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SHENANDOAH SENIOR LIVING COMMUNITY

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SHENANDOAH SENIOR LIVING COMMUNITY is a for profit - limited liability company facility in SHENANDOAH, PA with 119 certified beds and a 1-star overall CMS rating. The facility has 39 deficiency records on file. Total penalties: $64K.

101 E. WASHINGTON ST, SHENANDOAH, PA 17976

Phone: 5704621908

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
395556
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
119
Residents
99
In Hospital
No
County
Schuylkill
Last Inspection
Jul 2, 2025

Staffing Data

RN Hours
0.50 (nat'l avg: 0.68)
LPN Hours
0.86
CNA Hours
2.08
Total Nursing Hours
3.43 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
45.8%
RN Turnover
50.0%

What the CMS Record Reveals About SHENANDOAH SENIOR LIVING COMMUNITY

SHENANDOAH SENIOR LIVING COMMUNITY operates 119 certified beds in SHENANDOAH, PA with approximately 99 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 39 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $64K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.43 total nursing hours per resident day (national average 3.89), with RN coverage at 0.50 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, SHENANDOAH SENIOR LIVING COMMUNITY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 45.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (39 most recent)

D — Isolated - Minimal harm Jul 2, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 26, 2025

D — Isolated - Minimal harm Jul 2, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 9, 2025

D — Isolated - Minimal harm Jul 2, 2025 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 9, 2025

D — Isolated - Minimal harm Jul 2, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 26, 2025

E — Pattern - Minimal harm Jul 2, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Aug 26, 2025

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 22, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 22, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 22, 2024

E — Pattern - Minimal harm May 15, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 5, 2024

D — Isolated - Minimal harm May 15, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 5, 2024

D — Isolated - Minimal harm May 15, 2024 Tag: 0585

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Jun 5, 2024

E — Pattern - Minimal harm May 15, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Jun 5, 2024

E — Pattern - Minimal harm May 15, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 5, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: May 15, 2024

E — Pattern - Minimal harm Mar 27, 2024 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2024

D — Isolated - Minimal harm Mar 27, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 15, 2024

G — Isolated - Actual harm Feb 16, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 27, 2024

E — Pattern - Minimal harm Oct 4, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2023

E — Pattern - Minimal harm Oct 4, 2023 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Oct 4, 2023 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Nov 21, 2023

E — Pattern - Minimal harm Oct 4, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Oct 4, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Oct 4, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 21, 2023

E — Pattern - Minimal harm Oct 4, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Oct 4, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2023

E — Pattern - Minimal harm Oct 4, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Oct 4, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2023

E — Pattern - Minimal harm Oct 4, 2023 Tag: 0585

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Oct 4, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Oct 4, 2023 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Nov 21, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.7% No
Percentage of long-stay residents who were physically restrained Long Stay 1.1% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 81.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 28.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 91.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 23.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.4% Yes

Penalty History 1 penalties totaling $64K

Date Type Amount
Feb 16, 2024 Fine $64K
Feb 16, 2024 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for SHENANDOAH SENIOR LIVING COMMUNITY?
SHENANDOAH SENIOR LIVING COMMUNITY has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at SHENANDOAH SENIOR LIVING COMMUNITY?
SHENANDOAH SENIOR LIVING COMMUNITY reports 3.43 total nursing hours per resident day (national average: 3.89). RN hours are 0.50 per resident day (national average: 0.68). Nursing staff turnover is 45.8%.
How many beds does SHENANDOAH SENIOR LIVING COMMUNITY have?
SHENANDOAH SENIOR LIVING COMMUNITY has 119 certified beds with approximately 99 residents. The facility is located at 101 E. WASHINGTON ST, SHENANDOAH, PA 17976.
Does SHENANDOAH SENIOR LIVING COMMUNITY have any deficiencies on record?
Yes, SHENANDOAH SENIOR LIVING COMMUNITY has 39 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has SHENANDOAH SENIOR LIVING COMMUNITY received any fines or penalties?
Yes, SHENANDOAH SENIOR LIVING COMMUNITY has received 1 penalties totaling $64K.
Who owns SHENANDOAH SENIOR LIVING COMMUNITY?
SHENANDOAH SENIOR LIVING COMMUNITY is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was SHENANDOAH SENIOR LIVING COMMUNITY last inspected?
The most recent health inspection for SHENANDOAH SENIOR LIVING COMMUNITY was on Jul 2, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for SHENANDOAH SENIOR LIVING COMMUNITY?
SHENANDOAH SENIOR LIVING COMMUNITY is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial