Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Haven Convalescent Home, Inc during CMS and state inspections, most recent first.
The facility failed to maintain documentation for the required 36-month exercise of its emergency generators, as observed during a survey. The administrator confirmed the absence of this documentation, indicating non-compliance with NFPA standards for emergency power systems.
The facility did not conduct the required semi-annual kitchen suppression testing and exhaust hood cleaning. Documentation revealed that the last testing and cleaning were conducted in February 2024, and the administrator confirmed these were not performed within the required timeframe.
The facility did not meet the required maintenance and testing standards for its sprinkler system, as observed in the basement laundry room where dust accumulation on sprinkler heads was found. This issue was confirmed by the administrator.
A facility failed to follow infection control practices for enhanced barrier precautions (EBP) during a wound dressing change for a resident with a sacral wound and foley catheter. Staff did not wear appropriate PPE, such as gowns, and there was no signage or PPE available outside the resident's room. The DON confirmed that EBP was not maintained for residents with medical devices, despite the need for gloves and gowns during care.
The facility failed to meet the required minimum nurse aide (NA) to resident ratio during the overnight shift for 18 out of 21 days reviewed. The regulation mandates a minimum of one NA per 15 residents overnight, but the facility did not comply with this requirement on multiple occasions. The Nursing Home Administrator confirmed the accuracy of the staffing information and acknowledged the facility's failure to meet the staffing requirements on the specified dates.
The facility did not meet the required LPN staffing levels, failing to maintain the minimum ratio of one LPN per 25 residents during the day shift on one occasion and one LPN per 40 residents on the overnight shift on eight occasions. The facility census ranged from 88 to 90 residents, but the number of LPNs on duty was insufficient according to the regulations. The Nursing Home Administrator confirmed these deficiencies.
The facility did not meet the required minimum of 3.2 hours of direct resident care per resident in a 24-hour period, providing only 3.16 hours on one occasion. The Nursing Home Administrator confirmed the staffing shortfall.
Emergency Generator Maintenance Documentation Deficiency
Penalty
Summary
The facility failed to maintain proper documentation for the maintenance of its emergency generators, specifically regarding the requirement to exercise the generators once every 36 months for four continuous hours. This deficiency was identified during an observation on December 19, 2024, at 9:35 a.m., when it was noted that the facility lacked the necessary documentation to confirm compliance with this requirement. During an interview conducted at the same time, the facility's administrator confirmed that the documentation for the emergency generator exercise was unavailable for review. This lack of documentation indicates a failure to adhere to the maintenance and testing protocols as outlined by NFPA standards, which are critical for ensuring the reliability of emergency power systems in the facility.
Plan Of Correction
The Haven will test the 2 facility generators for at least 4 consecutive hours. The 4 hour test will occur at least once every three years. The Haven did lose power on 3/25/2023 for 8 hours and 15 minutes. The generator did run for the entire time and functioned accordingly. The Administrator will monitor testing of the facility.
Failure to Conduct Required Kitchen Suppression Testing and Hood Cleaning
Penalty
Summary
The facility failed to ensure that the kitchen suppression testing and kitchen exhaust hood cleanings were conducted at the required semi-annual intervals. During a document review on December 19, 2024, it was revealed that the last documented kitchen suppression testing occurred on February 2, 2024, indicating a lapse in the required testing schedule. An interview with the administrator confirmed that the semi-annual kitchen suppression testing had not been conducted within the required timeframe. Additionally, the document review showed that the last documented kitchen exhaust hood cleaning was on February 20, 2024, further confirming that the semi-annual cleaning had not been performed as required. The administrator also confirmed this lapse during the interview.
Plan Of Correction
Kitchen suppression system testing/maintenance was conducted on 12/19/2024. Kitchen exhaust hood cleaning was conducted on 1/06/2025. Kitchen suppression system testing/maintenance and kitchen hood cleaning will be performed at least semi-annually. Both services have been scheduled to be done at least every 6 months from the latest completion date.
