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Sweden Valley Manor

1028 East Second Street, Coudersport, PA 16915 · Potter County · (814) 274-7610

121 certified beds, about 100 residents a day · For profit - Corporation · Medicare and Medicaid since 1985

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395699 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2026, inspectors cited 22 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 40 health citations since September 2024 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 3.13 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

35.9% 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.

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 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
26D
10E
3F
Potential for minimal harm
0A
0B
1C
July 24, 2026Standard inspection · 22 citations
  1. F
    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, widespread · Not yet corrected
    Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to store food in accordance with professional standards for food service safety in the facility's main kitchen and resident pantry area.
  2. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Not yet corrected
    Inspectors wroteBased on a review of facility documentation and staff interview it was determined that the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents since their last standard survey (ending August 8, 2025).
  3. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the resident and the resident's representative(s) or legal representative of the reason for discharge, in writing, upon discharge from the facility for three of four sampled residents who were transferred out of the facility. (Residents 4, 9, and 117)
  4. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to have sufficient nursing staff to provide nursing services to maintain the highest practicable standard of care related to medication administration on two of four hallways (B and D Hallway; Residents 7, 14, 15, 20, 26, 29, 37, 42, 41, 43, 44, 46, 55, 56, 61, 62, 70, 72, 88, 93, 94, 95, 96, 97, 117, and 118).
  5. E
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on review of facility documentation, clinical record review, and review of personnel training records, it was determined that the facility failed to ensure specific competencies necessary to care for resident needs for nine of 10 employees reviewed (Employees 4, 6, 9, 11, 12, 13, 14, 19, and 20); and for one of one resident reviewed for peritoneal dialysis concerns (Resident 117).
  6. E
    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, pattern · Not yet corrected
    Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to ensure an appropriate, timely, physician response to consultant pharmacist recommendations for two of five residents reviewed (Residents 5 and 12).
  7. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on review of select facility policies and procedures, observation, clinical record review, and staff interview, it was determined that the facility failed to implement appropriate enhanced barrier precautions for one of 22 residents reviewed (Resident 117), and failed to ensure an environment free from the potential spread of infection related to resident laundry processing.
  8. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on clinical record review, and resident and staff interview, it was determined that the facility failed to ensure residents were offered the pneumococcal and influenza immunization unless contraindicated for three of five residents reviewed for immunizations (Residents 3, 16, and 59).
  9. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Not yet corrected
    Inspectors wroteBased on clinical record review, facility documents, and staff interview, it was determined that the facility failed to ensure residents were educated and offered the COVID-19 immunization unless contraindicated for two of five residents reviewed for immunizations (Residents 3 and 59); and failed to maintain documentation related to staff COVID-19 vaccination education.
  10. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on clinical record review and staff interview it was determined that the facility failed to ensure residents' medication regime was free from potentially unnecessary medication for one of five residents reviewed for medication regime review (Residents 12).
  11. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on clinical record review and family and staff interview, it was determined that the facility failed to ensure assessments accurately reflected a resident's status for three of 22 residents reviewed (Residents 6, 14, and 65).
  12. 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 · Not yet corrected
    Inspectors wroteBased on clinical record review, review of facility documentation, and staff and resident interview, it was determined that the facility failed to implement a comprehensive person-centered care plan for two of 22 residents reviewed (Residents 2 and 97).
  13. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to provide care and services to maintain or improve the ability to perform activities of daily living for one of two residents reviewed for rehabilitation concerns (Resident 104).
  14. 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 · Not yet corrected
    Inspectors wroteBased on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to provide the highest practical care regarding ordered weights for two of seven residents reviewed for nutrition concerns (Residents 11 and 104).
  15. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on clinical record review and family and staff interview it was determined that the facility failed to assist a resident to replace lost glasses for one of two residents reviewed for vision/hearing concerns (Resident 14).
  16. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide the highest practical care to promote pressure ulcer healing for one of one resident reviewed for pressure ulcers (Resident 104).
  17. 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 · Not yet corrected
    Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to ensure an environment free from potential accident hazards for two of seven residents reviewed for accident hazards (Residents 5 and 14).
