Smith Health Care Ltd

    453 S Main Rd, Mountain Top, PA 18707
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Family-run facility with excellent care

    I placed my dad here and have been very satisfied - the family-run, home-like facility is clean, safe, and peaceful with a lovely garden. The staff and management are caring, responsive, and professional; excellent nursing, rehab, and clear communication helped Dad regain independence and move to assisted living. Comfortable rooms, good food, engaging activities, and daily attention gave our family real peace of mind - I recommend them.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.49·(37)

    Overall rating

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

      3.8
    • Staff

      3.5
    • Meals

      2.5
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Clean, bright, home-like environment
    • Well-maintained grounds and pleasant garden areas
    • Compassionate and attentive caregiving staff
    • Skilled rehabilitation and physical-therapy services
    • Clear family communication and social-work support
    • Engaging activities and holiday programming
    • Comfortable, suite-like room options
    • Respect for resident dignity and quality-of-life
    • Hands-on management presence in some cases
    • Infection-prevention practices during the pandemic

    Cons

    • Chronic understaffing and elevated staff turnover
    • Leadership and managerial communication problems
    • Inconsistent adherence to fall-risk and transfer-safety protocols
    • Delays in responsiveness to call bells and assistance requests
    • Variable meal quality and dining-service consistency
    • Sanitation and housekeeping process gaps
    • Inadequate climate control in some resident rooms
    • Workforce scheduling instability and mandatory overtime practices
    • Gaps in infection-control and quarantine procedures
    • Insufficient incident documentation and family notification processes

    Summary of reviews

    Reviews present a polarized portrait of the facility: many families praise a clean, bright, and home-like physical environment with well-maintained grounds and pleasant outdoor spaces, while a distinct set of reviewers raise sustained operational concerns. Positive descriptions emphasize compassionate direct care, effective rehabilitation and physical-therapy programs, engaging activities, and social-work support that together contributed to improved function and quality of life for several residents. Multiple families highlighted clear communication from some managers and nursing leadership, suite-like rooms, and infection-prevention measures implemented during the pandemic as sources of reassurance.

    At the same time, a recurring pattern of staffing and leadership problems undercuts those strengths for other families. Reviews commonly describe chronic understaffing and high staff turnover that correlate with reports of delayed assistance and longer response times to call bells. Several accounts indicate inconsistent application of fall-risk and transfer-safety practices; where these gaps exist they have been associated with falls and injuries in individual cases. Workforce-scheduling instability, mandatory overtime, and no-call/no-show shifts were also noted and appear to contribute to low staff morale.

    Dining and housekeeping received mixed evaluations. Some families commended food and mealtime support, while others described variable meal quality and interruptions to service. Cleanliness and housekeeping processes were generally seen as satisfactory by many, but specific sanitation and laundry-process concerns were raised by others, and these items would warrant verification during a visit. A number of reviewers also mentioned inadequate climate control in certain rooms during hot weather.

    Management perceptions are sharply divided: some families said they experienced hands-on, responsive leadership and timely communication, while others described confrontational communication styles and punitive management practices that affected staff retention and family trust. A few families escalated concerns to state-level oversight and pursued alternative placements; several who relocated relatives reported improved outcomes at other facilities. Prospective residents and families should weigh the demonstrable strengths in clinical rehabilitation, interpersonal caregiving, and facility upkeep against recurring operational issues—particularly staffing stability, safety-protocol consistency, and management style—when evaluating this provider. An in-person tour focused on staffing levels at the unit, observation of mealtime service, verification of climate controls, and a review of incident-notification practices would help clarify fit for an individual resident.

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    Location

    Map showing location of Smith Health Care Ltd

    Smith Health Care Ltd is located at 453 S Main Rd, Mountain Top, PA, 18707.

