Home / Pennsylvania / Curwensville
Ava Nursing and Rehab Center
30 Fourth Avenue, Curwensville, PA 16833 · Clearfield County · (814) 236-0600
131 certified beds, about 118 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395652 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 18, 2025, inspectors cited 16 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 53 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $38,798 in the last three years; the largest was $38,798, and the latest is dated March 4, 2024.
Nurses and nurse aides worked 4.01 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
45.4% 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.
110/23
1211/23
103/24
205/24
2010/24
1609/25
105/26
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 53 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
1L
Actual harm
0G
0H
0I
Potential for more than minimal harm
37D
15E
0F
Potential for minimal harm
0A
0B
0C
May 13, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders for medications were followed for one of seven residents reviewed (Resident 6).
September 18, 2025Standard inspection, Complaint inspection · 16 citations
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) User's Manual, clinical records, and the Centers for Medicare and Medicaid Services (CMS) Minimum Data Set (MDS) validation report, as well as staff interviews, it was determined that the facility failed to ensure that comprehensive admission and annual MDS assessments were completed in the required timeframe for 11 of 68 residents reviewed (Residents 26, 31, 35, 36, 38, 44, 54, 79, 108, 110, 113).
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) User's Manual, clinical records, and the Centers for Medicare and Medicaid Services (CMS) Minimum Data Set (MDS) validation report, as well as staff interviews, it was determined that the facility failed to ensure that quarterly Minimum Data Set assessments were completed within the required time frame for 4 of 68 residents reviewed (Residents 19, 49, 69, 120).
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to inform the resident and/or resident representative in advance of the risks and benefits of a psychotropic medication (medications that affect the persons mental state, emotions and behavior) use and the treatment alternatives prior to initiating the administration of the medication for one of 68 residents reviewed (Resident 63).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from unnecessary psychotropic drugs (drugs that affect a person's mental state, emotions, and behavior) for two of 68 residents reviewed (Residents 63 and 67).
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) User's Manual, clinical records, and the Centers for Medicare and Medicaid Services (CMS) Minimum Data Set (MDS) validation report, as well as staff interviews, it was determined that the facility failed to transmit Minimum Data Set (MDS) assessments (mandated assessments of a resident's abilities and care needs) to the required electronic system, the Centers for Medicare and Medicaid Services (CMS) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) System, within 14 days of completion for 3 of 68 residents reviewed (Residents 14, 77, 120).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on a review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to develop an individualized care plan for two of 68 residents reviewed (Residents 6 and 130).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews, observations and staff interviews, it was determined that the facility failed to ensure that physician's orders were followed for two of 68 residents reviewed (Resident 11 and Resident 32).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of clinical records, as well as staff interviews and observations it was determined that the facility failed to ensure that treatments for pressure ulcers were provided as ordered by the physician for one of 68 residents reviewed (Resident 118).
- D 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.
Inspectors wroteBased on review of clinical records, observations, and staff interviews, it was determined that the facility failed to ensure that physician-ordered contracture management services were provided as care planned for one of 68 residents reviewed (Resident 118).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on review of clinical records, and staff interviews, it was determined that the facility failed to obtain appropriate physician's orders for two of 68 residents reviewed (Resident 6 and Resident 108) who had a urinary catheter.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that dietitian recommendations for dietary supplements were accurately ordered for one of 68 residents reviewed (Resident 98).
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents who were receiving enteral feedings received appropriate treatment and services to prevent complications for two of 68 residents reviewed (Residents 118 and 130).
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician orders were obtained to flush intravenous catheters (small tube inserted into a vein to deliver fluids or medication) for one of 68 residents reviewed (Resident 130).
- D 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.
