Wesbury United Methodist Commu

31 NORTH PARK AVE EXT, MEADVILLE, PA 16335 (814) 332-9000
Non profit - Church related 210 Beds Independent Data: November 2025
Trust Grade
75/100
#254 of 653 in PA
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Last Inspection: July 2025

Inspected within the last 6 months. Data reflects current conditions.

Overview

Wesbury United Methodist Community has a Trust Grade of B, indicating it is a good choice for families seeking care, falling within the 70-79 range. It ranks #254 out of 653 facilities in Pennsylvania, placing it in the top half, and #2 out of 6 in Crawford County, meaning only one local option is better. The facility shows an improving trend, with issues decreasing from 5 in 2024 to 3 in 2025, which is a positive sign. Staffing is rated 4 out of 5 stars, but the 51% turnover rate is average compared to the state, while the lack of RN coverage is concerning as it falls below 85% of other facilities in Pennsylvania. Notably, there have been no fines, which reflects well on compliance, but there are some areas needing attention: inspectors found that cleanliness protocols for respiratory equipment were not followed for one resident, and medications subject to abuse were not stored in a permanently affixed compartment as required. Additionally, the facility failed to post required contact information for the State Survey Agency in accessible areas, which could limit residents and visitors' access to important resources.

Trust Score
B
75/100
In Pennsylvania
#254/653
Top 38%
Safety Record
Low Risk
No red flags
Inspections
Getting Better
5 → 3 violations
Staff Stability
⚠ Watch
51% turnover. Above average. Higher turnover means staff may not know residents' routines.
Penalties
✓ Good
No fines on record. Clean compliance history, better than most Pennsylvania facilities.
Skilled Nurses
⚠ Watch
Each resident gets only 29 minutes of Registered Nurse (RN) attention daily — below average for Pennsylvania. Fewer RN minutes means fewer trained eyes watching for problems.
Violations
⚠ Watch
14 deficiencies on record. Higher than average. Multiple issues found across inspections.
★★★★☆
4.0
Overall Rating
★★★★☆
4.0
Staff Levels
★★★★☆
4.0
Care Quality
★★★★☆
4.0
Inspection Score
↔
Stable
2024: 5 issues
2025: 3 issues

The Good

  • 4-Star Staffing Rating · Above-average nurse staffing levels
  • 4-Star Quality Measures · Strong clinical quality outcomes
  • Full Sprinkler Coverage · Fire safety systems throughout facility
  • No fines on record

Facility shows strength in staffing levels, quality measures, fire safety.

The Bad

Staff Turnover: 51%

Near Pennsylvania avg (46%)

Higher turnover may affect care consistency

The Ugly 14 deficiencies on record

Jul 2025 3 deficiencies
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Respiratory Care (Tag F0695)

Could have caused harm · This affected 1 resident

Based on review of facility documents and clinical records, observations, and staff interview, it was determined that the facility failed to ensure cleanliness and help prevent the spread of infection...

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Based on review of facility documents and clinical records, observations, and staff interview, it was determined that the facility failed to ensure cleanliness and help prevent the spread of infection regarding respiratory care equipment for one of 29 residents reviewed (Resident R27). Findings include: A facility document entitled Third Shift Task List indicated that on Tuesdays staff are to clean PAP (positive airway pressure) tubing, humidifier chamber, and nasal pillows (two soft pillows to deliver airflow directly into the nostrils) /mask- wash with mild non-antibacterial soap and rinse with warm water; allow to dry; rinse foam filter with water and allow to dry. Resident R27's clinical record revealed an admission date of 4/01/25, with diagnoses that included obstructive sleep apnea (common sleep disorder where breathing repeatedly stops and starts during sleep due to a blockage in the upper airway), and chronic obstructive pulmonary disease (COPD- lung condition caused by damage to the lungs resulting in restricted airflow and breathing problems). Resident R27's clinical record included a physician's order date 4/10/25, resident may wear home BiPAP (Bi-level positive airway pressure machine that can generate two adjustable pressure levels) as currently set up via nasal pillows daily at bedtime. Resident R27's Medication Administration Records revealed he/she had received the BiPAP every night since admission. The clinical record lacked evidence that the BiPAP machine and equipment had been cleaned by staff. Observations on 6/30/25, at 1:20 p.m. 7/01/25, at 10:01 a.m. revealed a BiPAP machine on Resident R27's nightstand. During an interview on 6/30/25, at 1:20 p.m. Resident R27 confirmed that he/she uses the BiPAP every night at bedtime. During an interview on 7/03/25, at 11:00 a.m. the Director of Nursing (DON) confirmed staff fill out the Third Shift Task List and he/she was not sure where they were kept. The DON confirmed the facility was unable to provide evidence of documentation for cleaning and care of the BiPAP equipment. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 211.5(f)(x) Medical records 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Deficiency F0761 (Tag F0761)

