William Penn Nursing and Rehab

Name: William Penn Nursing and Rehab
Address: 163 SUMMIT DRIVE, Lewistown, PA, 17044, US
Telephone: 7172483941

163 Summit Drive, Lewistown, PA 17044 · Mifflin County · 121 certified beds · avg 117 residents/day · certified since May 5, 1978

Part of chain: VALLEY WEST HEALTH (12 facilities, chain avg rating 3.3★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.19

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 (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 17, 2026	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 17, 2026	E · Potential for harm, repeated	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 17, 2026	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.
Apr 17, 2026	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.
Apr 17, 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 17, 2026	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.
Apr 17, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 17, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 9, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 9, 2025	E · Potential for harm, repeated	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
May 9, 2025	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
May 9, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 9, 2025	D · Potential for harm, one-off	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. · from a complaint
May 9, 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. · from a complaint
May 9, 2025	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jun 25, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 25, 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.
Jun 25, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jun 25, 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.
Jun 25, 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.
Jun 25, 2024	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jun 25, 2024	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.
Jun 25, 2024	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.
Jun 25, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 25, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 25, 2024	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).

Year	Citations	Worst severity that year
2024	11	E
2025	7	E
2026	8	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)	3.19	3.94	3.95	bottom 21% in Pennsylvania; bottom 21% in the U.S.
Registered Nurse hours	0.50	0.80	0.69	bottom 26% in Pennsylvania; bottom 38% in the U.S.
Weekend total nurse staffing	2.94	3.58	3.50	bottom 23% in Pennsylvania; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.56	0.48	bottom 25% in Pennsylvania; bottom 34% in the U.S.
Total nursing staff turnover (%)	35.6	44.5	45.8	top 25% in Pennsylvania; top 25% in the U.S.
RN turnover (%)	16.7	39.9	42.9	top 10% in Pennsylvania; top 9% 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 3.39, RN 0.54, weekend 3.13. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Western Pa Opco Holdings I LLC	Organization	5% or Greater Direct Ownership Interest	—	10/29/2024
Andrews, Heather	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2024
Beverly Enterprises - Pennsylvania, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Beverly Enterprises LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Beverly Health and Rehabilitiation Services, INC	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Drumm Intermediary Sub Co LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Drumm Merger Co	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Drumm Merger Co Sub LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Fillmore Strategic Investors LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Finn, Nicholas	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2024
Franco, Aharon	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/2024
Franco, Aharon	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2024
Geary Property Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
GPH Lewistown LP	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Karity, Sarah	Individual	Trustee of the SNF	NOT APPLICABLE	10/29/2024
Karity, Sarah	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2024
Linam, Kim	Individual	ADP of the SNF	NOT APPLICABLE	10/29/2024
Miller, Jean	Individual	ADP of the SNF	NOT APPLICABLE	11/15/2024
Pearl Senior Care, LLC.	Organization	ADP of the SNF	NOT APPLICABLE	12/20/2024
Rami, Isaac	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/2024

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 current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"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
Greenwood Center for Rehabilitation and Nursing	1.8 mi	Lewistown, PA	★★★☆☆	2/5
Valley View Haven, INC	7.0 mi	Belleville, PA	★★★★★	4/5
Locust Grove Retirement Village	9.2 mi	Mifflin, PA	★★★☆☆	3/5
Brookline Nursing and Rehab	11.1 mi	Mifflintown, PA	★★★★☆	3/5
Juniper Village at Brookline-Rehabilitation and SK	17.9 mi	State College, PA	★★★★★	4/5
Foxdale Village	17.9 mi	State College, PA	★★★★★	4/5
Embassy of Hearthside	18.4 mi	State College, PA	★☆☆☆☆	1/5	abuse
Centre Care Rehabilitation and Wellness Services	19.4 mi	Bellefonte, PA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Lewistown →

Facility data as of CMS processing date 2026-08-01. CCN 395335.

The Care File

Visit checklist — William Penn Nursing and Rehab

163 Summit Drive, Lewistown, PA 17044 · 7172483941

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

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "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 395335 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)