    About Smith Health Care Ltd

    Smith Health Care Ltd has been around since 1966, and it's a family-owned nursing home in Mountain Top, Pennsylvania, that's been run with a focus on long-term care for the elderly, always aiming to give each resident care that fits their unique needs whether that's skilled nursing, memory care, therapy, or just help with everyday things like getting out of bed or taking medicine, and you'll find nurses and helpers are there all day and night for emergencies or anything else residents need. The place sits in a scenic part of town and has a comfortable feeling, with kind staff who make it their job to treat everyone with respect and dignity, creating a sense of family that makes new people feel welcome. The grounds and inside spaces let folks gather, whether it's monthly outings, art and music groups, or just visits in the common rooms, and meals get planned by cooks who put care into both taste and nutrition. Smith Health Care Ltd offers assisted living, independent living, nursing care, memory care for folks with dementia, and even care for people who come in just for a short time, like those needing rehabilitation from illness or surgery or families needing hospice or respite care for a loved one. Staff help with medication like insulin, moving residents from chairs to beds or wheelchairs, and all the daily personal chores like laundry and housekeeping, and they organize therapy-physical, speech, occupational, even intravenous and respiratory-that keeps folks as active and independent as possible. Residents get extra touches like a beauty salon and barbershop, along with rides, religious services, psychiatric and social help, and even chances to go on shopping trips to keep them busy and connected. The home is known locally for being a part of the community, earning good marks for patient care, and having a staff that's helpful and joyful, aiming always to help residents keep their dignity and independence for as long as possible.

    People often ask...

    Smith Health Care Ltd offers assisted living, memory care, and skilled nursing.

    The full address for this community is 453 S Main Rd, Mountain Top, PA 18707.

    No, Smith Health Care Ltd does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Pennsylvania, the Department of Human Services licenses personal care homes and assisted living residences and publishes its licensing inspection summaries.

    License number229230
    Facility typeFull
    License classLicensed
    Capacity93 residents
    LicenseeSMITH HEALTH CARE LTD
    Care servedPersonal Care Homes
    EffectiveOctober 1st, 2025
    ExpiresOctober 1st, 2026
    View the official license record

