Zelienople, PA
4-star overall rating with 2-star inspections with abuse icon flag with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
105 Burgess Drive, Zelienople, PA
(724) 452-5400
Overall
4 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
102
Certified beds
Average residents
97
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.41
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.52
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.55
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.02
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.14
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.01
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.40
CMS adjusted RN staffing hours
Adjusted total hours
4.50
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
1,864
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.44
Composite VBP score used to determine payment impact.
Payment multiplier
1.0082
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.27
Baseline 17.23% · Performance 20.38% · Measure score 2.27 · Achievement 2.27 · Improvement 0
Healthcare-associated infections
5.58
Baseline 5.88% · Performance 6.17% · Measure score 5.58 · Achievement 5.58 · Improvement 0
Total nurse turnover
8.37
Baseline 45.54% · Performance 29.46% · Measure score 8.37 · Achievement 8.37 · Improvement 7.27
Adjusted total nurse staffing
5.15
Baseline 4.48 hours · Performance 4.54 hours · Measure score 5.15 · Achievement 5.15 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.95% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 9.89% · Lower 95% interval 7.66% |
| Discharge to community | 51.96% |
50.57%
1.4 pts better
|
No Different than the National Rate · Eligible stays 85 · Observed rate 50.59% · Lower 95% interval 41.99% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 96.67% |
95.27%
1.4 pts better
|
Numerator 58 · Denominator 60 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 60 |
| Discharge self-care score | 42.59% |
53.69%
11.1 pts worse
|
Numerator 23 · Denominator 54 |
| Discharge mobility score | 40.74% |
50.94%
10.2 pts worse
|
Numerator 22 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 3.33% |
2.29%
1 pts worse
|
Numerator 2 · Denominator 60 · Adjusted rate 3.36% |
| Healthcare-associated infections requiring hospitalization | 6.17% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 1.85% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 2.54% |
8.2%
5.7 pts worse
|
Numerator 8 · Denominator 315 |
| Staff flu vaccination coverage | 55.62% |
42%
13.6 pts better
|
Numerator 198 · Denominator 356 |
| Discharge function score | 53.7% |
56.45%
2.8 pts worse
|
Numerator 29 · Denominator 54 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 37 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 46.43% |
25.2%
21.2 pts better
|
Numerator 13 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0 |
1.7
1.7 pts better
|
1.9
1.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.2
1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.3 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.4% |
86.9%
3.5 pts better
|
93.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 92.6% · Q3 90.1% · Q4 88.5% · 4Q avg 90.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
93.5%
3.1 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.1% |
3.2%
4.9 pts worse
|
3.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 6.2% · Q3 9.9% · Q4 6.9% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
6.5%
2.7 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 12.0% · Q3 8.0% · Q4 13.0% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.0% |
19.9%
4.9 pts better
|
19.6%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.7% · Q3 13.3% · Q4 16.5% · 4Q avg 15.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.2% |
18.7%
0.5 pts worse
|
16.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 15.5% · Q3 21.3% · Q4 23.0% · 4Q avg 19.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.3% |
19.6%
1.3 pts better
|
16.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 22.8% · Q3 8.5% · Q4 27.0% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.7% |
18.3%
7.4 pts worse
|
14.9%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 30.3% · Q3 21.2% · Q4 20.0% · 4Q avg 25.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.2% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.1% |
26.4%
3.7 pts worse
|
19.8%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 29.4% · Q3 30.8% · Q4 29.3% · 4Q avg 30.1% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
5.3%
1.6 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 8.6% · Q3 5.7% · Q4 3.4% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% |
68.9%
20.3 pts better
|
81.7%
7.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.1% · Q2 90.8% · Q3 92.8% · Q4 88.1% · 4Q avg 89.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.1% |
9.8%
7.7 pts better
|
12.0%
9.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.1% · Observed 1.8% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.1% |
68.7%
24.4 pts better
|
79.7%
13.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% |
23.1%
6.4 pts better
|
23.9%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 12.5% · Expected 17.9% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-31
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-05-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-31
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-04-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-28
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-24
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-01
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 2025-04-01
Health
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.
Corrected 2025-04-01
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 2025-04-01
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-04-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-03
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-22
Health
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.
Corrected 2024-04-22
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-22
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-04-22
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 2024-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-01
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
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