Home / Pennsylvania / Smethport
Sena Kean Nursing and Rehabilitation
17083 Route 6, Smethport, PA 16749 · Mc Kean County · (814) 887-5601
152 certified beds, about 105 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395775 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 22, 2026, inspectors cited 5 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 19 health citations since January 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.44 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
64.6% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Imperial Healthcare Group, an affiliated group of 9 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.
101/24
101/24
405/24
111/24
504/25
210/25
504/26
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 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
12D
5E
0F
Potential for minimal harm
0A
0B
0C
April 22, 2026Standard inspection · 5 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on review of facility policy, Resident Council minutes, and resident interviews, it was determined that the facility failed to ensure that residents were updated in a timely manner regarding Resident Council concerns, and the facility failed to correct Resident Council concerns for a period of four months (January 2026, through April 2026).
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of facility policy, clinical records, observations, and staff interviews it was determined that the facility failed to appropriately maintain supplemental oxygen equipment for four of 23 residents reviewed for respiratory services (Residents R54, R38, R92, and R60).
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on review of facility policy and resident observations, and staff interviews, it was determined that the facility failed to have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for seven of 23 residents (Residents R15, R23, R28, R38, R54, R82, and R83).
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on review of facility policy, observations and staff interview, it was determined that the facility failed to maintain privacy of confidential information during medication administration for two of five medication carts (West A Cart and East A Cart).
- 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 policy, observations and staff interview, it was determined that the facility failed to prevent the opportunity for potential unauthorized access of medications on two of five medication carts (East A Cart and [NAME] B Cart).
October 23, 2025Complaint inspection · 2 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of facility policies, facility documentation, and clinical records, and staff interviews, it was determined that the facility failed to ensure that two of three residents reviewed were free of neglect during care which resulted in actual harm of left femur fracture for one resident (Resident R1) and actual harm of a laceration of the right eyebrow and forehead for one resident (Resident R2).
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policy, facility documentation and clinical record, and staff interviews, it was determined that the facility failed to appropriately transfer a resident in accordance to facility policy which resulted in actual harm of a left hip and femur (upper leg) fracture for one of three residents reviewed (Resident R1). This deficiency is cited as past non-compliance.
April 30, 2025Standard inspection · 5 citations
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on review of facility policies and documents, and clinical records, and resident and staff interviews, it was determined that the facility failed to provide written notification to the resident, family and/or the resident's representative, prior to a facility-initiated room change, including the reason for the change for one of 25 residents reviewed (Resident R53).
- 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 policy, clinical records, and staff interview, it was determined that the facility failed to ensure physician 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 25 residents reviewed (Resident R97).
- 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 facility policy and clinical records, observation, and staff interview, it was determined that the facility failed to provide appropriate suprapubic urinary catheter (tubing inserted directly into the bladder through a small incision in the lower abdomen and above the pubic bone to drain urine into a bag) care for one of three residents reviewed for catheters (Resident R51).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of clinical records, observations, and resident and staff interviews, it was determined that the facility failed to provide oxygen according to physician's orders and failed to promote cleanliness and help prevent the spread of infection for two of 25 residents reviewed (Residents R21 and R59).
- D 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 policy, observations, and staff interview, it was determined that the facility failed to ensure that food was stored in accordance with standards for food safety in two of two unit refrigerators reviewed (West Unit and East Unit).
November 10, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical record and staff interviews, it was determined that the facility failed to ensure that physician's orders were followed for one of six residents reviewed for catheters (Resident R1).
May 31, 2024Standard inspection · 4 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of facility policy, observation, and staff interviews, it was determined that the facility failed to follow acceptable infection control practices regarding enhanced barrier precautions during observation of care of a gastric tube for one of 25 residents reviewed (Resident R2).
- 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 records, 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 three of five residents reviewed for baseline care plans (Resident R31, R103 and R105).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of facility policy and clinical record, observation, and staff interviews, it was determined that the facility failed to ensure medications were consumed for one of seven residents reviewed during medication administration review (Resident R55).
- 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 policy, observations, and staff interviews it was determined that the facility failed to appropriately discard outdated medications for one of three medication carts reviewed (West A Hall medication cart).
January 31, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to ensure that known medication allergies were verified prior to the administration of a medication for one of six residents reviewed (Resident R1).
