Nursing homeActive
William Penn Nursing And Rehab
163 Summit Drive, Lewistown, PA 170447172483941121 certified beds · 117 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
26
● 1● 25● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-17
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Pennsylvania Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-17 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2025-05-09 | Standard | 160 | CMS-2567 (Care Compare) | — |
| 2024-06-25 | Standard | 0110 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Pennsylvania Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F698
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 395335-20260417-F883
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 395335-20250509-F550
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 395335-20250509-F641
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 395335-20250509-F725
F761Ensure 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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 395335-20250509-F761
F791Provide or obtain dental services for each resident.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 395335-20250509-F791
F887Educate 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 EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 395335-20250509-F887
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-06-10Record 395335-20250509-F732
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F584
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F637
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F684
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F685
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F688
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F695
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F759
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 395335-20240625-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.54
Facility
Pennsylvania
National
Pennsylvania 0.79 · National 0.69
Total nurse hours per resident day3.39
Facility
Pennsylvania
National
Pennsylvania 3.89 · National 3.86
Weekend total nurse hours3.13
Facility
Pennsylvania
National
Pennsylvania 3.53 · National 3.42
Total nursing staff turnover36%
Facility
Pennsylvania
National
Pennsylvania 45% · National 46%
Registered nurse turnover17%
Facility
Pennsylvania
National
Pennsylvania 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Pennsylvania | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.1% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 3.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 24.1% | 17.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.8% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 23.2% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.9% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.1% | 20.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Western Pa Opco Holdings I LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Franco, Aharon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rami, Isaac Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Valley West Health LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Andrews, Heather Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beverly Enterprises - Pennsylvania, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beverly Enterprises LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beverly Health And Rehabilitiation Services, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Drumm Intermediary Sub Co LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Drumm Merger Co Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Drumm Merger Co Sub LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fillmore Strategic Investors LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Finn, Nicholas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Franco, Aharon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Geary Property Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gph Lewistown LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Karity, Sarah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Karity, Sarah Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Linam, Kim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Jean Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pearl Senior Care, LLC. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rami, Isaac Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rasmussen-Jones, Holly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Roscoe, Brandon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Surety Compliance Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Traxler, Tana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Valley West Health LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Washington State Investment Board Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Western Pa Opco Holdings I LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Willow, Teresa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Valley West Health — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Pennsylvania.
No county cost figures on file for Mifflin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Greenwood Center For Rehabilitation And Nursing Lewistown | 1.8 mi | 2026-06-01 | 2581 |
| Valley View Haven, Inc Belleville | 7.0 mi | 2026-03-20 | 1190 |
| Locust Grove Retirement Village Mifflin | 9.2 mi | 2025-06-27 | 0271 |
| Brookline Nursing And Rehab Mifflintown | 11.1 mi | 2026-02-27 | 1290 |
| Juniper Village At Brookline-Rehabilitation And Sk State College | 17.9 mi | 2026-03-06 | 0160 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |