Sweden Valley Manor
SWEDEN VALLEY MANOR in COUDERSPORT, PA — inspection on July 24, 2026.
Found 22 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2026-07-24.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2026-07-24.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-07-24.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-07-24.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0676 during a standard health inspection conducted on 2026-07-24.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2026-07-24.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0685 during a standard health inspection conducted on 2026-07-24.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Assist a resident in gaining access to vision and hearing services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2026-07-24.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2026-07-24.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2026-07-24.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2026-07-24.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2026-07-24.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0726 during a standard health inspection conducted on 2026-07-24.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2026-07-24.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-07-24.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2026-07-24.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2026-07-24.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0838 during a standard health inspection conducted on 2026-07-24.
Category: Administration Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2026-07-24.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-07-24.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2026-07-24.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited SWEDEN VALLEY MANOR in COUDERSPORT, PA for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2026-07-24.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 22 deficiencies cited during this inspection of SWEDEN VALLEY MANOR.
Correction Status: Deficient, Provider has no plan of correction.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.