Inspectors wroteBased on review of manufacturer's instructions, facility policies, and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that medications were stored in accordance with currently accepted professional principles for one resident (Resident 88, in one of three medication carts reviewed (Oak Medication Cart).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy, clinical records, as well as resident and staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for two of 68 residents reviewed (Residents 49 and 130).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
October 24, 2024Standard inspection · 20 citations
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that comprehensive admission Minimum Data Set assessments were completed in the required time frame for 57 of 138 residents reviewed (Residents 6, 10, 11, 13, 23, 27, 28, 30, 32, 38, 39, 43, 56, 57, 69, 70, 81, 83, 84, 85, 86, 89, 90, 94, 96, 97, 98, 99, 100, 101, 102, 103, 110, 113, 115, 118, 120, 121, 124, 129, 130, 131, 132, 133, 134, 137, 139, 140, 141, 143, 145, 147, 149, 150, 151, 153, 154).
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that Quarterly Minimum Data Set assessments were completed within the required timeframe for 42 of 138 residents reviewed (Residents 1, 2, 3, 7, 12, 16, 18, 19, 20, 21, 25, 29, 31, 34, 35, 36, 37, 41, 44, 46, 47, 49, 50, 52, 53, 55, 59, 60, 63, 65, 71, 78, 82, 87, 91, 92, 93, 114, 116, 117, 125, 144).
- E Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument, clinical records, and the Minimum Data Set validation report, as well as staff interviews, it was determined that the facility failed to transmit Minimum Data Set (MDS) assessments to the required electronic system, the Centers for Medicare and Medicaid Services (CMS) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) System, within 14 days of completion for 31 of 138 residents reviewed (Residents 6, 12, 22, 37, 52, 80, 84, 96, 111, 112, 114, 118, 119, 123, 124, 128, 130, 131, 132, 133, 135, 136, 138, 140, 141, 142, 143, 145, 150, 152, 153).
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set (MDS) assessments for five of 56 residents reviewed (Residents 37, 43, 84, 88, 91).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders for medications were followed for four of 138 residents reviewed (Residents 67, 97, 100, 311).
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that residents were free from unnecessary drugs for two of 138 residents reviewed (Residents 74, 81).
- E 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.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that non-pharmacological (non-medication) interventions were attempted prior to the administration of anti-anxiety medications for one of 138 residents reviewed (Resident 43).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of facility policies and dishwasher temperature logs, as well as staff interviews, it was determined that the facility failed to record proper dishwasher temperatures for each meal in the main kitchen.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on review of facility policies and clinical records, as well as observations and staff interviews, it was determined that facility failed to determine if a resident was safe to self-administer medications for one of 138 residents reviewed (Resident 69).
- D 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.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to document the opportunity for the resident and/or resident representative to formulate advance directives (instructions regarding the provision of health care and life sustaining measures when the resident is incapacitated), and failed to document the resident's and/or resident representative's decision to accept or decline assistance to formulate advance directives for three of 138 residents reviewed (Residents 37, 40, 53).
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to provide the required notice to the resident or the resident's representative following the end of their Medicare coverage for one of three residents reviewed (Resident 101) who remained in the facility for long-term care.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to notify the resident and legal guardian, in writing, regarding the reason for hospitalization for three of 138 residents reviewed (Residents 12, 74, 106).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop a comprehensive care plan that included specific and individualized interventions to address the care needs of residents for two of 138 residents reviewed (Residents 37, 84).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for two of 138 residents reviewed (Residents 33, 81).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of clinical records and facility assessment reports, as well as staff interviews, it was determined that the facility failed to provide the correct consistency of food to one of 138 residents reviewed (Resident 71) and failed to complete safety assessments for two of 138 residents reviewed (Residents 85, 100) who used an air mattress.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to respond timely to a pharmacy recommendation for one of 138 residents reviewed (Resident 74).
- D 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.
