01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-03 | 3 | 2025-07-03 | 6 |
| Cycle 2 | 2024-08-16 | 5 | 2024-08-16 | 17 |
| Cycle 3 | 2023-10-27 | 6 | 2023-10-27 | 10 |
CMS CCN 3952922026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Wesbury United Methodist Commu
31 North Park Ave Ext · Meadville, PA 16335 · Crawford County
Certified beds210CMS provider file
Recent citation rows47current 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
47 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-03 · HEALTHF0575Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-03 · 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 · 2025-07-252025-07-03 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-03 · FIREK0133Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-03 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-03 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-03 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-03 · FIREK0372Severity D · isolated; 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 · 2025-07-252025-07-03 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-07-252024-08-16 · 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 · 2024-09-202024-08-16 · 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 · 2024-09-202024-08-16 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2024-09-202024-08-16 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-09-202024-08-16 · 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 · 2024-09-202024-08-16 · FIREK0111Severity B · pattern; potential for minimal harm
Construction Deficiencies
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0200Severity C · widespread; potential for minimal harm
Egress Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0222Severity B · pattern; potential for minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0223Severity B · pattern; potential for minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0271Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0293Severity B · pattern; potential for minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-10-172024-08-16 · FIREK0325Severity B · pattern; potential for minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2024-10-1703 / 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
- BECKER, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2019
- MOOK, LYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2017
- REYER, RONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/30/2022
- SPENCE, DEBORAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2018
- SWICK, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2023
- THOMAS, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2023
- WAID, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2013
- WEINDORF, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2018
- ZERBE, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2023
- MADDY, LISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2023
- NAGEOTTE, BRIANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2015
- BISH, TANYAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/27/2025
- MADDY, LISAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2023
- STEVENSON, ALISHIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/27/2025
- AMX HOLDINGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2015
- DAVID A WILLIAMS, DO INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- RKL LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- SYMBRIA RX GREAT LAKES NORTH LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/03/2021
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 hours3.63per resident day
RN hours0.38per resident day
Weekend nurse hours3.33per resident day
Staff turnover35.0%CMS reported field
06 / LOCAL RECORDS
Open the Meadville ledger →