Federal inspection record · CMS data as of October 1, 2026
Passavant Retirement And Healt
105 Burgess Drive, Zelienople, PA · (724) 452-5400
- Certified beds
- 102
- Residents per day
- 96
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Passavant Retirement And Healt carries 113 inspection points. That is fewer than 23% 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
38 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 (3)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care11E
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
Resident Rights6E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- 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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- 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
Keep residents' personal and medical records private and confidential.
Administration5E
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
Provide training in compliance and ethics.
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Pharmacy Service4E
- 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.
- D
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.
- 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.
- 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.
Infection Control4D
- D
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.
- D
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2026-02-27
18 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-02-21
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-03-28
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 27 min of nursing staff time a day, 1 h 28 min of it from a registered nurse.
This home
4 h 27 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 13% 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
$76,665 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-27 | Fine | $76,665 |
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 days0.8 pts better | 0.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 88.1% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 95.5% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms13.5 pts better | 0.3% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts worse | 9.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better | 17.9% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 21.1% | 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 worsened3.3 pts worse | 18.7% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts worse | 19.6% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.4% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 1.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 30.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.6% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.9 pts better | 84.7% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 5.4% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 2.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.2 pts better | 84.1% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13 pts better | 9.0% | 22.0% | 23.4% |
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Who owns and runs it
9 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 |
|---|---|---|---|
| Carraway, Jeffrey | Corporate Director · Individual | 0% | 2 facilities |
| Carraway, Jeffrey | Corporate Officer · Individual | 0% | 2 facilities |
| Fenoglietto, David | Corporate Director · Individual | 0% | 2 facilities |
| Fenoglietto, David | Corporate Officer · Individual | 0% | 2 facilities |
| Garrett, Elizabeth | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Garrett, Elizabeth | Adp Of The SNF · Individual | 0% | 3 facilities |
| Lutheran Seniorlife | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Lutheran Seniorlife | Adp Of The SNF · Organization | 0% | 2 facilities |
| Roy, Laura | Corporate Officer · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- B
Ensure proper usage of power strips and extension cords.
Smoke3F
- C
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
Egress1E
- E
Have properly located and lighted "Exit" signs.
Miscellaneous1B
- B
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Kadima Rehabilitation & Nursing At Harmony
Harmony, PA · Kadima Healthcare Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $222,284
-
Sherwood Oaks
Cranberry Township, PA · Upmc Senior Communities
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 6 h 12 min
- Fines
- $8,281
-
Cranberry Place
Cranberry Township, PA · Upmc Senior Communities · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 3 min
- Fines
- $43,350