF THE SNFCARRAWAY, JEFFREY, FENOGLIETTO, DAVID, RAPUK, SAMANTHsince 07/01/2023
ADP OF THE SNFLUTHERAN SENIORLIFE, PFOFF, ROBERT, RAPUK, SAMANTHsince 01/01/1986

Were you or a family member harmed at St John specialty Care Center?