Starfile

Starfile / Pennsylvania

PASSAVANT RETIREMENT AND HEALT

105 BURGESS DRIVE, ZELIENOPLE, PA 16063 · CCN 395001

Abuse icon

Ratings

Overall
★★★★☆ 4
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★★★★★ 5

Facility

Ownership type
Non profit - Church related
Certified beds
102
Avg residents/day
96.6
Phone
7244525400

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-02-21910.19.5-1.1 better
22024-03-281110.99.8+0.1 worse
32023-04-06210.59.3-8.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care1
Resident rights2
Pharmacy service2
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.5526.9%
RN staffing (reported)1.4125.8%
Total nurse staffing (adjusted)4.50

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (22)2 actual harm

  1. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-09 · Health · corrected 2025-10-24

    Actual harm

  2. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-09 · Health · corrected 2025-10-24

    Actual harm

  3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-07 · Health · corrected 2025-08-24

    Potential for more than minimal harm

  4. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-02-21 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  5. 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.2025-02-21 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  6. DF0758Implement 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.2025-02-21 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  7. 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.2025-02-21 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  8. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-02-21 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  9. DF0880Provide and implement an infection prevention and control program.2025-02-21 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-13 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-10 · Health · corrected 2024-10-29

    Potential for more than minimal harm

  12. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-21 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  13. DF0583Keep residents' personal and medical records private and confidential.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  15. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  17. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  18. EF0700Try 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.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  19. 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.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  20. DF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  21. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-06 · Health · corrected 2023-05-01

    Potential for more than minimal harm

  22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-06 · Health · corrected 2023-05-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LUTHERAN SENIORLIFEOrganizationOPERATIONAL/MANAGERIAL CONTROL1986-01-01
GARRETT, ELIZABETHIndividualOPERATIONAL/MANAGERIAL CONTROL2008-10-20
CARRAWAY, JEFFREYIndividualCORPORATE DIRECTOR2021-05-27
FENOGLIETTO, DAVIDIndividualCORPORATE DIRECTOR2021-05-27
CARRAWAY, JEFFREYIndividualCORPORATE OFFICER2021-05-27
FENOGLIETTO, DAVIDIndividualCORPORATE OFFICER2021-05-27
ROY, LAURAIndividualCORPORATE OFFICER2025-02-25

Other facilities in ZELIENOPLE

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.