Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Lecom At Snyder Memorial during CMS and state inspections, most recent first.
Missing Physician Progress Notes for Required Visits: The DON confirmed that multiple residents’ charts lacked required physician visit progress notes. Records for residents with conditions such as dementia, DM, HTN, CHF, COPD, schizophrenia, Parkinson’s disease, dysphagia, and other chronic diagnoses showed long gaps between physician notes or no note during the initial post-admission period, despite policy requiring timely physician visits and documented progress notes at each required visit.
A resident admitted with asthma, hypothyroidism, and HTN did not have evidence in the record that a written summary of the baseline care plan and order summary was provided to the resident and/or representative. The NHA confirmed the missing documentation during interview.
Care plans were not reviewed and revised to match current resident care for two residents. One resident’s genitourinary care plan still included catheter interventions even though the catheter had been removed and there was no current catheter order. Another resident’s elopement care plan still listed Wanderguard checks even though the device had been discontinued and MDS coding showed wander/elopement alarms were not being used.
Outdated open vials were found in two medication storage areas. An open vial of Tubersol in the West unit refrigerator and an open vial of Insulin Glargine on the West One med cart were both past the manufacturer-required discard dates, and an LPN confirmed each vial should have been discarded.
Unsanitary Fans in Kitchen Food Prep Area. Surveyors observed one fan over the meal prep area and one fan in the dishwashing area with a thick layer of dust and a fuzzy substance. The Kitchen Manager confirmed the condition of both fans, despite the facility policy requiring the food service area and equipment to be kept clean and sanitary.
Improper Disposal of Garbage and Refuse: The facility failed to properly contain trash and recycling in two outside dumpsters. Surveyors observed several bags of trash and several boxes heaping out of the containers, preventing the lids from closing, and the NHA confirmed both dumpsters were overfilled.
Several residents with complex medical conditions had their MDS assessments inaccurately coded regarding the use of restraints and documentation of falls. Although bed rails and a pelvic safety device were observed in use according to physician orders, the MDS did not accurately reflect their status. The DON and Nursing Home Administrator confirmed these discrepancies after review of records, observations, and staff interviews.
A resident with chronic respiratory conditions did not have their oxygen saturation routinely monitored or documented as required by physician orders for continuous oxygen therapy. Facility policy required such monitoring and documentation, but the clinical record lacked evidence of compliance, as confirmed by the DON.
Three residents were kept on droplet isolation precautions despite negative lab tests for transmittable diseases and no fever, contrary to facility policy. Staff interviews revealed a lack of awareness about when to discontinue isolation, and the Infection Preventionist confirmed that isolation should have ended. The residents, who had conditions such as dementia and anxiety, experienced unnecessary restrictions on socialization and activities.
A resident with chronic respiratory conditions had physician orders for continuous oxygen at 2-3LPM via nasal cannula, but the care plan only reflected oxygen at 2LPM and was not updated to match the current orders. The DON confirmed the care plan was not reviewed or revised as required.
The facility did not ensure that the DON and Infection Preventionist attended two of four required quarterly QAPI Committee meetings, as shown by missing signatures on attendance records and confirmed by the NHA.
Snyder Memorial Health Care Center failed to conduct 12 required fire drills, lacking documentation of fire alarm signals and emergency simulations. The facility also conducted silent drills outside the NFPA-defined time intervals. These deficiencies were confirmed by the maintenance supervisor.
A facility failed to properly administer medications when an LPN left a medication cup containing Eliquis and Celexa unattended on a resident's bedside tray. The resident was asleep, and the LPN was not present to ensure the medications were taken, contrary to the facility's policy.
The facility failed to provide necessary morning care assistance for grooming and personal hygiene to five residents, as observed and confirmed by staff interviews. Residents with various medical conditions, including stroke, dementia, and intellectual disabilities, reported not receiving their A.M. care by the afternoon. Staff interviews confirmed that all residents required assistance, and the Director of Nursing stated that residents should be cleaned up by 10:30 a.m. daily.
The facility failed to maintain sanitary food service operations due to improper dishwashing procedures. The dish machine's final rinse temperatures were consistently below the required 180 degrees Fahrenheit, as revealed by temperature logs for May and June 2024. The Dietary Manager confirmed that staff were not properly trained on recording dish machine temperatures, violating state codes on licensee responsibility and dietary services.
The facility did not address or resolve concerns raised by the Resident Council over several months. Issues such as delayed call bell response times, ill-fitting dentures, and missing clothing were documented but not resolved or communicated back to residents. Interviews confirmed that residents were not informed about the outcomes of their concerns.
