Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Forestview during CMS and state inspections, most recent first.
A resident with dementia and left-sided hemiplegia had restorative instructions for a left hand splint to be applied during the day and removed at bedtime, but the chart lacked a physician order for the splint and its management. NA documentation did not clearly show the splint was applied and removed as directed, no progress notes documented refusal, family reported the splint was not consistently ensured or correctly positioned, and observations found the resident without the splint. An LPN could not locate an order in the EMR, and the DON confirmed the missing order.
A facility failed to maintain proper respiratory equipment care for a resident with COPD, high blood pressure, and dementia. Observations showed an outdated humidifier bottle and dusty filters on the resident's oxygen concentrator, contrary to the facility's policy requiring weekly changes. Interviews with an LPN and the DON confirmed the deficiency in equipment maintenance.
A facility failed to document attempts of non-pharmacological interventions before administering PRN Lorazepam to a resident with COPD, high blood pressure, and dementia. The resident's records for August and September showed multiple instances of Lorazepam use without prior non-pharmacological attempts, confirmed by the DON. This deficiency was noted under 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services.
Missing Physician Order for Left Hand Splint Management
Penalty
Summary
The facility failed to obtain a physician's order for the management of a left hand splint for one resident with Alzheimer's dementia, high blood pressure, hypothyroidism, and left-sided hemiplegia. The resident's record included restorative splint/brace instructions stating that the left hand splint was to be applied in the morning, removed at bedtime, and removed for hygiene and skin checks, with skin checks every 8 hours. However, the record did not contain a physician's order for the splint or its management. Review of nursing assistant documentation showed insufficient evidence that the splint was placed on the resident's left hand during the daytime hours and removed at bedtime on 8/26/25 and 8/27/25. There was no progress note documenting that the resident refused the splint on those dates. A family member stated the facility did not ensure the splint was on and that, when it was on, it was often not positioned correctly. Observations on 8/26/25 and 8/27/25 found the resident without the left hand splint. An LPN could not locate a physician's order in the EMR and stated the resident did not have a splint for the hands, while the DON confirmed the resident should have had a splint maintained to the left hand during daytime hours and that the facility lacked a physician's order for it.
Failure to Maintain Respiratory Equipment for a Resident
Penalty
Summary
The facility failed to maintain proper care of respiratory equipment for a resident identified as R13, who was receiving respiratory services. The facility's policy on oxygen therapy, dated January 11, 2024, required that humidifier bottles be checked each shift and changed weekly, with the date and initials marked on the bottle. Additionally, the policy stated that reusable oxygen concentrator filters should be removed weekly, replaced with clean, dry filters, and the removed filters should be washed, dried, and stored appropriately. However, the clinical record for Resident R13, who had diagnoses including chronic obstructive pulmonary disease (COPD), high blood pressure, and dementia, lacked evidence of instructions or care related to the oxygen concentrator filters. Observations on September 3 and 4, 2024, revealed that Resident R13's oxygen concentrator had a humidifier bottle dated August 19, 2024, and two filters with a gray dusty substance, indicating they had not been maintained as per policy. During interviews, a Licensed Practical Nurse (LPN) confirmed the outdated humidifier bottle and the dusty filters, expressing uncertainty about the frequency of changes required. The Director of Nursing later confirmed that humidifier bottles should be changed weekly, highlighting a lapse in adherence to the facility's policy and proper respiratory care for the resident.
Failure to Attempt Non-Pharmacological Interventions Before PRN Psychotropic Use
Penalty
Summary
The facility failed to provide evidence that non-pharmacological interventions were attempted prior to administering a PRN psychotropic medication to a resident. This deficiency was identified during a review of clinical records and staff interviews. Specifically, the clinical records of a resident with diagnoses including COPD, high blood pressure, and dementia showed repeated administration of Lorazepam, an anti-anxiety medication, without documented attempts of non-pharmacological interventions. The resident's medication administration records for August and September 2024 indicated multiple instances where Lorazepam was administered without prior non-pharmacological attempts. The Director of Nursing confirmed the absence of documentation for non-pharmacological interventions before administering the PRN medication. This lack of documentation was noted for several instances in both August and September 2024, highlighting a failure to adhere to the requirement of attempting non-pharmacological interventions before resorting to psychotropic medications. The deficiency was cited under 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Erie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Millcreek Manor | 1 mi | ★★★★★ | 5 | 0 |
| Walnut Creek Nursing And Rehab | 1.2 mi | ★★★★★ | 14 | 0 |
| Greenfield Healthcare And Rehabilitation Center | 1.3 mi | ★★★★★ | 25 | 0 |
| Lecom At Presque Isle, Inc | 1.6 mi | ★★★★★ | 17 | 0 |
| Lecom At Elmwood Gardens, Llc | 2.9 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.