Elder Care Record

Pennsylvania › Bedford County › Everett

Pennknoll Village

208 Pennknoll Road, Everett, PA 15537

CCN 395422 · For-profit, limited liability company · 133 certified beds · chain Avardis Health

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

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 133 beds, Pennknoll Village serves Everett in Bedford County, Pennsylvania and has taken Medicare and Medicaid residents since 1978.

CMS gives it 1 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.

Inspectors recorded 62 health deficiencies across the three most recent survey cycles (15, 19, 28 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 46.6 per 100 beds, more than the state median of 22.2.

CMS lists 2 penalties in the period covered: fines totalling $17K.

Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 35.4%.

62health deficiencies, 3 survey cycles3 at actual harm or worse
$17Kfines listed by CMS2 penalties in period
3.7nurse hours per resident per daystate median 3.6
65%occupancy (residents ÷ beds)87 residents a day

Compared with county, state and nation

MeasureThis facilityBedford Co. medianPennsylvania medianUS average
Overall star rating1333.0
Health citations, 3 cycles62622628.7
Citations per 100 beds46.656.922.226.8
Total nurse hours per resident day3.73.73.63.9
RN hours per resident day0.51.00.70.7
Nursing staff turnover35.4%36.1%44.3%45.8%
Fines listed$17,345$17,345$0—

County and state figures are medians across facilities (2 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)15
Cycle 219
Cycle 328

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 15 Jan 2025.

Severity mix: G ×3 D ×43 E ×15 F ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Jun 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigationDeficient, Provider has no plan of correction
16 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigationDeficient, Provider has no plan of correction
23 Jan 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey24 Feb 2026
23 Jan 2026F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EComplaint investigation10 Jun 2026
23 Jan 2026F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey24 Feb 2026
23 Jan 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation10 Jun 2026
23 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation10 Jun 2026
23 Jan 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation24 Feb 2026
23 Jan 2026F0584Honor 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.DComplaint investigation24 Feb 2026
23 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation10 Jun 2026
23 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey24 Feb 2026
23 Jan 2026F0761Ensure 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.DStandard survey24 Feb 2026
23 Jan 2026F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DComplaint investigation10 Jun 2026
23 Jan 2026F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey24 Feb 2026
23 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey24 Feb 2026
29 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation20 Jun 2025
29 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation20 Jun 2025
15 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey26 Feb 2025
15 Jan 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey26 Feb 2025
15 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey26 Feb 2025
15 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey26 Feb 2025
15 Jan 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint investigation26 Feb 2025
15 Jan 2025F0584Honor 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.DStandard survey26 Feb 2025
15 Jan 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey26 Feb 2025
15 Jan 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey26 Feb 2025
15 Jan 2025F0625Notify 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.DStandard survey26 Feb 2025
15 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey26 Feb 2025
15 Jan 2025F0679Provide activities to meet all resident's needs.DStandard survey26 Feb 2025
15 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey26 Feb 2025
15 Jan 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard survey26 Feb 2025
15 Jan 2025F0730Observe each nurse aide's job performance and give regular training.DStandard survey26 Feb 2025
15 Jan 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard survey26 Feb 2025
22 Oct 2024F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DComplaint investigation16 Dec 2024
9 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation3 Oct 2024
17 Jul 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint investigation3 Aug 2024
16 May 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint investigation7 Jun 2024
23 Feb 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey28 Mar 2024
23 Feb 2024F0692Provide enough food/fluids to maintain a resident's health.EStandard survey28 Mar 2024
23 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey28 Mar 2024
23 Feb 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey28 Mar 2024
23 Feb 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey28 Mar 2024
23 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey28 Mar 2024
23 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Mar 2024
23 Feb 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey28 Mar 2024
23 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Mar 2024
23 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey28 Mar 2024
23 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 Mar 2024
23 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Mar 2024
23 Feb 2024F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard survey28 Mar 2024
23 Feb 2024F0730Observe each nurse aide's job performance and give regular training.DStandard survey28 Mar 2024
23 Feb 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey28 Mar 2024
23 Feb 2024F0791Provide or obtain dental services for each resident.DStandard survey28 Mar 2024
23 Feb 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey28 Mar 2024
23 Feb 2024F0880Provide and implement an infection prevention and control program.DStandard survey28 Mar 2024
28 Dec 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation19 Jan 2024
28 Dec 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation19 Jan 2024
15 Nov 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation7 Dec 2023
15 Nov 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation7 Dec 2023
13 Sep 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation4 Oct 2023
13 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation4 Oct 2023
2 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation7 Sep 2023
2 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation7 Sep 2023

Penalties

DateTypeAmountDetail
29 May 2025Fine$8,673
29 May 2025Fine$8,672

Staffing

Total nursing3.69 h
Nurse aides2.13 h
LPN1.05 h
RN0.51 h
Weekend total3.37 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 35.4%, RNs 23.1%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.7%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.1%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.8%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.3%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay23.3%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: for-profit, limited liability company. Legal business name: 208 Pennknoll Road Opco Llc. Chain: Avardis Health (38 facilities).

OrganisationRole in the CMS recordInterestSince
Everett Parentco LLC5% or greater direct ownership interest100%05/01/2025
Bedford Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2025
Paop Holdco LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2025
Everett Re Owner, LLC5% or greater security interestNOT APPLICABLE05/01/2025
SNF Mgr LLCOperational/managerial controlNOT APPLICABLE05/01/2025
Everett Re Owner, LLCAdp of the snfNOT APPLICABLE05/01/2025
SNF Mgr LLCAdp of the snfNOT APPLICABLE04/20/2025

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 Bedford County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bedford Post AcuteBedford723334156.9—17 Jun 2026

All 2 facilities in Bedford County

Questions and answers

How many deficiencies has Pennknoll Village been cited for?

62 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 Pennknoll Village been fined?

Yes. CMS lists fines totalling $17K in the period covered.

How does staffing at Pennknoll Village compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Pennknoll Village?

It is part of the Avardis Health chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Everett Parentco LLC, Bedford Holdco LLC and Paop Holdco LLC. Individual owners and managers are not listed on this site.

When was Pennknoll Village last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 23 Jan 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.