  18. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on review of select facility policies and procedures, clinical record review, observation, and resident and staff interview, it was determined that the facility failed to implement care consistent with professional standards of practice to prevent potential complications from a dialysis access site for one of one resident reviewed for dialysis concerns (Resident 117).
  19. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observation, and resident and staff interview, it was determined that the facility failed to assess all potential risk areas for entrapment for two of seven residents with enabler bars for accident hazards (Residents 86 and 99); and obtain informed consent for use of enabler bars for one of seven residents reviewed for accident hazards (Resident 86).
  20. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to properly store resident medications on one of three nursing units reviewed (Nursing Unit B).
  21. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on observations, clinical record review, and staff interview, it was determined that the facility failed to ensure complete and accurate clinical documentation for one of 22 residents reviewed (Resident 117).
  22. C
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for minimal harm, widespread · Not yet corrected
    Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to properly contain and dispose of garbage at the facility's outside dumpsters.
August 8, 2025Standard inspection · 7 citations
  1. 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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on observation, review of resident council meeting minutes, and resident and staff interview, it was determined that the facility failed to ensure resident grievances were addressed timely for one of 13 residents interviewed (Resident 2).
  2. D
    Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
    F571 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on resident and staff interview, clinical record review, and review of a resident fund account facility documents, it was determined that the facility imposed a charge against a resident's personal funds for a service which payment is made under Medicaid, for one two residents reviewed (Resident 60).
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide required notification to a resident whose Medicare covered services ended for one of three residents reviewed (Resident 107).
  4. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on review of select facility policies and procedures, employee personnel records, and staff interview, it was determined that the facility failed to implement an abuse prohibition policy that required a thorough investigation of prospective employee's employment history for two of five newly hired employees reviewed (Employees 3 and 4).
  5. 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 · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to thoroughly and timely investigate and implement interventions after a resident elopement for one of three residents reviewed (Resident 52).
  6. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined the facility failed to initiate timely interventions for a resident with significant weight loss for one of six residents reviewed for nutrition concerns (Resident 52).
  7. 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) September 26, 2025
    Inspectors wroteBased on review of select facility policies and procedures, observation, clinical record review, and staff interview, it was determined that the facility failed to implement appropriate enhanced barrier precautions for two of 19 residents reviewed (Residents 12 and 13) and implement appropriate transmission-based precautions (TBP) for one of one resident reviewed on TBP (Resident 25).
September 20, 2024Standard inspection · 11 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on observation and staff interview, it was determined the facility failed to store food and maintain food service equipment in a safe and sanitary manner and prevent the potential for food contamination in the facility's main kitchen.
  2. E
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement a restorative nursing program as recommended by therapy to maintain range of motion for four of five residents reviewed (Residents 22, 15, 47, and 64).
  3. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to ensure that pain management was provided that was consistent with professional standards of practice, for one of one resident reviewed (Resident 48).
  4. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on observations, clinical record review, and resident and staff interview, it was determined that the facility failed to administer medication per physician's orders for one of 24 residents reviewed (Resident 48).
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on observations and family interview, it was determined that the facility failed to provide a clean, comfortable, homelike environment on one of four nursing units (C Nursing Unit; Residents 7 and 55).
  6. 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) November 19, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure complete and accurate Minimum Data Set (MDS) assessments for one of 20 residents reviewed (Resident 60).
  7. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide care or services to maintain a resident's ambulation status for one of two residents reviewed for ambulation concerns (Resident 15).
  8. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to obtain proper treatment to maintain vision for one of two residents reviewed for vision concerns (Resident 1).
  9. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on observation, clinical record review, and staff and resident interview, it was determined that the facility failed to provide foot care and treatment to avoid medical complications for one of one resident reviewed (Resident 49).
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on observation, clinical record review, review of select manufacture's guidelines, and staff interview, it was determined that the facility failed to ensure a medication error rate below five percent (Resident 11).
  11. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024
    Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to ensure timely dental services for one of one resident reviewed for dental concerns (Resident 29).

Fire safety inspections

9 fire safety citations on file: 3 on August 8, 2025, 2 on September 20, 2024, 4 on October 20, 2023.