The facility did not obtain a physician's order for a resident with multiple sclerosis, heart problems, anxiety, and bipolar disorder to smoke, as required by their Tobacco and Vaping Policy. The resident was observed smoking outside without the necessary order, and the DON confirmed the oversight.
The facility failed to maintain proper documentation for drug regimen reviews for two residents, as required by their policy. Despite having diagnoses such as dementia and psychotic disorders, the residents' records lacked additional pharmacy reports and physician communication forms since the last survey. This was confirmed by the DON, indicating a failure to ensure medication regimens were free of unnecessary medications.
Missing Physician Progress Notes for Required Visits
Penalty
Summary
The facility failed to ensure that the attending physician documented required visits by writing, signing, and dating a physician progress note for each required visit. Review of the facility policy stated that the attending physician must visit residents at least once every 30 days for the first 90 days after admission and at least every 60 days thereafter, with a physician visit considered timely if it occurs no later than 10 days after the required date. The report also noted that physician progress notes were expected at each required visit. Clinical record review showed missing physician progress notes for 22 of 26 residents reviewed. Several residents had long gaps between documented physician visits, including residents with diagnoses such as dementia, diabetes, hypertension, atrial fibrillation, COPD, schizophrenia, seizure disorder, Parkinson’s disease, paraplegia, quadriplegia, and other chronic conditions. Examples included residents whose records showed a physician note in late 2025 and then no additional note until March 2026, with gaps ranging from 95 days to 179 days. One resident admitted in March 2026 had no evidence of a physician progress note completed at least once every 30 days during the first 90 days after admission. The report also identified residents whose records lacked required physician notes during the initial post-admission period or at required intervals thereafter. One resident admitted in January 2026 had a physician note on March 6, 2026 and again on April 14, 2026, but no note within the first 30 days after admission. Another resident admitted in December 2025 lacked evidence of physician progress notes within the first 30 days, at 60 days, and after the March 6, 2026 visit. During an interview on May 29, 2026, the DON confirmed that the listed residents’ records lacked the required physician visit progress notes and stated that physician progress notes should be completed at every required visit.
Failure to Provide Baseline Care Plan Summary
Penalty
Summary
The facility failed to provide a written summary of the baseline care plan and order summary to Resident R1 and/or the resident’s representative within the required timeframe after admission. Resident R1 was admitted on 10/7/25 with diagnoses including asthma, hypothyroidism, and hypertension. Review of the clinical record found no evidence that a written summary of the baseline care plan and order summary was provided to the resident and/or representative. During an interview on 5/28/26 at 3:11 p.m., the Nursing Home Administrator confirmed there was no evidence that the written summary of the baseline care plan and order summary had been provided.
Care plans not updated to match current resident care
Penalty
Summary
The facility failed to review and revise comprehensive care plans to reflect current care and services for two residents. Facility policy stated that assessments are ongoing and care plans are revised as residents’ information and conditions change, but the clinical record for one resident showed that a urinary catheter had been removed while the care plan for altered genitourinary system still included interventions for catheter care, including changing, flushing, irrigating, securing, and checking tubing for kinks. The resident’s MDS indicated no indwelling catheter, and there was no current physician order for a urinary catheter. During interview, the Nursing Home Administrator confirmed the care plan was not reviewed or revised to reflect the current catheter status. For the second resident, the care plan for elopement risk included an intervention for a Wanderguard bracelet check each shift, but the resident’s physician order had discontinued the Wanderguard and the MDSs coded wander/elopement alarms as not used. The care plan still showed the Wanderguard intervention with a last revision date that did not reflect the discontinued device. During interview, the LPN Assessment Coordinator confirmed the Wanderguard had been discontinued and the care plan was not updated to accurately reflect that change.
Outdated Open Vials Found in Medication Storage
Penalty
Summary
The facility failed to appropriately discard outdated medications in two storage areas: the West medication room refrigerator and the West One medication cart. Facility policy stated that multi-dose medications that have been opened or accessed are to be dated and discarded within 28 days unless the manufacturer specifies a different timeframe. Manufacturer guidance reviewed for Tubersol stated that an opened vial should be discarded within 30 days after opening, and guidance for Insulin Glargine stated that an opened vial should be discarded within 28 days after opening. During observation of drug storage, an open vial of Tubersol was found in the West Unit medication storage room refrigerator with an open date of 3/23/26 and a discard date of 4/22/26. During the same observation, an LPN confirmed that the vial was past the 30-day limit and should have been discarded. In a separate observation of the West One medication cart, an open vial of Insulin Glargine was found with an open date of 4/26/26 and a discard date of 5/24/26. The LPN confirmed that this vial was also past the 28-day limit and should have been discarded.
