Starfile / Pennsylvania

WILLIAM PENN NURSING AND REHAB

163 SUMMIT DRIVE, LEWISTOWN, PA 17044 · CCN 395335

Inspection history vs Pennsylvania & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

VALLEY WEST HEALTH

Facilities in chain

12

Chain avg overall

3.20 / 5

Inspection citations (25)

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-09 · Health · corrected 2025-06-10

   Potential for more than minimal harm

2. EF0641Ensure each resident receives an accurate assessment.2025-05-09 · Health · corrected 2025-06-10

   Potential for more than minimal harm

3. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-09 · Health · corrected 2025-06-10

   Potential for more than minimal harm

4. CF0732Post nurse staffing information every day.2025-05-09 · Health · corrected 2025-06-10

   Potential for minimal harm

5. 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.2025-05-09 · Health · corrected 2025-06-10

   Potential for more than minimal harm

6. EF0791Provide or obtain dental services for each resident.2025-05-09 · Health · corrected 2025-06-10

   Potential for more than minimal harm

7. EF0887Educate 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.2025-05-09 · Health · corrected 2025-06-10

   Potential for more than minimal harm

8. 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.2024-06-25 · Health · corrected 2024-07-24

   Potential for more than minimal harm

9. DF0637Assess the resident when there is a significant change in condition2024-06-25 · Health · corrected 2024-07-24

   Potential for more than minimal harm

10. EF0641Ensure each resident receives an accurate assessment.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

13. DF0685Assist a resident in gaining access to vision and hearing services.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

14. 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.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

15. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

16. 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.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

17. DF0759Ensure medication error rates are not 5 percent or greater.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

18. DF0880Provide and implement an infection prevention and control program.2024-06-25 · Health · corrected 2024-07-24

    Potential for more than minimal harm

19. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-30 · Health · corrected 2023-08-07

    Potential for minimal harm

20. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-06-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

21. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

22. DF0692Provide enough food/fluids to maintain a resident's health.2023-06-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

23. 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.2023-06-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

24. EF0759Ensure medication error rates are not 5 percent or greater.2023-06-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-30 · Health · corrected 2023-08-07

    Potential for more than minimal harm

Ownership

Other facilities in LEWISTOWN

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