Could have caused harm · This affected 1 resident

Based on observations, and staff interviews, it was determined that the facility failed to ensure that medications subject to abuse were stored in separately locked, permanently affixed compartment in...

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Based on observations, and staff interviews, it was determined that the facility failed to ensure that medications subject to abuse were stored in separately locked, permanently affixed compartment in one of three medication refrigerators observed (Village Center). Findings include: Observation on 7/01/25, at 10:21 a.m. revealed a locked refrigerator in the Village Center medication room that contained a locked clear plastic box intended to safely secure controlled medications that contained a 30 mL multi-dose bottle of lorazepam (anti-anxiety medication subject to abuse). The clear plastic box was affixed to the removable shelving and the shelving was not permanently affixed to the refrigerator. At the time of the observation Licensed Practical Nurse Employees E1 and E2 confirmed that the shelf containing the secured locked box was removable from the refrigerator and therefore not pemanently affixed. 28 Pa. Code 201.18(b)(1) Management 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services
CONCERN (E)

Potential for Harm - no one hurt, but risky conditions existed

Deficiency F0575 (Tag F0575)

Could have caused harm · This affected multiple residents

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 ar...

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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. During this time, the NHA confirmed that the State Survey Agency-Pennsylvania Department of Health contact information was not posted in any of the main public areas of the facility or accessible to residents and visitors on the above identified nursing units. 28 Pa. Code 201.14(a) Responsibility of licensee
Aug 2024 5 deficiencies
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Deficiency F0657 (Tag F0657)

Could have caused harm · This affected 1 resident

Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to review and revise comprehensive care plans to reflect the current care and s...

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Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to review and revise comprehensive care plans to reflect the current care and services for three of 26 residents reviewed (Residents R27, R88, and R100). Findings include: A facility policy entitled, Care Plans, plans of service dated 7/2024, indicated Care plans are updated whenever a change is necessitated by a resident's change in condition, physician orders, or when scheduled by the MDS (Minimum Data Set- standardized assessment tool that measures health status in nursing home residents) team for a quarterly, change in condition, or annual review. Resident R27's clinical record revealed an admission date of 5/26/21, with diagnoses that included hypothyroidism (a condition when the thyroid produces low amounts of thyroid hormones), and diabetes (a health condition that caused by the body's inability to produce enough insulin). Resident R27's clinical record revealed the last care plan meeting note was dated 5/9/24. Resident R27's care plan revealed a goal date of 8/7/24, indicating that the care plan had not been reviewed and revised to reflect the current care and services. Resident R88's clinical record revealed an admission date of 5/5/23, with diagnoses that included diabetes and hypertension (high blood pressure). Resident R88's clinical record revealed a late entry for the last care plan meeting note dated 8/15/24. Resident R88's care plan revealed a goal date of 7/25/24, indicating that the care plan had not been reviewed and revised to reflect the current care and services. Resident R100's clinical record revealed an admission date of 3/24/21, with diagnoses that included dysphagia (trouble swallowing), difficulty in walking, and muscle weakness. Resident R100's clinical record revealed the last care plan note was a late entry dated 5/10/24, for a 5/03/24 care plan meeting. Resident R100's care plan revealed a goal date of 8/1/24, indicating that the care plan had not been reviewed and revised to reflect the current care and services. During an interview on 8/16/24, at 10:30 a.m. the Director of Nursing confirmed that the care plans for Residents R27, R88, and R100 were not reviewed and revised timely to reflect current resident care and services. 28 Pa. Code 211.10(c)(d) Resident care policies 28 Pa. Code 211.12(d)(1)(5) Nursing services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Respiratory Care (Tag F0695)

Could have caused harm · This affected 1 resident

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and clinical records, observation, and staff interview, it was determined that the facility f...

