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.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-21 | 9 | 10.1 | 9.5 | -1.1 better |
| 2 | 2024-03-28 | 11 | 10.9 | 9.8 | +0.1 worse |
| 3 | 2023-04-06 | 2 | 10.5 | 9.3 | -8.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 1 |
| Resident rights | 2 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.55 | 26.9% |
| RN staffing (reported) | 1.41 | 25.8% |
| 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
- 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
- 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
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-02-21 · Health · corrected 2025-04-01
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.2025-02-21 · Health · corrected 2025-04-01
Potential for more than minimal harm
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-02-21 · Health · corrected 2025-04-01
Potential for more than minimal harm
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2024-03-28 · Health · corrected 2024-04-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-04-22
Potential for more than minimal harm
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LUTHERAN SENIORLIFE | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1986-01-01 |
| GARRETT, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-10-20 |
| CARRAWAY, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2021-05-27 |
| FENOGLIETTO, DAVID | Individual | CORPORATE DIRECTOR | — | 2021-05-27 |
| CARRAWAY, JEFFREY | Individual | CORPORATE OFFICER | — | 2021-05-27 |
| FENOGLIETTO, DAVID | Individual | CORPORATE OFFICER | — | 2021-05-27 |
| ROY, LAURA | Individual | CORPORATE OFFICER | — | 2025-02-25 |
Other facilities in ZELIENOPLE
| 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.