EDINBORO MANOR

419 WATERFORD STREET
EDINBORO, PA, 16412
8147345021
CCN: 395645
3
Overall
3
Health
2
Staffing
3
Quality
ChainHCF MANAGEMENT
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
HCF OPERATIONS, INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
CHAD M. UNVERFERTH 12-14-11 IRRV GRANTOR TR5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
DAVID V. UNVERFERTH 12-14-11 IRRV GRANTOR TR5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HCF, INC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JEFFREY L. UNVERFERTH 12-14-11 IRRV GRANTOR TR5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. U5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. RO5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UN5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S.5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNV5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
JOSEPH L. UNVERFERTH 12-15-11 IRRV GRANTOR TR5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
LAWRENCE G. UNVERFERTH 12-13-11 IRRV GRANTOR TR5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
R. STEVEN UNVERFERTH 12-14-11 IRRV GRANTOR TR5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
UNVERFERTH, CHADCORPORATE DIRECTORNOT APPLICABLE
BRADLEY, JENNIFERCORPORATE DIRECTORNOT APPLICABLE
ROMES, KERRICORPORATE DIRECTORNOT APPLICABLE
UNVERFERTH, CHADCORPORATE OFFICERNOT APPLICABLE
KLAY, CELESTECORPORATE OFFICERNOT APPLICABLE
ROMES, KERRICORPORATE OFFICERNOT APPLICABLE
SHAW, ANTHONYCORPORATE OFFICERNOT APPLICABLE
HCF MANAGEMENT, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRADLEY, JENNIFERW-2 MANAGING EMPLOYEENOT APPLICABLE
KLAY, CELESTEW-2 MANAGING EMPLOYEENOT APPLICABLE
ROMES, KERRIW-2 MANAGING EMPLOYEENOT APPLICABLE
SHAW, ANTHONYW-2 MANAGING EMPLOYEENOT APPLICABLE
UNVERFERTH, CHADW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2023-05-08Fine$3K
Health Deficiencies (26)
2026-01-22 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
E
F584 · Resident Rights Deficiencies
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.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
2025-01-31 · Health
D
F761 · Pharmacy Service Deficiencies
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.
D
F688 · Quality of Life and Care Deficiencies
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.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2024-02-15 · Health
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
E
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
F584 · Resident Rights Deficiencies
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.
E
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
F575 · Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
2023-10-05 · Health
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2023-03-03 · Health
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.45
3.68
RN Hrs/Resident/Day
0.40
0.54
LPN Hrs/Resident/Day
0.92
0.81
CNA Hrs/Resident/Day
2.13
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01