PASSAVANT RETIREMENT AND HEALT
PASSAVANT RETIREMENT AND HEALT is a 102-bed nursing home in ZELIENOPLE, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 96.2 residents a day.
What harm was found in the violations cited at PASSAVANT RETIREMENT AND HEALT?
CMS lists 38 health-inspection deficiencies for PASSAVANT RETIREMENT AND HEALT, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-02-27.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-27 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-02-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-02-27 | F0628, F0700, F0761, F0944, F0946, F0947, F0949 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / 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. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2026-02-27 | F0686, F0690, F0691, F0887, F0941, F0942, F0943, F0945 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D |
| 2026-02-27 | F0575 | 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. | C |
| 2025-09-09 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-07-07 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-02-21 | F0554, F0584, F0758, F0761, F0847, F0880 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / 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. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide and implement an infection prevention and control program. | D |
| 2025-01-13 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-09-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-05-21 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-03-28 | F0690, F0700 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. | E |
| 2024-03-28 | F0583, F0689, F0695, F0699, F0761, F0880 | Keep residents' personal and medical records private and confidential. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / 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. / Provide and implement an infection prevention and control program. | D |
How is PASSAVANT RETIREMENT AND HEALT staffed?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.50511 | 3.88823 |
| Total nursing staff turnover (%) | 36.1 | 44.5 |
| Average number of residents per day | 96.2 | 104.6 |
Who owns PASSAVANT RETIREMENT AND HEALT?
PASSAVANT RETIREMENT AND HEALT is registered with CMS as Non profit - Church related, operates under the legal business name PASSAVANT RETIREMENT AND HEALTH CENTER.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | CARRAWAY, JEFFREY, FENOGLIETTO, DAVID | since 05/27/2021 |
| CORPORATE OFFICER | CARRAWAY, JEFFREY, FENOGLIETTO, DAVID, ROY, LAURA | since 02/25/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | LUTHERAN SENIORLIFE, GARRETT, ELIZABETH | since 01/01/1986 |
| ADP OF THE SNF | LUTHERAN SENIORLIFE, GARRETT, ELIZABETH | since 04/15/2025 |
Were you or a family member harmed at PASSAVANT RETIREMENT AND HEALT?