Passavant Retirement and Healt

Certification

Medicare-certified.

Ratings

Inspection history (38)

Records from March 2024 to February 2026.

• February 27, 2026

  Tag F0761

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0887

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G: isolated, actual harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0941

  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0949

  Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0700

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0691

  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0943

  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0947

  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag 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.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0945

  Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0946

  Provide training in compliance and ethics.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0944

  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• February 27, 2026

  Tag F0942

  Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 21, 2026.

• September 9, 2025

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G: isolated, actual harm. Corrected October 24, 2025.

• September 9, 2025

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G: isolated, actual harm. Corrected October 24, 2025.

Penalties (1)

• February 27, 2026 · Fine

  CMS recorded a civil money penalty of $76,665 against this nursing home on February 27, 2026.

Staffing

4.45 nurse hours per resident per day in Q2 2026, down from 4.55 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

• Parent company: Lutheran Seniorlife