St John specialty Care Center

Nursing Home · Mars, PA

CMS overall rating 1/5 Abuse citation Non profit - Corporation

CMS certification number395164
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

500 Wittenberg Way
Mars, PA 16046
Butler County
Phone
(724) 625-1571
ZIP code
16046 – all care providers

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Facility details

Certified beds
150
Residents per day
135.5 (90% occupied)
Ownership
Non profit - Corporation
Legal name
ST. John Lutheran Care Center
Medicare certified since
January 26, 1967
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.0
Quality measures★★★★★ 3/5
State avg 3.6
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.96 (state 3.89 · U.S. 3.86)
Registered nurses (RN)
1.19 (state 0.79 · U.S. 0.69)
Licensed practical nurses
0.36 (state 0.91 · U.S. 0.86)
Nurse aides
2.41 (state 2.19 · U.S. 2.32)
Weekend total
3.63 (state 3.53 · U.S. 3.42)
Nursing staff turnover
52.3 (state 44.5 · U.S. 45.8)%
RN turnover
37.8 (state 39.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
October 11, 2024
Health deficiencies (last cycle)
29.0 (state 10.1 · U.S. 9.3)
From complaints
5
Citations on record (3 years)
55 health · 25 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-23 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-02-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-03-04
2026-02-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-03-04
2026-02-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-04
2025-12-03 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-09
2025-01-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-14
2024-10-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 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.
F0849 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 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.
F0622 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 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.
F0742 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F0942 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-10-11 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-30
2024-07-09 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-29
2024-07-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-29
2024-06-18 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-06-18 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-06-18 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-06-18 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-06-18 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-06-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2023-12-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Try 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.
F0700 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 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.
F0622 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 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.
F0849 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2023-12-01 Report COVID19 data to residents and families.
F0885 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-19

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Lutheran Seniorlife (organization)Administrator · NOT APPLICABLE
Pfoff, Robert (individual)Administrator · NOT APPLICABLE
Rapuk, Samanth (individual)Administrator · NOT APPLICABLE
Carraway, Jeffrey (individual)Corporate Director · NOT APPLICABLE
Fenoglietto, David (individual)Corporate Director · NOT APPLICABLE
Carraway, Jeffrey (individual)Corporate Officer · NOT APPLICABLE
Fenoglietto, David (individual)Corporate Officer · NOT APPLICABLE
Rapuk, Samanth (individual)Operational/managerial Control · NOT APPLICABLE
Carraway, Jeffrey (individual)Trustee Of The Snf · NOT APPLICABLE
Fenoglietto, David (individual)Trustee Of The Snf · NOT APPLICABLE
Rapuk, Samanth (individual)Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of St John specialty Care Center?

St John specialty Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Pennsylvania.

How many beds does St John specialty Care Center have?

It has 150 certified beds and cares for about 136 residents per day.

Has St John specialty Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of St John specialty Care Center?

(724) 625-1571. The facility is located at 500 Wittenberg Way, Mars, PA 16046.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.