Shenandoah Senior Living Community
101 E. Washington St · Shenandoah, PA · 17976 · 5704621908
119 certified beds For profit - Limited Liability company Chain: Cedar View Holdings Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $12,650 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 2.95 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 2 · $76,285 |
Inspection citations (42 in the current record)
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Immediate jeopardy · J January 7, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 25, 2026 · Quality of Life and Care
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Actual harm · G January 7, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 7, 2026 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 25, 2026 · Administration
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Potential for harm · E July 2, 2025
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.
Corrected August 26, 2025 · Resident Rights
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Potential for harm · D July 2, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 26, 2025 · Quality of Life and Care
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Potential for harm · D July 2, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 13, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 22, 2024 · Pharmacy Service
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Potential for harm · D September 13, 2024
Ensure each resident receives an accurate assessment.
Corrected October 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
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.
Corrected October 22, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 22, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected October 22, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 22, 2024 · Pharmacy Service
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Potential for harm · D September 13, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected October 22, 2024 · Infection Control
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Potential for harm · D September 13, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 22, 2024 · Resident Rights
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Potential for harm · E September 13, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 22, 2024 · Nursing and Physician Services
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Potential for harm · E September 13, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 22, 2024 · Infection Control
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Potential for harm · E May 15, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 5, 2024 · Resident Rights
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Potential for harm · E May 15, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected June 5, 2024 · Resident Rights
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Potential for harm · D May 15, 2024 · found via complaint
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.
Corrected June 5, 2024 · Resident Rights
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Potential for harm · D May 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 5, 2024 · Quality of Life and Care
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Potential for harm · E May 15, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 5, 2024 · Nutrition and Dietary
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Potential for harm · D March 27, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 7, 2026 | Fine | $12,650 |
| February 16, 2024 | Fine | $63,635 |
| February 16, 2024 | Payment Denial | 20 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395556 · certified since December 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.