Every fire safety citation9 citations
  1. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 8, 2025 · Corrected (the home has a date of correction)
  2. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 8, 2025 · Corrected (the home has a date of correction)
  3. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 8, 2025 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 20, 2024 · Corrected (the home has a date of correction)
  5. C
    Have simulated fire drills held at unexpected times.
    K 712 · September 20, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 20, 2023 · Corrected (the home has a date of correction)
  7. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 20, 2023 · Corrected (the home has a date of correction)
  8. C
    Provide properly protected cooking facilities.
    K 324 · October 20, 2023 · Corrected (the home has a date of correction)
  9. C
    Have simulated fire drills held at unexpected times.
    K 712 · October 20, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.133.893.86
Registered nurses0.490.790.69
All nursing staff on weekends2.793.533.42
Nurse aides1.91
Licensed practical nurses0.74
Nursing staff turnover (share who left in a year)35.9%44.5%45.8%
Registered nurse turnover50.0%39.9%42.9%
Administrators who left0

CMS expects 3.40 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 3.27 on weekdays and 2.79 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.13 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.130.493.272.79 0.1%0 of 90100
Oct to Dec 20253.180.553.282.92 0.1%0 of 92100
Jul to Sep 20253.130.543.272.76 0.3%0 of 9298
Apr to Jun 20253.290.643.482.81 0.2%0 of 9193
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
11.216.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.73.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.817.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.64.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
27.117.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.822.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.29.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.21.8

Owners and operators

Legal business name: HCF OF SWEDEN VALLEY, INC.. CMS links this home to Hcf Management, a group of 22 nursing homes averaging 3 stars overall.

NameRoleTypeShareSince
Chad M. Unverferth 12-14-11 Irrv Grantor Tr5% or greater indirect ownership interestOrganization6%12/13/2021
David V. Unverferth 12-14-11 Irrv Grantor Tr5% or greater indirect ownership interestOrganization6%12/13/2021
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr5% or greater indirect ownership interestOrganization6%12/13/2021
Joann C. Unverferth 12-29-04 Revocable Trust5% or greater indirect ownership interestOrganization5%12/13/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U5% or greater indirect ownership interestOrganization7%12/13/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri a. Ro5% or greater indirect ownership interestOrganization7%12/13/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un5% or greater indirect ownership interestOrganization7%12/13/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.5% or greater indirect ownership interestOrganization7%12/13/2021
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv5% or greater indirect ownership interestOrganization7%12/13/2021
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr5% or greater indirect ownership interestOrganization6%12/13/2021
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr5% or greater indirect ownership interestOrganization6%12/13/2021
R. Steven Unverferth 12-14-11 Irrv Grantor Tr5% or greater indirect ownership interestOrganization6%12/13/2021
Redmond, AngelaCorporate directorIndividual05/22/2023
Romes, KerriCorporate directorIndividual03/29/2019
Klay, CelesteCorporate officerIndividual01/01/2016
Romes, KerriCorporate officerIndividual11/01/2019
Shaw, AnthonyCorporate officerIndividual06/26/2015
Hcf Management, Inc.Operational/managerial controlOrganization01/01/2004
Romes, KerriOperational/managerial controlIndividual11/01/2019
Redmond, AngelaAdp of the SNFIndividual07/10/2026
Romes, KerriAdp of the SNFIndividual11/01/2019

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. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on July 24, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
  2. 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 July 24, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 24, 2026: "Provide and implement an infection prevention and control program."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 24, 2026: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.79 hours per resident per day, below the Pennsylvania average of 3.53.

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Common questions

What is Sweden Valley Manor's Medicare star rating?
CMS rates Sweden Valley Manor 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sweden Valley Manor get at its last inspection?
22 health deficiencies at the standard inspection on July 24, 2026. The Pennsylvania average is 10.
Has Sweden Valley Manor been fined?
CMS lists no fines in the last three years.
Does Sweden Valley 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 Sweden Valley Manor?
CMS lists 21 owners and managers, and links the home to Hcf Management. Legal business name: HCF OF SWEDEN VALLEY, INC..

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