Nursing HomeMedicaid Investigative

Kinzua Nursing and Rehab

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

205 Water Street, Warren, PA 16365|106 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 115 Google reviews

(814) 726-0820 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (2/5 stars)
Above-median deficiencies (12 vs median 8.0)
High staff turnover (64%)
High RN turnover (92%)

Bottom 25% in PA · Below recommended RN staffing · Worst in VALLEY WEST HEALTH chain · No penalties on record

Source: Medicare data

What this means for your family

Kinzua Nursing and Rehab is frequently praised for its rehabilitation services and friendly staff, making it a potential option for short-term recovery. However, families should be aware of recurring reports regarding understaffing and hygiene concerns. We strongly recommend conducting an unannounced visit and asking specific questions about how the facility monitors high-fall-risk residents and manages communication with families.

Google Reviews

115 reviews analyzed

“Kinzua Nursing and Rehab receives frequent praise for its friendly, attentive staff and clean, well-maintained environment, particularly regarding its rehabilitation services. However, several families have raised serious concerns about inconsistent care, including issues with hygiene, communication, and staffing levels that have led to negative outcomes for residents.”

Quality Themes

Tap a score for details

Strengths

Friendly and attentive nursing staff
Clean and well-maintained facility
Effective rehabilitation therapy department
Welcoming and professional atmosphere

Concerns

Understaffing leading to neglect or slow response times (mentioned by 5 reviewers)
Poor hygiene and cleanliness in resident rooms (mentioned by 4 reviewers)
Inadequate communication with family members regarding care and discharge (mentioned by 3 reviewers)
Poor quality or temperature of food served (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

95%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed the facility is very well-maintained; what specific cleaning schedules are in place for the resident rooms to ensure they stay tidy?
2Since we want to make sure communication stays strong, what is the best way for us to get regular updates from the nursing team regarding changes in care?
3With the rehab department being a known strength here, how do you coordinate therapy sessions with the daily nursing care schedule?
4How does the team manage medication administration, especially during shift changes, to ensure everything is handled accurately?
5What does a typical day look like for residents in terms of social activities and dining experiences?
6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating with doctors?

Personalized based on this facility's data

Key Review Excerpts

“The rehab department is outstanding! I can’t say enough about the rehab. Communication has been very good.”

Long-term resident's family · 2024★★★★☆

“The staff is incredible. So caring and attentive to the patients!”

Visitor · 2025★★★★★

“My mother when there for rehabilitation to learn to walk again after being in the CCU. The place reeked of urine and worse they did not look after her at all.”

Long-term resident's family · 2024★☆☆☆☆

Source: 115 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.47hrs

63%

Registered nurses for medical care

Total Nursing

3.56hrs

87%

All nurses + aides combined

Staff Turnover

65%

Lower is better (< 30% = good)

RN Turnover

92%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 34 measures

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.4%

Better than Avg

Here

0.4%

12.1%

8.3%

Warren

22.8%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.4%

Better than Avg

Here

0.4%

12.1%

8.3%

Warren

22.8%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility23.6%

Worse than Avg

Here

23.6%

14.4%

17.6%

Warren

11.4%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility23.6%

Worse than Avg

Here

23.6%

14.4%

17.6%

Warren

11.4%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility26.5%

Worse than Avg

Here

26.5%

15.4%

17.8%

Warren

14.6%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility26.5%

Worse than Avg

Here

26.5%

15.4%

17.8%

Warren

14.6%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility85.1%

Better than Avg

Here

85.1%

81.8%

69.2%

Warren

83.0%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility85.1%

Better than Avg

Here

85.1%

81.8%

69.2%

Warren

83.0%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility73.5%

Mixed vs Avgs

Here

73.5%

79.7%

68.7%

Warren

83.0%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility73.5%

Mixed vs Avgs

Here

73.5%

79.7%

68.7%

Warren

83.0%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.5%

Worse than Avg

Here

2.5%

1.6%

1.4%

Warren

1.7%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.5%

Worse than Avg

Here

2.5%

1.6%

1.4%

Warren

1.7%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies

Above state avg (10.1)

16 complaint-triggered

Kinzua Nursing and Rehab has faced 13 complaint-triggered deficiencies out of 30 total violations, indicating families have filed multiple reports about care concerns. The facility shows recurring issues with resident rights, care planning, and basic care quality including accident prevention and treatment delivery. While all deficiencies have correction dates, the pattern of repeated problems in core care areas warrants careful consideration during your visit.

Feb 26, 2026Complaint3 findings

0684SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0835MinorCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Dec 11, 2025Routine3 findings

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0637MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 5, 2025Complaint1 finding

0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 25, 2025Complaint3 findings

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Mar 24, 2025Complaint5 findings

0801ModerateCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0692ModerateCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0625MinorCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jan 9, 2025Complaint1 finding

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Feb 26, 2026

$223,355

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kinzua Nursing and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Valley West Health

Chain Size

12 facilities nationwide

Chain avg rating: 3.2/5 · Rank 12 of 12 (Worst)

Ownership & Management

Owners

Western Pa Opco Holdings I LLC

Owner · Organization

100%

Key personnel

Valley West Health LLCManagerFranco, AharonManagerRami, IsaacManagerBeverly Enterprises - Pennsylvania, INC.Adp of the SnfBeverly Enterprises LLCAdp of the Snf

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(814) 726-0820

valleywesthealth.com

205 Water Street

Warren, PA 16365

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

115 reviews from families & visitors

Official Website

Visit valleywesthealth.com

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Watson Memorial Home

1.3 mi

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Warren Manor

1.9 mi

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Ruth M. Smith Center

11.7 mi

Assisted Living · Sheffield, PA

★3.0(9)15 beds