William Penn Nursing and Rehab
163 Summit Drive · Lewistown, PA · 17044 · 7172483941
121 certified beds For profit - Limited Liability company Chain: Valley West Health
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.55 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D April 17, 2026
Ensure each resident receives an accurate assessment.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 17, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 17, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · E April 17, 2026
Ensure medication error rates are not 5 percent or greater.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · E April 17, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has no plan of correction · Nutrition and Dietary
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Potential for harm · E April 17, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D April 17, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has no plan of correction · Infection Control
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Potential for harm · D May 9, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · E May 9, 2025
Ensure each resident receives an accurate assessment.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 9, 2025
Provide or obtain dental services for each resident.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E May 9, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected June 10, 2025 · Infection Control
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Potential for harm · D May 9, 2025 · 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 June 10, 2025 · Nursing and Physician Services
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Potential for harm · D May 9, 2025 · found via complaint
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.
Corrected June 10, 2025 · Pharmacy Service
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No harm found · C May 9, 2025
Post nurse staffing information every day.
Corrected June 10, 2025 · Nursing and Physician Services
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Potential for harm · D June 25, 2024
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.
Corrected July 24, 2024 · Resident Rights
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Potential for harm · D June 25, 2024
Assess the resident when there is a significant change in condition
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 25, 2024
Ensure each resident receives an accurate assessment.
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 25, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 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 July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 24, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 24, 2024 · Pharmacy Service
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Potential for harm · D June 25, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 24, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 395335 · certified since May 5, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.