Nursing HomeInspections

Passavant Retirement and Healt

Nursing home in Zelienople, PA

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

Call (724) 452-5400Send a messageMap ↗

Public-record details

Address
105 Burgess Drive, Zelienople, PA 16063
Phone
(724) 452-5400
Listed under
Nonprofit, No fines in 3 years, Part of a retirement community
Medicare CCN
395001
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
102
Average residents per day
96
Ownership
Nonprofit, church related
Legal business name
Passavant Retirement and Health Center
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 395001. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 27, 2026. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 28, 2024 to Feb 27, 2026): 6 from complaint inspections, 3 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Feb 27, 2026Post 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…
Resident Rights
C
Potential for minimal harm, widespread
Feb 27, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 27, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 27, 2026Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 27, 2026Educate 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…
Infection Control
D
Potential for more than minimal harm, isolated
Feb 27, 2026Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration
D
Potential for more than minimal harm, isolated
Feb 27, 2026Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 27, 2026Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Feb 27, 2026Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control
D
Potential for more than minimal harm, isolated
Feb 27, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
E
Potential for more than minimal harm, pattern
Feb 27, 2026Try 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…
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Feb 27, 2026Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 38. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.51 hours
Registered nurse (RN) time per resident per day
1.55 hours
Nurse aide time per resident per day
2.45 hours
Total nurse staffing on weekends
4.06 hours
Nursing staff turnover (yearly)
36%
RN turnover (yearly)
18%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.