Passavant Retirement and Healt
Nursing Home · Zelienople, PA
CMS certification number395001
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
105 Burgess DriveZelienople, PA 16063
Butler County
- Phone
- (724) 452-5400
- ZIP code
- 16063 – all care providers
Facility details
- Certified beds
- 102
- Residents per day
- 96.2 (94% occupied)
- Ownership
- Non profit - Church related
- Legal name
- Passavant Retirement and Health Center
- Medicare certified since
- January 1, 1967
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.51 (state 3.89 · U.S. 3.86)
- Registered nurses (RN)
- 1.55 (state 0.79 · U.S. 0.69)
- Licensed practical nurses
- 0.50 (state 0.91 · U.S. 0.86)
- Nurse aides
- 2.45 (state 2.19 · U.S. 2.32)
- Weekend total
- 4.06 (state 3.53 · U.S. 3.42)
- Nursing staff turnover
- 36.1 (state 44.5 · U.S. 45.8)%
- RN turnover
- 18.2 (state 39.9 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- February 27, 2026
- Health deficiencies (last cycle)
- 20.0 (state 10.1 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 38 health · 8 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2026-04-21 |
| 2026-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Provide training in compliance and ethics. F0946 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-21 |
| 2026-02-27 | 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. F0575 · Resident Rights Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2026-04-21 |
| 2025-09-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-10-24 |
| 2025-09-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-10-24 |
| 2025-07-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-24 |
| 2025-02-21 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-02-21 | Honor 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-02-21 | Implement 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-02-21 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-02-21 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-02-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-01-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-27 |
| 2024-09-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-29 |
| 2024-05-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-03 |
| 2024-03-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2024-03-28 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2024-03-28 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2024-03-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2024-03-28 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2024-03-28 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2024-03-28 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2024-03-28 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Garrett, Elizabeth (individual) | Administrator · NOT APPLICABLE | |
| Lutheran Seniorlife (organization) | Administrator · NOT APPLICABLE | |
| Carraway, Jeffrey (individual) | Corporate Director · NOT APPLICABLE | |
| Fenoglietto, David (individual) | Corporate Director · NOT APPLICABLE | |
| Carraway, Jeffrey (individual) | Corporate Officer · NOT APPLICABLE | |
| Fenoglietto, David (individual) | Corporate Officer · NOT APPLICABLE | |
| Roy, Laura (individual) | Corporate Officer · NOT APPLICABLE | |
| Garrett, Elizabeth (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lutheran Seniorlife (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Passavant Retirement and Healt?
Passavant Retirement and Healt has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Pennsylvania.
How many beds does Passavant Retirement and Healt have?
It has 102 certified beds and cares for about 96 residents per day.
Has Passavant Retirement and Healt been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Passavant Retirement and Healt?
(724) 452-5400. The facility is located at 105 Burgess Drive, Zelienople, PA 16063.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.