Unsanitary Fans in Kitchen Food Prep and Dishwashing Areas
Penalty
Summary
The facility failed to ensure food was prepared in a safe and sanitary manner in the dishwashing area of the main kitchen. A facility policy titled "Sanitization" stated that the food service area is maintained in a clean and sanitary manner and that utensils, counters, shelves, and equipment are kept clean. During observation of the main kitchen, surveyors found one fan over the meal prep area and one fan in the dishwashing area with a thick layer of dust and a fuzzy substance. The Kitchen Manager confirmed at the time of the observation that both fans had the thick layer of dust and fuzzy substance.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to dispose of garbage and refuse properly for two dumpsters observed outside the building. Facility policy stated that garbage and refuse containers are to be in good condition, without leaks, and waste is to be properly contained in dumpster/compactors with lids. During observation, the garbage dumpster had several bags of trash heaping out of the container so the lid could not be closed, and the recycling dumpster had several boxes heaping out of the container so the lid could not be closed. The Nursing Home Administrator confirmed both dumpsters were overfilled and that the lids could not be closed.
Inaccurate MDS Assessment Documentation for Restraints and Falls
Penalty
Summary
The facility failed to accurately complete the Minimum Data Set (MDS) assessments to reflect the actual status of seven residents. Specifically, the MDS Section P0100A, which documents the use of restraints such as bed rails, was incorrectly coded for several residents. Although the MDS indicated that bed rails were used daily as restraints, observations revealed that only quarter-sized rails were present, which staff confirmed were not used as restraints. Additionally, for one resident, the MDS Section J1900 was incorrectly coded to show zero falls with major injury, despite documentation of a fall resulting in a head injury and hospital transfer. Another resident was coded as not using a trunk restraint, even though a pelvic safety device was observed in use per physician order. These inaccuracies were confirmed through review of clinical records, physician orders, incident reports, direct observations, and staff interviews. The Director of Nursing and the Nursing Home Administrator both acknowledged the incorrect MDS coding for the affected residents. The deficiencies involved residents with complex medical histories, including epilepsy, bipolar disorder, anxiety, heart disease, paraplegia, pressure ulcers, hemiplegia, diabetes, psychotic disorder, and profound intellectual disabilities. The failure to accurately document the use of restraints and falls in the MDS assessments constitutes a violation of medical records requirements.
Failure to Monitor and Document Oxygen Saturation per Physician Orders
Penalty
Summary
The facility failed to provide oxygen therapy in accordance with physician's orders for one resident. The resident had a history of chronic obstructive pulmonary disease, chronic respiratory failure, and sleep apnea, and had a physician's order for continuous oxygen via nasal cannula at 2-3 liters per minute, with a goal oxygen saturation of 88-92%. Facility policy required staff to check the physician's order for oxygen flow and to document care provided according to the resident's needs. Review of the resident's clinical record showed that there was no evidence that oxygen saturation levels were routinely obtained or documented to ensure the resident was within the prescribed oxygen saturation range. During an interview, the DON confirmed that the clinical record lacked documentation of oxygen saturation percentages and acknowledged that monitoring was necessary to ensure compliance with the physician's orders.
Failure to Discontinue Unnecessary Droplet Isolation Precautions
Penalty
Summary
The facility failed to discontinue droplet isolation precautions for three residents after laboratory testing confirmed that they did not have transmittable diseases. According to facility policy, isolation and transmission-based precautions should be used only as necessary to prevent the spread of infection and should be the least restrictive possible. For the three residents involved, clinical records showed that all relevant tests for COVID-19 and influenza were negative, and the residents remained afebrile. Despite these negative results, droplet precautions were not removed, and the residents continued to be isolated. Staff interviews revealed a lack of awareness regarding the need to discontinue isolation precautions when no transmittable disease was present. One RN was unaware of any positive test results that would require ongoing droplet isolation, and an LPN confirmed that the residents were kept in isolation, which limited their ability to socialize and participate in activities. The Infection Preventionist also confirmed that isolation should have been discontinued based on the negative test results. The affected residents included individuals with diagnoses such as neuralgic amyotrophy, dementia, anxiety, depression, and dysphagia, and at least one resident expressed dissatisfaction with the unnecessary isolation.
Failure to Update Care Plan for Oxygen Therapy
Penalty
Summary
The facility failed to review and revise the comprehensive care plan for one resident to reflect current care and services as required by facility policy. Specifically, a resident with chronic obstructive pulmonary disease, chronic respiratory failure, and sleep apnea had physician orders for continuous oxygen via nasal cannula at 2-3 liters per minute with a goal oxygen saturation of 88-92%. However, the resident's care plan only included interventions for oxygen at 2 liters per minute, either as needed or continuously, and did not reflect the updated physician order. The Director of Nursing confirmed that the care plans were not reviewed or revised to match the current orders and acknowledged that care plans should be updated as necessary.
