Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WILLIAM PENN NURSING AND REHAB

LEWISTOWN, PA · 121 certified beds · Last Life Safety survey April 17, 2026

CMS Certification Number 395335 · first certified May 1978

Ownership

Operated by VALLEY WEST HEALTH · For profit - Limited Liability company

  • New ownershipOwnership changed October 29, 2024 (change of ownership)from GUARDIAN ELDER CARE AT LEWISTOWN LLC
7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within PA

7 citations — more than 35% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was April 2026. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility7PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
32024-0632025-0512026-04
Citations at each Life Safety survey
Survey dateCitations
June 25, 20243
May 9, 20253
April 17, 20261

Most-cited tags

Most-cited tags at this facility
K-03632K-09181K-09291K-02111K-03621K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22025-05-09
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-04-17
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12025-05-09
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-06-25
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12025-05-09
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-06-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 17, 2026 — 1 citation

Citations issued on April 17, 2026
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 3, 2026)

May 9, 2025 — 3 citations

Citations issued on May 9, 2025
TagWhat the surveyor checksStatus
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (June 10, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 10, 2025)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (June 10, 2025)

June 25, 2024 — 3 citations

Citations issued on June 25, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 15, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 15, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 15, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.