Sprinkler System Maintenance Deficiency
Penalty
Summary
The facility failed to meet the maintenance and testing requirements for its sprinkler system on one of two building levels. During an observation on December 19, 2024, at 10:45 a.m., it was noted that the sprinkler heads in the basement laundry room had an accumulation of dust. This accumulation can potentially delay the activation of the sprinklers during an emergency. The deficiency was confirmed through an interview with the administrator at the same time.
Plan Of Correction
Sprinkler heads in the laundry room were cleaned of dust by maintenance. Maintenance will monitor the laundry room sprinkler heads for accumulation of dust at least once a week and clean them as needed. Laundry personnel informed to notify Administration if they notice an accumulation of dust on the sprinkler heads in the laundry room. Administration will notify maintenance to clean the sprinkler heads. Administrator to monitor laundry room sprinkler heads weekly x 4 weeks and then at least monthly to ensure the sprinkler heads are free of dust. Monitoring will occur until deemed in compliance by the facility Quality Assurance and Performance Improvement Committee.
Inadequate Infection Control Practices for Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to acceptable infection control practices concerning enhanced barrier precautions (EBP) during the care of a resident with a sacral wound and a foley catheter. Specifically, during a wound dressing change for Resident R78, both the Registered Nurse (RN) and the Nursing Assistant (NA) did not wear the appropriate personal protective equipment (PPE), such as gowns, which is required under EBP. This lapse was confirmed by RN Employee E1 during an interview, acknowledging that a gown should have been worn during the procedure. Additionally, the facility did not have any signage or PPE available outside Resident R78's room to alert or equip staff and visitors regarding EBP. The Director of Nursing (DON) confirmed that the facility had several residents with medical devices such as foley catheters, feeding tubes, colostomies, wounds, and dialysis catheters, yet EBP was not maintained for these residents. The DON acknowledged that staff should have been wearing gloves and gowns when providing care to these residents, indicating a systemic issue in the facility's infection control practices.
Plan Of Correction
Policy on Enhanced Barrier Precautions was added to the Facility Infection Control Policies. All residents of the facility who require Enhanced Barrier Precautions were ordered enhanced barrier precautions by their physician. Appropriate signage was placed on the doors of the residents who were ordered enhanced barrier precautions and appropriate PPE was made available. A letter was mailed out to each resident's responsible person concerning enhanced barrier precautions. Nursing was in-serviced by the Director of Nursing on 12/19/2024 on Enhanced Barrier Precautions. Infection preventionist or nurse designee will monitor residents on Enhanced Barrier to ensure that the appropriate signage and PPE is provided and that staff are donning, doffing and utilizing the appropriate PPE as needed when caring for these residents. Monitoring will occur at least once a week on all 3 shifts weekly for 4 weeks and then at least monthly until deemed in compliance by facility QAPI Committee.
Overnight Nurse Aide Staffing Deficiency
Penalty
Summary
The facility failed to meet the required minimum nurse aide (NA) to resident ratio during the overnight shift for 18 out of 21 days reviewed. The regulation mandates a minimum of one NA per 15 residents overnight, but the facility did not comply with this requirement on multiple occasions. The review of nursing staffing documents revealed that the number of NAs working was consistently below the required number based on the facility's census. For instance, on several dates, the facility had a census of 89 to 90 residents, but the number of NAs working ranged from 4.75 to 5.75, whereas the required number was between 5.80 and 6.00. The Nursing Home Administrator confirmed the accuracy of the staffing information and acknowledged the facility's failure to meet the staffing requirements on the specified dates. This deficiency was identified through a review of staffing documents and an interview with the administrator, highlighting a consistent shortfall in staffing levels during the overnight shift over the reviewed periods.
Plan Of Correction
Facility Staffing Coordinator was reeducated on current CNA staffing ratios according to current census and shifts. Facility will attempt to utilize facility staff and temporary staffing agencies as needed. Facility weekly Schedule will be made in accordance with current Pennsylvania DOH Staffing guidelines and facility census. Nursing Supervisors to be in-serviced on staffing guidelines by 1/8/2025. For the shifts on the dates indicated, all residents in the facility received the care that they required, and the facility received no complaints from residents, their responsible person(s), or employees. Schedule and census will be monitored daily per shift by RN Nursing Supervisor for call offs and changes in census. Adjustments will be made as needed by Director of Nursing, RN Nursing Supervisor, or Staffing Coordinator. Facility will utilize facility staff and or temporary Staffing Agencies to fill in shifts as needed according to type of nursing service personnel that is needed. Assistant Administrator or designee will monitor schedules at least weekly x 4 weeks and then every 2 weeks until deemed in compliance by facility QAPI Committee.
