Federal inspection record · CMS data as of October 1, 2026
Kinzua Nursing And Rehab
205 Water Street, Warren, PA · (814) 726-0820
- Certified beds
- 106
- Residents per day
- 82
- Ownership
- For-Profit
- Chain
- Valley West Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 30, 1977
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Kinzua Nursing And Rehab carries 106.25 inspection points. That is fewer than 25% of Pennsylvania's 652 rated homes.
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
34 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
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.
- E
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
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights9E
- 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.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- E
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.
- 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.
- 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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning5E
- D
Assess the resident when there is a significant change in condition
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service3E
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Nutrition and Dietary3F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-12-11
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-12-05
18 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-01-26
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 35 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 70% 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
$145,181 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-26 | Fine | $145,181 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 1.7 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 91.3% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 97.6% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts better | 13.1% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts worse | 9.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17.4 pts worse | 37.5% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts worse | 27.5% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.8 pts worse | 28.2% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11 pts worse | 27.4% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse | 1.7% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 2.5% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better | 24.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 6.9% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.9 pts better | 82.7% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 8.1% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 77.8% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 21.4% | 22.0% | 23.4% |
·
Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Western Pa Opco Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Andrews, Heather | Adp Of The SNF · Individual | 0% | 16 facilities |
| Beverly Enterprises - Pennsylvania, Inc. | Adp Of The SNF · Organization | 0% | 18 facilities |
| Beverly Enterprises LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Beverly Health And Rehabilitiation Services, Inc | Adp Of The SNF · Organization | 0% | 19 facilities |
| Chase, Andrew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Drumm Intermediary Sub Co LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Drumm Merger Co | Adp Of The SNF · Organization | 0% | 20 facilities |
| Drumm Merger Co Sub LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Endres, Jay | Adp Of The SNF · Individual | 0% | 2 facilities |
| Fillmore Strategic Investors LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Finn, Nicholas | Adp Of The SNF · Individual | 0% | 16 facilities |
| Franco, Aharon | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Franco, Aharon | Adp Of The SNF · Individual | 0% | 11 facilities |
| Geary Property Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Gph Warren Kinzua Valley LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Iskeb Western Pa LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Keystone Ventures LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Linam, Kim | Adp Of The SNF · Individual | 0% | 17 facilities |
| Lucks, Karen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Miller, Jean | Adp Of The SNF · Individual | 0% | 11 facilities |
| Pearl Senior Care, LLC. | Adp Of The SNF · Organization | 0% | 13 facilities |
| Rami, Isaac | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Rami, Isaac | Adp Of The SNF · Individual | 0% | 15 facilities |
| Rasmussen-Jones, Holly | Adp Of The SNF · Individual | 0% | 17 facilities |
| Valley West Health LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Valley West Health LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Washington State Investment Board | Adp Of The SNF · Organization | 0% | 20 facilities |
| Western Pa Opco Holdings I LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
·
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