PASSAVANT RETIREMENT AND HEALT
State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-02-27 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-09-09 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-09 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
3.89
state median 3.36
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.93
registered nurses only
Contract (agency) staff
13%
share of all nursing hours
Nursing staff turnover
36%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
CMS records no penalties for this facility.
Ownership
Ownership type: Non profit - Church related.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-27 | F0575 | Resident Rights Deficiencies | C | not recorded |
| 2026-02-27 | F0628 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-27 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-02-27 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-27 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-27 | F0691 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-27 | F0700 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-02-27 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-02-27 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-02-27 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2026-02-27 | F0941 | Administration Deficiencies | D | not recorded |
| 2026-02-27 | F0942 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-27 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-27 | F0944 | Administration Deficiencies | E | not recorded |
| 2026-02-27 | F0945 | Infection Control Deficiencies | D | not recorded |
| 2026-02-27 | F0946 | Administration Deficiencies | E | not recorded |
| 2026-02-27 | F0947 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2026-02-27 | F0949 | Administration Deficiencies | E | not recorded |
| 2025-09-09 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-09-09 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-07-07 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-21 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-21 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-21 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-21 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-21 | F0847 | Administration Deficiencies | D | not recorded |
| 2025-02-21 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-01-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-21 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-28 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-28 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-28 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0700 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-28 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-28 | F0880 | Infection Control Deficiencies | D | not recorded |