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

Edinboro Manor

419 Waterford Street, Edinboro, PA · (814) 734-5021

CMS overall rating

2 of 5

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Certified beds
121
Residents per day
117
Ownership
For-Profit
Chain
Hcf Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 27, 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

    −1 star

    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

Edinboro Manor carries 37 inspection points. That is fewer than 62% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 37 pts · 3★

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

25 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 0 150 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 19 4 pts
E 5 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning11E
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    January 22, 2026 · Standard · F655 · Corrected March 6, 2026

  2. D

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

    January 22, 2026 · Standard · F657 · Corrected March 6, 2026

  3. D

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

    January 22, 2026 · Standard · F842 · Corrected March 6, 2026

  4. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    January 31, 2025 · Standard · F655 · Corrected March 28, 2025

  5. D

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

    January 31, 2025 · Standard · F656 · Corrected March 28, 2025

  6. D

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

    January 31, 2025 · Standard · F657 · Corrected March 28, 2025

  7. D

    Ensure each resident receives an accurate assessment.

    February 15, 2024 · Standard · F641 · Corrected April 15, 2024

  8. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    February 15, 2024 · Standard · F655 · Corrected April 15, 2024

  9. D

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

    February 15, 2024 · Standard · F657 · Corrected April 15, 2024

  10. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    February 15, 2024 · Standard · F661 · Corrected April 15, 2024

  11. E

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

    October 5, 2023 · Complaint · F657 · Corrected November 20, 2023

Resident Rights7E
  1. E

    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.

    January 22, 2026 · Standard · F584 · Corrected March 6, 2026

  2. 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.

    January 22, 2026 · Standard · F578 · Corrected March 6, 2026

  3. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    January 22, 2026 · Standard · F628 · Corrected March 6, 2026

  4. E

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    February 15, 2024 · Standard · F577 · Corrected April 15, 2024

  5. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    February 15, 2024 · Standard · F585 · Corrected April 15, 2024

  6. D

    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.

    February 15, 2024 · Standard · F584 · Corrected April 15, 2024

  7. C

    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.

    February 15, 2024 · Standard · F575 · Corrected April 15, 2024

Quality of Life and Care3E
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    January 22, 2026 · Standard · F695 · Corrected March 6, 2026

  2. 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.

    January 31, 2025 · Standard · F688 · Corrected March 28, 2025

  3. E

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

    February 15, 2024 · Standard · F684 · Corrected April 15, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

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

    January 22, 2026 · Standard · F605 · Corrected March 6, 2026

  2. D

    Respond appropriately to all alleged violations.

    February 15, 2024 · Standard · F610 · Corrected April 15, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    January 22, 2026 · Standard · F880 · Corrected March 6, 2026

Pharmacy Service1D
  1. 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.

    January 31, 2025 · Standard · F761 · Corrected March 28, 2025

Inspection history

  1. 2026-01-22

    9 health deficiencies · 13 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2025-01-31

    5 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  3. 2024-02-15

    11 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 20 min of nursing staff time a day, 19 min of it from a registered nurse.

This home

3 h 20 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 44% 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

Resident outcomes

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

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better99.8%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 injury0.7 pts better2.4%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms9.8 pts better4.0%13.8%13.5%
Percentage of long-stay residents who lose too much weight3.4 pts better2.6%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts better15.2%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.6 pts worse21.2%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 worsened1.9 pts better13.5%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts better6.7%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.2%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.9 pts better0.5%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts better17.9%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts worse4.8%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27.8 pts better98.6%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better7.9%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse1.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine26.8 pts better97.7%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts better17.1%22.0%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri A. Ro5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Chad M. Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%15 facilities
David V. Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
R. Steven Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Joann C. Unverferth 12-29-04 Revocable Trust5% Or Greater Indirect Ownership Interest · Organization5%20 facilities
Bradley, JenniferW-2 Managing Employee · Individual0%2 facilities
Bradley, JenniferCorporate Director · Individual0%2 facilities
Hcf Management, Inc.Operational/Managerial Control · Organization0%21 facilities
Klay, CelesteW-2 Managing Employee · Individual0%12 facilities
Klay, CelesteCorporate Officer · Individual0%12 facilities
Romes, KerriW-2 Managing Employee · Individual0%20 facilities
Romes, KerriCorporate Director · Individual0%20 facilities
Romes, KerriCorporate Officer · Individual0%20 facilities
Shaw, AnthonyW-2 Managing Employee · Individual0%20 facilities
Shaw, AnthonyCorporate Officer · Individual0%20 facilities
Unverferth, ChadW-2 Managing Employee · Individual0%7 facilities
Unverferth, ChadCorporate Director · Individual0%7 facilities
Unverferth, ChadCorporate Officer · Individual0%7 facilities

·

Fire safety

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

Smoke7F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 22, 2026 · K353 · Corrected February 17, 2026

  2. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 22, 2026 · K321 · Corrected February 17, 2026

  3. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    January 22, 2026 · K374 · Corrected February 17, 2026

  4. C

    Provide properly protected cooking facilities.

    January 22, 2026 · K324 · Corrected February 17, 2026

  5. B

    Properly select, install, inspect, or maintain portable fire extinguishes.

    January 22, 2026 · K355 · Corrected February 17, 2026

  6. F

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

    January 31, 2025 · K345 · Corrected March 26, 2025

  7. B

    Inspect, test, and maintain automatic sprinkler systems.

    January 31, 2025 · K353 · Corrected March 26, 2025

Gas, Vacuum, and Electrical Systems3F
  1. F

    Ensure proper usage of power strips and extension cords.

    January 22, 2026 · K920 · Corrected February 17, 2026

  2. D

    Have power receptacles that are properly grounded.

    January 22, 2026 · K912 · Corrected February 17, 2026

  3. F

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

    February 15, 2024 · K918 · Corrected April 15, 2024

Egress3E
  1. E

    Install emergency lighting that can last at least 1 1/2 hours.

    January 22, 2026 · K291 · Corrected February 17, 2026

  2. D

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

    January 22, 2026 · K223 · Corrected February 17, 2026

  3. B

    Meet other general requirements.

    January 22, 2026 · K200 · Corrected February 17, 2026

Miscellaneous3E
  1. D

    Have simulated fire drills held at unexpected times.

    January 22, 2026 · K712 · Corrected February 17, 2026

  2. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    January 31, 2025 · K741 · Corrected March 26, 2025

  3. E

    Have simulated fire drills held at unexpected times.

    February 15, 2024 · K712 · Corrected April 15, 2024

Emergency Preparedness3C
  1. C

    Establish emergency prep training and testing.

    January 22, 2026 · E36 · Corrected February 17, 2026

  2. C

    Conduct testing and exercise requirements.

    January 22, 2026 · E39 · Corrected February 17, 2026

  3. C

    Conduct testing and exercise requirements.

    January 31, 2025 · E39 · Corrected March 26, 2025

·

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