Pennsylvania › Butler County › Zelienople
Passavant Retirement and Healt
105 Burgess Drive, Zelienople, PA 16063
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 102 beds, Passavant Retirement and Healt serves Zelienople in Butler County, Pennsylvania and has taken Medicare and Medicaid residents since 1967.
CMS gives it 2 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 1, staffing 5 and quality measures 5.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (20, 9, 9 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 37.3 per 100 beds, more than the state median of 22.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (1.6 RN), above the Pennsylvania median of 3.6; nursing staff turnover is 36.1%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Butler Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 55 | 26 | 28.7 |
| Citations per 100 beds | 37.3 | 42.3 | 22.2 | 26.8 |
| Total nurse hours per resident day | 4.5 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 1.6 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 36.1% | 46.3% | 44.3% | 45.8% |
| Fines listed | $0 | $30,011 | $0 | — |
County and state figures are medians across facilities (11 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2026, 21 Feb 2025.
Severity mix: G ×3 D ×24 E ×9 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0700 | 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. | E | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0761 | 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. | E | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0887 | 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. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard survey | 21 Apr 2026 |
| 27 Feb 2026 | F0575 | 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. | C | Standard survey | 21 Apr 2026 |
| 9 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 24 Oct 2025 |
| 9 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Oct 2025 |
| 7 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Aug 2025 |
| 21 Feb 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 1 Apr 2025 |
| 21 Feb 2025 | F0584 | 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. | D | Standard survey | 1 Apr 2025 |
| 21 Feb 2025 | F0758 | 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. | D | Standard survey | 1 Apr 2025 |
| 21 Feb 2025 | F0761 | 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. | D | Standard survey | 1 Apr 2025 |
| 21 Feb 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 1 Apr 2025 |
| 21 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Apr 2025 |
| 13 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Feb 2025 |
| 10 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Oct 2024 |
| 21 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 3 Jun 2024 |
| 28 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 22 Apr 2024 |
| 28 Mar 2024 | F0700 | 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. | E | Standard survey | 22 Apr 2024 |
| 28 Mar 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 22 Apr 2024 |
| 28 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Apr 2024 |
| 28 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Apr 2024 |
| 28 Mar 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 22 Apr 2024 |
| 28 Mar 2024 | F0761 | 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. | D | Standard survey | 22 Apr 2024 |
| 28 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Apr 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 36.1%, RNs 18.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.6% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.3% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Passavant Retirement And Health Center.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lutheran Seniorlife | Operational/managerial control | NOT APPLICABLE | 01/01/1986 |
| Lutheran Seniorlife | Adp of the snf | NOT APPLICABLE | 04/15/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Butler County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Quality Life Services - Sarver | Sarver | 66 | 3 | 3 | 2 | 36 | 54.5 | — | 23 Feb 2026 |
| Sherwood Oaks | Cranberry Township | 43 | 3 | 2 | 5 | 16 | 37.2 | $8K | 19 Feb 2026 |
| Concordia Lutheran Health and Human Care | Cabot | 142 | 2 | 2 | 3 | 33 | 23.2 | $8K | 8 Aug 2025 |
| Transitions Healthcare Autumn Grove Care Center | Harrisville | 103 | 2 | 2 | 4 | 15 | 14.6 | $179K | 9 Jul 2026 |
| Cranberry Placeabuse icon | Cranberry Township | 150 | 1 | 1 | 2 | 87 | 58.0 | $43K | 30 Apr 2026 |
| Embassy of Saxonburgabuse iconSFF Candidate | Saxonburg | 68 | 1 | 1 | 3 | 75 | 110.3 | $339K | 30 Jun 2026 |
| Kadima Rehabilitation & Nursing At Harmonyabuse icon | Harmony | 115 | 1 | 1 | 2 | 76 | 66.1 | $174K | 30 Jun 2026 |
| Quality Life Services - Chicora | Chicora | 114 | 1 | 1 | 2 | 69 | 60.5 | $92K | 26 Jun 2026 |
All 11 facilities in Butler County
Questions and answers
How many deficiencies has Passavant Retirement and Healt been cited for?
38 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Passavant Retirement and Healt been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Passavant Retirement and Healt compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Passavant Retirement and Healt?
Ownership type is non-profit, church related. Organisations in the CMS ownership record include Lutheran Seniorlife. Individual owners and managers are not listed on this site.
When was Passavant Retirement and Healt last inspected?
The most recent survey or investigation in the CMS record is dated 27 Feb 2026; the most recent standard health survey was 27 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.