Required QAPI Committee Members Absent from Meetings
Penalty
Summary
The facility failed to ensure the required attendance of the Director of Nursing (DON) and the Infection Preventionist at two of four quarterly Quality Assurance and Performance Improvement (QAPI) Committee meetings. Review of the facility's policy indicated that the QAPI steering committee must include the Administrator, DON, Infection Control, and Medical Director, in accordance with CMS regulations. Examination of the QAPI Committee attendance records showed that the DON was not present at the October 2024 meeting, and the Infection Preventionist was not present at the February 2025 meeting, as evidenced by the absence of their signatures on the attendance sheets. During an interview, the Nursing Home Administrator confirmed that there was no evidence of attendance for these required members at the specified meetings and acknowledged that their presence was required.
Failure to Conduct Required Fire Drills
Penalty
Summary
Snyder Memorial Health Care Center was found to be non-compliant with the Life Safety Code requirements for an existing health care occupancy during an Abbreviated Survey conducted as part of a Complaint Investigation. The facility, a one-story, Type V (111), protected, wood frame building that is fully sprinklered, failed to conduct the required fire drills. Document review revealed that the facility did not perform 12 out of 12 required fire drills, as there was no documentation of the sending/receiving of a fire alarm signal or the simulation of emergency fire conditions. Additionally, the facility conducted silent drills outside the defined NFPA time intervals, specifically between 9:00 p.m. and 6:00 a.m. An interview with the maintenance supervisor confirmed these deficiencies.
Plan Of Correction
A fire drill was immediately held in the facility on 1/8/2025 at 1400 during the 1st shift. A test of the pull station was completed and documentation of successful check obtained. The Director of Maintenance was educated by the facility Administrator on the requirements of conducting fire drills and maintaining documentation of fire drills in accordance with NFPA 101. An all staff education on fire prevention policy will be completed by January 31, 2025. The education will be conducted by the facility administrator designee. A calendar of scheduled fire drills has been completed for the calendar year and shared only by the Director of Maintenance and the facility administrator to facilitate unexpected times and varying conditions. The facility Director of Maintenance will be responsible for performing the fire drills in accordance with requirement. The Facility Administrator will audit fire drills monthly to ensure completion and compliance with the requirement. The results of the audit and the fire drill will be reviewed by the facility Quality Assurance and Performance Improvement Committee at a minimum of the next 3 scheduled meetings.
Medication Administration Deficiency
Penalty
Summary
The facility failed to properly safeguard and administer medications for one of the six residents reviewed. The facility's policy on medication administration, dated 10/11/23, requires that all medications be given by the person who prepared the dose, ensuring the resident has enough fluids to swallow their medication, and that no medication is left at the bedside. However, during an observation on 10/01/24, a medication cup containing two pills, Eliquis 2.5 mg and Celexa 10 mg, was found on the bedside tray table of Resident R1, who was asleep. The LPN who prepared the medication was not present in the room, having left the medication unattended. A Registered Nurse confirmed that the medications should not have been left alone in the room and that the LPN should have ensured the resident took the medications before leaving.
Failure to Provide Morning Care Assistance
Penalty
Summary
The facility failed to provide necessary assistance for grooming and personal hygiene to five residents, as observed and confirmed by staff interviews. The facility's policy on A.M. Care, dated 8/09/23, outlines the importance of morning care for cleanliness, comfort, and psychosocial well-being. However, observations on 6/15/24 revealed that several residents had not received their morning care by the afternoon. Resident R15, with a history of stroke and dementia, was found in the hallway in street clothes, stating they had not been cleaned up yet. Similarly, Resident R22, with psychotic disorder and intellectual disabilities, was in their room and had not been washed up. Resident R5, with traumatic brain injury and intellectual disabilities, also reported not having completed their A.M. care. Further observations showed Resident R2, with multiple sclerosis, lying in bed with a soiled shirt, expressing a preference for being cleaned before breakfast. Resident R16, with schizophrenia and bipolar disorder, was in their wheelchair and had not been washed up, expecting it to happen only before bed. Interviews with staff, including a nurse aide and an LPN, confirmed that all residents on the hall required assistance with personal hygiene, and none were independent. The Director of Nursing confirmed that all residents should be cleaned up by 10:30 a.m. daily, indicating a failure to adhere to this standard.
