Warren Manor
682 Pleasant Drive, Warren, PA 16365 · Warren County · 121 certified beds · avg 106 residents/day · certified since Apr 18, 1984
Part of chain: HCF MANAGEMENT (22 facilities, chain avg rating 3.1★)
3/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.32
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: 3/5
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 · Apr 2, 2026 · 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: May 29, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (26)
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 2, 2026 | ▲ 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 2, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 2, 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 2, 2026 | 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. |
| Apr 4, 2025 | 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. · from a complaint |
| Apr 4, 2025 | 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 4, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · from a complaint |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 4, 2025 | D · Potential for harm, one-off | 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. |
| Apr 4, 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. |
| Apr 4, 2025 | D · Potential for 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. |
| Apr 4, 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. |
| Apr 4, 2025 | 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. |
| Apr 4, 2025 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 26, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Aug 21, 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. · from a complaint |
| May 24, 2024 | 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. |
| May 24, 2024 | E · Potential for harm, repeated | 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. |
| May 24, 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 24, 2024 | 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. |
| May 24, 2024 | 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. |
| May 24, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| May 24, 2024 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 8, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 9 | 0 | E |
| 2025 | 12 | 0 | E |
| 2026 | 4 | 1 | G ▲ |
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) | 3.32 | 3.94 | 3.95 | bottom 31% in Pennsylvania; bottom 27% in the U.S. |
| Registered Nurse hours | 0.54 | 0.80 | 0.69 | bottom 33% in Pennsylvania; bottom 44% in the U.S. |
| Weekend total nurse staffing | 2.97 | 3.58 | 3.50 | bottom 26% in Pennsylvania; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.56 | 0.48 | bottom 9% in Pennsylvania; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 28.9 | 44.5 | 45.8 | top 13% in Pennsylvania; top 12% in the U.S. |
| RN turnover (%) | 33.3 | 39.9 | 42.9 | top 37% in Pennsylvania; top 33% 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 3.28, RN 0.53, weekend 2.94. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
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% | 12/31/2022 |
| Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/31/2023 |
| R. Steven Unverferth 12-14-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/31/2021 |
| HCF Management, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2004 |
| Klay, Celeste | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/01/2011 |
| Klay, Celeste | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Mosher, Courtney | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/22/2023 |
| Mosher, Courtney | Individual | Corporate Director | NOT APPLICABLE | 11/22/2023 |
| 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.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "How do you communicate important notices to residents who speak another language or have trouble seeing or hearing?"
- "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 |
|---|---|---|---|---|---|
| Kinzua Nursing and Rehab | 2.0 mi | Warren, PA | ★★☆☆☆ | 2/5 | |
| Rouse Warren County Home | 6.3 mi | Youngsville, PA | ★☆☆☆☆ | 2/5 | abuse |
| Heritage Park Rehab & Skilled Nursing | 18.2 mi | Jamestown, NY | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 395650.