Federal inspection record · CMS data as of October 1, 2026

Shenandoah Senior Living Community

101 E. Washington St, Shenandoah, PA · (570) 462-1908

CMS overall rating

1 of 5

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Certified beds
119
Residents per day
104
Ownership
For-Profit
Chain
Cedar View Holdings
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1982

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Shenandoah Senior Living Community carries 216.75 inspection points. That is fewer than 7% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 216.75 pts · 1★

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

40 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 22 4 pts
E 14 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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)

  1. J

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    January 7, 2026 · Complaint inspection · Quality of Life and Care · F678 · Corrected January 25, 2026

  2. G

    Ensure services provided by the nursing facility meet professional standards of quality.

    January 7, 2026 · Complaint inspection · Resident Assessment and Care Planning · F658 · Corrected January 25, 2026

  3. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 16, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 27, 2024

Everything else, by area of care

Quality of Life and Care12E
  1. E

    Provide safe, appropriate pain management for a resident who requires such services.

    May 1, 2026 · Standard · F697 · Corrected June 11, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 1, 2026 · Standard · F689 · Corrected August 5, 2025

  3. 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.

    May 1, 2026 · Standard · F690 · Corrected June 11, 2026

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 2, 2025 · Standard · F684 · Corrected August 26, 2025

  5. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 13, 2024 · Standard · F689 · Corrected October 22, 2024

  6. D

    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.

    September 13, 2024 · Standard · F688 · Corrected October 22, 2024

  7. D

    Provide enough food/fluids to maintain a resident's health.

    September 13, 2024 · Standard · F692 · Corrected October 22, 2024

  8. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 15, 2024 · Complaint · F689 · Corrected June 5, 2024

  9. E

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    March 27, 2024 · Complaint · F694 · Corrected May 15, 2024

  10. D

    Provide enough food/fluids to maintain a resident's health.

    March 27, 2024 · Complaint · F692 · Corrected May 15, 2024

  11. 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.

    October 4, 2023 · Complaint · F688 · Corrected November 21, 2023

  12. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 4, 2023 · Complaint · F689 · Corrected November 21, 2023

Resident Rights7E
  1. 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.

    May 1, 2026 · Standard · F584 · Corrected June 11, 2026

  2. C

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    May 1, 2026 · Standard · F585 · Corrected June 11, 2026

  3. 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.

    July 2, 2025 · Standard · F578 · Corrected August 26, 2025

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    September 13, 2024 · Complaint · F558 · Corrected October 22, 2024

  5. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    May 15, 2024 · Complaint · F550 · Corrected June 5, 2024

  6. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    May 15, 2024 · Complaint · F565 · Corrected June 5, 2024

  7. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    May 15, 2024 · Complaint · F585 · Corrected June 5, 2024

Resident Assessment and Care Planning4E
  1. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 1, 2026 · Standard · F656 · Corrected June 30, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    September 13, 2024 · Standard · F641 · Corrected October 22, 2024

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 13, 2024 · Standard · F656 · Corrected October 22, 2024

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 27, 2024 · Complaint · F656 · Corrected May 15, 2024

Pharmacy Service4D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    May 1, 2026 · Standard · F755 · Corrected June 11, 2026

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    May 1, 2026 · Standard · F756 · Corrected June 11, 2026

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 13, 2024 · Complaint · F755 · Corrected October 22, 2024

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 13, 2024 · Standard · F757 · Corrected October 22, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 2, 2025 · Complaint · F600 · Corrected September 9, 2025

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 2, 2025 · Complaint · F609 · Corrected August 26, 2025

  3. D

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    July 2, 2025 · Standard · F943 · Corrected September 9, 2025

Nutrition and Dietary2E
  1. E

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    June 11, 2026 · Complaint · F807 · Corrected June 30, 2026

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    May 15, 2024 · Complaint · F804 · Corrected June 5, 2024

Administration2E
  1. E

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    January 7, 2026 · Complaint · F835 · Corrected January 25, 2026

  2. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    March 27, 2024 · Complaint · F770 · Corrected May 15, 2024

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    September 13, 2024 · Complaint · F880 · Corrected October 22, 2024

  2. D

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    September 13, 2024 · Standard · F882 · Corrected October 22, 2024

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    September 13, 2024 · Complaint · F725 · Corrected October 22, 2024

Inspection history

  1. 2026-05-01

    12 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2025-07-02

    5 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  3. 2024-09-13

    23 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (8 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 13 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

3 h 13 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 48% of nursing staff and 36% 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

$76,285 in federal fines on record over the past three years.