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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and clinical records, observation, and staff interview, it was determined that the facility failed to obtain a physician's order for the provision of oxygen therapy for one of two residents reviewed for respiratory services (Resident R123). Findings include: Review of facility policy with a policy review date of 6/2024, entitled Oxygen Therapy and Equipment indicated Purpose: to administer oxygen when insufficient O2 (Oxygen) being carried by the blood to the tissues. All residents using Oxygen will be monitored for safe and effective use of Oxygen therapy. Oxygen may be administered as a nursing measure without physician order. Physician to be notified and order received. Resident R123's clinical record revealed an admission date of 7/20/2023, with diagnoses that included gastrostomy (surgical procedure that creates an artificial opening into the stomach for nutritional support) complication, contracture (permanent or temporary tightening of muscles, tendons, skin, and nearby tissues that cause joints to shorten and become stiff preventing normal movement) of the left and right hand, and history of a cerebral infarction (area of brain tissue that dies as a result of lack of blood and oxygen). Observation on 8/16/2024, at 12:00 p.m. and on 8/14/2024, at 9:42 a.m. revealed Resident R123 wearing an oxygen nasal cannula (a thin tube with two prongs that fits into the resident's nostrils to deliver oxygen) connected to an oxygen concentrator delivering 2 liters per min (lpm - a unit of oxygen flow [NAME] that is delivered to the resident). Resident R123's clinical record revealed an order from 7/20/2023, that reads, assess for O2 use every shift. The clinical record lacked evidence of a physician's order for how much oxygen to deliver. During an interview on 8/16/2024, at 12:30 p.m. the Director of Nursing confirmed that Resident R123 was being administered oxygen therapy and their clinical record lacked a physician's order for the specific oxygen therapy. 28 Pa. Code 211.12(d)(1)(3)(5) Nursing service
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Medication Errors (Tag F0758)

Could have caused harm · This affected 1 resident

Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to have the required 14-day stop date or provide a clinical rationale for the c...

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Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to have the required 14-day stop date or provide a clinical rationale for the continued use of a PRN (as needed) psychotropic (affecting the mind) medication beyond 14 days for one of 26 residents reviewed (Resident R29). Findings include: A facility policy entitled Psychopharmacological Medication Dosage Reductions dated 7/2024, revealed that Psychotropic medications excluding antipsychotics ordered prn may only be prescribed for a 14-day duration. If the physician or prescribing practitioner wishes to extend the order beyond 14 days, they should document the rationale for the extended time period in the medical record and indicate a specific duration. Resident R29's clinical record revealed an admission date of 6/28/21, with diagnoses that included anxiety, dementia (impaired ability to remember, think, and make decisions), and muscle weakness. A physician's order dated 8/02/24, identified to administer Lorazepam (anti-anxiety) 0.5 milligrams (mg) by mouth every 4 hours as needed for anxiety, and lacked the required stop date within 14 days or a clinical rationale for continued use beyond 14 days. During an interview on 8/15/24, at 12:28 p.m. the Director of Nursing confirmed that Resident R29's Lorazepam orders lacked the required stop date within 14 days or a clinical rationale for continued use beyond 14 days. 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Deficiency F0761 (Tag F0761)

Could have caused harm · This affected 1 resident

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and manufacturer's recommendations, observations, and staff interview, it was determined that...

