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Nursing HomeMedicaid

Sweden Valley Manor

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1028 East Second Street, Coudersport, PA 16915121 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 9 Google reviews

5
4
3
2
1
Sweden Valley Manor Nursing Home in Coudersport, PA — Street View
Street View

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What this means for your family

This facility is highly regarded for its physical therapy and clean environment, making it a strong candidate for short-term rehab. However, because there are serious reports of slow response times and poor communication, we recommend that families conduct a site visit and specifically ask about their protocol for call-light response times and pain management oversight.

Google Reviews

Google Reviews

9 reviews on Google
Sweden Valley Manor receives polarized feedback, with some families praising the professional therapy team and kind staff, while others report serious concerns regarding neglect and poor communication. While long-term residents and rehab patients have experienced compassionate care, there are documented instances of slow response times and unprofessional conduct by nursing staff.

Quality Themes

Tap a score for details
Food9.0Staff5.0Clean8.0Activities8.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Professional and effective physical therapy team
  • Kind and accommodating nursing staff
  • Clean and welcoming facility environment
  • High-quality dietary support

Concerns

  • Slow response times to patient needs (mentioned by 2 reviewers)
  • Unprofessional or rude communication from nursing staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02021(1)4.52022(4)3.02023(2)5.02025(1)3.02026(2)

Distribution · 10 analyzed

5
6
4
0
3
1
2
0
1
3

How They Respond to Reviews

22%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the physical therapy team is highly regarded here; how do they coordinate with the nursing staff to ensure a resident's daily progress is consistent?
  • 2Could you walk me through the process for how family members are notified if there is a change in a resident's medication or health status?
  • 3When a resident presses their call light, what is the typical procedure for ensuring they receive assistance in a timely manner?
  • 4How does your leadership team foster a culture of open and professional communication between the nursing staff and family members?
  • 5With 121 residents in the manor, what kind of social activities or daily programs are available to help residents stay engaged and connected with one another?
  • 6How does your team handle urgent medical needs or emergencies that might arise outside of standard business hours?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy team was excellent—supportive, knowledgeable, and clearly dedicated to helping him regain strength and independence.

Rehab patient's family · 2025★★★★★

Outstanding service, care and dignity of life to my dad from the staff. Lots of extra entertainment for the residence and great medical care and communication to family.

Long-term resident's family · 2023★★★★★

He was very happy there because the staff was always so kind and caring treating him like family. He said the food was really good too!

Long-term resident's family · 2022★★★★★
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
74%
Registered nurses for medical care
Total Nursing
3.18hrs
78%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
29%
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

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.6%
Worse than Avg
Here
81.6%
US
93.4%
PA
87.1%
Potter
97.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.4%
Worse than Avg
Here
23.4%
US
15.5%
PA
17.7%
Potter
11.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
PA
8.3%
Potter
2.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
15.3%
PA
18.4%
Potter
21.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
19.4%
PA
26.0%
Potter
21.7%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility8.9%
Worse than Avg
Here
8.9%
US
5.3%
PA
6.4%
Potter
2.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility58.5%
Worse than Avg
Here
58.5%
US
81.8%
PA
69.2%
Potter
90.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.3%
Mixed vs Avgs
Here
81.3%
US
79.8%
PA
68.7%
Potter
88.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
PA
1.4%
Potter
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (10.1)

Sweden Valley Manor has 38 deficiencies across three surveys, with recurring problems in care quality, resident rights, and fire safety that persist across multiple inspections. Key concerns include repeated issues with nutrition and food service, mobility and pain management, and fire safety systems. While all deficiencies show correction dates, the pattern of recurring violations in essential care areas suggests ongoing operational challenges that families should discuss during visits.

Aug 8, 2025Routine
10
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0571Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Sep 20, 2024Routine
13
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0697Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Oct 20, 2023Routine
15
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0712Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0801Potential for harm · IsolatedCorrected

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.

0840Potential for harm · IsolatedCorrected

Administration Deficiencies

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sweden Valley Manor

Organization Type

for profit

Chain Affiliation

Chain Name

Hcf Management

Chain Size

22 facilities nationwide

Chain avg rating: 3.4/5 · Rank 16 of 22

Ownership & Management

Owners

Hcf Operations, INC

Owner · Organization

100%

Chad M. Unverferth 12-14-11 Irrv Grantor Tr

Owner (parent company) · Organization

David V. Unverferth 12-14-11 Irrv Grantor Tr

Owner (parent company) · Organization

Hcf, INC

Owner (parent company) · Organization

Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr

Owner (parent company) · Organization

Joann C. Unverferth 12-29-04 Revocable Trust

Owner (parent company) · Organization

Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U

Owner (parent company) · Organization

Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri a. Ro

Owner (parent company) · Organization

Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un

Owner (parent company) · Organization

Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.

Owner (parent company) · Organization

Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv

Owner (parent company) · Organization

Joseph L. Unverferth 12-15-11 Irrv Grantor Tr

Owner (parent company) · Organization

Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr

Owner (parent company) · Organization

R. Steven Unverferth 12-14-11 Irrv Grantor Tr

Owner (parent company) · Organization

Key personnel

Klay, CelesteW-2 Managing EmployeeRedmond, AngelaW-2 Managing EmployeeRomes, KerriW-2 Managing EmployeeShaw, AnthonyW-2 Managing EmployeeUnverferth, ChadW-2 Managing Employee
Source: Medicare provider data

Contact

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References & Resources

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.

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