Complaint Investigation

Kinzua Nursing And Rehab

September 5, 2025 · Warren, PA · 205 Water Street

Citations 1

CMS Rating 3/5

Beds 106

Provider ID 395363

Healthcare Facility

Kinzua Nursing And Rehab

Warren, PA · View full profile →

Inspection Summary

KINZUA NURSING AND REHAB in WARREN, PA — inspection on September 5, 2025.

Found 1 citation. 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

FF0842

Resident Assessment and Care Planning Deficiencies

Potential for More Than Minimal Harm

Review of Resident R11's August Treatment Administration Record revealed the following treatment orders: [DATE], coccyx pressure ulcer cleanse with wound wash apply medihoney and cover with optifoam dressing every day shift.

Out of 27 opportunities to document completion, 16 were documented as completed and 11 were blank. [DATE], weekly weights for four weeks every day shift every seven days.

Out of four opportunities to document completion, one was documented and three were blank. [DATE], treatment to right heel cleanse with wound cleanser cover with betadine gauze and cover with bordered gauze dressing every day shift.

Out of 19 opportunities to document completion, 10 were documented as completed and nine were blank.

During an interview on [DATE], at 1:25 p.m. the DON confirmed that Resident R2's, R7's and R11's clinical records were incomplete regarding treatment documentation. 28 Pa.

Code 211.5(f)(ii)(iii) Medical records 28 Pa.

Code 211.12(d)(1)(5) Nursing services

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WARREN, PA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from KINZUA NURSING AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Kinzua Nursing And Rehab

Inspection Findings

Frequently Asked Questions

More Reports