Federal inspection record · CMS data as of October 1, 2026

Ava Nursing And Rehab Center

30 Fourth Avenue, Curwensville, PA · (814) 236-0600

CMS overall rating

2 of 5

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Certified beds
131
Residents per day
114
Ownership
For-Profit
Chain
Bonamour Health Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 7, 1984

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Ava Nursing And Rehab Center carries 110.5 inspection points. That is fewer than 24% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 110.5 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–33 pts
  • 3★ 33–65 pts
  • 2★ 65–128 pts
  • 1★ over 128 pts

Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

53 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 1 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 37 4 pts
E 15 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. L

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    March 4, 2024 · Complaint inspection · Administration · F836 · Corrected March 21, 2024

Everything else, by area of care

Resident Assessment and Care Planning14E
  1. D

    Ensure each resident receives an accurate assessment.

    August 20, 2026 · Standard · F641 · Corrected October 7, 2026

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    August 20, 2026 · Complaint · F658 · Corrected October 7, 2026

  3. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    September 18, 2025 · Standard · F636 · Corrected November 14, 2025

  4. E

    Assure that each resident’s assessment is updated at least once every 3 months.

    September 18, 2025 · Standard · F638 · Corrected November 14, 2025

  5. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    September 18, 2025 · Standard · F640 · Corrected November 14, 2025

  6. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 18, 2025 · Standard · F656 · Corrected November 14, 2025

  7. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 18, 2025 · Standard · F842 · Corrected November 14, 2025

  8. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    October 24, 2024 · Standard · F636 · Corrected December 11, 2024

  9. E

    Assure that each resident’s assessment is updated at least once every 3 months.

    October 24, 2024 · Standard · F638 · Corrected December 11, 2024

  10. E

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    October 24, 2024 · Standard · F640 · Corrected December 11, 2024

  11. E

    Ensure each resident receives an accurate assessment.

    October 24, 2024 · Standard · F641 · Corrected December 11, 2024

  12. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 24, 2024 · Standard · F656 · Corrected December 11, 2024

  13. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 24, 2024 · Standard · F657 · Corrected December 11, 2024

  14. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 13, 2024 · Complaint · F656 · Corrected May 30, 2024

Quality of Life and Care13E
  1. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 20, 2026 · Standard · F684 · Corrected October 7, 2026

  2. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    August 20, 2026 · Standard · F694 · Corrected October 7, 2026

  3. D

    Provide care or services that was trauma informed and/or culturally competent.

    August 20, 2026 · Standard · F699 · Corrected October 7, 2026

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 13, 2026 · Complaint · F684 · Corrected June 16, 2026

  5. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 18, 2025 · Standard · F684 · Corrected November 14, 2025

  6. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 18, 2025 · Standard · F686 · Corrected November 14, 2025

  7. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    September 18, 2025 · Complaint · F688 · Corrected November 14, 2025

  8. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    September 18, 2025 · Standard · F690 · Corrected November 14, 2025

  9. D

    Provide enough food/fluids to maintain a resident's health.

    September 18, 2025 · Standard · F692 · Corrected November 14, 2025

  10. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    September 18, 2025 · Standard · F693 · Corrected November 14, 2025

  11. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    September 18, 2025 · Standard · F694 · Corrected November 14, 2025

  12. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 24, 2024 · Standard · F684 · Corrected December 11, 2024

  13. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 24, 2024 · Standard · F689 · Corrected December 11, 2024

Pharmacy Service8E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 20, 2026 · Standard · F755 · Corrected October 7, 2026

  2. D

    Ensure medication error rates are not 5 percent or greater.

    August 20, 2026 · Standard · F759 · Corrected October 7, 2026

  3. D

    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.

    August 20, 2026 · Standard · F761 · Corrected October 7, 2026

  4. D

    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.

    September 18, 2025 · Standard · F761 · Corrected November 14, 2025

  5. E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    October 24, 2024 · Standard · F757 · Corrected December 11, 2024

  6. E

    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.

    October 24, 2024 · Standard · F758 · Corrected December 11, 2024

  7. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    October 24, 2024 · Standard · F756 · Corrected December 11, 2024

  8. D

    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.

    October 24, 2024 · Standard · F761 · Corrected December 11, 2024

Resident Rights5D
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    September 18, 2025 · Standard · F552 · Corrected November 14, 2025

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    October 24, 2024 · Standard · F554 · Corrected December 11, 2024

  3. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    October 24, 2024 · Standard · F578 · Corrected December 11, 2024

  4. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    October 24, 2024 · Standard · F582 · Corrected December 11, 2024

  5. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    October 24, 2024 · Standard · F623 · Corrected December 11, 2024

Infection Control4E
  1. E

    Provide and implement an infection prevention and control program.

