Gettysburg Center

    867 York Rd, Gettysburg, PA, 17325
    4.1 · 74 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Chronically understaffed, neglectful, inconsistent care

    I'm conflicted: admissions was helpful, check-in/temperature screening and therapy intake were smooth, and several staff (Chelcea, Isaac and a number of nurses/aides) were genuinely caring and family-like, with good wheelchair access and a pleasant courtyard. But lately the place is chronically understaffed, chaotic, and poorly managed - call bells go unanswered for hours, residents left in soiled linens, rooms/bathrooms dirty with overflowing garbage and roaches, and I observed neglect leading to infections and bedsores. Meals and rehab can be good with the right therapist, yet care is wildly inconsistent, staff turnover/temps and pay issues abound, and management often seemed unfriendly or careless. My father was pleased here four years ago, but in my recent experience it's not worth the cost and I wouldn't trust it with a loved one now.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    4.08 · 74 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      4.1
    • Meals

      3.3
    • Amenities

      3.7
    • Value

      2.3

    Pros

    • Many staff described as kind, caring, and compassionate
    • Knowledgeable nurses and aides with clinical competence
    • Several staff go above and beyond for residents
    • Strong COVID-19 safety measures and vaccination efforts
    • Regular family communication and updates (calls, FaceTime, video conferences)
    • Supportive and effective social worker and admissions team
    • Good therapy and rehab when assigned skilled therapists
    • Family-centered approach and individualized care noted by some reviewers
    • Clean common areas and well-maintained hallways reported by many
    • Helpful, efficient, and friendly front desk and admissions staff
    • Smooth admissions process and administrative readiness at times
    • Activities and engagement (FaceTime, organized activities) praised
    • Peace of mind and sense of safety reported by many family members
    • Transparent communication from some leadership and staff
    • Pleasant facility atmosphere and home-like environment in many units
    • Accessible courtyard and paved pathways, wheelchair accessibility
    • Temperature screening and technology-driven sign-in procedures
    • Some unit managers and administrator advocacy praised
    • Attentive feeding and bathing reported in positive visits
    • Therapists described as encouraging, supportive, and diligent

    Cons

    • Frequent reports of understaffing and overworked aides
    • Long delays responding to call lights and resident requests
    • Serious allegations of neglect (prolonged soiling, not bathed, unattended wounds)
    • Reports of severe pressure ulcers (stage 4 bedsore) and infections
    • Allegations of theft/misplaced belongings and possible financial abuse
    • Inconsistent cleanliness: some rooms dirty, reports of roaches and garbage issues
    • Rude or uncaring staff reported by multiple reviewers
    • Management and administrative disorganization and poor follow-up
    • Use of temporary staff and lack of weekend management coverage
    • Pay issues and disputes with staff compensation reported
    • Mixed quality of food (most flavorful but meats overcooked or stringy)
    • Inconsistent therapy experience — depends on therapist
    • Poor discharge follow-up and chaotic transitions reported
    • Accusations of refusal of pain medication or hospice neglect
    • Some reviewers strongly advise against placement at this facility
    • Unit-specific leadership concerns (named managers and educators criticized)
    • Problems with room-level cleanliness (stains, paper under bed, foul smells)
    • Alleged improper medical/competency decisions referenced by some families
    • Maze-like layout and poor signage making navigation difficult
    • Significant variability in staff enthusiasm and engagement

    Summary review

    Overall sentiment for Gettysburg Center is highly mixed and polarized: many reviewers praise dedicated, compassionate staff, strong COVID precautions, clear communication, and a generally safe, clean environment in parts of the facility, while a substantial portion of reviews report serious safety, cleanliness, staffing, and management failures — including multiple, severe allegations of neglect. The most consistent positive themes are centered on individual caregivers and specific departments: nurses, aides, therapists, social workers, and admissions staff are frequently called out as caring, professional, and effective. Families report that when those team members are involved, residents receive individualized attention, timely communication (weekly check-ins, FaceTime, bi-weekly video conferences), and meaningful engagement. Several reviewers specifically mentioned feeling confident in the staff’s clinical competence, appreciating COVID-19 vaccination efforts, temperature screening, and technology-supported sign-in processes that reduced exposure risk. Administrative readiness during admissions, smooth paperwork, and helpful front desk interactions are repeated positives, as are pleasant common areas, wheelchair-accessible courtyard pathways, and an overall home-like atmosphere in many units.

    However, these positives stand alongside numerous and often starkly negative reports. A recurrent complaint is understaffing: aides described as overworked, use of temporary staff, and lack of weekend management lead to long call-bell delays and residents left waiting for hours. Multiple reviewers report severe neglect (residents left in soiled briefs for long periods, sitting in feces, not bathed for months, unattended wounds, stage 4 pressure ulcers, and untreated infections). There are also allegations of theft of belongings and possible financial abuse, plus at least one claim referencing contentious competency determinations. Cleanliness and maintenance are inconsistent across the facility: while some areas and visits are described as very clean and pleasant-smelling, other reports speak of dirty rooms, paper under beds, stained items, roaches, overflowing garbage, and foul odors. These inconsistencies suggest room- or unit-level variability rather than uniform facility quality.