    Inspection Reports

    27

    Reports

    15

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    16

    Years

    24 Mar 2026Inspection
    Identified use of an unapproved name in public communications before licensure was issued.
    • Use of unapproved name prior to licensure
    20 Feb 2026Inspection
    Identified multiple regulatory deficiencies involving failure to report incidents within 24 hours, inoperative alarm systems, incomplete fire drill documentation, smoking area management, and medication administration and reporting.
    • 2600.16cReportable Incidents within 24 hours
    • 2600.130gInoperative Smoke Detector/Fire Alarm
    • 2600.132cFire Drill Records
    • 2600.144c1Smoking Area Guidelines
    • 2600.187dFollow Prescriber's Orders
    • 2600.188bMedication Error Reporting
    25 Nov 2024Inspection
    Identified deficiencies in annual training verification, fire drill documentation, and medication storage/documentation procedures.
    • 2600.64cAnnual Training
    • 2600.132cFire Drill Records
    • 2600.185aImplement Storage Procedures
    08 Dec 2023Inspection
    Determined that the deficiencies were corrected and compliance achieved.
    • 2600.185aImplement Storage Procedures
    • 2600.187dFollow Prescriber's Orders
    07 Sept 2022Inspection
    Determined that corrective actions were fully implemented and that continued compliance must be maintained.
    • Reg 121.aUnobstructed Egress
    • Reg 132.gFire Drills
    • Reg 183.fDiscontinued Medications
    • Reg 184.aResident Meds Labeled
    • Reg 185.aImplement Storage Procedures
    • Reg 187.aMedication Record
    • Reg 227.dSupport Plan Medical/Dental
    • Reg 252. Content of Resident RecordsContent of Resident Records
    14 Jul 2022Inspection
    Found no deficiencies identified during the inspection.
    03 Feb 2022Inspection
    Identified deficiencies in medical evaluations and in support plan signatures. The medical evaluation lacked body positioning, health status, and mobility assessment, and the resident's plan signatures were missing.
    • 2600.141.aMedical Evaluation Information
    • 2600.227(g)Support Plan Signatures
    01 Sept 2021Inspection
    Granted a regular license renewal; the renewal was issued in response to the application.
    10 Nov 2020Inspection
    Issued a regular license and certificate of compliance for the operation; an onsite inspection will occur within the next twelve months.
    22 Aug 2019Inspection
    Identified violations under 55 Pa. Code Ch. 2600 during the licensing review.
    • 55 Pa. Code Ch. 2600Personal Care Homes
    12 Aug 2019Inspection
    Issued a regular license after renewal; no violations cited.
    11 Jan 2019Inspection
    Identified a smoking-related safety violation due to cigarette butts found outside the designated area. Cigarette waste observed in the parking lot near the entrance.
    • 55 Pa.Code §2600.144(c)(2)Location of a smoking room or outside smoking area
    22 Aug 2018Inspection
    Identified multiple violations of 55 Pa.Code Chapter 2600 across fire safety, staff training, confidentiality, medical evaluation, and medication practices during the 08/22/2018 inspection.
    • Type A55 Pa.Code §2600.65(a)Orientation of staff in fire safety and emergency preparedness
    • Type A55 Pa.Code §2600.17Confidentiality of resident records
    • Type A55 Pa.Code §2600.65(f)Training topics for annual staff training
    • Type A55 Pa.Code §2600.132(c)Fire drill records; content required
    • Type A55 Pa.Code §2600.132(c)Alternate exit routes during fire drills
    • Type A55 Pa.Code §2600.141(a)(2)Medical evaluations must include required items
    • Type A55 Pa.Code §2600.144(c)(1)Smoking safety and prevention measures
    • Type A55 Pa.Code §2600.183(d)Medication storage; current prescriptions only
    09 Jul 2018Inspection
    Renewed license issued for a personal care home, allowing up to 93 residents, with annual onsite inspections and a one-year license term.
    29 Aug 2017Inspection
    The home had several deficiencies related to staff training and medication management, including insufficient administrator training hours, incomplete annual training topics, and improper glucometer calibration.
    • 2600.66(b)Training plan for direct care staff must cover required components
    • 2600.65(f)Training topics for annual training of direct care staff
    • 2600.64(c)Administrator training hours requirement
    • 2600.185(a)Procedures for safe storage and handling of medications and equipment
    21 Jul 2017Inspection
    Issued a regular renewal license following the renewal application.
    20 Apr 2017Inspection
    Found that the influenza awareness poster was not posted in a public area as required by law.
    • Type A55 Pa.Code §2600.18Influenza Awareness Act poster posting
    22 Jul 2016Inspection
    Investigated deficiencies in medication management and medical documentation, including incomplete evaluations, unlabeled/undated medications, and missing MAR initials.
    • Type A2600.183(b)Medical evaluations
    • Type A2600.187(a)Medication records and MARs
    • Type A2600.183(d)Storage of medications
    • Type A2600.184(b)Identification of OTC/ CAM medications
    • Type A2600.187(a)Medication records and MARs
    28 Jul 2015Inspection
    Investigated medication administration records and found that a dose was administered without the staff's signature/initials to document it.
    • 55 Pa.Code §2600Medication Record contents
    22 Jul 2015Inspection
    The Department renewed and issued a regular license after processing the renewal application; no violations cited.
    31 Jul 2014Inspection
    Found no deficiencies; regular license remains in good standing.
    09 Jul 2014Inspection
    Granted renewal license after confirming compliance with applicable regulations.
    09 Aug 2013Inspection
    Identified violations for insufficient administrator training hours and improper scheduling of fire drills, with a pattern of drills at month’s end.
    • 2600.64(c)Administrator training
    • 2600.132(g)Fire drills shall be held on different days
    • 2600.132(g)Pattern of fire drill scheduling
    26 Jul 2013Inspection
    Issued a renewal license and a certificate of compliance.
    24 Jul 2012Inspection
    Identified a locked exit door on the first floor of the North East wing that could impede emergency exit; cited a violation for egress requirements.
    • Type A55 Pa.Code §2600Stairways, hallways, doorways, passageways and egress routes from rooms and from the building must be unlocked and unobstructed
    21 Sept 2011Inspection
    Found multiple deficiencies in sanitary conditions, staff qualifications/training, and medical-record documentation.
    • 55 Pa.Code §2600Sanitary conditions
    • 55 Pa.Code §2600Direct care staff qualifications
    • 55 Pa.Code §2600Direct care staff qualifications
    • 55 Pa.Code §2600Medical evaluations
    13 Aug 2010Inspection
    The facility was found to have several deficiencies, including privacy concerns, incomplete medication records, and incomplete contract signatures during a survey conducted in August 2010.
    • 55 Pa.Code § 2600Contract and signatures
    • 55 Pa.Code § 2600Medication administration records
    • 55 Pa.Code § 2600Privacy in resident areas

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Smith Health Care Ltd. The information above has not been verified or approved by the owner or operator. For exact information, please contact Smith Health Care Ltd directly. There is no cost for this service. We are compensated by the community you select.

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