Passavant Retirement And Healt

Inspection history (38)

• February 27, 2026 · E

  Citation F0947

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0947 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0887

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0887 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0942

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0942 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · E

  Citation F0628

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0628 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · C

  Citation F0575

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0575 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for 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. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · G

  Citation F0684

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0941

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0941 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · E

  Citation F0949

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0949 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · E

  Citation F0944

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0944 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · E

  Citation F0700

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · E

  Citation F0946

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0946 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide training in compliance and ethics. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0691

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0691 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0943

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0943 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• February 27, 2026 · D

  Citation F0945

  Federal surveyors cited this nursing home on 2026-02-27 under CMS tag F0945 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. The deficiency was recorded as corrected on 2026-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-27.GOV

• September 9, 2025 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2025-09-09 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-10-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-09.GOV

• September 9, 2025 · G

  Citation F0600

  Federal surveyors cited this nursing home on 2025-09-09 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-10-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-09.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.55 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Church related

1. Parent organization: Lutheran Seniorlife

   parent · PAC 6800828799