Waynesburg, PA

Waynesburg Nursing And Rehab

3-star overall rating with 3-star inspections with $8,190 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

300 Center Avenue, Waynesburg, PA

(724) 852-2020

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

111

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Valley West Health

Operator or chain grouping

Approved since

1984-03-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing

LPN hours / resident day

1.05

Licensed practical nurse staffing

Aide hours / resident day

1.98

Nurse aide staffing

Weekend hours

3.31

Weekend nurse staffing

RN turnover

54%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.2
1.7
1.5 pts better
1.9
1.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.2
About the same
1.8
0.6 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
86.9%
12.3 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
93.5%
4.4 pts better
95.5%
2.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.8%
3.2%
3.6 pts worse
3.3%
3.5 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 16.7%
19.9%
3.2 pts better
19.6%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 25.9%
18.7%
7.2 pts worse
16.7%
9.2 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 10.7%
19.6%
8.9 pts better
16.3%
5.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.1%
18.3%
0.2 pts better
14.9%
3.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.9%
0.2 pts better
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.8%
26.4%
5.6 pts better
19.8%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.6%
5.3%
4.3 pts worse
5.1%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
68.9%
29.8 pts better
81.7%
17 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.8%
9.8%
1 pts worse
12.0%
1.2 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 96.1%
68.7%
27.4 pts better
79.7%
16.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.5%
23.1%
7.4 pts worse
23.9%
6.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-03-14 · Fire 2024-03-14

3 health deficiencies

Top issue: Environmental (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-03-24 · Fire 2023-03-24

20 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-04-15

C · Minimal harm 2025-03-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-15

E · Potential for more than minimal harm 2024-03-14

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-14

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-14

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2024-03-14

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-04-16

F · Potential for more than minimal harm 2023-03-24

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-03-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-27

E · Potential for more than minimal harm 2023-03-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-03-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-27

C · Minimal harm 2023-03-24

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-04-27

C · Minimal harm 2023-03-24

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-04-27

C · Minimal harm 2023-03-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-27

C · Minimal harm 2023-03-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-27

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-21

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 2025-04-15

E · Potential for more than minimal harm 2025-03-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-03-21

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 2025-04-15

E · Potential for more than minimal harm 2025-03-21

F758 · Pharmacy Service Deficiencies

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 2025-04-15

D · Potential for more than minimal harm 2025-02-11

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-03-10

D · Potential for more than minimal harm 2024-12-03

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-12-18

E · Potential for more than minimal harm 2024-03-14

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-02-20

E · Potential for more than minimal harm 2024-02-03

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-02-20

G · Actual harm 2023-09-22

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 2023-10-17

D · Potential for more than minimal harm 2023-09-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-10-17

D · Potential for more than minimal harm 2023-09-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-10-17

F · Potential for more than minimal harm 2023-03-24

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 2023-04-25

F · Potential for more than minimal harm 2023-03-24

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-04-25

E · Potential for more than minimal harm 2023-03-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-25

E · Potential for more than minimal harm 2023-03-24

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-04-25

E · Potential for more than minimal harm 2023-03-24

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-24

F761 · Pharmacy Service Deficiencies

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 2023-04-25

C · Minimal harm 2023-03-24

F575 · Resident Rights Deficiencies

Health

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.

Corrected 2023-04-25

C · Minimal harm 2023-03-24

F579 · Resident Rights Deficiencies

Health

Provide information about how to apply for and use Medicare and Medicaid benefits.

Corrected 2023-04-25

Penalties and ownership

What sits behind the stars

$8,190 2023-09-22

Fine

Fine · fine $8,190

Fine

Ownership

Western Pa Opco Holdings I LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2024-10-29
Franco, Aharon

5% Or Greater Indirect Ownership Interest · Individual

0% 11 facilities 2024-10-29
Franco, Aharon

Operational/Managerial Control · Individual

0% 11 facilities 2024-10-29
Iskeb 2024 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 11 facilities 2024-10-29
Iskeb Western Pa LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2024-10-29
Keystone Ventures LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2024-10-29
Rami, Isaac

Operational/Managerial Control · Individual

0% 16 facilities 2024-10-29
Valley West Health LLC

Operational/Managerial Control · Organization

0% 10 facilities 2024-11-15

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