Inspectors wroteBased on review of facility policies, as well as observations and staff interviews, it was determined that the facility failed to label insulin with the date is was opened in one of three medication carts reviewed (Walnut hall); failed to discard two expired multi-dose vials of insulin in one of three medication carts reviewed (Maple hall); failed to provide a separately-locked, permanently-affixed compartment in the refrigerator for the storage of controlled drugs in one of two medication rooms reviewed (medication room on East Wing); and failed to ensure that medications were properly stored and labeled for one of 138 residents reviewed (Resident 69).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of established infection control guidelines and residents' clinical records, as well as observations and staff interviews, it was determined that the facility failed to follow infection control guidelines from the Centers for Medicare/Medicaid Services (CMS) and the Centers for Disease Control (CDC) to reduce the spread of infections and prevent cross-contamination for one of 138 residents reviewed (Resident 81).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that each resident was offered and/or received the influenza immunization for one of 138 residents reviewed (Resident 43).
May 13, 2024Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to develop care plans for individualized resident care needs for two of six residents reviewed (Residents 1, 2).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of established infection control guidelines, facility policies, documents, residents' clinical records, and employee files, as well as observations and staff interviews, it was determined that the facility failed to follow infection control guidelines from the Centers for Medicare/Medicaid Services (CMS) and the Centers for Disease Control (CDC) to reduce the spread of infections and prevent cross-contamination for three of six residents reviewed (Residents 4, 5, 6).
March 4, 2024Complaint inspection · 1 citation
- 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.
Inspectors wroteBased on a review of the facility's accounts payable ledger, as well as 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 the residents in immediate jeopardy of the likelihood of serious bodily injury, harm or death.
November 16, 2023Standard inspection · 12 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to ensure that physician's orders were followed for one of 42 residents reviewed (Resident 51)
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record reviews, observations, and staff interviews, it was determined that the facility failed to ensure that a resident had effective interventions in place for fall prevention for one of 42 residents reviewed (Resident 18), failed to safely transfer one of 42 residents reviewed (Resident 20) who required assistance from staff for transfers, and failed to complete safety assessments for one of 42 residents reviewed (Resident 37) who used an air mattress.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to ensure that it was free from significant medication errors for one of 42 residents reviewed (Resident 51).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of facility policies, as well as observations and staff interviews, it was determined that the facility failed to store and prepare food in accordance with professional standards for food service safety by not dating opened food items and not storing food under sanitary conditions.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the resident and/or the responsible party was notified about the facility's bed-hold policy upon transfer to the hospital for two of 42 residents reviewed (Residents 3, 5).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on a review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for three of 42 residents reviewed (Residents 3, 11, 56).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop a comprehensive care plan that included specific and individualized interventions to address the care needs of residents for one of 42 residents reviewed (Resident 11).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of Pennsylvania's Nursing Practice Act, clinical records, and staff interviews, it was determined that the facility failed to clarify physician's orders for one of 42 residents reviewed (Residents 51) and failed to ensure that a professional (registered) nurse assessed a resident after a change in condition for one of 42 residents reviewed (Residents 69).
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a peripherally-inserted central catheter (PICC - a long, thin tube that is inserted through a vein in the arm and passed through to the larger veins near the heart) was flushed as ordered by the physician for one of 42 residents reviewed (Resident 76).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain accountability for controlled medications (drugs with the potential to be abused) for one of 42 residents reviewed (Resident 325).
- D 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.
Inspectors wroteBased on review of manufacturer's instructions, facility policies, and clinical records, as well as observations and staff interviews, it was determined that the facility failed to label multi-dose containers of insulin with the date they were opened in two of three medication carts reviewed (Walnut Medication Cart on East Wing and Maple Medication Cart on [NAME] Wing).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
October 3, 2023Complaint inspection · 1 citation
- E Keep all essential equipment working safely.
Inspectors wroteBased on review of manufacturer's direction for use, as well as observations and staff interviews, it was determined that the facility failed to ensure essential equipment was in safe operating condition on the facility's emergency cart in two of two the medical storage areas (East and West) reviewed.
Fire safety inspections
11 fire safety citations on file: 4 on September 18, 2025, 7 on October 24, 2024.
Every fire safety citation11 citations
- F Have power receptacles that are properly grounded.
- F Have generator or other power source capable of supplying service within 10 seconds.
- C Meet other general requirements.
- B Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Have properly located and lighted "Exit" signs.
