Average — CMS composite of the measures below.
A standard survey is most likely before 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 Snu Armstrong Co Memorial Hosp during CMS and state inspections, most recent first.
The facility did not provide a secure method for residents, family members, friends, or staff to file grievances anonymously, despite policy stating this right. Forms were available in common areas, but the Nursing Home Administrator instructed individuals to hand them to staff, compromising anonymity. This affected all 13 residents involved.
A medication cart was left unattended in a corridor with its computer screen open, exposing resident information. This breach of confidentiality occurred when an RN left the cart to go to the medication room, as confirmed by the Nursing Home Administrator.
The facility failed to maintain a safe environment in one of its elevators, as the number one button was broken with sharp edges exposed. This issue was observed on two consecutive days, and the Nursing Home Administrator confirmed the deficiency.
The facility failed to conduct timely state background checks for a Nursing Assistant and a Registered Nurse before their hire. The NA was hired without a completed background check, and the RN's check lacked results. These oversights were confirmed by the Employment Coordinator and the Nursing Home Administrator.
A facility failed to communicate necessary resident information during a transfer to a hospital for a resident with peripheral vascular disease and diabetes. The Director of Nursing confirmed that while paperwork was sent, there was no documentation of the required information being communicated to the receiving provider.
The facility failed to notify the Office of the Long-Term Care Ombudsman Division about the transfer or discharge of two residents. One resident with coronary artery disease, high blood pressure, and seizures was discharged home, and another with peripheral vascular disease and diabetes was transferred to the hospital, both without the required notifications. The Nursing Home Administrator confirmed that notifications had not been sent since before the COVID pandemic.
A facility failed to notify a resident or their representative of the bed-hold policy during a hospital transfer. The resident, with peripheral vascular disease and diabetes, was transferred to the hospital without documented evidence of receiving written information about the bed-hold policy. The Nursing Home Administrator confirmed the absence of such a policy and acknowledged the notification failure.
A resident with a diagnosis of dependence on renal dialysis did not receive dialysis services as required because the facility failed to secure a contract with a dialysis provider. The resident had a physician's order for dialysis three times a week, but the Nursing Home Administrator confirmed the absence of a necessary contract to facilitate these services.
The facility failed to document the clinical necessity for psychotropic medications for two residents, as required by federal regulations and facility policy. One resident was prescribed Duloxetine and Zolpidem, and another was prescribed Trazodone, without documented justification from a physician. The DON confirmed the absence of necessary documentation, indicating non-compliance with medication regime requirements.
The facility did not submit direct care staffing information in the PBJ system for Quarter 1, from October to December 2023. This was confirmed by the Nursing Home Administrator during an interview, acknowledging the failure to comply with the submission requirement, violating 28 Pa. Code 201.14(a).
The facility's QAPI committee failed to address recurring deficiencies, including a broken elevator button with sharp edges, lack of a posted grievance official, and inadequate infection control during dressing changes. These issues highlight ineffective corrective action and monitoring.
The facility did not conduct Quality Assessment and Assurance (QAA) meetings quarterly with all required members, as the Medical Director and Director of Nursing were absent from a meeting. This was confirmed by the Nursing Home Administrator, violating management regulations.
A facility failed to follow proper PPE protocols during a dressing change for a resident with a surgical wound. An LPN entered the resident's room and performed the procedure without wearing a gown, as required by Enhanced Barrier Precautions. This lapse was confirmed by the Nursing Home Administrator, indicating non-compliance with the facility's infection control policies.
Failure to Ensure Anonymous Grievance Filing
Penalty
Summary
The facility failed to ensure that residents, family members, friends, or staff could file complaints or grievances anonymously. The facility's policy, dated December 1, 2024, stated that grievances could be filed anonymously, but during a tour of the nursing unit, it was observed that there was no secure location for submitting these forms anonymously. The Resident/Family Concern Forms were available in the Activity/Dining Room and at the Nurses Station, but there was no provision for anonymous submission. During an interview, the Nursing Home Administrator (NHA) indicated that they instructed individuals to give the completed forms to staff, which does not allow for anonymity. The NHA acknowledged the oversight and confirmed that the facility did not ensure anonymous filing for all 13 residents involved.
Breach of Resident Confidentiality on Medication Cart
Penalty
Summary
The facility failed to maintain the confidentiality of residents' medical information on one of its medication carts. During an observation, it was noted that a medication cart, located in the corridor outside a resident's room, was left unattended with the computer screen open. This exposed identifiable resident information to any passerby. The facility's policy on Security Codes/Passwords/Confidentiality Compliance, last reviewed on 9/1/24, emphasizes the importance of protecting computerized data and warns against breaches of patient privacy. Registered Nurse Employee E1 admitted to leaving the cart unattended with the screen open while running to the medication room. The Nursing Home Administrator confirmed the breach of confidentiality on the medication cart.
