EDINBORO MANOR
419 WATERFORD STREET, EDINBORO, PA 16412 · CCN 395645
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 121
- Avg residents/day
- 112.7
- Phone
- 8147345021
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2026-01-22 | 9 | 10.1 | 9.5 | -1.1 better |
| 2 | 2025-01-31 | 5 | 10.9 | 9.8 | -5.9 better |
| 3 | 2024-02-15 | 12 | 10.5 | 9.3 | +1.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Resident rights | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.45 | 48.8% |
| RN staffing (reported) | 0.40 | 66.7% |
| Total nurse staffing (adjusted) | 3.56 | — |
Fines & penalties
- Total fines
- $3,145
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- HCF MANAGEMENT
- Facilities in chain
- 22
- Chain avg overall
- 3.40 / 5
Inspection citations (26)
- DF0578Honor 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.2026-01-22 · Health
Potential for more than minimal harm
- EF0584Honor 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.2026-01-22 · Health
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2026-01-22 · Health
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-22 · Health
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2026-01-22 · Health
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2026-01-22 · Health
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-22 · Health
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-22 · Health
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2026-01-22 · Health
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-01-31 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-31 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-31 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0688Provide 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.2025-01-31 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-31 · Health · corrected 2025-03-28
Potential for more than minimal harm
- CF0575Post 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.2024-02-15 · Health · corrected 2024-04-15
Potential for minimal harm
- EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0584Honor 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.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- EF0585Honor 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.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-05 · Health · corrected 2023-11-20
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-03-03 · Health · corrected 2023-04-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HCF OPERATIONS, INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2009-12-01 |
| CHAD M. UNVERFERTH 12-14-11 IRRV GRANTOR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| DAVID V. UNVERFERTH 12-14-11 IRRV GRANTOR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| HCF, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2009-12-01 |
| JEFFREY L. UNVERFERTH 12-14-11 IRRV GRANTOR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. U | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. RO | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UN | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNV | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| JOSEPH L. UNVERFERTH 12-15-11 IRRV GRANTOR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| LAWRENCE G. UNVERFERTH 12-13-11 IRRV GRANTOR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| R. STEVEN UNVERFERTH 12-14-11 IRRV GRANTOR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-31 |
| HCF MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-03-01 |
| BRADLEY, JENNIFER | Individual | CORPORATE DIRECTOR | — | 2023-04-24 |
| ROMES, KERRI | Individual | CORPORATE DIRECTOR | — | 2019-03-29 |
| UNVERFERTH, CHAD | Individual | CORPORATE DIRECTOR | — | 2004-01-01 |
| KLAY, CELESTE | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| ROMES, KERRI | Individual | CORPORATE OFFICER | — | 2019-11-01 |
| SHAW, ANTHONY | Individual | CORPORATE OFFICER | — | 2015-06-26 |
| UNVERFERTH, CHAD | Individual | CORPORATE OFFICER | — | 2004-01-01 |
| BRADLEY, JENNIFER | Individual | W-2 MANAGING EMPLOYEE | — | 2023-04-24 |
| KLAY, CELESTE | Individual | W-2 MANAGING EMPLOYEE | — | 2011-08-01 |
| ROMES, KERRI | Individual | W-2 MANAGING EMPLOYEE | — | 2013-04-01 |
| SHAW, ANTHONY | Individual | W-2 MANAGING EMPLOYEE | — | 1994-08-29 |
| UNVERFERTH, CHAD | Individual | W-2 MANAGING EMPLOYEE | — | 2003-03-17 |
Other facilities in EDINBORO
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.