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

SHIPPENVILLE NURSING AND REHAB

SHIPPENVILLE, PA · 120 certified beds · Last Life Safety survey June 12, 2026

CMS Certification Number 395607 · first certified November 1983

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 SHIPPENVILLE LLC
5
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within PA

5 citations — more than 25% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was June 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

Emergency preparedness

1 of the 5 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

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 5 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 facility5PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility5
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0722025-0622026-06
Citations at each Life Safety survey
Survey dateCitations
July 11, 20241
June 13, 20252
June 12, 20262

Most-cited tags

Most-cited tags at this facility
K-07411K-09121K-09231E-00361K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12026-06-12
K-0912Have power receptacles that are properly grounded.12025-06-13
K-0923Have proper medical gas storage and administration areas.12026-06-12
E-0036Establish emergency prep training and testing.12025-06-13
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-07-11

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Emergency Preparedness Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1
Smoke Deficiencies1

Every citation on file

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

June 12, 2026 — 2 citations

Citations issued on June 12, 2026
TagWhat the surveyor checksStatus
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has plan of correction (July 8, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has plan of correction (June 26, 2026)

June 13, 2025 — 2 citations

Citations issued on June 13, 2025
TagWhat the surveyor checksStatus
E-0036Establish emergency prep training and testing.Deficient, Provider has plan of correction (July 7, 2025)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has plan of correction (July 7, 2025)

July 11, 2024 — 1 citation

Citations issued on July 11, 2024
TagWhat the surveyor checksStatus
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has plan of correction (August 15, 2024)

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