Nursing homes › Pennsylvania › Passavant Retirement and Healt
105 Burgess Drive, Zelienople, PA 16063 · (724) 452-5400 · 102 certified beds
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Open your comparisonCMS overall star rating: this provider 2/5; median among 652 providers with a published value in the same state and provider category: 3/5.
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CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Church related.
Total nurse staffing: 4.51 (Pennsylvania median: 3.63). RN hours: 1.55. Weekend total: 4.06. Nursing staff turnover: 36%.
In the downloaded CMS dataset: 38 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Health | corrected 2026-04-21 |
| 2026-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-04-21 |
| 2026-02-27 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2026-04-21 |
| 2026-02-27 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Health | corrected 2026-04-21 |
| 2026-02-27 | 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. | E | Health | corrected 2026-04-21 |
| 2026-02-27 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2026-04-21 |
| 2026-02-27 | Provide training in compliance and ethics. | E | Health | corrected 2026-04-21 |
| 2026-02-27 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2026-04-21 |
| 2026-02-27 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Health | corrected 2026-04-21 |
| 2026-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | 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. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Health | corrected 2026-04-21 |
| 2026-02-27 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Health | corrected 2026-04-21 |
| 2025-09-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-10-24 |
| 2025-09-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-10-24 |
| 2025-07-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-08-24 |
| 2025-02-21 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-04-01 |
| 2025-02-21 | Honor 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. | D | Health | corrected 2025-04-01 |
| 2025-02-21 | 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 | Health | corrected 2025-04-01 |
| 2025-02-21 | 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 | Health | corrected 2025-04-01 |
| 2025-02-21 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Health | corrected 2025-04-01 |
| 2025-02-21 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-01 |
| 2025-01-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-02-27 |
| 2024-09-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-10-29 |
| 2024-05-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-06-03 |
| 2024-03-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2024-04-22 |
| 2024-03-28 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Health | corrected 2024-04-22 |
| 2024-03-28 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-04-22 |
| 2024-03-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-04-22 |
| 2024-03-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-04-22 |
| 2024-03-28 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-04-22 |
| 2024-03-28 | 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 | Health | corrected 2024-04-22 |
| 2024-03-28 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-04-22 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CARRAWAY, JEFFREY | Corporate Director | Individual | NOT APPLICABLE | since 05/27/2021 |
| FENOGLIETTO, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 05/27/2021 |
| CARRAWAY, JEFFREY | Corporate Officer | Individual | NOT APPLICABLE | since 05/27/2021 |
| FENOGLIETTO, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 05/27/2021 |
| ROY, LAURA | Corporate Officer | Individual | NOT APPLICABLE | since 02/25/2025 |
| LUTHERAN SENIORLIFE | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/1986 |
| GARRETT, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/20/2008 |
How to cite this page: CareRecords, “Passavant Retirement and Healt — compliance, penalty and ownership record” (CCN 395001), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/passavant-retirement-and-healt-zelienople-pa/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395001. Corrections: data@carerecords.org.