Failure to Maintain Sanitary Food Service Operations
Penalty
Summary
The facility failed to maintain sanitary food service operations in its kitchen, as evidenced by a deficiency in the dishwashing process. The facility's policy, last reviewed on August 9, 2023, required that dish machine temperatures be checked and documented at all meals, with the high-temperature dish machine wash ranging from 150 to 160 degrees Fahrenheit and the final rinse temperature at least 180 degrees Fahrenheit. However, observations and a review of the dish machine temperature logs for May and June 2024 revealed that the final rinse temperatures were consistently below the required 180 degrees Fahrenheit, with most temperatures recorded between 160 and 170 degrees Fahrenheit. During an interview, the Dietary Manager confirmed that the documented temperatures did not meet the required standards for proper sanitization and acknowledged that staff had not been properly trained on recording dish machine temperatures. This deficiency was identified as a violation of 28 Pa. Code 201.14(a) and 28 Pa. Code 211.6(f) regarding the responsibility of the licensee and dietary services, respectively.
Failure to Address Resident Council Concerns
Penalty
Summary
The facility failed to adequately address and resolve concerns raised by the Resident Council over a three-month period. During the months of March, April, and May 2024, the Resident Council Meeting Minutes revealed that previous concerns were not discussed with the council, and new concerns were not assigned to a department for investigation. Issues raised included the use of chewing tobacco in resident rooms, locked dining room doors, delayed call bell response times, ill-fitting dentures, inconsistent smoke break times, dirty bathrooms, inability to fully utilize wheelchairs, and missing clothing. Despite documentation of these concerns in facility Grievance Concerns forms, there was no evidence of resolutions being communicated back to the residents. Interviews with Resident Council members confirmed that they were not informed about how their concerns were being resolved, and there was a lack of evidence that the repeated education provided to staff was effective. The Director of Nursing, Nursing Home Administrator, and Registered Nurse Assessment Coordinator acknowledged the absence of evidence showing that previous concerns were discussed at Resident Council Meetings or that residents were informed of the outcomes. This lack of communication and resolution led to the deficiency identified in the report.
Failure to Obtain Physician's Order for Smoking
Penalty
Summary
The facility failed to provide care and services in accordance with professional standards of practice for Resident R9, who was admitted with diagnoses including multiple sclerosis, heart problems, anxiety, and bipolar disorder. The facility's Tobacco and Vaping Policy requires a physician's order for smoking to ensure compliance with Federal and State regulations and guidelines. However, a review of Resident R9's clinical record revealed a lack of evidence that a physician's order was obtained for smoking. Observations confirmed that Resident R9 was seen smoking outside in a gathering area on two separate occasions. During an interview, the Director of Nursing confirmed the absence of a physician's order for Resident R9 to smoke, which is necessary to ensure the resident's safety in participating in smoking activities.
Failure to Maintain Drug Regimen Review Documentation
Penalty
Summary
The facility failed to ensure that medication regimens were free of potentially unnecessary medications for two residents. The facility's policy on Drug Regimen Review, dated 8/09/23, requires that completed pharmacy reports be maintained, and that prescribers act upon the Drug Regimen Review findings within 21 days, documenting any disagreements with recommendations. However, for Resident R38, who has diagnoses including alcohol abuse with alcoholic-induced psychotic disorder, dementia with behavioral disturbances, and stroke, the clinical record only contained one Physician's Communication Form dated 4/26/24, with no additional pharmacy reports or communication forms available since the last full health survey on 7/25/23. This was confirmed by the Director of Nursing during an interview on 6/17/24. Similarly, Resident R69, diagnosed with dementia with behavioral disturbance, anxiety, major depression with psychotic symptoms, and stroke, also had only one Physician's Communication Form dated 1/31/24 in their clinical record, with no further pharmacy reports or communication forms since the last survey. The Director of Nursing confirmed this during an interview on 6/18/24. The lack of documentation and follow-up on pharmacy recommendations for these residents indicates a failure to comply with the facility's policy and regulatory requirements, potentially leading to the continuation of unnecessary medications.
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Illustrative
What surveyors actually found near you
We read the 41 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Nursing homes near Marienville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dr Arthur Clifton Mckinley Ctr | 21.6 mi | ★★★★★ | 4 | 0 |
| Shippenville Nursing And Rehab | 21.7 mi | ★★★★★ | 1 | 0 |
| Lutheran Home At Kane, The | 21.9 mi | ★★★★★ | 6 | 0 |
| Clarion Nursing And Rehab | 22.1 mi | ★★★★★ | 6 | 0 |
| Penn Highlands Jefferson Manor | 22.2 mi | ★★★★★ | 17 | 0 |
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