Home / Pennsylvania / Edinboro
Edinboro Manor
419 Waterford Street, Edinboro, PA 16412 · Erie County · (814) 734-5021
121 certified beds, about 117 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395645 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 9 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 25 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.23 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
38.5% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Hcf Management, an affiliated group of 22 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.
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 25 health citations on file.
January 22, 2026Standard inspection · 9 citations
- E 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.
Inspectors wroteBased on observations, review of facility policies and documents, and staff interviews, it was determined that the facility failed to provide housekeeping services necessary to maintain a clean environment and clean equipment for two of four resident halls (Resident rooms 32, 34, 35, 38, 40, 41, 43 on C Hall and rooms 56, 57, 58, 59, 60, and 62 on D Hall).
- 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 clinical records, and staff interview, it was determined that the facility failed to assure physician's orders and resident's Physician Order for Life Sustaining Treatment (POLST- a legal document specifying the resident/responsible party choices regarding life-sustaining treatments) were consistent for one of 24 residents reviewed (Resident R96).
- 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 and facility policy, and staff interview, it was determined that the facility failed to provide evidence that a gradual dose reduction (GDR) was attempted and a clinical rationale for the continued use of a psychoactive (affecting the mind) medication for one of five residents reviewed for psychoactive medications (Resident R4).
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider upon transfer to the hospital for one of four residents reviewed (Residents R6).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on review of facility policy and clinical record, 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 one of 24 residents reviewed (Resident R10) and failed to ensure that a baseline care plan was developed and implemented within 48 hours that included the minimum healthcare information necessary to provide proper care for one of 24 residents reviewed (Resident R110).
- 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, and staff interview, it was determined that the facility failed to review and revise comprehensive care plans to reflect the current care and services for one of 24 residents reviewed (Resident R10).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to promote cleanliness and help prevent the spread of infection regarding respiratory care equipment for one of one residents reviewed for respiratory care (Resident R3).
- 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, and staff interview, it was determined that the facility failed to have complete and accurate documentation regarding skin check/wound documentation for one of six residents reviewed with wounds (Resident R9), and one of nine residents receiving enteral feedings (liquid nutrition delivered through a flexible tube inserted through the stomach wall into the digestive tract) (Resident R94).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, review of facility policy, and staff interview, it was determined that the facility failed to implement measures to prevent the potential for cross contamination (transfer of germs from one location to another) for a gastric feeding tube (a medical device used to provide nutrition and/or medications when a person cannot swallow or take anything by mouth) for one of three residents observed regarding feeding tubes (Resident R3).
January 31, 2025Standard inspection · 5 citations
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on review of 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 two of 23 residents reviewed (Residents R110 and R112).
- 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, and staff interview, it was determined that the facility failed to develop a splint care plan for one of 23 residents reviewed (Resident R27).
- 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 clinical records and facility policies, and staff interview, it was determined that the facility failed to show evidence of having resident care plan conference meetings or invitation to care plan meetings for one of 23 residents reviewed (Resident R106)
- 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 interview, it was determined that the facility failed to ensure that a resident with limited range of motion received physician ordered treatment and services to prevent further decrease in range of motion for one of six residents reviewed (Resident R27).
- 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, manufacturer's guidelines, observations, and staff interviews, it was determined that the facility failed to store controlled schedule II-V medications (medications that may be abused or cause addiction that are closely monitored due to high risk of diversion) in a separately locked permanently affixed compartment and failed to ensure that medications were properly dated when opened in the main medication room, and failed to ensure an expired medication was discarded in a timely manner in one of two medication carts reviewed (A-Wing Cart).
February 15, 2024Standard inspection · 10 citations
- E Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on review of admission packet and facility documents, observations, and resident and staff interviews, it was determined that the facility failed to post the results of the most recent survey results in a place readily accessible to residents on four of four units (Units A, B, C, D).
- E 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.
Inspectors wroteBased on review of facility policy and facility documentation, observations, resident and staff interviews, it was determined that the facility failed to make certain residents were aware of the procedure for filing a concern/grievance (written or verbal, the procedure to file a grievance anonymously), and make certain concern forms are easily located and accessible to all residents and/or representatives on four of four nursing units (A, B, C, D).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 four residents reviewed for respiratory care and failed to follow physician's orders related to oxygen equipment for one of four residents reviewed for respiratory care (Residents R45 and R57).
- D 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.
Inspectors wroteBased on observations, review of facility policy, and staff interviews, it was determined that the facility failed to provide housekeeping services necessary to maintain a clean environment on one of four units (B Unit).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility policy and clinical records, and staff interviews, it was determined that the facility failed to fully investigate an incident with injury in a timely manner for one of 24 residents reviewed (Resident R81).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to accurately code the Minimum Data Set (MDS-periodic assessment of resident care needs) for one of 23 residents reviewed (Resident R59).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide a resident and/or his/her representative with a summary of the baseline care plan for one of 24 residents reviewed (Resident R1).
- 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 policy and clinical records, and staff interview, it was determined that the facility failed to update a care plan for one of 24 residents reviewed (Resident R81).
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to include the recapitulation of stay (summary of resident's stay and course of treatment in the facility) for one of four closed records reviewed (Resident CR111).
- C 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.
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to display the Department of Health (DOH) Hotline (toll-free telephone number) number in a prominent/accessible location for residents, resident representatives, and other visitors to observe and access in the facility.
October 5, 2023Complaint inspection · 1 citation
- E 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 policy and clinical records and staff interview, it was determined that the facility failed to review and/or revise resident care plans and ensure each care plan contained goals and interventions for seven of nine residents reviewed (Residents R4, R5, R11, R12, R13, R14, and R16).