DatePenaltyAmount
2026-01-07Fine$12,650
2024-02-16Fine$63,635
2024-02-16Payment Denial · 20 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.1 pts worse2.61.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse2.41.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.1 pts worse75.7%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts worse88.8%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse3.8%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms7.5 pts better6.3%13.8%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts better5.3%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts worse20.3%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.1 pts better7.5%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.9 pts worse1.1%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.2 pts worse17.6%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1 pts better15.4%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse1.3%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts worse2.8%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better23.2%25.0%18.3%
Percentage of long-stay residents with pressure ulcers2 pts better2.7%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine44.2 pts worse26.6%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.9 pts worse14.4%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.1%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine39.3 pts worse31.6%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission8.9 pts worse30.9%22.0%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Apostrophe Opco LLC5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Cedar View Holdings LLC5% Or Greater Indirect Ownership Interest · Organization44%9 facilities
Samara Family Holdings LLC5% Or Greater Indirect Ownership Interest · Organization44%22 facilities
Leiser, Asher5% Or Greater Indirect Ownership Interest · Individual5%5 facilities
Sebbag, Gabriel5% Or Greater Indirect Ownership Interest · Individual5%33 facilities
101 E Washington Propco LLCAdp Of The SNF · Organization0%1 facilities
3 Eagles LLCIndirect Ownership Interest · Organization0%2 facilities
Clinical Consulting Services LLCOperational/Managerial Control · Organization0%45 facilities
Clinical Consulting Services LLCAdp Of The SNF · Organization0%45 facilities
Lazur, DianaOperational/Managerial Control · Individual0%2 facilities
Lazur, DianaAdp Of The SNF · Individual0%2 facilities
Leiser, AsherCorporate Director · Individual0%5 facilities
Leiser, AsherCorporate Officer · Individual0%5 facilities
Priority Care Group LLCOperational/Managerial Control · Organization0%23 facilities
Summation Financial Services LLCOperational/Managerial Control · Organization0%51 facilities
Summation Financial Services LLCAdp Of The SNF · Organization0%51 facilities
Tarson, JohnOperational/Managerial Control · Individual0%1 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke11E
  1. E

    Install corridor and hallway doors that block smoke.

    May 1, 2026 · K363 · Corrected June 11, 2026

  2. C

    Inspect, test, and maintain automatic sprinkler systems.

    May 1, 2026 · K353 · Corrected June 11, 2026

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    July 2, 2025 · K321 · Corrected August 12, 2025

  4. E

    Install corridor and hallway doors that block smoke.

    July 2, 2025 · K363 · Corrected August 12, 2025

  5. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    July 2, 2025 · K374 · Corrected August 12, 2025

  6. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 13, 2024 · K321 · Corrected October 21, 2024

  7. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 13, 2024 · K353 · Corrected October 21, 2024

  8. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 13, 2024 · K372 · Corrected October 21, 2024

  9. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    September 13, 2024 · K374 · Corrected October 21, 2024

  10. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    September 13, 2024 · K355 · Corrected October 21, 2024

  11. C

    Provide properly protected cooking facilities.

    September 13, 2024 · K324 · Corrected October 21, 2024

Egress2E
  1. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    May 1, 2026 · K223 · Corrected June 11, 2026

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    September 13, 2024 · K211 · Corrected October 21, 2024

Services2E
  1. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    May 1, 2026 · K521 · Corrected June 11, 2026

  2. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    July 2, 2025 · K521 · Corrected August 12, 2025

Miscellaneous2C
  1. C

    Have simulated fire drills held at unexpected times.

    July 2, 2025 · K712 · Corrected August 12, 2025

  2. C

    Have simulated fire drills held at unexpected times.

    September 13, 2024 · K712 · Corrected October 21, 2024

Gas, Vacuum, and Electrical Systems2E
  1. E

    Have generator or other power source capable of supplying service within 10 seconds.

    September 13, 2024 · K918 · Corrected October 21, 2024

  2. E

    Ensure proper usage of power strips and extension cords.

    September 13, 2024 · K920 · Corrected October 21, 2024

·

Other homes nearby

  1. Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 42 min
    Fines
    $333,638
  2. Broad Mountain Health And Rehabilitation Center

    Frackville, PA · Saber Healthcare Group

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 32 min
    Fines
    $45,678
  3. Schuylkill Center

    Pottsville, PA

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 6 min
    Fines
    $0