Edinboro Manor

Name: Edinboro Manor
Address: 419 WATERFORD STREET, Edinboro, PA, 16412, US
Telephone: 8147345021

419 Waterford Street, Edinboro, PA 16412 · Erie County · 121 certified beds · avg 117 residents/day · certified since Mar 27, 1984

Part of chain: HCF MANAGEMENT (22 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.22

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 22, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 22, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 22, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 15, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Feb 15, 2024	C · Minimal risk, facility-wide	The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Oct 5, 2023	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 9).

Year	Citations	Worst severity that year
2023	1	E
2024	10	E
2025	5	D
2026	9	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.22	3.94	3.95	bottom 23% in Pennsylvania; bottom 22% in the U.S.
Registered Nurse hours	0.34	0.80	0.69	bottom 4% in Pennsylvania; bottom 14% in the U.S.
Weekend total nurse staffing	2.89	3.58	3.50	bottom 21% in Pennsylvania; bottom 25% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.12	0.56	0.48	bottom 1% in Pennsylvania; bottom 3% in the U.S.
Total nursing staff turnover (%)	38.5	44.5	45.8	top 33% in Pennsylvania; top 32% in the U.S.
RN turnover (%)	61.5	39.9	42.9	bottom 15% in Pennsylvania; bottom 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.23, RN 0.34, weekend 2.90. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Chad M. Unverferth 12-14-11 Irrv Grantor Tr	Organization	5% or Greater Indirect Ownership Interest	6%	12/31/2021
David V. Unverferth 12-14-11 Irrv Grantor Tr	Organization	5% or Greater Indirect Ownership Interest	6%	12/31/2021
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr	Organization	5% or Greater Indirect Ownership Interest	6%	12/31/2021
Joann C. Unverferth 12-29-04 Revocable Trust	Organization	5% or Greater Indirect Ownership Interest	5%	12/31/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U	Organization	5% or Greater Indirect Ownership Interest	7%	12/31/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri A. Ro	Organization	5% or Greater Indirect Ownership Interest	7%	12/31/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un	Organization	5% or Greater Indirect Ownership Interest	7%	12/31/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.	Organization	5% or Greater Indirect Ownership Interest	7%	12/31/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv	Organization	5% or Greater Indirect Ownership Interest	7%	12/31/2021
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr	Organization	5% or Greater Indirect Ownership Interest	6%	12/31/2021
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr	Organization	5% or Greater Indirect Ownership Interest	6%	12/31/2021
R. Steven Unverferth 12-14-11 Irrv Grantor Tr	Organization	5% or Greater Indirect Ownership Interest	6%	12/31/2021
Bradley, Jennifer	Individual	W-2 Managing Employee	NOT APPLICABLE	04/24/2023
Bradley, Jennifer	Individual	Corporate Director	NOT APPLICABLE	04/24/2023
HCF Management, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2009
Klay, Celeste	Individual	W-2 Managing Employee	NOT APPLICABLE	08/01/2011
Klay, Celeste	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Romes, Kerri	Individual	W-2 Managing Employee	NOT APPLICABLE	04/01/2013
Romes, Kerri	Individual	Corporate Director	NOT APPLICABLE	03/29/2019
Romes, Kerri	Individual	Corporate Officer	NOT APPLICABLE	11/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Crawford Care Center	12.1 mi	Saegertown, PA	★☆☆☆☆	1/5
Forestview	12.5 mi	Erie, PA	★★★★★	5/5
Pleasant Ridge Manor East/West	12.9 mi	Girard, PA	★★★★☆	4/5
Walnut Creek Nursing and Rehab	13.3 mi	Erie, PA	★★☆☆☆	2/5	abuse
Millcreek Manor	13.4 mi	Erie, PA	★★★★☆	3/5
Greenfield Healthcare and Rehabilitation Center	13.6 mi	Erie, PA	★☆☆☆☆	1/5	abuse
Lecom at Asbury Ridge DBA Saint Mary's Asbury Ridg	13.7 mi	Erie, PA	★★★★★	5/5
Lecom at Presque Isle, INC	14.0 mi	Erie, PA	★★★☆☆	3/5
Manchester Commons of Presbyterian Seniorcare	14.3 mi	Erie, PA	★★★★★	4/5
Fairview Manor	14.4 mi	Fairview, PA	★☆☆☆☆	2/5
Embassy of Park Avenue	14.4 mi	Meadville, PA	★★★★☆	3/5
Rolling Fields, INC	15.3 mi	Conneautville, PA	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Edinboro →

Facility data as of CMS processing date 2026-08-01. CCN 395645.

The Care File

Visit checklist — Edinboro Manor

419 Waterford Street, Edinboro, PA 16412 · 8147345021

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395645 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)