LPN Staffing Deficiencies in Facility
Penalty
Summary
The facility failed to meet the required staffing levels for Licensed Practical Nurses (LPNs) as mandated by regulations effective July 1, 2023. Specifically, the facility did not maintain the minimum ratio of one LPN per 25 residents during the day shift on one occasion and failed to meet the minimum ratio of one LPN per 40 residents on the overnight shift on eight occasions. The review of staffing documents revealed that on December 7, 2024, with a census of 89 residents, only 3.0 LPNs were on duty when 3.56 were required. Additionally, during the overnight shifts on multiple dates, the facility census ranged from 88 to 90 residents, but only 2.0 LPNs were on duty when between 2.20 and 2.25 were required. The Nursing Home Administrator confirmed these staffing deficiencies during an interview.
Plan Of Correction
Facility Staffing Coordinator was reeducated on current LPN staffing ratios according to current census and shifts. Facility will attempt to utilize facility staff and temporary staffing agencies as needed. Facility weekly Schedule will be made in accordance with current Pennsylvania DOH Staffing guidelines and facility census. Nursing Supervisors to be in-serviced on staffing guidelines by 1/8/2025. For the shifts on the dates indicated, all residents in the facility received the care that they required, and the facility received no complaints from residents, their responsible person(s), or employees. Schedule and census will be monitored daily per shift by RN Nursing Supervisor for call offs and changes in census. Adjustments will be made as needed by Director of Nursing, RN Nursing Supervisor, or Staffing Coordinator. Facility will utilize facility staff and/or temporary Staffing Agencies to fill in shifts as needed according to type of nursing service personnel that is needed. Assistant Administrator or designee will monitor schedules at least weekly x 4 weeks and then every 2 weeks until deemed in compliance by facility QAPI Committee.
Failure to Meet Minimum Nursing Care Hours
Penalty
Summary
The facility failed to meet the regulatory requirement of providing a minimum of 3.2 hours of direct resident care per resident in a 24-hour period. This deficiency was identified during a review of nursing staffing documents for the period from August 1, 2024, to August 7, 2024, where it was found that on August 7, 2024, the facility provided only 3.16 hours of direct care per resident. The Nursing Home Administrator confirmed the accuracy of the staffing information and acknowledged the failure to meet the required care hours on the specified date.
Plan Of Correction
Facility Staffing Coordinator was reeducated on current nursing care hours provided according to current census and shifts. Facility will attempt to utilize facility staff and temporary staffing agencies as needed. Facility weekly Schedule will be made in accordance with current Pennsylvania DOH Staffing guidelines and facility census. Nursing Supervisors to be in-serviced on staffing guidelines by 1/8/2025. For the date indicated all residents in the facility received the care that they required, and the facility received no complaints from residents, their responsible person(s) or employees. Schedule and census will be monitored daily per shift by RN Nursing Supervisor for call offs and changes in census. Adjustments will be made as needed by Director of Nursing, RN Nursing Supervisor or Staffing Coordinator. Facility will utilize facility staff and or temporary Staffing Agencies to fill in shifts as needed to comply with current nursing care hours in a 24-hour period. Assistant Administrator or designee will monitor schedules at least weekly x 4 weeks and then every 2 weeks until deemed in compliance by facility QAPI Committee.
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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 New Castle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avalon Care Center | 0.5 mi | ★★★★★ | 3 | 0 |
| Quality Life Services - New Castle | 0.6 mi | ★★★★★ | 2 | 0 |
| Edison Manor Nursing & Rehabilitation Center | 1.8 mi | ★★★★★ | 9 | 1 |
| Kadima Rehabilitation & Nursing At New Castle | 2.1 mi | ★★★★★ | 19 | 0 |
| Jameson Nursing And Rehab Center | 4.3 mi | ★★★★★ | 4 | 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.