Passavant Retirement And Healt

D63
CMS
★★☆☆☆2 of 5
Beds
102
Owner
Non profit - Church related

Why this grade

Health inspections
F
20

Federal inspection star: 1

Staffing
A
100

Federal staffing star: 5

Quality measures
A
100

Federal quality star: 5

Safety
F
55

-15: Actual-harm deficiency, Sep 9, 2025 · -5: Minor deficiency, Jul 7, 2025 · -5: Minor deficiency, Feb 21, 2025 · -5: Minor deficiency, Jan 13, 2025 · -5: Minor deficiency, Sep 10, 2024

Inspection history

Findings from federal nursing-home surveys published by CMS. Severity letters come from the official inspection grid.

  • ·health survey

    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
    Severity C
    Potential for minimal harm
  • ·health survey

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care
    Severity G
    Actual harm
  • ·health survey

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Provide and implement an infection prevention and control program.

    Infection Control
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care
    Severity D
    Potential for more than minimal harm
  • ·health survey

    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
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Provide and implement an infection prevention and control program.

    Infection Control
    Severity D
    Potential for more than minimal harm