Deficiency Index

Sweden Valley Manor

Coudersport, Pennsylvania · CCN 395699

18 surveys since 2011, 1 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
136
Surveys
18
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file14/18

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
121
Ownership
For profit - Corporation
Chain
HCF MANAGEMENT
County
Potter · rural
Medicare-certified since
1985

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 132 for-profit facilities of 100–127 beds in Pennsylvania.

Last survey on record

Jul 24, 2026

108 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.133.42
Registered-nurse hours per resident day0.49—
Annual nurse turnover35.9%47.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3364.7%E1325.5%F47.8%
No harm, potential for minimalA—B—C12.0%
CMS’s current file: 51 of the 136 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5842×

    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.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6762×

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

In the surveyor’s words

From the most serious findings on record at Sweden Valley Manor, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 24, 2026

    Based on observation and staff interview, it was determined that the facility failed to store food in accordance with professional standards for food service safety in the facility's main kitchen and resident pantry area.Findings include: Observation of the facility's main kitchen on July 21, 2026, at 10:30 AM, with Employee 15, dietary services supervisor, revealed the following: A small metal pan of a prepared product resembling tuna salad, on the bottom shelf of the reach-in refrigerator, with no label to identify the product, a date of when it was placed there or when it needed used by. Front vents on the bottom of the outside of the reach-in refrigerator were observed to have various spills down the face of this area. […]

  • No harm, potential for more than minimal, widespreadF838Jul 24, 2026

    Based on a review of facility documentation and staff interview it was determined that the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents since their last standard survey (ending August 8, 2025).Findings include: The surveyor requested the Facility Assessment document (Assessment of the resident population that includes an evaluation of diseases, conditions, physical or cognitive limitations of the resident population's acuity and any other pertinent information about the residents that may affect the services the facility must provide. […]

  • No harm, potential for more than minimal, widespreadF812Sep 20, 2024

    Based on observation and staff interview, it was determined the facility failed to store food and maintain food service equipment in a safe and sanitary manner and prevent the potential for food contamination in the facility's main kitchen. Findings include: An observation of the facility's main kitchen on September 17, 2024, at 11:50 AM with Employee 2, corporate dietitian, revealed the following: The coffee station area contained dried brown liquid spills and dried food splatter on the wall behind the coffee machine, which extended down the wall to the floor area observed under the counter space. […]

  • No harm, potential for more than minimal, widespreadF812Oct 20, 2023

    Based on review of facility documentation, observation, and staff interview, it was determined that the facility failed to store, prepare, and serve food in a manner to prevent the potential spread of food borne illness in the main kitchen and the facility's pantry. Findings include: Observation of the facility's kitchen on October 17, 2023, at 10:58 AM revealed that facility staff did not document daily food temperatures on the following dates and meals: Breakfast: October 5, 10, 14, and 15, 2023, the egg, meat, and cereal portion of the meal October 7, 8, 11, 12, and 13, 2023, the fruit, milk, and coffee portion of the meal Lunch: October 3, 7, 8, 11, 12, and 13, 2023, the fruit, dessert, milk, and coffee portion of the meal October 5, 10, 14, and 15, 2023, the soup, sandwich,… […]

  • No harm, potential for more than minimal, widespreadF812Oct 29, 2021

    Based on observation, staff interview, and review of facility documents, it was determined that the facility failed to store food in a safe and sanitary manner and implement measures to assure equipment used for sanitization of preparation/serving supplies were maintained in a manner to prevent the potential spread of food borne illness in the facility's main kitchen. Findings include: A tour of the facility's main kitchen on [DATE], at 6:20 PM revealed the following: A foot pedal garbage receptacle located by the beverage dispensers was overflowing with the lid completely open. The receptacle itself contained dried spills and debris on the lid and the exterior. Several clear plastic bins were observed on a shelf in the food preparation area. […]

Read 21 findings in full →The most serious and the most recent: 21 of 136 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 24, 2026Standard22 findings
  • Aug 8, 2025Standard7 findings
  • Sep 20, 2024Standard11 findings
  • Oct 20, 2023Standard11 findings
  • Oct 14, 2022Standard11 findings
  • Jun 23, 2022Complaint1 finding
  • Oct 29, 2021Standard8 findings
  • Sep 11, 2020Standard8 findings
Show the 10 earlier surveys
  • Sep 11, 2019Complaint1 finding
  • Mar 15, 2019Standard11 findings
  • Apr 27, 2018Standard9 findings
  • May 12, 2017Standard4 findings
  • Apr 8, 2016Standard15 findings
  • Jun 18, 2015Standard1 finding
  • May 30, 2014Standard5 findings
  • Apr 19, 2013—2 findings
  • May 10, 2012—6 findings
  • Jun 17, 2011—3 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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