Sena Kean Nursing and Rehabilitation
17083 Route 6, Smethport, PA 16749 · Mc Kean County · 152 certified beds · avg 105 residents/day · certified since Jan 1, 1989
Abuse citation flag (CMS)
Part of chain: IMPERIAL HEALTHCARE GROUP (9 facilities, chain avg rating 2.3★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 23, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 23, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 21, 2025 (Past Non-Compliance)
All citations in the current public record (19)
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 |
|---|---|---|
| Apr 22, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Apr 22, 2026 | E · Potential for harm, repeated | 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. |
| Apr 22, 2026 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Apr 22, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 22, 2026 | 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. |
| Oct 23, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 23, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| Apr 30, 2025 | 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. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 30, 2025 | 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. |
| Apr 30, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 10, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 31, 2024 | E · Potential for harm, repeated | 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. |
| May 31, 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. |
| May 31, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 31, 2024 | 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. |
| Jan 31, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 11, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | E |
| 2025 | 7 | 2 | G ▲ |
| 2026 | 5 | 0 | 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) | 3.17 | 3.94 | 3.95 | bottom 20% in Pennsylvania; bottom 20% in the U.S. |
| Registered Nurse hours | 0.44 | 0.80 | 0.69 | bottom 15% in Pennsylvania; bottom 28% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.58 | 3.50 | bottom 13% in Pennsylvania; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.56 | 0.48 | bottom 12% in Pennsylvania; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 64.6 | 44.5 | 45.8 | bottom 7% in Pennsylvania; bottom 10% in the U.S. |
| RN turnover (%) | 46.7 | 39.9 | 42.9 | bottom 34% in Pennsylvania; bottom 41% 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 3.44, RN 0.47, weekend 2.98. Staffing rating: 1/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CH Pa7 SNF Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/11/2021 |
| Ens Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/11/2021 |
| Gottesman, Daniel | Individual | 5% or Greater Indirect Ownership Interest | — | 07/11/2021 |
| Sena Kean SNF Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/30/2021 |
| SK SW Operations Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 04/30/2021 |
| The Ens Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 07/11/2021 |
| Herzka, Yisroel | Individual | Corporate Officer | NOT APPLICABLE | 07/11/2021 |
| Sell, Philip | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/14/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
- "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 |
|---|---|---|---|---|---|
| Amaryllis Nursing and Rehab | 0.7 mi | Smethport, PA | ★★★★☆ | 3/5 | |
| Bradford Ecumenical Home, INC | 14.6 mi | Bradford, PA | ★★★★★ | 5/5 | |
| Pavilion at BRMC, the | 15.7 mi | Bradford, PA | ★★★★★ | 4/5 | |
| Bradford Manor Nursing and Rehab | 15.7 mi | Bradford, PA | ★★★☆☆ | 4/5 | |
| The Pines Healthcare & Rehab Centers Olean Campus | 18.5 mi | Olean, NY | ★★★★☆ | 4/5 | |
| Absolut Center for Nursing and Rehabilitation at a | 19.9 mi | Allegany, NY | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 395775.