    August 20, 2026 · Standard · F880 · Corrected October 7, 2026

  2. D

    Provide and implement an infection prevention and control program.

    October 24, 2024 · Standard · F880 · Corrected December 11, 2024

  3. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    October 24, 2024 · Standard · F883 · Corrected December 11, 2024

  4. D

    Provide and implement an infection prevention and control program.

    May 13, 2024 · Complaint · F880 · Corrected May 30, 2024

Nutrition and Dietary3E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    August 20, 2026 · Standard · F804 · Corrected October 7, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 20, 2026 · Standard · F812 · Corrected October 7, 2026

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 24, 2024 · Standard · F812 · Corrected December 11, 2024

Administration3D
  1. D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    August 20, 2026 · Standard · F867 · Corrected October 7, 2026

  2. D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    September 18, 2025 · Standard · F867 · Corrected November 14, 2025

  3. D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    October 24, 2024 · Standard · F867 · Corrected December 11, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    September 18, 2025 · Standard · F605 · Corrected November 14, 2025

Environmental1E
  1. E

    Keep all essential equipment working safely.

    October 3, 2023 · Complaint · F908 · Corrected October 24, 2023

Inspection history

  1. 2026-08-20

    13 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2025-09-18

    16 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

  3. 2024-10-24

    24 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (7 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 53 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 53 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 48% of nursing staff and 23% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$38,798 in federal fines on record over the past three years.

DatePenaltyAmount
2024-03-04Fine$38,798

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts better0.91.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better0.71.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better97.2%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better2.5%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms12.8 pts better1.0%13.8%13.5%
Percentage of long-stay residents who lose too much weight3.8 pts worse9.8%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts worse24.3%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.3 pts worse20.9%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.8 pts better14.6%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better12.5%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse1.1%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts worse1.6%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse28.1%25.0%18.3%
Percentage of long-stay residents with pressure ulcers5.1 pts worse9.8%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts worse69.6%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit10.3 pts worse19.8%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better1.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.1 pts worse65.8%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse22.1%22.0%23.4%

·

Who owns and runs it

10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Zidele, Yeshayahu5% Or Greater Direct Ownership Interest · Individual50%5 facilities
Bonamour Health Group LLCAdp Of The SNF · Organization0%5 facilities
Roscoe, BrandonAdp Of The SNF · Individual0%18 facilities
Ruggles, BenjaminOperational/Managerial Control · Individual0%1 facilities
Ruggles, BenjaminAdp Of The SNF · Individual0%1 facilities
Zidele, MordechaiDirect Ownership Interest · Individual0%5 facilities
Zidele, MordechaiOperational/Managerial Control · Individual0%5 facilities
Zidele, MordechaiAdp Of The SNF · Individual0%5 facilities
Zidele, YeshayahuIndirect Ownership Interest · Individual0%5 facilities
Zidele, YeshayahuAdp Of The SNF · Individual0%5 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems4F
  1. F

    Have power receptacles that are properly grounded.

    September 18, 2025 · K912 · Corrected October 14, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    September 18, 2025 · K918 · Corrected October 14, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    October 24, 2024 · K918 · Corrected December 3, 2024

  4. B

    Have power receptacles that are properly grounded.

    October 24, 2024 · K912 · Corrected December 3, 2024

Egress3E
  1. E

    Have properly located and lighted "Exit" signs.

    August 20, 2026 · K293 · Corrected September 11, 2026

  2. B

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    September 18, 2025 · K223 · Corrected October 14, 2025

  3. D

    Have properly located and lighted "Exit" signs.

    October 24, 2024 · K293 · Corrected December 3, 2024

Smoke3D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    October 24, 2024 · K353 · Corrected December 3, 2024

  2. C

    Provide properly protected cooking facilities.

    October 24, 2024 · K324 · Corrected December 3, 2024

  3. C

    Have approved installation, maintenance and testing program for fire alarm systems.

    October 24, 2024 · K345 · Corrected December 3, 2024

Construction1C
  1. C

    Meet other general requirements.

    September 18, 2025 · K100 · Corrected October 14, 2025

Miscellaneous1B
  1. B

    Have restrictions on the use of highly flammable decorations.

    October 24, 2024 · K753 · Corrected December 3, 2024

·

Other homes nearby

  1. Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 38 min
    Fines
    $0
  2. Dubois Nursing Home

    Dubois, PA

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    2 h 53 min
    Fines
    $17,225
  3. Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 39 min
    Fines
    $0