Unsafe Elevator Environment Due to Broken Button
Penalty
Summary
The facility failed to maintain a safe, homelike environment for one of its two elevators, specifically Elevator 1. On two separate observations, the number one button in Elevator 1 was found to be broken, with the center of the button missing and sharp edges exposed. These observations occurred on consecutive days, indicating that the issue was not addressed promptly. During an interview, the Nursing Home Administrator confirmed the presence of the broken button with exposed sharp edges, acknowledging the facility's failure to maintain the required safe environment.
Failure to Conduct Timely Background Checks for New Hires
Penalty
Summary
The facility failed to properly screen two employees by not completing a state background check prior to their hire. Specifically, the personnel records of a Nursing Assistant (NA) and a Registered Nurse (RN) were reviewed, revealing deficiencies in the hiring process. The NA was hired without a state criminal background check being completed before her start date. This was confirmed during an interview with the Employment Coordinator, who acknowledged that the background check was conducted after the NA's hire date. In the case of the RN, although a criminal background check was completed before the hire date, the report did not indicate whether the RN had a criminal record or not. This oversight was also confirmed by the Employment Coordinator, who admitted that the results were missing from the criminal background check. The Nursing Home Administrator confirmed these findings, indicating a failure to adhere to the facility's policies and procedures for employee screening.
Failure to Communicate Resident Information During Transfer
Penalty
Summary
The facility failed to ensure that necessary resident information was communicated to the receiving health care provider during a facility-initiated transfer. This deficiency was identified for one out of three residents sampled, specifically for a resident with a history of peripheral vascular disease and diabetes. The resident was transferred to the hospital and did not return to the facility. Upon review, it was found that there was no documented evidence that the facility had communicated essential information such as the resident's care plan goals, advanced directive information, specific instructions for ongoing care, and resident representative information to the receiving health care provider. During an interview, the Director of Nursing acknowledged that while paperwork was sent with the resident, there was no documentation to confirm that the necessary information was communicated. This lack of communication was confirmed as a failure by the facility to meet the requirements for transferring resident information, as outlined in the resident rights regulation 28 Pa. Code 201.29 (a) (c.3) (2).
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to provide timely notification to the Office of the Long-Term Care Ombudsman Division regarding the transfer or discharge of two residents. The clinical records for Resident R7 and Resident R12 lacked documented evidence of written transportation notifications to the Ombudsman. Resident R7, who had coronary artery disease, high blood pressure, and seizures, was discharged to home without the required notification on September 16, 2024. Similarly, Resident R12, diagnosed with peripheral vascular disease and diabetes, was transferred to the hospital on July 17, 2024, without the necessary notification to the Ombudsman. During interviews conducted on September 19, 2024, the Nursing Home Administrator admitted that the facility had not been sending notifications to the Ombudsman since before the COVID pandemic. This admission confirmed the facility's failure to comply with the requirement to notify the Ombudsman of resident transfers or discharges, as mandated by 28 Pa. Code 201.29 (a) (c.3) (2) regarding resident rights.
Failure to Notify Resident of Bed-Hold Policy
Penalty
Summary
The facility failed to notify a resident or the resident's representative of the bed-hold policy during a hospital transfer. The clinical record review indicated that the resident, who had been admitted to the facility and had diagnoses of peripheral vascular disease and diabetes, was transferred to the hospital and did not return. There was no documented evidence that the resident or their representative received written information about the facility's bed-hold policy at the time of transfer. During interviews, the Nursing Home Administrator confirmed the absence of a bed-hold policy and acknowledged the failure to notify the resident or their representative about it.
Failure to Secure Dialysis Services for Resident
Penalty
Summary
The facility failed to ensure that a resident requiring dialysis services received such services consistent with professional standards of practice. Resident R68, who was admitted with diagnoses including dependence on renal dialysis, unspecified fall, and gastroesophageal reflux disease (GERD), had a physician's order for dialysis every Monday, Wednesday, and Friday. However, the facility did not have a contract with a dialysis facility to provide these necessary services. This deficiency was confirmed during an interview with the Nursing Home Administrator, who acknowledged the lack of a contract for the required dialysis services.
