Windber Woods Senior Living & Rehabilitation CTR

Nursing Home · Windber, PA

CMS overall rating 2/5 Non profit - Corporation

CMS certification number395090

Contact & location

277 Hoffman Avenue
Windber, PA 15963
Somerset County
Phone
(814) 467-5505
ZIP code
15963 – all care providers

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Facility details

Certified beds
127
Residents per day
111.4 (88% occupied)
Ownership
Non profit - Corporation
Legal name
Community Healthcare Operator INC
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.0
Quality measures★★★★★ 3/5
State avg 3.6
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.21 (state 3.89 · U.S. 3.86)
Registered nurses (RN)
0.58 (state 0.79 · U.S. 0.69)
Licensed practical nurses
1.11 (state 0.91 · U.S. 0.86)
Nurse aides
2.52 (state 2.19 · U.S. 2.32)
Weekend total
3.90 (state 3.53 · U.S. 3.42)
Nursing staff turnover
42.1 (state 44.5 · U.S. 45.8)%
RN turnover
47.1 (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)
16.0 (state 10.1 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
50 health · 0 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-27 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
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		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
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 2026-04-27
2026-02-27 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 2026-04-27
2026-02-27 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 2026-04-27
2026-02-27 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-02-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2025-03-27 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 G
Actual harm		 Corrected 2025-05-26
2025-03-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 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 2025-05-26
2025-03-27 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 2025-06-27
2025-03-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2025-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-26
2024-11-05 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-11
2024-11-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-11
2024-10-23 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 2024-10-16
2024-10-23 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 2024-10-16
2024-07-03 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 2024-07-30
2024-04-18 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 2024-06-17
2024-04-18 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 2024-06-17
2024-04-18 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-04-18 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 2024-06-17
2024-04-18 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 2024-06-17
2024-04-18 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-04-18 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-04-18 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-03-27 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-29
2024-03-27 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 2024-04-29
2024-03-12 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-04
2024-03-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-29
2024-03-12 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 2024-03-01
2024-03-12 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-04
2023-10-25 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-10-25 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-06
2023-09-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-27

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

3 penalties in the last three years, including $27,226 in fines.

DateTypeAmount
2025-03-27Fine$11,190
2024-10-23Fine$8,018
2024-10-23Fine$8,018

Ownership & management

NameRoleSince
Gray, Patrick (individual)Administrator · NOT APPLICABLE
Pease Bell Cpas LLC (organization)Administrator · NOT APPLICABLE
Shiftster LLC (organization)Administrator · NOT APPLICABLE
Smorto-Dukery, Danielle (individual)Administrator · NOT APPLICABLE
Zytman, Shmuel (individual)Administrator · NOT APPLICABLE
Friedman, Steven (individual)Corporate Director · NOT APPLICABLE
Kohn, Brian (individual)Corporate Director · NOT APPLICABLE
Lahasky, Ephram (individual)Corporate Director · NOT APPLICABLE
Zytman, Shmuel (individual)Corporate Director · NOT APPLICABLE
Halpert, Naomi (individual)Corporate Officer · NOT APPLICABLE
Gray, Patrick (individual)Operational/managerial Control · NOT APPLICABLE
Smorto-Dukery, Danielle (individual)Operational/managerial Control · NOT APPLICABLE
Zytman, Shmuel (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Windber Woods Senior Living & Rehabilitation CTR?

Windber Woods Senior Living & Rehabilitation CTR 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 Windber Woods Senior Living & Rehabilitation CTR have?

It has 127 certified beds and cares for about 111 residents per day.

Has Windber Woods Senior Living & Rehabilitation CTR been fined?

Yes. CMS lists 3 penalties totaling $27,226 in the last three years.

What is the phone number of Windber Woods Senior Living & Rehabilitation CTR?

(814) 467-5505. The facility is located at 277 Hoffman Avenue, Windber, PA 15963.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.