Cycle 1
Health 2025-11-21 · Fire 2025-11-21
4 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Meadville, PA
Meadville Medical Ctr Tcu
5-star overall rating with 4-star inspections with $7,172 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1034 Grove Street, Meadville, PA
(814) 333-5961
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
32
Certified beds
Average residents
18
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-01-07
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
3.84
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.81
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
4.88
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
10.53
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
5.65
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
9.09
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
2.58
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.37
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
3.88
CMS adjusted RN staffing hours
Adjusted total hours
10.65
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
76%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
698
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.17
Composite VBP score used to determine payment impact.
Payment multiplier
1.0195
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.95
Baseline 16.59% · Performance 17.75% · Measure score 7.95 · Achievement 7.95 · Improvement 0
Healthcare-associated infections
10
Baseline 3.74% · Performance 4.74% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
1.60
Baseline 33.33% · Performance 57.14% · Measure score 1.60 · Achievement 1.60 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.29% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 317 · Observed rate 5.99% · Lower 95% interval 6.74% |
| Discharge to community | 73.07% |
50.57%
22.5 pts better
|
Better than the National Rate · Eligible stays 289 · Observed rate 85.81% · Lower 95% interval 69.04% |
| Medicare spending per beneficiary | 0.57 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 98.04% |
95.27%
2.8 pts better
|
Numerator 200 · Denominator 204 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 204 |
| Discharge self-care score | 45.6% |
53.69%
8.1 pts worse
|
Numerator 83 · Denominator 182 |
| Discharge mobility score | 46.15% |
50.94%
4.8 pts worse
|
Numerator 84 · Denominator 182 |
| Pressure ulcers or injuries, new or worsened | 0.98% |
2.29%
1.3 pts better
|
Numerator 2 · Denominator 204 · Adjusted rate 1.71% |
| Healthcare-associated infections requiring hospitalization | 4.74% |
7.12%
2.4 pts better
|
No Different than the National Rate · Eligible stays 170 · Observed rate 0.59% · Lower 95% interval 2.77% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 77 |
| Staff flu vaccination coverage | 67.39% |
42%
25.4 pts better
|
Numerator 62 · Denominator 92 |
| Discharge function score | 46.15% |
56.45%
10.3 pts worse
|
Numerator 84 · Denominator 182 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 173 · Denominator 173 |
| Transfer of health information to patient | 96.77% |
96.28%
0.5 pts better
|
Numerator 30 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 6.45% |
25.2%
18.8 pts worse
|
Numerator 6 · Denominator 93 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
68.9%
29.7 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 97.8% · Q3 99.3% · Q4 99.6% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.1% |
9.8%
5.7 pts better
|
12.0%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 3.8% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.8% |
68.7%
11.9 pts worse
|
79.7%
22.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% |
23.1%
6.3 pts better
|
23.9%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 12.6% · Expected 17.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-15 · Fire 2024-11-15
1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-12-14 · Fire 2023-12-14
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-11-21
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-12-31
B · Minimal harm
2025-11-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-31
B · Minimal harm
2024-11-15
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-12-15
E · Potential for more than minimal harm
2023-12-14
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-14
K342 · Smoke Deficiencies
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-01-31
E · Potential for more than minimal harm
2023-12-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-15
E · Potential for more than minimal harm
2023-12-14
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-01-31
B · Minimal harm
2023-12-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-11-21
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 2026-01-20
D · Potential for more than minimal harm
2025-11-21
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 2026-01-20
C · Minimal harm
2025-11-21
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-20
C · Minimal harm
2025-11-21
F887 · Infection Control Deficiencies
Health
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.
Corrected 2026-01-20
D · Potential for more than minimal harm
2024-11-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-10
E · Potential for more than minimal harm
2023-12-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-31
D · Potential for more than minimal harm
2023-12-14
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-01-31
Penalties and ownership
What sits behind the stars
$2,279
2024-01-08
Fine
Fine · fine $2,279
Fine
$1,748
2024-01-02
Fine
Fine · fine $1,748
Fine
$3,145
2023-12-11
Fine
Fine · fine $3,145
Fine
Ownership
Challener, Kenneth
Corporate Director · Individual
Dearment, Dana
Corporate Director · Individual
Dent-Fisher, Nicole
Corporate Director · Individual
Geibel, Tim
Corporate Director · Individual
Godfrey, Craig
Corporate Director · Individual
Jackson, Cory
W-2 Managing Employee · Individual
Kindervater, Candace
W-2 Managing Employee · Individual
Ledford, Joseph
Corporate Director · Individual
Link, Hilary
Corporate Director · Individual
Maxfield, Jodi
Corporate Director · Individual
Miale, Jim
Corporate Director · Individual
Mullen, Craig
Corporate Director · Individual
Nageotte, Brian
Corporate Director · Individual
Suntay, Renato
Corporate Director · Individual
Suntay, Renato
Corporate Officer · Individual
Suntay, Renato
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Wesbury United Methodist Commu
Meadville, PA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Embassy Of Park Avenue
Meadville, PA
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Crawford Care Center
Saegertown, PA
1-star overall rating with 2-star inspections with $158,696 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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