Failure to Document Clinical Necessity for Psychotropic Medications
Penalty
Summary
The facility failed to ensure a medication regime was free from potentially unnecessary medications for two residents, as required by federal regulations and facility policy. Resident R71, who was admitted with diagnoses including hyperlipidemia, weakness, and atrial fibrillation, was prescribed Duloxetine and Zolpidem. However, there was no documented evidence from the physician justifying the clinical necessity for these medications in the resident's clinical record. Similarly, Resident R74, admitted with atrial fibrillation, diabetes, and cirrhosis of the liver, was prescribed Trazodone without documented evidence of clinical necessity from the physician. During an interview, the Director of Nursing confirmed the absence of documented evidence for the clinical necessity of the psychotropic medications for both residents. The DON acknowledged that the facility did not comply with the requirement to ensure a medication regime free from potentially unnecessary medications for these residents. This deficiency was identified during a review of clinical records and staff interviews, highlighting a lapse in adherence to the facility's policy and federal regulations regarding psychopharmacologic drugs.
Failure to Submit Direct Care Staffing Information
Penalty
Summary
The facility failed to submit direct care staffing information in the Payroll-Based Journal (PBJ) system for Quarter 1, covering the period from October 1, 2023, through December 31, 2023. This deficiency was identified during a review of the PBJ staffing data reports, which revealed the absence of the required data submission for the specified quarter. The issue was confirmed during an interview with the Nursing Home Administrator on September 19, 2024, at 11:19 a.m., who acknowledged the facility's failure to comply with the submission requirement. This non-compliance is a violation of 28 Pa. Code 201.14(a), which outlines the responsibility of the licensee.
Facility Fails to Address Recurring Deficiencies
Penalty
Summary
The facility's Quality Assurance Performance Improvement (QAPI) committee failed to address recurring deficiencies effectively. The deficiencies identified during the State Survey and Certification included a failure to maintain a safe, homelike environment due to a broken number one button with sharp exposed edges on Elevator 1. Additionally, the facility did not ensure that a grievance official was posted with contact information, and the grievance policy did not meet federal guidelines. Another deficiency was observed in the facility's infection control measures during a dressing change observation. The staff failed to implement required infection control measures, which included proper hand hygiene, changing of gloves, prevention of cross-contamination, appropriate use of personal protective equipment (PPE), and decontamination of equipment. These deficiencies indicate a lack of effective corrective action and monitoring by the facility's QAPI committee.
Failure to Conduct Quarterly QAA Meetings with Required Members
Penalty
Summary
The facility failed to conduct Quality Assessment and Assurance (QAA) meetings at least quarterly with all required committee members for one of the three quarterly meetings during the period from October 2023 through December 2023. The facility's Quality Assurance and Performance Improvement (QAPI) Program policy, dated September 1, 2024, emphasizes a multidisciplinary team approach to maintaining an effective and comprehensive QAPI program. However, a review of the QAPI quarterly meeting attendance records from January 15, 2024, revealed that the Medical Director and Director of Nursing did not attend the meeting. During an interview on September 19, 2024, the Nursing Home Administrator confirmed the facility's failure to meet the requirement of conducting QAA meetings with all necessary committee members. This deficiency is in violation of 28 Pa Code: 201.18(e)(1)(2)(3)(4) Management.
Failure to Follow PPE Protocols During Wound Care
Penalty
Summary
The facility failed to adhere to proper infection prevention and control protocols, specifically in the use of personal protective equipment (PPE) for a resident identified as R65. The facility's policy on infection control, dated 11/1/23, aims to maintain a comprehensive program to reduce infection risks. However, during an observation of a dressing change, it was noted that an LPN, identified as Employee E5, entered the resident's room without donning the required isolation equipment. The LPN performed a dressing change without wearing a gown, which is a requirement under Enhanced Barrier Precautions (EBP) for high-contact care activities such as wound care. Resident R65 was admitted with diagnoses including cellulitis, weakness, and a urinary tract infection, and had a surgical wound on the left shin. The resident's care plan included daily wound care with specific instructions for cleaning and dressing the wound. Despite these precautions, the LPN's failure to wear a gown during the dressing change was confirmed by the Nursing Home Administrator, indicating a lapse in following the facility's infection control policies. This deficiency was identified during a survey, highlighting the need for adherence to PPE protocols to prevent infection risks.
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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 Kittanning
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Armstrong Rehabilitation And Nursing Center | 0.6 mi | ★★★★★ | 64 | 1 |
| Kittanning Health & Rehab Center | 3.4 mi | ★★★★★ | 41 | 0 |
| Quality Life Services - Sugar Creek | 9.5 mi | ★★★★★ | 4 | 1 |
| Quality Life Services - Sarver | 10.1 mi | ★★★★★ | 16 | 0 |
| Concordia Lutheran Health And Human Care | 14 mi | ★★★★★ | 0 | 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.