Geisinger-Lewistown Hospital
An acute care hospital in Lewistown, Pennsylvania 17044
400 Highland Avenue, Lewistown, Pennsylvania 17044. (717) 248-5411.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 5of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 1 deficiency cited in the last three years
- 123 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Apr 23, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Apr 23, 2025: complaint inspection1 deficiency
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Fire Control Plans
The inspectors’ words, 970 words
“FIRE CONTROL PLANS CFR(s): 482.41(b)(7) (5) The hospital must have written fire control plans that contain provisions for prompt reporting of fires; extinguishing fires; protection of patients, personnel and guests; evacuation; and cooperation with fire fighting authorities. This Standard is not met as evidenced by: 38058 Based on review of facility documents and staff interview (EMP), it was determined the facility failed to follow established fire procedures, by failing to call a Code Red by activating the fire alarm, failing to obtain a Hot Work Permit, and failing to utilize a shielding guard/blanket during welding work. Findings include: Policy Geisinger Title: Fire Safety Management Plan 8.0 Environment of Care, dated January 10, 2025. “ ... The basic plan in the hospital is based on the acronym “RACE”: Rescue anyone in immediate danger from the fire. Alarm by pulling fire alarm pull stations and dialing the emergency extension number for site. Confine by closing doors to help contain smoke and the products of combustion. Extinguish, and as needed, prepare to evacuate, or relocate patients. ... . “ 1. Review of facility work order for Washer Disinfector on April 5, 2025, revealed, “ Summary: Came onsite to assist vendor with getting into work area. During their repair, the heat from the welder cause [sic] installation [sic] to catch on fire. I was in another [sic] when event happen [sic]. {Name redacted} pulled out installation [sic] that was burning, and used fire extinguisher. I notified proper personnel, and cleaned up mess. Steris tested washer by fill [sic] it up with water did not see any leaks. Found issue with unload side of door not working because Fire cause [sic] air line to melt. ... .” 2. Review of electronic documentation from EMP3 on May 2, 2025, revealed, “When fire alarm is activated, it will go to the switchboard and an overhead code red announcement will be made.” 3. Interview with EMP1 on April 23, 2025, confirmed that no fire alarm (Code Red) was activated. Policy Geisinger Title: Hot Works and Permits 8.0 Environment of Care Safety Committee, dated April 12, 2024. “Purpose This policy establishes minimum requirements for fire prevention before, during and after cutting, welding or any other Hot Work operations. This policy shall apply to all Geisinger Facilities and Clinical Engineering Staff as well as outside persons contracted to perform such duties. ... Where Hot Work is done near walls, partitions, ceilings, or roofs of combustible construction, fire resistant shields or guards shall be utilized to prevent ignition. ... Hot Work Permit: Facilities Management will be responsible for issuing the Hot Work Permit. ... Upon completion of the Hot Work, the Facilities Supervisor responsible to [sic] the work will sign off on the ‘Fire Watch Sign off ’ on the section of the permit. Upon notification from the job site, Security shall sign off on the ‘Final Checkup’ section of the tag upon completion of the four-hour monitoring period after Hot Work is completed. ... Responsibilities Facilities Management: Will oversee that their department and contractors working for their departments adhere to the Geisinger Hot Work Policy. ... Facilities Management shall also be responsible for the notification to the Security Department as to any or all locations of ‘HOT WORK’ being performed on site. ... Facilities Supervisor: Person(s) responsible for overseeing the Hot Work to be completed shall also be responsible for the safe handling of the cutting or welding equipment as well as the safe use of the cutting or welding process. Shall instruct all persons involved in the Hot Work on how to report a fire and the location(s) of the nearest alarm stations and fire extinguishing equipment. Shall determine the combustible materials and hazardous areas present or likely to be present in the work area. He shall protect combustibles from ignition by the following: 1. Have the Hot Work moved to a location free from all combustibles. 2. If the work cannot be moved, have the combustibles moved to a safe distance combustibles properly shielded against ignition. 3. See that cutting and welding are so scheduled that operations that might expose combustibles to ignition are not started during cutting, welding or any other Hot Work processes. Shall determine that fire protection and extinguishing equipment are properly located at the site. ... Shall see that a Fire Watch is appointed and available at the site. ... Shall notify Security upon completion of Hot Work so that the Security Department can patrol the area for four (4) hours after completion of the work. ... Outside Contractors: All outside contractors shall follow the standards set by this policy at all times and must secure a Hot Work permit from Facilities Management. ... . “ 1. Review of “Fire Event Debrief on 4/8/25” revealed, “ ... Saturday: Immediate response to smoldering by contracted service and ISS team. No code red activation. Reminder to obtain hot work permit for soldering or welding via facilities. Suggested use welding blanket or metal guard. ... .” 2. Review of facility electronic mail documentation dated April 8, 2025, revealed, “ ... Per hospital policy. Next time we have the welding contractor onsite we need to obtain a hot work permit from facilities for the welding that is being done. ... We need to make sure the welder has a fire blanket or a piece of metal that they can place between the area they are welding and any insulation, equipment, etc. In the event that we do see fire/smoke, discharge a fire extinguisher, we also need to let the nursing supervisor on duty know what has occurred. GLH Nursing Supervisor is a role set up in TigerText that we need to contact ... . “ 3. Interview with EMP1 on April 23, 2025, confirmed that there was no Hot Work Permit and that no welding guard/blanket was used.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 23, 2025 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 5 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 6; safety of care, 1 better and 0 worse of 5; readmission, 3 better and 0 worse of 8.
- Patients rate it 4 of 5 in CMS’s patient survey (588 surveys completed, Oct 1, 2024 to Sep 30, 2025): 72% rated it 9 or 10 out of 10, and 60% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, no different than national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 9.7%, pneumonia 13.8%, COPD 8.7%, stroke 9.7%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 21.4%, pneumonia 17.1%, COPD 20.5%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 181 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
- 71% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.94 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 5 of 5.
- 94% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Geisinger Lewistown Hospital runs it.
- 9 owners or officers are people: Terry Gilliland (corporate officer); Allan Vandermark (managing employee (on the payroll)); Jeffrey A Jacobson (corporate director); Chris Holcombe (corporate director); Will Xenakis (managing employee (on the payroll)); Benjamin K Chu (corporate director); Virginia Mcgregor (corporate director); Kristy Hine (corporate officer); Kristy Hine (managing employee (on the payroll)).
- CMS’s Provider of Services file records 1 change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- No other hospital CMS lists is in Mifflin County.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.