Edinboro, PA

Edinboro Manor

3-star overall rating with 3-star inspections with $3,145 in total fines with 9 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

419 Waterford Street, Edinboro, PA

(814) 734-5021

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

121

Certified beds

Average residents

113

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hcf Management

Operator or chain grouping

Approved since

1984-03-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

0.92

Licensed practical nurse staffing

Aide hours / resident day

2.13

Nurse aide staffing

Weekend hours

2.93

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

49%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
86.9%
12.9 pts better
93.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.2%
93.5%
4.7 pts better
95.5%
2.7 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
3.2%
0.5 pts better
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.3%
6.5%
5.2 pts better
11.4%
10.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.6%
6.5%
1.9 pts better
5.4%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.2%
19.9%
4.7 pts better
19.6%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 30.9%
18.7%
12.2 pts worse
16.7%
14.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 3.3%
19.6%
16.3 pts better
16.3%
13 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 3.8%
18.3%
14.5 pts better
14.9%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
0.9%
0.1 pts better
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.2%
1.7%
1.5 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.2%
26.4%
7.2 pts better
19.8%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.5%
5.3%
1.2 pts worse
5.1%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.1%
68.9%
28.2 pts better
81.7%
15.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.1%
9.8%
9.3 pts worse
12.0%
7.1 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.6%
1.5%
1.1 pts worse
1.6%
1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 48.6%
68.7%
20.1 pts worse
79.7%
31.1 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.8%
23.1%
5.7 pts worse
23.9%
4.9 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-22 · Fire 2026-01-22

9 health deficiencies

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

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2025-01-31 · Fire 2025-01-31

5 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2024-02-15 · Fire 2024-02-15

12 health deficiencies

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

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-17

F · Potential for more than minimal harm 2026-01-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-02-17

E · Potential for more than minimal harm 2026-01-22

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2026-02-17

E · Potential for more than minimal harm 2026-01-22

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-02-17

E · Potential for more than minimal harm 2026-01-22

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-02-17

D · Potential for more than minimal harm 2026-01-22

K223 · Egress Deficiencies

Fire Safety

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

Corrected 2026-02-17

D · Potential for more than minimal harm 2026-01-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-02-17

D · Potential for more than minimal harm 2026-01-22

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2026-02-17

C · Minimal harm 2026-01-22

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2026-02-17

C · Minimal harm 2026-01-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2026-02-17

C · Minimal harm 2026-01-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-02-17

B · Minimal harm 2026-01-22

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2026-02-17

B · Minimal harm 2026-01-22

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-02-17

F · Potential for more than minimal harm 2025-01-31

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-01-31

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-03-26

C · Minimal harm 2025-01-31

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-03-26

B · Minimal harm 2025-01-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-26

F · Potential for more than minimal harm 2024-02-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-04-15

E · Potential for more than minimal harm 2024-02-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-22

F584 · Resident Rights Deficiencies

Health

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F578 · Resident Rights Deficiencies

Health

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F628 · Resident Rights Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F695 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Not marked corrected

D · Potential for more than minimal harm 2025-01-31

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-31

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-31

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-31

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-03-28

E · Potential for more than minimal harm 2024-02-15

F577 · Resident Rights Deficiencies

Health

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

Corrected 2024-04-15

E · Potential for more than minimal harm 2024-02-15

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-15

E · Potential for more than minimal harm 2024-02-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-15

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-15

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-15

F661 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-15

C · Minimal harm 2024-02-15

F575 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-15

E · Potential for more than minimal harm 2023-10-05

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-03-03

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-04-05

Penalties and ownership

What sits behind the stars

$3,145 2023-05-08

Fine

Fine · fine $3,145

Fine

Ownership

Hcf Operations, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 22 facilities 2009-12-01
Bradley, Jennifer

Corporate Director · Individual

0% 2 facilities 2023-04-24
Bradley, Jennifer

W-2 Managing Employee · Individual

0% 2 facilities 2023-04-24
Chad M. Unverferth 12-14-11 Irrv Grantor Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-31
David V. Unverferth 12-14-11 Irrv Grantor Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-31
Hcf Management, Inc.

Operational/Managerial Control · Organization

0% 23 facilities 2009-03-01
Hcf, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 22 facilities 2009-12-01
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-31
Joann C. Unverferth 12-29-04 Revocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 22 facilities 2021-12-31
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2021-12-31
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri A. Ro

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2021-12-31
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2021-12-31
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2021-12-31
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2021-12-31
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-31
Klay, Celeste

Corporate Officer · Individual

0% 20 facilities 2016-01-01
Klay, Celeste

W-2 Managing Employee · Individual

0% 20 facilities 2011-08-01
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-31
R. Steven Unverferth 12-14-11 Irrv Grantor Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2021-12-31
Romes, Kerri

Corporate Director · Individual

0% 22 facilities 2019-03-29
Romes, Kerri

Corporate Officer · Individual

0% 22 facilities 2019-11-01
Romes, Kerri

W-2 Managing Employee · Individual

0% 22 facilities 2013-04-01
Shaw, Anthony

Corporate Officer · Individual

0% 22 facilities 2015-06-26
Shaw, Anthony

W-2 Managing Employee · Individual

0% 22 facilities 1994-08-29
Unverferth, Chad

Corporate Director · Individual

0% 21 facilities 2004-01-01
Unverferth, Chad

Corporate Officer · Individual

0% 21 facilities 2004-01-01
Unverferth, Chad

W-2 Managing Employee · Individual

0% 21 facilities 2003-03-17

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