Federal inspection record · CMS data as of October 1, 2026
Sena Kean Nursing And Rehabilitation
17083 Route 6, Smethport, PA · (814) 887-5601
- Cited for abuse (CMS abuse icon)
- Certified beds
- 152
- Residents per day
- 102
- Ownership
- For-Profit
- Chain
- Imperial Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1989
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.
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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.
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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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Pennsylvania homes
Sena Kean Nursing And Rehabilitation carries 63 inspection points. That is fewer than 44% 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
19 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 (2)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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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
Resident Rights5E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- 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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care5E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- 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 safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service2D
- 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.
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-04-22
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-04-30
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-05-31
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 30 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: 60% of nursing staff and 47% 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
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 days0.7 pts better | 0.8 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.3 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 94.8% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 98.1% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 3.7% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts better | 12.7% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 6.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.6 pts worse | 34.7% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.7 pts worse | 32.3% | 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 worsened11.3 pts better | 4.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.1 pts better | 4.3% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts better | 22.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 3.4% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10 pts worse | 60.8% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts better | 6.9% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.4 pts worse | 68.5% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.3 pts better | 14.7% | 22.0% | 23.4% |
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Who owns and runs it
8 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 |
|---|---|---|---|
| Sena Kean SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Ch Pa7 SNF Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Ens Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Gottesman, Daniel | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 24 facilities |
| Herzka, Yisroel | Corporate Officer · Individual | 0% | 75 facilities |
| Sell, Philip | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Sk Sw Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| The Ens Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Install a fire alarm system that can be heard throughout the facility.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- B
Inspect, test, and maintain automatic sprinkler systems.
Egress4D
- B
Install proper backup exit lighting.
- B
Have properly located and lighted "Exit" signs.
- D
Meet other general requirements.
- D
Have properly located and lighted "Exit" signs.
Construction2F
- C
Meet other general requirements.
- F
Meet other general requirements.
Gas, Vacuum, and Electrical Systems1B
- B
Meet requirements for the installation and maintenance of electrical systems.
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Other homes nearby
-
Amaryllis Nursing And Rehab
Smethport, PA · Bonamour Health Group
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 4 h 22 min
- Fines
- $6,631
-
Bradford Ecumenical Home, Inc
Bradford, PA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Pavilion At Brmc, The
Bradford, PA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 53 min
- Fines
- $16,316