William Penn Nursing and Rehab
163 Summit Drive · Lewistown, PA · 17044 · 7172483941
121 certified beds For profit - Limited Liability company Chain: Valley West Health
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.55 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D April 17, 2026
Ensure each resident receives an accurate assessment.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 17, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · E April 17, 2026
Ensure medication error rates are not 5 percent or greater.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · E April 17, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has no plan of correction · Nutrition and Dietary
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Potential for harm · E April 17, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D April 17, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D May 9, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · E May 9, 2025
Ensure each resident receives an accurate assessment.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 9, 2025
Provide or obtain dental services for each resident.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E May 9, 2025
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.
Corrected June 10, 2025 · Infection Control
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Potential for harm · D May 9, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 10, 2025 · Nursing and Physician Services
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Potential for harm · D May 9, 2025 · found via complaint
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.
Corrected June 10, 2025 · Pharmacy Service
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No harm found · C May 9, 2025
Post nurse staffing information every day.
Corrected June 10, 2025 · Nursing and Physician Services
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Potential for harm · D June 25, 2024
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.
Corrected July 24, 2024 · Resident Rights
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Potential for harm · D June 25, 2024
Assess the resident when there is a significant change in condition
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 25, 2024
Ensure each resident receives an accurate assessment.
Corrected July 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 25, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
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.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
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.
Corrected July 24, 2024 · Pharmacy Service
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Potential for harm · D June 25, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 24, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395335 · certified since May 5, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.