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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy and manufacturer's recommendations, observations, and staff interview, it was determined that the facility failed to ensure an expired medication was discarded in a timely manner in one of two medication rooms reviewed (College Way medication room). Findings include: Review of a facility policy entitled Medications, Multidose Vials dated [DATE], indicated Medications may be used until the manufacturer's expiration date or the length of time allowed by state law. When a vial/dispenser has exceeded either expiration date the medication is to be disposed of per facility policy and reordered. Manufacturer's recommendations for Tubersol PPD (solution used for tuberculosis testing upon admission and for employment), indicated that vials which are entered and in use for 30 days should be discarded. Observations of drug storage on [DATE], at approximately 2:34 p.m. in College Way medication room's refrigerator revealed an opened vial of Tubersol with an open date of [DATE]. During an interview at that time Licensed Practical Nurse Employee E1 confirmed that the Tubersol vial's open date was past 30 days and the expired medication should have been discarded. 28 Pa. Code 211.9(a)(1) Pharmacy services 28 Pa. Code 211.12(d)(1)(3)(5) Nursing services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Infection Control (Tag F0880)

Could have caused harm · This affected 1 resident

Based on review of facility policy and clinical record, observations, and staff interview, it was determined that the facility failed to implement infection control practices regarding Enhanced Barrie...

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Based on review of facility policy and clinical record, observations, and staff interview, it was determined that the facility failed to implement infection control practices regarding Enhanced Barrier Precautions (EBPs-additional infection control precautions put in place for individuals who have an increased risk of multi-drug resistant organisms (MDROs) or who are colonized/infected with MDROs) for a gastric feeding tube (a medical device used to provide nutrition and/or medications when a person cannot swallow or take anything by mouth) for one of 26 residents reviewed (Resident R123). Findings include: Review of the facility policy entitled Enhanced Barrier Precautions implemented 3/2024, indicated that all staff providing direct resident care will adhere to EBPs, in addition to standard precautions, when performing high-contact resident care activities for residents with wounds, indwelling medical devices, and/or suspected or confirmed infection or colonization of certain MDROs. EBP's are designed to reduce transmission of resistant organisms and expands the use of gown and gloves during high-contact resident care activities that are opportunities for transfer of MDROs to staff hands and clothing when Contact Precautions do not otherwise apply to residents with wounds or indwelling medical devices (urinary catheters, vascular access devices, tracheostomies, feeding tubes and wound drains), regardless of MDRO status. Resident R123's clinical record revealed an admission date of 6/28/23, with diagnoses that included dysphagia (difficulty swallowing), gastrostomy complications (complication with gastric feeding tube), and muscle weakness. Observations made prior to a gastric feeding tube medication administration for Resident R123 on 8/14/24, at approximately 11:15 a.m. revealed that there were not any EBPs in place. During an interview at that time the Infection Preventionist confirmed that EBPs were not in place and employees should be wearing gloves and gowns when working with gastric feeding tubes. 28 Pa. Code 211.10(c) Resident care policies 28 Pa. Code 211.12(d)(1)(5) Nursing services
Oct 2023 6 deficiencies
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Resident Rights (Tag F0550)

Could have caused harm · This affected 1 resident

Based on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to provide resident privacy and dignity regarding an exposed urin...

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Based on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to provide resident privacy and dignity regarding an exposed urinary catheter (a tube placed and held in the bladder to drain urine) bag for one of 27 residents reviewed (Resident R78). Findings include: Review of a facility policy entitled, Catheter, Urinary Bag, Care of dated 8/16/23, indicated, Maintain the dignity of the catheterized resident by concealing the urinary bag from public view in a privacy bag . Review of Resident R78's clinical record revealed an admission date of 9/11/23, with diagnoses that included Urinary Tract Infection; Resistance to Multiple Antibiotics, (occurs when bacteria change in a way that makes antibiotics less effective against them); Benign Prostatic Hyperplasia, (the flow of urine is blocked due to the enlargement of prostate gland); and Obstructive and Reflux Uropathy, (urine cannot flow through the urinary tract due to an obstruction and backs up into the kidneys). Observations on 10/24/23, at 10:18 a.m., and 10/25/23, at 10:18 a.m. revealed Resident R78 laying in his/her bed and with his/her urinary drainage bag visible from the hallway without a privacy bag. During an interview on 10/25/23, at 10:22 a.m. Registered Nurse Employee E3, confirmed that the catheter drainage bag should be covered to ensure resident privacy and dignity. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 211.12(d)(1)(5) Nursing Services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Deficiency F0583 (Tag F0583)

Could have caused harm · This affected 1 resident

Based on review of facility policy, observations, and staff interview, it was determined that the facility failed to provide resident privacy during medication administration for one of 27 residents r...

