01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-08 | 7 | 2025-08-08 | 3 |
| Cycle 2 | 2024-09-20 | 11 | 2024-09-20 | 2 |
| Cycle 3 | 2023-10-20 | 11 | 2023-10-20 | 4 |
CMS CCN 3956992026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Sweden Valley Manor
1028 East Second Street · Coudersport, PA 16915 · Potter County
Certified beds121CMS provider file
Recent citation rows38current CMS citation release
Penalty rows0current 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
38 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-08 · HEALTHF0571Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-08-08 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-08-08 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-08-08 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-08-08 · 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 · 2025-09-262025-08-08 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-09-262025-08-08 · 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 · 2025-09-262025-08-08 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-10-172025-08-08 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-10-172025-08-08 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-10-172024-09-20 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · 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 · 2024-11-192024-09-20 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0687Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0697Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2024-11-192024-09-20 · HEALTHF0812Severity F · widespread; 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 · 2024-11-192024-09-20 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-09-20 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-11-222023-10-20 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2023-12-1103 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CHAD M. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- DAVID V. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- JEFFREY L. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. UOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. ROOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UNOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNVOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOSEPH L. UNVERFERTH 12-15-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- LAWRENCE G. UNVERFERTH 12-13-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- R. STEVEN UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- KLAY, CELESTEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2011
- REDMOND, ANGELAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/22/2023
- ROMES, KERRIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/01/2013
- SHAW, ANTHONYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/29/1994
- UNVERFERTH, CHADIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/17/2003
- REDMOND, ANGELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/22/2023
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 hours3.13per resident day
RN hours0.49per resident day
Weekend nurse hours2.79per resident day
Staff turnover35.9%CMS reported field
06 / LOCAL RECORDS
Open the Pennsylvania ledger →Other published facilities nearby
No second facility in the same city met the directory rule.