Deficiency Index

Wesbury United Methodist Commu

Meadville, Pennsylvania · CCN 395292

25 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
76
Surveys
25
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 file21/25

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

The facility

Certified beds
210
Ownership
Non profit - Corporation
Chain
Independent
County
Crawford · rural
Medicare-certified since
1971

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

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 46 not-for-profit facilities with 128 or more beds in Pennsylvania.

Last survey on record

Jul 23, 2026

109 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 day3.633.91
Registered-nurse hours per resident day0.38—
Annual nurse turnover35.0%39.5%

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 minimalD1781.0%E419.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 21 of the 76 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6954×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F7613×

    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.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Wesbury United Methodist Commu, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF684Jul 23, 2026

    Based on review of the hospice/facility agreement and clinical records, and staff interview, it was determined that the facility failed to maintain current information related to Hospice services for three of 28 residents reviewed (Residents R27, R77, and R122).Findings include: The Skilled Nursing Facility Inpatient Care Services Agreement dated 3/21/23, revealed that: Article II section 2.2 Plan of Care indicated the plan of care should be maintained in consultation with Skill Nursing Facility (SNF) representatives during the period the patient is admitted to the SNF, hospice shall communicate to the SNF any changes in the condition of patient which require updating the Plan of Care for each patient, and provide SNF with the updated Plan of Care; section 2.4 Manner of Communication all… […]

  • No harm, potential for more than minimal, patternF695Jul 23, 2026

    Based on review of facility policy, clinical records, observation, and staff interview, it was determined that the facility failed to maintain proper care of respiratory equipment and failed to help prevent the spread of infection regarding respiratory care equipment for six of 28 residents (Residents R2, R12, R81, R92, R133, and R138).Findings include: Review of facility policy entitled Oxygen Therapy and Equipment dated 5/1/26, indicated All nasal canula tubing (oxygen tubing that has prongs that go into the nostrils and loops around the ears to secure in place to ensure adequate oxygen delivery), mask, extension tubing, and zip lock style bags will be changed every week by night shift. […]

  • No harm, potential for more than minimal, patternF880Jul 23, 2026

    Based on review of facility policy and clinical records, observations, and staff interviews it was determined that the facility failed to prevent the potential for cross contamination (the spreading of germs/microorganisms from one surface to another) during the care of a wound for one resident (Resident R11), maintaining sanitary respiratory equipment for two residents (Residents R58 and R114) and implement infection prevention measures for one resident of 28 residents (Resident R129). […]

  • No harm, potential for more than minimal, patternF575Jul 3, 2025

    Based on observations and staff interview, it was determined that the facility failed to post contact information for the State Survey Agency as required for three of four separate nursing units in areas accessible to residents and visitors. (Town Square, Village Center and Memory Support nursing units) Findings include: Observations conducted on 7/3/25, from 10:25 a.m. through 10:40 a.m. with the Nursing Home Administrator (NHA), revealed that the State Survey Agency-Pennsylvania Department of Health contact information posting on the Town Square nursing unit was covered by a binder holder and that Village Center and Memory Support nursing units did not have any postings of the State Survey Agency-Pennsylvania Department of Health contact information. […]

  • No harm, potential for more than minimal, patternF812Nov 30, 2022

    Based on observations, and staff interviews, it was determined that the facility failed to store food and food containers in a safe and sanitary manner for three of four nourishment refrigerators (Memory Care Unit, Village Center Unit, and College Way Unit). Findings include: Review of a facility policy entitled Residents Refrigerators reviewed 10/31/22, indicated that staff reserve the right to discard outdated, unlabeled or otherwise improperly stored food items, and for condiments and other manufactured food items, the manufacturers discard date will be adhered to, and all other foods will be discarded after three days. Observation on 11/28/22, at 11:20 a.m. […]

Read 21 findings in full →The most serious and the most recent: 21 of 76 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 23, 2026Standard7 findings
  • Jul 3, 2025Standard3 findings
  • Aug 16, 2024Standard5 findings
  • Oct 27, 2023Standard6 findings
  • Nov 30, 2022Standard3 findings
  • Nov 16, 2021Standard2 findings
  • Jul 30, 2021Complaint1 finding
  • Mar 15, 2019Standard2 findings
Show the 17 earlier surveys
  • Apr 27, 2018Standard1 finding
  • Mar 3, 2017Standard7 findings
  • Jan 27, 2017Complaint1 finding
  • Jun 23, 2016Complaint2 findings
  • Feb 12, 2016Standard5 findings
  • Mar 20, 2015Standard6 findings
  • Sep 9, 2014Complaint1 finding
  • Aug 8, 2014Complaint1 finding · 1 harm
  • Jun 26, 2014Complaint1 finding
  • Feb 21, 2014—5 findings
  • Aug 19, 2013—1 finding
  • Jul 5, 2013—1 finding
  • Mar 7, 2013—8 findings
  • Sep 21, 2012—3 findings
  • May 24, 2012—1 finding
  • Mar 22, 2012—2 findings
  • May 9, 2011—1 finding

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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