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

Wesbury United Methodist Commu

MEADVILLE, PA · 210 certified beds · Last Life Safety survey July 3, 2025

CMS Certification Number 395292 · first certified July 1971

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within PA

33 citations — more than 97% 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 6 citations; the earlier surveys in the window averaged 13.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was July 2025. 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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6 inspection-and-testing tags have 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)

2 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 33 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.

Citations on file over three years, compared
Measure	Citations
This facility	33
Median facility in PA	10
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 27, 2023	10
August 16, 2024	17
July 3, 2025	6

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-07-03
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	3	2025-07-03
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	2	2024-08-16
K-0293	Have properly located and lighted "Exit" signs.	2	2025-07-03
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-08-16
K-0200	Meet other general requirements.	2	2024-08-16
K-0271	Have exits that are accessible at all times.	2	2024-08-16
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	2	2024-08-16

What the citations cover

Citations by CMS category

Egress Deficiencies 12
Smoke Deficiencies 11
Gas, Vacuum, and Electrical Systems Deficiencies 5
Miscellaneous Deficiencies 3
Other 2

Citations by CMS category
Category	Citations
Egress Deficiencies	12
Smoke Deficiencies	11
Gas, Vacuum, and Electrical Systems Deficiencies	5
Miscellaneous Deficiencies	3
Construction Deficiencies	2

Every citation on file

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

July 3, 2025 — 6 citations

Citations issued on July 3, 2025
Tag	What the surveyor checks	Status
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (July 25, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (July 25, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (July 25, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (July 25, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (July 25, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 25, 2025)

August 16, 2024 — 17 citations

Citations issued on August 16, 2024
Tag	What the surveyor checks	Status
K-0111	Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.	Deficient, Provider has date of correction (October 17, 2024)
K-0200	Meet other general requirements.	Deficient, Provider has date of correction (October 17, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (October 17, 2024)
K-0222	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.	Deficient, Provider has date of correction (October 17, 2024)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (October 17, 2024)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (October 17, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (October 17, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (October 17, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 17, 2024)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (October 17, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 17, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 17, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 17, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (October 17, 2024)
K-0912	Have power receptacles that are properly grounded.	Deficient, Provider has date of correction (October 17, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 17, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 17, 2024)

October 27, 2023 — 10 citations

Citations issued on October 27, 2023
Tag	What the surveyor checks	Status
K-0200	Meet other general requirements.	Deficient, Provider has date of correction (November 24, 2023)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (November 24, 2023)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (November 24, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (November 24, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 24, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 24, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (November 24, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 24, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 24, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (November 24, 2023)

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