01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-01 | 3 | 2026-05-01 | 0 |
| Cycle 2 | 2025-05-30 | 4 | 2025-05-30 | 0 |
| Cycle 3 | 2024-06-18 | 10 | 2024-06-18 | 1 |
CMS CCN 3958672026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Amaryllis Nursing And Rehab
15 West Willow Street · Smethport, PA 16749 · Mc Kean County
Certified beds34CMS provider file
Recent citation rows18current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
18 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-01 · HEALTHF0553Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-01 · HEALTHF0655Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-01 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-122025-05-30 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-30 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-30 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-30 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-182024-06-18 · FIREE0041Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2024-08-012024-06-18 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2024-07-252024-06-18 · HEALTHF0655Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-07-252024-06-18 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-07-252024-06-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-07-252024-06-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-08-222024-06-18 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-07-252024-02-28 · HEALTHF0756Severity F · widespread; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-04-12 · complaint2024-02-28 · HEALTHF0836Severity L · widespread immediate jeopardy
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-04-12 · complaint2023-11-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-01-24 · complaint2023-11-22 · HEALTHF0836Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-01-24 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-11-22 | Fine | $6,631 | 0 |
| 2023-11-22 | Payment Denial | $0 | 50 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ZIDELE, YESHAYAHUIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST50% · since 06/28/2022
- ZIDELE, MORDECHAIIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/28/2022
- ZIDELE, YESHAYAHUIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/28/2022
- BONAMOUR HEALTH GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/28/2022
- BARBER, PATRICIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/31/2023
- BONAMOUR HEALTH GROUP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/03/2025
- BARBER, PATRICIAIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/31/2023
- ROSCOE, BRANDONIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/28/2022
- ZIDELE, MORDECHAIIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/28/2022
- ZIDELE, YESHAYAHUIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/28/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.57per resident day
RN hours1.09per resident day
Weekend nurse hours3.97per resident day
Staff turnover40.0%CMS reported field
06 / LOCAL RECORDS
Open the Smethport ledger →