nursing home in Zelienople, PA
Passavant Retirement and Healt
105 Burgess Drive, Zelienople, PA 16063 · (724) 452-5400
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★5
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Passavant Retirement and Healt at a glance
Passavant Retirement and Healt is a 102-bed non-profit nursing home in Zelienople, Pennsylvania (Butler County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Pennsylvania average of 3.
Residents receive about 4.5 hours of nursing care per day (1.6 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (February 27, 2026) found 20 health citations. The Pennsylvania average is 10.
It has not received a federal fine in the past three years.
Nursing staff turnover is 36.1% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 102
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1967
- Continuing care retirement community
- Yes
- Resident/family council
- Both
- County
- Butler County
- CMS Certification Number
- 395001
Ratings
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.8 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.51 hrs | 3.89 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.55 hrs | 0.79 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.45 hrs | 2.19 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.06 hrs | 3.53 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 36.1% | 44.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 18.2% | 39.9% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 20 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 133 | 82.4 | 80.6 | Worse |
Penalties
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $25,774 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 102 | 127 | 107 | |
| Average residents per day | 96 | 105 | 86 | |
| Occupancy | 94.3% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.5% | 3.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.8% | 4.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 21.3% | 17.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.8% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.6% | 16.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.1% | 17% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.8% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 10.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.8% | 20% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.4% | 25.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.6% | 93.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 88.7% | 87.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.7% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 93.1% | 68.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88% | 70% | 82% | Better |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 27, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 21, 2026 |
| February 27, 2026 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected April 21, 2026 |
| February 27, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 21, 2026 |
| February 27, 2026 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected April 21, 2026 |
| February 27, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected April 21, 2026 |
| February 27, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected April 21, 2026 |
| February 27, 2026 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | E Potential harm, pattern | Corrected April 21, 2026 |
| February 27, 2026 Standard | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | E Potential harm, pattern | Corrected April 21, 2026 |
| February 27, 2026 Standard | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Tag F0945 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | Give 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 Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | Provide 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 Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 21, 2026 |
| February 27, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0575 | C No harm, widespread | Corrected April 21, 2026 |
| September 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 24, 2025 |
| September 9, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected October 24, 2025 |
| July 7, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 24, 2025 |
| February 21, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 3, 2025 |
| February 21, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | C No harm, widespread | Corrected April 3, 2025 |
| February 21, 2025 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected April 1, 2025 |
| February 21, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected April 1, 2025 |
| February 21, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 1, 2025 |
| February 21, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 1, 2025 |
| February 21, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 1, 2025 |
| February 21, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 1, 2025 |
| January 13, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 27, 2025 |
| September 10, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 29, 2024 |
| May 21, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 3, 2024 |
| March 28, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 31, 2024 |
| March 28, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected May 31, 2024 |
| March 28, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected May 31, 2024 |
| March 28, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | B No harm, pattern | Corrected May 31, 2024 |
| March 28, 2024 Standard | Provide 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 Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected April 22, 2024 |
| March 28, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected April 22, 2024 |
| March 28, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 22, 2024 |
| March 28, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 22, 2024 |
| March 28, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 22, 2024 |
| March 28, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 22, 2024 |
| March 28, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected April 22, 2024 |
| March 28, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 22, 2024 |
| April 6, 2023 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected April 28, 2023 |
| April 6, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | B No harm, pattern | Corrected April 28, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GARRETT, ELIZABETH Individual | adp of the snf | NOT APPLICABLE | 10/20/2008 |
| LUTHERAN SENIORLIFE Organization | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| CARRAWAY, JEFFREY Individual | corporate director | NOT APPLICABLE | 05/27/2021 |
| FENOGLIETTO, DAVID Individual | corporate director | NOT APPLICABLE | 05/27/2021 |
| CARRAWAY, JEFFREY Individual | corporate officer | NOT APPLICABLE | 05/27/2021 |
| FENOGLIETTO, DAVID Individual | corporate officer | NOT APPLICABLE | 05/27/2021 |
| ROY, LAURA Individual | corporate officer | NOT APPLICABLE | 02/25/2025 |
| GARRETT, ELIZABETH Individual | operational/managerial control | NOT APPLICABLE | 10/20/2008 |
| LUTHERAN SENIORLIFE Organization | operational/managerial control | NOT APPLICABLE | 01/01/1986 |
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Frequently asked questions
What is Passavant Retirement and Healt's rating?
Passavant Retirement and Healt has 2 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.
How many inspection citations did Passavant Retirement and Healt receive?
Its most recent standard health inspection found 20 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.
Does Passavant Retirement and Healt accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Passavant Retirement and Healt?
It is non profit - church related. The ownership section on this page lists the owners and managers reported to CMS.
Where is Passavant Retirement and Healt and how do I contact it?
Passavant Retirement and Healt is at 105 Burgess Drive, Zelienople, PA 16063. Phone: (724) 452-5400.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.