Cycle 1
Health 2025-08-08 · Fire 2025-08-08
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Coudersport, PA
Sweden Valley Manor
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1028 East Second Street, Coudersport, PA
(814) 274-7610
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
121
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hcf Management
Operator or chain grouping
Approved since
1985-05-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
0.54
Registered nurse staffing
LPN hours / resident day
0.64
Licensed practical nurse staffing
Aide hours / resident day
1.95
Nurse aide staffing
Weekend hours
2.76
Weekend nurse staffing
RN turnover
33%
Annual RN turnover
Total nurse turnover
39%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.2
0.4 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.1% |
86.9%
4.8 pts worse
|
93.4%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
93.5%
1.7 pts better
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.2%
0.6 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents who lose too much weight | 10.3% |
6.5%
3.8 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.0% |
19.9%
1.1 pts worse
|
19.6%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 24.0% |
18.7%
5.3 pts worse
|
16.7%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.2% |
19.6%
4.4 pts better
|
16.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.9% |
18.3%
0.4 pts better
|
14.9%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.9%
0.3 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.2% |
26.4%
1.8 pts worse
|
19.8%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
5.3%
3 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 55.5% |
68.9%
13.4 pts worse
|
81.7%
26.2 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
9.8%
1.8 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.3% |
68.7%
12.6 pts better
|
79.7%
1.6 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.7% |
23.1%
8.4 pts better
|
23.9%
9.2 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-20 · Fire 2024-09-20
11 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2023-10-20 · Fire 2023-10-20
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-08-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-10-17
E · Potential for more than minimal harm
2025-08-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-17
D · Potential for more than minimal harm
2025-08-08
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-17
E · Potential for more than minimal harm
2024-09-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-22
C · Minimal harm
2024-09-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-22
E · Potential for more than minimal harm
2023-10-20
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-11
E · Potential for more than minimal harm
2023-10-20
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-11
C · Minimal harm
2023-10-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-11
C · Minimal harm
2023-10-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-11
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-08-08
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-08
F571 · Resident Rights Deficiencies
Health
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-08
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-08
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-08
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-26
D · Potential for more than minimal harm
2025-08-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
F · Potential for more than minimal harm
2024-09-20
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 2024-11-19
E · Potential for more than minimal harm
2024-09-20
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-11-19
E · Potential for more than minimal harm
2024-09-20
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F584 · Resident Rights Deficiencies
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 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-09-20
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-11-19
F · Potential for more than minimal harm
2023-10-20
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 2024-01-20
E · Potential for more than minimal harm
2023-10-20
F584 · Resident Rights Deficiencies
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 2023-12-11
E · Potential for more than minimal harm
2023-10-20
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2023-12-11
E · Potential for more than minimal harm
2023-10-20
F700 · Quality of Life and Care Deficiencies
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 2023-12-11
D · Potential for more than minimal harm
2023-10-20
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-20
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-20
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-20
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-01-20
D · Potential for more than minimal harm
2023-10-20
F840 · Administration Deficiencies
Health
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2023-12-11
Penalties and ownership
What sits behind the stars
Ownership
Hcf Operations, Inc
5% Or Greater Direct Ownership Interest · Organization
Chad M. Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
David V. Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Hcf Management, Inc.
Operational/Managerial Control · Organization
Hcf, Inc
5% Or Greater Indirect Ownership Interest · Organization
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 12-29-04 Revocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri A. Ro
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv
5% Or Greater Indirect Ownership Interest · Organization
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Klay, Celeste
Corporate Officer · Individual
Klay, Celeste
W-2 Managing Employee · Individual
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
R. Steven Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Redmond, Angela
Corporate Director · Individual
Redmond, Angela
W-2 Managing Employee · Individual
Romes, Kerri
Corporate Director · Individual
Romes, Kerri
Corporate Officer · Individual
Romes, Kerri
W-2 Managing Employee · Individual
Shaw, Anthony
Corporate Officer · Individual
Shaw, Anthony
W-2 Managing Employee · Individual
Unverferth, Chad
Corporate Director · Individual
Unverferth, Chad
Corporate Officer · Individual
Unverferth, Chad
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Guy And Mary Felt Manor, Inc
Emporium, PA
3-star overall rating with 3-star inspections with 11 recent health deficiencies
#2
Sena Kean Nursing And Rehabilitation Center
Smethport, PA
2-star overall rating with 2-star inspections with abuse icon flag with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Lakeview Healthcare And Rehab
Smethport, PA
3-star overall rating with 2-star inspections with $6,631 in total fines with 4 recent health deficiencies
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