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Amaryllis Nursing and Rehab

15 West Willow Street, Smethport, PA 16749 · Mc Kean County · (814) 887-5716

34 certified beds, about 32 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395867 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 1, 2026, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 17 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $6,631 in the last three years; the largest was $6,631, and the latest is dated November 22, 2023.

Nurses and nurse aides worked 4.57 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.09 of those hours.

40.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Bonamour Health Group, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
1L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
3E
2F
Potential for minimal harm
0A
0B
0C
May 1, 2026Standard inspection · 3 citations
  1. E
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and facility record review, and resident and staff interviews, it was determined that the facility failed to ensure the resident and/or resident representative was offered the opportunity to participate in the development, review, and/or revision of their person-centered care plan for five of 13 residents reviewed (Residents R5, R7, R25, R26, and R33).
  2. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to provide a written summary of the baseline care plan and order summary to the resident and/or representative for three of 13 residents reviewed (Residents R3, R5, and R6).
  3. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2026
    Inspectors wroteBased on review of facility policies, observations, and staff interview, it was determined that the facility failed to serve food in a safe and sanitary manner during tray line in the main kitchen.
May 30, 2025Standard inspection · 4 citations
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on review of clinical records, observations, and staff interview, it was determined that the facility failed to maintain dignity during a dressing change for one of two residents with pressure ulcers requiring wound care reviewed (Resident R31).
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on review of clinical records and Minimum Data set (MDS - federally mandated standardized assessment conducted at specific intervals to plan resident care), and staff interview, it was determined that the facility failed to ensure that MDS assessments accurately reflected the status of one of 15 residents reviewed (Resident R18).
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to provide oxygen according to physician's orders for one of one residents reviewed regarding respiratory care (Resident R15).
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to prevent the potential for cross contamination during a dressing change for one of two residents with pressure ulcers requiring wound care reviewed (Resident R31).
June 18, 2024Standard inspection · 6 citations
  1. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to ensure that a written summary of the baseline care plan was provided to residents and/or the resident's representative for five of 13 residents reviewed (Residents R9, R23, R26, R79, and R80).
  2. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on review of facility policy and clinical record review and staff interview, it was determined that the facility failed to ensure that the resident and/or resident representative was offered the opportunity to participate in the development, review, and/or revision of their person-centered care plan for two of 13 residents reviewed (Residents R9 and R16).
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to develop comprehensive care plans for one of 13 residents reviewed (Resident R12).
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on review of facility policy and clinical record, and staff interview, it was determined that the facility failed to review and/or revise resident care plans and failed to provide evidence of care plan meetings being held for two of 13 residents reviewed (Residents R9 and R16)
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2024
    Inspectors wroteBased on review of clinical records, observation, and staff interview, it was determined that the facility failed to ensure physician's orders were accurate and reflected the status and care provided to one of 13 residents reviewed (Resident R79).
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on review of facility policy and clinical records, observation, and staff interview, it was determined that the facility failed to maintain proper care of respiratory equipment for two of two residents reviewed for respiratory care (Residents R6 and R17).
February 28, 2024Complaint inspection · 2 citations
  1. L
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · Immediate jeopardy to resident health or safety, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on a review of vendor invoices, and interviews with staff, it was determined that the facility failed to operate in compliance with state regulations and codes. The facility's failure created a situation which placed all residents in immediate jeopardy of the likelihood of serious bodily injury, harm, or death.
  2. F
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on review of facility documents and staff interviews, it was determined that the facility failed to complete drug regimen reviews at least monthly by a licensed pharmacist for all residents receiving services and residing within the facility.
November 22, 2023Complaint inspection · 2 citations
  1. F
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 24, 2024
    Inspectors wroteBased on a review of vendor invoices and staff interviews, it was determined that the facility failed to operate in compliance with state regulations and codes and failed to pay vendors in a timely manner.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 24, 2024
    Inspectors wroteBased on review of manufacturer's instruction manual for the Hoyer lift (full body, mechanical lift machine), observations, and staff interview, it was determined the facility failed to establish that all Hoyer lift inspections were completed at least annually to ensure safe, proper functioning for one of one Hoyer lifts observed.

Fire safety inspections

1 fire safety citation on file: 1 on June 18, 2024.

Every fire safety citation1 citation
  1. C
    Implement emergency and standby power systems.
    E 41 · June 18, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 22, 2023Fine $6,631
November 22, 2023Payment Denial 50 days from February 22, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)4.573.893.86
Registered nurses1.090.790.69
All nursing staff on weekends3.973.533.42
Nurse aides2.51
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)40.0%44.5%45.8%
Registered nurse turnover28.6%39.9%42.9%
Administrators who left0

CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.82 on weekdays and 3.97 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.58 in April to June 2025 to 4.57 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.571.094.823.97 0.0%0 of 9032
Oct to Dec 20254.521.094.753.96 0.1%0 of 9233
Jul to Sep 20254.481.104.664.02 0.2%0 of 9232
Apr to Jun 20254.581.334.823.98 0.0%0 of 9129
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.916.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.60.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.91.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.217.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.34.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.117.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.722.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.59.512.0

Owners and operators

Legal business name: LAKEVIEW HEALTHCARE OPERATING LLC. CMS links this home to Bonamour Health Group, a group of 5 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Zidele, Yeshayahu5% or greater direct ownership interestIndividual50%06/28/2022
Zidele, MordechaiDirect ownership interestIndividual06/28/2022
Zidele, YeshayahuIndirect ownership interestIndividual06/28/2022
Bonamour Health Group LLCOperational/managerial controlOrganization06/28/2022
Barber, PatriciaOperational/managerial controlIndividual07/31/2023
Bonamour Health Group LLCAdp of the SNFOrganization03/03/2025
Barber, PatriciaAdp of the SNFIndividual07/31/2023
Roscoe, BrandonAdp of the SNFIndividual06/28/2022
Zidele, MordechaiAdp of the SNFIndividual06/28/2022
Zidele, YeshayahuAdp of the SNFIndividual06/28/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on May 1, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 30, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 1, 2026: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on February 28, 2024: "Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards."

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Amaryllis Nursing and Rehab's Medicare star rating?
CMS rates Amaryllis Nursing and Rehab 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Amaryllis Nursing and Rehab get at its last inspection?
3 health deficiencies at the standard inspection on May 1, 2026. The Pennsylvania average is 10.
Has Amaryllis Nursing and Rehab been fined?
Yes. CMS lists 1 fine totaling $6,631 in the last three years.
Does Amaryllis Nursing and Rehab accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Amaryllis Nursing and Rehab?
CMS lists 10 owners and managers, and links the home to Bonamour Health Group. Legal business name: LAKEVIEW HEALTHCARE OPERATING LLC.

Sources

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