Fire safety inspections
19 fire safety citations on file: 13 on January 22, 2026, 4 on January 31, 2025, 2 on February 15, 2024.
Every fire safety citation19 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure proper usage of power strips and extension cords.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Have simulated fire drills held at unexpected times.
- D Have power receptacles that are properly grounded.
- C Establish emergency prep training and testing.
- C Conduct testing and exercise requirements.
- C Provide properly protected cooking facilities.
- B Meet other general requirements.
- B Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Conduct testing and exercise requirements.
- B Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.23 | 3.89 | 3.86 |
| Registered nurses | 0.34 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.53 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 44.5% | 45.8% |
| Registered nurse turnover | 61.5% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.84 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 3.36 on weekdays and 2.90 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.36 in April to June 2025 to 3.23 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 | 3.23 | 0.34 | 3.36 | 2.90 | 0.3% | 0 of 90 | 117 |
| Oct to Dec 2025 | 3.34 | 0.42 | 3.49 | 2.96 | 0.2% | 0 of 92 | 116 |
| Jul to Sep 2025 | 3.45 | 0.40 | 3.66 | 2.93 | 0.2% | 0 of 92 | 113 |
| Apr to Jun 2025 | 3.36 | 0.39 | 3.57 | 2.84 | 0.1% | 2 of 91 | 112 |
| 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.
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 | 6.3 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.2 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.3 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.1 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.2 | 1.8 |
Owners and operators
Legal business name: HCF OF EDINBORO, INC.. CMS links this home to Hcf Management, a group of 22 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Chad M. Unverferth 12-14-11 Irrv Grantor Tr | 5% or greater indirect ownership interest | Organization | 6% | 12/31/2021 |
| David V. Unverferth 12-14-11 Irrv Grantor Tr | 5% or greater indirect ownership interest | Organization | 6% | 12/31/2021 |
| Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr | 5% or greater indirect ownership interest | Organization | 6% | 12/31/2021 |
| Joann C. Unverferth 12-29-04 Revocable Trust | 5% or greater indirect ownership interest | Organization | 5% | 12/31/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U | 5% or greater indirect ownership interest | Organization | 7% | 12/31/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri a. Ro | 5% or greater indirect ownership interest | Organization | 7% | 12/31/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un | 5% or greater indirect ownership interest | Organization | 7% | 12/31/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S. | 5% or greater indirect ownership interest | Organization | 7% | 12/31/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv | 5% or greater indirect ownership interest | Organization | 7% | 12/31/2021 |
| Joseph L. Unverferth 12-15-11 Irrv Grantor Tr | 5% or greater indirect ownership interest | Organization | 6% | 12/31/2021 |
| Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr | 5% or greater indirect ownership interest | Organization | 6% | 12/31/2021 |
| R. Steven Unverferth 12-14-11 Irrv Grantor Tr | 5% or greater indirect ownership interest | Organization | 6% | 12/31/2021 |
| Bradley, Jennifer | W-2 managing employee | Individual | 04/24/2023 | |
| Klay, Celeste | W-2 managing employee | Individual | 08/01/2011 | |
| Romes, Kerri | W-2 managing employee | Individual | 04/01/2013 | |
| Shaw, Anthony | W-2 managing employee | Individual | 08/29/1994 | |
| Unverferth, Chad | W-2 managing employee | Individual | 03/17/2003 | |
| Bradley, Jennifer | Corporate director | Individual | 04/24/2023 | |
| Romes, Kerri | Corporate director | Individual | 03/29/2019 | |
| Unverferth, Chad | Corporate director | Individual | 01/01/2004 | |
| Klay, Celeste | Corporate officer | Individual | 01/01/2016 | |
| Romes, Kerri | Corporate officer | Individual | 11/01/2019 | |
| Shaw, Anthony | Corporate officer | Individual | 06/26/2015 | |
| Unverferth, Chad | Corporate officer | Individual | 01/01/2004 | |
| Hcf Management, Inc. | Operational/managerial control | Organization | 03/01/2009 |
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 11 problems in this area, most recently on January 22, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on January 22, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on January 22, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 22, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Crawford Care Center Saegertown, 12.1 mi · 1 of 5 stars · 51 citations
- Forestview Erie, 12.5 mi · 5 of 5 stars · 3 citations
- Pleasant Ridge Manor East/West Girard, 12.9 mi · 4 of 5 stars · 19 citations
- Walnut Creek Nursing and Rehab Erie, 13.3 mi · 2 of 5 stars · 19 citations
- Millcreek Manor Erie, 13.4 mi · 4 of 5 stars · 29 citations
- Greenfield Healthcare and Rehabilitation Center Erie, 13.6 mi · 1 of 5 stars · 54 citations
- Lecom at Asbury Ridge Dba Saint Mary's Asbury Ridg Erie, 13.7 mi · 5 of 5 stars · 4 citations
- Lecom at Presque Isle, Inc Erie, 14 mi · 3 of 5 stars · 17 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 Edinboro Manor's Medicare star rating?
- CMS rates Edinboro Manor 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Edinboro Manor get at its last inspection?
- 9 health deficiencies at the standard inspection on January 22, 2026. The Pennsylvania average is 10.
- Has Edinboro Manor been fined?
- CMS lists no fines in the last three years.
- Does Edinboro Manor 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 Edinboro Manor?
- CMS lists 25 owners and managers, and links the home to Hcf Management. Legal business name: HCF OF EDINBORO, INC..
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.