    Care quality and therapy are similarly uneven. Several families praise therapy staff as motivating and effective, and many observed clear improvement during rehabilitation stays. Conversely, other reviewers report rehabilitation that never materialized, failure to assist residents out of bed, ignored pain or medical requests, and poor discharge follow-up. Food quality is generally described as acceptable — varied menu and most dishes flavorful — but with repeated notes that meats are sometimes overcooked or stringy and that food availability can be limited at times. Activities and engagement receive mostly positive mentions, including staff making residents’ days special and leveraging video calls to keep families connected during pandemic restrictions.

    Management and organizational issues form a central theme in the negative feedback. Some reviewers commend administrator advocacy and involved leadership, saying concerns were handled promptly; others describe administrative disorganization, unresponsive leadership, named unit managers and nurse educators criticized, and a lack of weekend managerial presence. Staffing problems tie into payroll and human resources complaints: disputes over pay and reports of unprofessional behavior among staff are present. The contrast between reviewers who say the facility "goes above and beyond" and those who call it a "nightmare" points to high variability between shifts, units, or time periods.

    Patterns and recommendations: reviewers most often recommend Gettysburg Center when they emphasize specific positive staff members, clean visits, and strong COVID-era communication. Conversely, those who experienced neglect, severe cleanliness issues, or administrative failures strongly advise avoiding the facility. Given the polarized feedback, families should consider in-person visits, ask for unit-specific staffing ratios, inquire about turnover and weekend management coverage, request to meet therapy staff who would be assigned, and seek references from current family members in the exact unit under consideration. If there are concerns about medication management, pain control, wound care, or documentation, insist on written care plans and confirm how the facility addresses short-staffing and emergency response times.

    In summary, Gettysburg Center elicits sharply divergent impressions: it can provide compassionate, competent care and effective COVID-era protections with strong communication and supportive admission processes, but there are credible and serious reports of neglect, poor hygiene in parts of the facility, administrative breakdowns, and staffing shortfalls. The facility’s quality appears highly dependent on specific units, individual staff members, and timing; prospective residents and families should perform detailed, unit-specific due diligence and monitor care closely after placement.

    Location

    Map showing location of Gettysburg Center

    About Gettysburg Center

    Gettysburg Center offers skilled nursing and assisted living in a suburban setting and has 110 beds, both private and semi-private, with some rooms having private bathrooms and dining nooks, and people can pick from private or shared spaces and the building is fully air-conditioned, with individual climate controls for comfort, and the gardens are well-kept, with walking paths that folks use for short strolls or quiet time, and there's always something to do, like arts and crafts, movie nights, group cooking, tending to plants, bird watching, or reading groups, and the activity rooms, country kitchen, and dining rooms see plenty of gatherings and conversation, while those that need quiet can enjoy comfortable lounge areas or sit outside in the courtyard, and residents have access to a barber and beauty salon, laundry service, housekeeping, and meal plans that include both in-room and restaurant-style dining with a café menu that's always available, and folks can watch cable TV, use computers with internet, and hook up their own TV or phone, with wireless internet throughout the building, and everyone benefits from an emergency alert system and alarm system for safety.

    People needing skilled care find round-the-clock nursing support, with registered nurses and attending physicians on duty, and the staff helps with medication management, bathing, dressing, transfers, toileting, eating, wound care, IV therapy, Total Parenteral Nutrition (TPN), orthopedic rehabilitation, trach and ventilator care, non-ambulatory care, bariatric specialties, and colostomy care, and there are occupational, physical, and speech therapy sessions in a gym with new equipment, and if someone needs palliative care, hospice care, or pain management, those services are available too, and respite care gives families a break when planned or needed, while folks that need transitional care can recover and get ready to return home after hospital stays, and there's memory care support for those with dementia or Alzheimer's, plus psychiatric and podiatry services, X-rays, vision care, respiratory therapy, dietary and nutrition management, discharge planning, individual treatment plans, and full case management to help coordinate everything.

    Transportation helps with outings and appointments, with staff that sets up outside visits, and pets are welcome so long as they fit the guidelines, and there's regular coordination with healthcare providers to make sure each person gets tailored medical care, plus support resources for caregivers, and families can check the community score system to get an idea of quality based on several factors, and there's a provider listed in the provider directory, and the community is verified and Medicare and Medicaid certified, and the lowest daily rate is $374.

    Gettysburg Center accommodates different needs with a continuum of care, including skilled nursing, assisted living, intermediate care, long-term and short-stay rehabilitation, Alzheimer's support, orthopedic rehabilitation, and hospice care, with support for home health care, Medicaid HCBS, palliative care, and home care services, and the facility is associated with the National Alliance for Care at Home, operated by Genesis HealthCare, and provides employment, onboarding, and compliance resources for staff, such as OSHA and HIPAA forms, employment agreements, and child abuse clearances, and has digital tools and apps for resident and staff management, a time clock, forms, residency attestation, as well as a gift and convenience shop, pet therapy, and a full schedule of cultural, educational, religious, and social activities for anyone who wants to join.

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