01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-02 | 4 | 2026-04-02 | 1 |
| Cycle 2 | 2025-04-04 | 14 | 2025-04-04 | 3 |
| Cycle 3 | 2024-05-24 | 8 | 2024-05-24 | 0 |
CMS CCN 3956502026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Warren Manor
682 Pleasant Drive · Warren, PA 16365 · Warren County
Certified beds121CMS provider file
Recent citation rows30current 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
30 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-02 · 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 · 2026-05-292026-04-02 · HEALTHF0689Severity G · isolated actual 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 · 2026-05-29 · complaint2026-04-02 · HEALTHF0695Severity E · pattern; 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 · 2026-05-292026-04-02 · HEALTHF0880Severity F · widespread; 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 · 2026-05-292026-04-02 · FIREK0912Severity B · pattern; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2026-04-302025-04-04 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-05-30 · complaint2025-04-04 · HEALTHF0568Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-04-04 · HEALTHF0574Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Correction field: Deficient, Provider has date of correction · 2025-05-30 · complaint2025-04-04 · 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 · 2025-05-302025-04-04 · HEALTHF0585Severity D · isolated; 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 · 2025-05-302025-04-04 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-04-04 · 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 · 2025-05-302025-04-04 · HEALTHF0684Severity E · pattern; 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 · 2025-05-30 · complaint2025-04-04 · 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 · 2025-05-302025-04-04 · HEALTHF0695Severity E · pattern; 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 · 2025-05-302025-04-04 · 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 · 2025-05-302025-04-04 · 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 · 2025-05-302025-04-04 · FIREK0200Severity B · pattern; potential for minimal harm
Egress Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2025-05-162025-04-04 · FIREK0353Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-162025-04-04 · FIREK0912Severity B · pattern; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2025-05-162024-12-26 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-02-10 · complaint2024-08-21 · 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 · 2024-10-04 · complaint2024-05-24 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2024-07-152024-05-24 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-07-1503 / 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 12/31/2021
- DAVID V. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/31/2021
- JEFFREY L. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/31/2021
- JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/31/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. UOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/31/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. ROOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/31/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UNOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/31/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/31/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNVOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/31/2021
- JOSEPH L. UNVERFERTH 12-15-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/31/2022
- LAWRENCE G. UNVERFERTH 12-13-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/31/2023
- R. STEVEN UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/31/2021
- KLAY, CELESTEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2011
- MOSHER, COURTNEYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/22/2023
- 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 01/01/2003
- MOSHER, COURTNEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/22/2023
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 hours3.28per resident day
RN hours0.53per resident day
Weekend nurse hours2.94per resident day
Staff turnover28.9%CMS reported field
06 / LOCAL RECORDS
Open the Warren ledger →