Skilled nursing facility · CMS certification number 395333
ROBERT PACKER HOSPITAL SKILLED CARE AND REHABILIT
TOWANDA, Pennsylvania · Medicare and Medicaid
Certified beds, as filed in Care Compare: 68
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $33,027.00 · Payment denials: 0. The most recent penalty on file: January 6, 2025, Fine, $33,027. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MACAFEE, FRANCIS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/10/2020 |
| SAGGIOMO, LUCIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/04/2017 |
| THE GUTHRIE CLINIC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2015 |
| SAGGIOMO, LUCIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2015 |
Medicare enrollment
As filed in the CMS file dated August 2, 2026 (Medicare enrollment ownership), under the enrollment of ROBERT PACKER HOSPITAL (enrollment ID O20201028000742).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| THE GUTHRIE CLINIC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 04/29/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 04/29/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANCIS M MACAFEE | Individual | CORPORATE OFFICER | Not stated in the filing | 08/10/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUCIA SAGGIOMO | Individual | CORPORATE OFFICER | Not stated in the filing | 08/04/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE GUTHRIE CLINIC | Organization | DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | INDIRECT OWNERSHIP INTEREST | Not stated in the filing | 08/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUCIA SAGGIOMO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- August 1, 2025: LUCIA SAGGIOMO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE GUTHRIE CLINIC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANCIS M MACAFEE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LUCIA SAGGIOMO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE GUTHRIE CLINIC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE GUTHRIE CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- August 1, 2025: LUCIA SAGGIOMO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE GUTHRIE CLINIC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: FRANCIS M MACAFEE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LUCIA SAGGIOMO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE GUTHRIE CLINIC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: THE GUTHRIE CLINIC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 13, 2026 | January 13, 2026 | 8 | 7 |
| 2 | February 12, 2025 | February 12, 2025 | 3 | 3 |
| 3 | March 8, 2024 | March 8, 2024 | 7 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 13, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | January 30, 2026 |
| January 13, 2026 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | January 30, 2026 |
| January 13, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | January 28, 2026 |
| January 13, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Past Non-Compliance | November 25, 2025 |
| January 13, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | January 30, 2026 |
| January 13, 2026 | Health | F 0791 | Quality of Life and Care Deficiencies | Provide or obtain dental services for each resident. | D | No | Deficient, Provider has date of correction | January 30, 2026 |
| January 13, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | January 28, 2026 |
| January 13, 2026 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | No | Deficient, Provider has date of correction | January 30, 2026 |
| February 12, 2025 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | March 4, 2025 |
| February 12, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | March 4, 2025 |
| January 6, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | January 22, 2025 |
| March 8, 2024 | Health | F 0568 | Resident Rights Deficiencies | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | No | Deficient, Provider has date of correction | April 17, 2024 |
| March 8, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | April 17, 2024 |
| March 8, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | No | Deficient, Provider has date of correction | April 17, 2024 |
| March 8, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 17, 2024 |
| March 8, 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | April 17, 2024 |
| March 8, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | April 17, 2024 |
| March 8, 2024 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | D | No | Deficient, Provider has date of correction | April 17, 2024 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 6, 2025 | Fine | $33,027 | 135322 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | ROBERT PACKER HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1975-12-01 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Bradford |
| Telephone Number | 5702682239 |
| Chain Name | GUTHRIE |
| Chain ID | 873 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 68 |
| Average Number of Residents per Day | 65.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on ROBERT PACKER HOSPITAL SKILLED CARE AND REHABILIT: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 1, 2025: LUCIA SAGGIOMO no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for ROBERT PACKER HOSPITAL SKILLED CARE AND REHABILIT
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Pennsylvania at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 395333.