- D Inspect, test, and maintain automatic sprinkler systems.
- C Provide properly protected cooking facilities.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- B Have restrictions on the use of highly flammable decorations.
- B Have power receptacles that are properly grounded.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 4, 2024 | Fine | $38,798 |
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.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.01 | 3.89 | 3.86 |
| Registered nurses | 0.51 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.53 | 3.42 |
| Nurse aides | 2.56 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 45.4% | 44.5% | 45.8% |
| Registered nurse turnover | 36.4% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 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 4.09 on weekdays and 3.81 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.01 in April to June 2025 to 4.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.01 | 0.51 | 4.09 | 3.81 | 18.9% | 0 of 90 | 118 |
| Oct to Dec 2025 | 4.00 | 0.55 | 4.02 | 3.96 | 12.9% | 0 of 92 | 116 |
| Jul to Sep 2025 | 3.83 | 0.51 | 3.92 | 3.60 | 17.5% | 0 of 92 | 117 |
| Apr to Jun 2025 | 4.01 | 0.45 | 4.05 | 3.92 | 22.0% | 0 of 91 | 109 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Pennsylvania
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.5 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.5 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.5 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.3 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.2 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.2 | 1.8 |
Owners and operators
Legal business name: RIDGEVIEW HEALTHCARE OPERATING, LLC. CMS links this home to Bonamour Health Group, a group of 5 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Zidele, Yeshayahu | 5% or greater direct ownership interest | Individual | 50% | 06/28/2022 |
| Zidele, Mordechai | Direct ownership interest | Individual | 06/28/2022 | |
| Zidele, Yeshayahu | Indirect ownership interest | Individual | 06/28/2022 | |
| Ruggles, Benjamin | Operational/managerial control | Individual | 06/02/2023 | |
| Zidele, Mordechai | Operational/managerial control | Individual | 06/28/2022 | |
| Bonamour Health Group LLC | Adp of the SNF | Organization | 06/28/2022 | |
| Roscoe, Brandon | Adp of the SNF | Individual | 06/28/2022 | |
| Ruggles, Benjamin | Adp of the SNF | Individual | 06/02/2023 | |
| Zidele, Mordechai | Adp of the SNF | Individual | 06/28/2022 | |
| Zidele, Yeshayahu | Adp of the SNF | Individual | 06/28/2022 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 15 problems in this area, most recently on September 18, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on May 13, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on September 18, 2025: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on September 18, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
Other nursing homes nearby
- Mountain Laurel Healthcare and Rehabilitation Ctr Clearfield, 6.8 mi · 2 of 5 stars · 66 citations
- Dubois Nursing Home Dubois, 14.2 mi · 1 of 5 stars · 50 citations
- Christ the King Manor Dubois, 16.4 mi · 4 of 5 stars · 7 citations
- Heritage Ridge Senior Living at Windy Hill Philipsburg, 18 mi · 2 of 5 stars · 39 citations
- Highland View Rehabilitation & Healthcare Center Brockway, 23.1 mi · 4 of 5 stars · 7 citations
- Aspen Nursing and Rehab Center Punxsutawney, 23.4 mi · 2 of 5 stars · 47 citations
- Haida Nursing and Rehab Hastings, 24.1 mi · 2 of 5 stars · 38 citations
- Embassy of Hillsdale Park Hillsdale, 24.6 mi · 2 of 5 stars · 37 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Ava Nursing and Rehab Center's Medicare star rating?
- CMS rates Ava Nursing and Rehab Center 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ava Nursing and Rehab Center get at its last inspection?
- 16 health deficiencies at the standard inspection on September 18, 2025. The Pennsylvania average is 10.
- Has Ava Nursing and Rehab Center been fined?
- Yes. CMS lists 1 fine totaling $38,798 in the last three years.
- Does Ava Nursing and Rehab Center 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 Ava Nursing and Rehab Center?
- CMS lists 10 owners and managers, and links the home to Bonamour Health Group. Legal business name: RIDGEVIEW HEALTHCARE OPERATING, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.