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Based on review of facility policy, observations, and staff interview, it was determined that the facility failed to provide resident privacy during medication administration for one of 27 residents reviewed (Resident R4). Findings include: Review of facility policy entitled Confidentiality and Non-Disclosure Policy dated 8/16/23, indicated a secured computer application will not be left unattended while signed on. During observation of medication administration for Resident R4 on 10/24/23, at 4:10 p.m. Licensed Practical Nurse (LPN) Employee E1 prepared medications for a resident from Village Center Hall medication cart parked in the middle of hall in front of the resident room with the computer open sitting on top of medication cart. LPN Employee E1 then proceeded into resident room to administer medications to a resident in the room, after administering medication the nurse walked over to the roommate behind a privacy curtain. LPN Employee E1 did not cover resident/medication information that was on the computer on top of the medication cart. LPN Employee E1 was unable to view the computer on top of the medication cart parked in the middle of the hallway outside the resident room. During an interview on 10/24/23, at the time of the observation, LPN Employee E1 confirmed that he/she left the medication cart with the computer open and did not cover resident/medication information that was on the computer on top of the medication cart. Employee E1 also confirmed that resident information is to be covered when not within view. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 211.12(d)(1)(5) Nursing services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Safe Environment (Tag F0584)

Could have caused harm · This affected 1 resident

Based on review of facility policy, observation, and staff interview, it was determined that the facility failed to maintain a clean homelike environment for one of four neighborhoods (Town Square). ...

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Based on review of facility policy, observation, and staff interview, it was determined that the facility failed to maintain a clean homelike environment for one of four neighborhoods (Town Square). Findings include: Review of a facility policy entitled Cleaning of Resident Wheelchairs dated 8/16/23, indicated that all wheelchairs are to be cleaned quarterly and daily as needed by housekeeping personnel. Observation on 10/25/23, at 10:22 .a.m. revealed Resident R32's wheelchair was soiled with dried liquid substances that also had a build-up of some debris on the left side of the wheelchair and on the left larger wheel. Observation also revealed that Resident R32's wheelchair's bilateral armrests were cracked, peeling, and torn. During an interview on 10/25/23, at 10:25 a.m. Registered Nurse Employee E3 confirmed that Resident R32 had damaged wheelchair armrests with cracked, peeling and torn protective covering and that the left side of the wheelchair was dirty and in need of cleaning. 28 Pa. Code 201.18(b)(1) Management
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Quality of Care (Tag F0684)

Could have caused harm · This affected 1 resident

Based on review of facility policy and clinical records, observations and staff interview, it was determined that the facility failed to follow physician's orders for treatments for one of 27 resident...

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Based on review of facility policy and clinical records, observations and staff interview, it was determined that the facility failed to follow physician's orders for treatments for one of 27 residents reviewed (Resident R21). Findings include: Review of a facility policy entitled, Oxygen Therapy and Equipment dated 8/16/23, indicated that Humidified O2 [oxygen] bottles will be changed on a weekly basis by night shift or sooner if needed by any shift when the distilled water is used. Review of Resident R21's clinical record revealed an admission date of 6/30/19, with diagnoses that included Chronic Obstructive Pulmonary Disease, (COPD - a condition that obstructs air flow in the lungs with symptoms of difficulty breathing, coughing and shortness of breath); chronic kidney disease (condition where the kidneys gradually lose their ability to properly filter waste and excess fluids from the blood); and circulatory system disorder, (condition that affects the structural and/or functional abilities of the heart and or the blood vessels, causing fatigue and/or shortness of breath). Review of Resident R21's clinical record revealed a physician's order to Humidify O2 - change weekly and date when in use - Once Weekly for O2 Use. Review of Resident R21's October 2023 treatment record revealed the humidifier bottle was changed on 10/22/23. Observations on 10/25/23, at 11:21 a.m., 10/26/23, at 2:18 p.m., and 10/27/23, at 10:20 a.m. revealed that Resident R21's oxygen humidifier bottle was dated for 10/14/23. During an interview on 10/27/23, at 10:26 a.m. Registered Nurse Employee E3 confirmed that the oxygen humidifier bottle was dated 10/14/23, and was not changed per physician's orders. 28 Pa. Code 211.10(d) Resident care policies 28 Pa. Code 211.12(d)(1)(5) Nursing services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Respiratory Care (Tag F0695)

