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PASSAVANT RETIREMENT AND HEALT

105 BURGESS DRIVE
ZELIENOPLE, PA 16063 · 7244525400 · Butler County
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds102
OwnershipNon profit - Church related
State rank#472

By the numbers

38
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
3
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are rising — 20 in the most recent cycle versus 9 two cycles ago.

Recent Health Citations

Feb 27, 2026 · Health survey · F-tag 0575
C — Cited
Resident Rights Deficiencies
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.
Feb 27, 2026 · Health survey · F-tag 0945
D — No actual harm
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Feb 27, 2026 · Health survey · F-tag 0943
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Feb 27, 2026 · Health survey · F-tag 0942
D — No actual harm
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Feb 27, 2026 · Health survey · F-tag 0941
D — No actual harm
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Feb 27, 2026 · Health survey · F-tag 0887
D — No actual harm
Infection Control Deficiencies
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.
Feb 27, 2026 · Health survey · F-tag 0691
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Feb 27, 2026 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Feb 27, 2026 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Feb 27, 2026 · Health survey · F-tag 0949
E — No actual harm
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Feb 27, 2026 · Health survey · F-tag 0947
E — No actual harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Feb 27, 2026 · Health survey · F-tag 0946
E — No actual harm
Administration Deficiencies
Provide training in compliance and ethics.
Feb 27, 2026 · Health survey · F-tag 0944
E — No actual harm
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Feb 27, 2026 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Feb 27, 2026 · Health survey · F-tag 0700
E — No actual harm
Quality of Life and Care Deficiencies
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.
Feb 27, 2026 · Health survey · F-tag 0628
E — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Feb 27, 2026 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Feb 27, 2026 · Health survey · F-tag 0684
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Details
Correction status: Corrected Apr 21, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Standard survey
Sep 9, 2025 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Oct 24, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Sep 9, 2025 · Health survey · F-tag 0600
G — Actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Oct 24, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Pennsylvania →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.