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Julia Ribaudo Extended Care CenterCMS ratings, inspections and fines

Address
1404 Golf Park Drive, Lake Ariel, PA 18436
CCN
395493
Ownership type
For-profit, limited liability company
Certified beds
119
Residents per day
88
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Julia Ribaudo Extended Care Center an overall rating of 2 of 5 stars. The last standard survey was on 16 Jun 2026. The latest survey cycle has 13 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Julia Ribaudo Extended Care Center, with medians
Rating (1 to 5 stars)This homeWayne County medianPennsylvania medianUS average (CMS)
Overall rating22.03.03.0
Health inspection rating22.03.02.8
Staffing rating22.03.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 3 homes in the county, 656 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Julia Ribaudo Extended Care Center in the last three survey cycles
Survey cycleStandard surveyCitationsPennsylvania median
Cycle 1 (latest)16 Jun 2026138
Cycle 215 Aug 2025108
Cycle 3No date158

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 38 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0

Survey cycle 1 (latest): 13 citations

Standard survey of this cycle: .

Health citations of Julia Ribaudo Extended Care Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Jun 2026F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey16 Jul 2026
16 Jun 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey16 Jul 2026
16 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey16 Jul 2026
16 Jun 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey16 Jul 2026
16 Jun 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey16 Jul 2026
16 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey16 Jul 2026
16 Jun 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey16 Jul 2026
16 Jun 2026F0761Ensure 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.DStandard survey16 Jul 2026
16 Jun 2026F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey16 Jul 2026
16 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Jul 2026
16 Jun 2026F0881Implement a program that monitors antibiotic use.FStandard survey16 Jul 2026
16 Jun 2026F0908Keep all essential equipment working safely.FStandard survey16 Jul 2026
12 Feb 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation25 Feb 2026

Survey cycle 2: 10 citations

Standard survey of this cycle: .

Health citations of Julia Ribaudo Extended Care Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
15 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey12 Sep 2025
15 Aug 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey12 Sep 2025
15 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Sep 2025
15 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey12 Sep 2025
15 Aug 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Sep 2025
15 Aug 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey12 Sep 2025
15 Aug 2025F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey12 Sep 2025
15 Aug 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey12 Sep 2025
9 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation29 Apr 2025
1 Aug 2024F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation27 Aug 2024

Survey cycle 3: 15 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Julia Ribaudo Extended Care Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey19 Nov 2024
11 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey19 Nov 2024
11 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey19 Nov 2024
11 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey19 Nov 2024
11 Oct 2024F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey19 Nov 2024
11 Oct 2024F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey19 Nov 2024
11 Oct 2024F0880Provide and implement an infection prevention and control program.FStandard survey19 Nov 2024
18 Jan 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EComplaint investigation21 Feb 2024
18 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation21 Feb 2024
18 Jan 2024F0687Provide appropriate foot care.DComplaint investigation21 Feb 2024
20 Dec 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation18 Jan 2024
20 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation18 Jan 2024
20 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation18 Jan 2024
20 Dec 2023F0732Post nurse staffing information every day.CComplaint investigation18 Jan 2024
27 Sep 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation20 Dec 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Julia Ribaudo Extended Care Center in the CMS penalties file
DateTypeFineDays without payment
27 Sep 2023Payment denial56

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Julia Ribaudo Extended Care Center
StaffThis homePennsylvania medianPennsylvania average (CMS)
All nurse staff3.193.603.89
Registered nurses (RN)0.570.700.79
Licensed practical nurses (LPN)0.820.91
Nurse aides1.812.19
All nurse staff, weekends2.963.303.53
Nurse staff turnover in a year
36.4%
Nurse staff turnover, Pennsylvania median
44.3%
RN turnover in a year
54.5%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Julia Ribaudo Extended Care Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homePennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay27.2%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.3%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.3%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.0%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.0%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.3%17.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Julia Ribaudo Healthcare Group, LLC
Chain
Saber Healthcare Group (126 homes in the CMS chain file)
Organisations in the CMS ownership record of Julia Ribaudo Extended Care Center
OrganisationRole in the CMS recordInterestSince
BHG Aviv LLC5% or greater security interest1 Mar 2016
SHG Management LLCOperational/managerial control1 Sep 2019
BHG Aviv LLCAdp of the snf1 Mar 2016
Citrin Cooperman Advisors LLCAdp of the snf1 Jun 2011
Huntington National BankAdp of the snf19 Jul 2019
RKL LLPAdp of the snf26 Jan 2023
Saber Governance LLCAdp of the snf1 Sep 2019
Saber Healthcare Group LLCAdp of the snf1 Jun 2011
SHG Boa LLCAdp of the snf17 Dec 2025
SHG Management LLCAdp of the snf1 Sep 2019
SHG Mt, LLCAdp of the snf17 Dec 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Wayne County

The 2 nearest other nursing homes in Wayne County, Pennsylvania
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Wayne Woodlands ManorWaymart2 of 56$77,80022 May 2026
Ellen Memorial Rehabilitation and Healthcare CenteHonesdale2 of 57$010 Jan 2025

All 3 nursing homes in Wayne County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Julia Ribaudo Extended Care Center (CCN 395493). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/julia-ribaudo-extended-care-center-lake-ariel-pa-395493/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Julia Ribaudo Extended Care Center last inspected?
The latest inspection with a citation in the CMS record was on 16 Jun 2026. It was a standard survey. It gave 12 citations. The standard survey before the last one was on 15 Aug 2025.
Who operates Julia Ribaudo Extended Care Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Saber Healthcare Group. The CMS ownership file names SHG Management LLC for operational or managerial control. This site does not show the names of persons.
Is Julia Ribaudo Extended Care Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.