
Report
TheVardellReport
Haven Place Rehabilitation and Nursing Center
Skilled nursing facility and nursing facility
24 Cree Drive
Lock Haven, PA 17745

TheVardellReport
Skilled nursing facility and nursing facility
24 Cree Drive
Lock Haven, PA 17745
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 8 inspections from October 2023 to September 2026, state surveyors documented 43 findings at Haven Place Rehabilitation and Nursing Center; 28 have a recorded correction and 15 await one; CMS lists 1 enforcement action in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2023 | 1 | 1 | 0 |
| 2024 | 2 | 6 | 1 |
| 2025 | 2 | 17 | 0 |
| 2026 | 3 | 19 | 1 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
15 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
16 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Enforcement Action
Civil money penalty, $35,909 imposed December 19, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 4, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F583 in December 2024 and September 2025. The agency describes it this way: Keep residents' personal and medical records private and confidential. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F677 in October 2024 and September 2025. This citation covers help with bathing, dressing, eating and toileting for residents who cannot manage alone. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in September 2025 and May 2026. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
F578 was cited in October 2024 and September 2026. This citation covers residents’ right to accept or refuse treatment and to make an advance directive. The most serious was level D (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F584 was cited in September 2026. This citation covers whether rooms and shared spaces are kept safe, clean, comfortable and homelike. The most serious was level D (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F605 was cited in September 2026. The agency describes it this way: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The most serious was level D (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F628 was cited in September 2026. The agency describes it this way: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The most serious was level E (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F641 was cited in September 2026. This citation covers whether each resident’s assessment correctly records their condition. The most serious was level B (potential for minimal harm). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F656 was cited in May 2026 and September 2026. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. The most serious was level D (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F684 was cited in September 2025 and September 2026. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious was level E (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F688 was cited in October 2023, September 2025 and September 2026. This citation covers care that keeps or improves a resident’s movement and mobility. The most serious was level E (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F692 was cited in April 2025 and September 2026. This citation covers whether residents get enough food and fluids to stay healthy. The most serious was level G (actual harm). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F699 was cited in September 2026. The agency describes it this way: Provide care or services that was trauma informed and/or culturally competent. The most serious was level D (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F744 was cited in September 2025 and September 2026. The agency describes it this way: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The most serious was level E (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F756 was cited in September 2026. The agency describes it this way: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The most serious was level D (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F759 was cited in May 2026 and September 2026. This citation covers whether medication errors stayed under 5 percent when inspectors watched medications being given. The most serious was level E (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F880 was cited in October 2024, September 2025 and September 2026. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. The most serious was level E (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F908 was cited in September 2026. The agency describes it this way: Keep all essential equipment working safely. The most serious was level D (no actual harm, potential for more). The September 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
What changed after F583 was cited, and how do you check it now?
Citation F583: cited in two inspections, most seriously at level D.
How long do residents usually wait for help with bathing, dressing or the bathroom, and how is that tracked?
Help With Daily Living: cited in two inspections, most seriously at level D.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in two inspections, most seriously at level D.
How are a resident’s advance directive and treatment wishes recorded and shared with every shift?
Treatment Choices and Advance Directives: cited in two inspections, most seriously at level D. The September 3, 2026 citation has no recorded correction date.
What was done about the cleanliness citation, and how are rooms and shared spaces checked now?
A Clean, Homelike Setting: cited in one inspections, most seriously at level D. The September 3, 2026 citation has no recorded correction date.
What changed after F605 was cited, and how do you check it now?
Citation F605: cited in one inspections, most seriously at level D. The September 3, 2026 citation has no recorded correction date.
What changed after F628 was cited, and how do you check it now?
Citation F628: cited in one inspections, most seriously at level E. The September 3, 2026 citation has no recorded correction date.
Who completes resident assessments, and how are they checked for accuracy?
Accurate Assessments: cited in one inspections, most seriously at level B. The September 3, 2026 citation has no recorded correction date.
How is a care plan written and reviewed here, and how do families take part in it?
Care Plans: cited in two inspections, most seriously at level D. The September 3, 2026 citation has no recorded correction date.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in two inspections, most seriously at level E. The September 3, 2026 citation has no recorded correction date.
What do you do to keep residents moving, and who provides range-of-motion care?
Mobility and Range of Motion: cited in three inspections, most seriously at level E. The September 3, 2026 citation has no recorded correction date.
How are weight and fluid intake tracked, and what happens when a resident starts losing weight?
Nutrition and Hydration: cited in two inspections, most seriously at level G. The September 3, 2026 citation has no recorded correction date.
What changed after F699 was cited, and how do you check it now?
Citation F699: cited in one inspections, most seriously at level D. The September 3, 2026 citation has no recorded correction date.
What changed after F744 was cited, and how do you check it now?
Citation F744: cited in two inspections, most seriously at level E. The September 3, 2026 citation has no recorded correction date.
What changed after F756 was cited, and how do you check it now?
Citation F756: cited in one inspections, most seriously at level D. The September 3, 2026 citation has no recorded correction date.
How are medication passes checked, and what happens when an error is found?
Medication Error Rate: cited in two inspections, most seriously at level E. The September 3, 2026 citation has no recorded correction date.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in three inspections, most seriously at level E. The September 3, 2026 citation has no recorded correction date.
What changed after F908 was cited, and how do you check it now?
Keep all essential equipment working safely: cited in one inspections, most seriously at level D. The September 3, 2026 citation has no recorded correction date.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
What led to the 2024 fine, and has it been paid?
A $35,909 civil money penalty was imposed December 19, 2024. CMS publishes the fine, not whether it has been paid.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Pennsylvania state survey agency.
Pennsylvania state survey agency
Inspection Oct 4, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Pennsylvania state survey agency
Inspection Oct 4, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Pennsylvania state survey agency
Inspection Dec 19, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Pennsylvania state survey agency
Inspection Apr 17, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Pennsylvania state survey agency
Inspection Sep 5, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Pennsylvania state survey agency
Inspection May 1, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Pennsylvania state survey agency
Inspection May 20, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Pennsylvania state survey agency
Inspection Sep 3, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 395031
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowOctober 4, 2023 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.