Could have caused harm · This affected 1 resident

Based on review of clinical records, observations, and staff interview, it was determined that the facility failed to maintain proper care of respiratory equipment for one of 27 residents reviewed (Re...

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Based on review of clinical records, observations, and staff interview, it was determined that the facility failed to maintain proper care of respiratory equipment for one of 27 residents reviewed (Resident R12). Findings include: Review of Resident R12's clinical record revealed an admission date of 5/26/23, with diagnoses that included Alzheimer's Disease, (brain disorder that destroys memory and thinking skills and, eventually, the ability to carry out simple tasks); sleep related non-obstructive alveolar hypoventilation, (breathing that is too slow and/or shallow during sleep); and dependence on supplemental oxygen. Review of Resident R12's physician's order dated 5/26/23, revealed oxygen ordered at two liters per minute via nasal cannula (tubing into the nostrils to administer oxygen) every shift. Observations on 10/26/23, at 10:10 a.m. and 10/27/23, at 10:23 a.m. revealed that R12's oxygen concentrator had a significant amount of white dust and white cobweb substances obstructing the concentrator's air inlet port. During an interview on 10/27/23, at 10:26 a.m. Registered Nurse Employee E3, confirmed that the oxygen concentrator air inlet area should not be obstructed with white dust and cobweb substances. 28 Pa. Code 211.12(d)(1)(5) Nursing services
CONCERN (D)

Potential for Harm - no one hurt, but risky conditions existed

Deficiency F0761 (Tag F0761)

Could have caused harm · This affected 1 resident

Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to label a multi-dose vial of insulin, and a multi-dose insulin pen (medication to tr...

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Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to label a multi-dose vial of insulin, and a multi-dose insulin pen (medication to treat elevated blood sugar levels) with the date they were opened in one of three medication carts (300 Hall) and failed to prevent the opportunity for potential unauthorized access of medications on one of four medication carts observed (Village Center Hall). Findings include: Review of a facility policy entitled Medication, Storage of dated 8/16/2023, indicated that medications will be dated when opened, and discarded according to pharmacy policy/procedure. Observation on 10/25/23, at 11:20 a.m. of the 300 Hall medication cart revealed one opened Lantus (long-acting) multi-dose insulin pen, and one opened Humalog (short-acting) multi-dose insulin vial without an open date and labeled to discard after 28 days opened. During an interview at the time of the observation, Licensed Practical Nurse (LPN) Employee E2 confirmed that insulin should be dated when opened and he/she could not tell when the opened insulin should be discarded. During an interview on 10/27/23, at 12:32 p.m. the Director of Nursing confirmed that the opened multi-dose pen of Humalog and multi-dose vial of Lantus insulin should have been labeled with an open date. Review of a facility procedure entitled, Medication Pass Guidelines dated 8/16/2023, indicated that medication cart is always visible to the nurse or locked. Observation on 10/24/23, at approximately 4:10 p.m. revealed that LPN Employee E1 prepared medications for a resident from Village Center Hall medication cart parked in the middle of hall in front of the resident room. LPN Employee E1 then proceeded into resident room to administer medications to a resident in the room, after administering medication they nurse walked over to the roommate behind a privacy curtain. LPN Employee E1 did not securely lock the Village Center East Hall medication cart. LPN Employee E1 was unable to view medication cart and drawers of the medication cart from behind the privacy curtain while unattended. During an interview on 10/24/2023, at the time of the observation, LPN Employee E1 confirmed that he/she left the medication cart unlocked while it was parked in the middle of the hallway in front of the resident's doorway, which was out of view while he/she was talking with roommate behind privacy curtain. LPN Employee E1 also confirmed that the medication cart was to be locked when out of view. 28. Pa. Code 201.18(b)(1) Management 28. Pa. Code 211.9(a)(1) Pharmacy services 28 Pa. Code 211.12(d)(1)(5) Nursing services
Understanding Severity Codes (click to expand)
Life-Threatening (Immediate Jeopardy)
J - Isolated K - Pattern L - Widespread
Actual Harm
G - Isolated H - Pattern I - Widespread
Potential for Harm
D - Isolated E - Pattern F - Widespread
No Harm (Minor)
A - Isolated B - Pattern C - Widespread