January 11, 2024Complaint inspection · 1 citation
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on review of facility policy and resident council minutes, and resident and staff interviews, it was determined that the facility failed to respond to resident concerns and grievances identified during resident council minutes for three of three months (October, November, December 2023).
Fire safety inspections
14 fire safety citations on file: 4 on April 22, 2026, 6 on April 30, 2025, 4 on May 31, 2024.
Every fire safety citation14 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C Meet other general requirements.
- C Install a fire alarm system that can be heard throughout the facility.
- F Install a fire alarm system that can be heard throughout the facility.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- B Install proper backup exit lighting.
- B Have properly located and lighted "Exit" signs.
- B Meet requirements for the installation and maintenance of electrical systems.
- F Meet other general requirements.
- D Meet other general requirements.
- D Have properly located and lighted "Exit" signs.
- B Inspect, test, and maintain automatic sprinkler systems.
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) | 3.44 | 3.89 | 3.86 |
| Registered nurses | 0.47 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.98 | 3.53 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 64.6% | 44.5% | 45.8% |
| Registered nurse turnover | 46.7% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.15 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 3.62 on weekdays and 2.98 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.21 in April to June 2025 to 3.44 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 | 3.44 | 0.47 | 3.62 | 2.98 | 17.5% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.44 | 0.48 | 3.63 | 2.95 | 29.7% | 0 of 92 | 105 |
| Jul to Sep 2025 | 3.41 | 0.47 | 3.60 | 2.93 | 32.5% | 0 of 92 | 105 |
| Apr to Jun 2025 | 3.21 | 0.46 | 3.38 | 2.79 | 37.3% | 0 of 91 | 111 |
| 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 | 4.3 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.6 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 33.6 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.1 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.3 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.2 | 1.8 |
Owners and operators
Legal business name: SENA KEAN SNF OPERATIONS LLC. CMS links this home to Imperial Healthcare Group, a group of 9 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sena Kean SNF Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 04/30/2021 |
| Ch Pa7 SNF Holdings LLC | 5% or greater indirect ownership interest | Organization | 07/11/2021 | |
| Ens Holdings, LLC | 5% or greater indirect ownership interest | Organization | 07/11/2021 | |
| Sk Sw Operations Holdings LLC | 5% or greater indirect ownership interest | Organization | 04/30/2021 | |
| The Ens Family Trust | 5% or greater indirect ownership interest | Organization | 07/11/2021 | |
| Gottesman, Daniel | 5% or greater indirect ownership interest | Individual | 07/11/2021 | |
| Sell, Philip | W-2 managing employee | Individual | 06/14/2021 | |
| Herzka, Yisroel | Corporate officer | Individual | 07/11/2021 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 22, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 22, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 22, 2026: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 31, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Amaryllis Nursing and Rehab Smethport, 0.7 mi · 4 of 5 stars · 17 citations
- Bradford Ecumenical Home, Inc Bradford, 14.6 mi · 5 of 5 stars · 1 citation
- Pavilion at Brmc, the Bradford, 15.7 mi · 5 of 5 stars · 12 citations
- Bradford Manor Nursing and Rehab Bradford, 15.7 mi · 4 of 5 stars · 11 citations
- The Pines Healthcare & Rehabilitation Centers Olea Olean, 18.5 mi · 4 of 5 stars · 9 citations
- Absolut Center for Nursing and Rehabilitation at a Allegany, 19.9 mi · 5 of 5 stars · 8 citations
- Lutheran Home at Kane, the Kane, 21.7 mi · 5 of 5 stars · 6 citations
- Guy and Mary Felt Manor, Inc Emporium, 22.9 mi · 4 of 5 stars · 18 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 Sena Kean Nursing and Rehabilitation's Medicare star rating?
- CMS rates Sena Kean Nursing and Rehabilitation 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sena Kean Nursing and Rehabilitation get at its last inspection?
- 5 health deficiencies at the standard inspection on April 22, 2026. The Pennsylvania average is 10.
- Has Sena Kean Nursing and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Sena Kean Nursing and Rehabilitation 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 Sena Kean Nursing and Rehabilitation?
- CMS lists 8 owners and managers, and links the home to Imperial Healthcare Group. Legal business name: SENA KEAN SNF OPERATIONS 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.