Questions to Ask on Your Visit

  • "Can I speak with families of current residents?"
  • "What's your RN coverage like on weekends and overnight?"

Our Honest Assessment

Strengths
  • • No major safety red flags. No abuse findings, life-threatening violations, or SFF status.
  • • No fines on record. Clean compliance history, better than most Pennsylvania facilities.
Concerns
  • • 14 deficiencies on record. Higher than average. Multiple issues found across inspections.
Bottom line: Generally positive indicators. Standard due diligence and a personal visit recommended.

About This Facility

What is Wesbury United Methodist Commu's CMS Rating?

CMS assigns Wesbury United Methodist Commu an overall rating of 4 out of 5 stars, which is considered above average nationally. Within Pennsylvania, this rating places the facility higher than 99% of the state's 100 nursing homes. This rating reflects solid performance across the metrics CMS uses to evaluate nursing home quality.

How is Wesbury United Methodist Commu Staffed?

CMS rates Wesbury United Methodist Commu's staffing level at 4 out of 5 stars, which is above average compared to other nursing homes. Staff turnover is 51%, compared to the Pennsylvania average of 46%.

What Have Inspectors Found at Wesbury United Methodist Commu?

State health inspectors documented 14 deficiencies at Wesbury United Methodist Commu during 2023 to 2025. These included: 14 with potential for harm.

Who Owns and Operates Wesbury United Methodist Commu?

Wesbury United Methodist Commu is owned by a non-profit organization. Non-profit facilities reinvest revenue into operations rather than distributing to shareholders. The facility operates independently rather than as part of a larger chain. With 210 certified beds and approximately 142 residents (about 68% occupancy), it is a large facility located in MEADVILLE, Pennsylvania.

How Does Wesbury United Methodist Commu Compare to Other Pennsylvania Nursing Homes?

Compared to the 100 nursing homes in Pennsylvania, Wesbury United Methodist Commu's overall rating (4 stars) is above the state average of 3.0, staff turnover (51%) is near the state average of 46%, and health inspection rating (4 stars) is above the national benchmark.

What Should Families Ask When Visiting Wesbury United Methodist Commu?

Based on this facility's data, families visiting should ask: "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?"

Is Wesbury United Methodist Commu Safe?

Based on CMS inspection data, Wesbury United Methodist Commu has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 4-star overall rating and ranks #1 of 100 nursing homes in Pennsylvania. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.

Do Nurses at Wesbury United Methodist Commu Stick Around?

Wesbury United Methodist Commu has a staff turnover rate of 51%, which is 5 percentage points above the Pennsylvania average of 46%. Moderate turnover is common in nursing homes, but families should still ask about staff tenure and how the facility maintains care continuity when employees leave.

Was Wesbury United Methodist Commu Ever Fined?

Wesbury United Methodist Commu has no federal fines on record. CMS issues fines when nursing homes fail to meet care standards or don't correct problems found during inspections. The absence of fines suggests the facility has either maintained compliance or corrected any issues before penalties were assessed. This is a positive indicator, though families should still review recent inspection reports for the full picture.

Is Wesbury United Methodist Commu on Any Federal Watch List?

Wesbury United Methodist Commu is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.

Wesbury United Methodist Commu

31 NORTH PARK AVE EXT, MEADVILLE, PA 16335 | (814) 332-9000

B
Trust Grade (75/100)
4.0
CMS Rating
14
Deficiencies

Strengths

  • 4-star staffing
  • 4-star quality

Concerns

  • Review findings

Ask about: Rn Coverage

nursinghomedata.org | Data: CMS November 2025