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Public Record

Titusville Nursing and Rehab

Nursing HomeTitusville, PACMS 395901
15 citations on record

Operated by Valley West Health

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
77

*CMS

Avg. residents per day
60.4

*CMS

Inspection record

On record from CMS

Health citations
15

*CMS

Fire safety findings
2

*CMS

Inspections on file
4

*CMS

Last inspection
2025-06-06

*CMS

Citations

15 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0561Generalpotential for harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0761Generalpotential for harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0868Generalno actual harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  • 0684Generalpotential for harm

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

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0758Generalpotential for harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • 0882Generalno actual harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  • 0761Generalpotential for harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • 0657Generalpotential for harm

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

  • 0561Generalpotential for harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • 0660Generalpotential for harm

    Plan the resident's discharge to meet the resident's goals and needs.

  • 0684Generalpotential for harm

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

  • 0761Generalpotential for harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection4 deficiencies

    395901 06/06/2025 Titusville Nursing and Rehab 81 Dillon Drive Titusville, PA 16354 F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to and the facility must promote and facilitate resident self-determination through support…

    Read full statement of deficiencies
  • Inspection6 deficiencies

    395901 07/25/2024 Titusville Nursing and Rehab 81 Dillon Drive Titusville, PA 16354 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on observations, review of facility policy…

    Read full statement of deficiencies
  • Inspection5 deficiencies

    395901 08/04/2023 Titusville Nursing and Rehab 81 Dillon Drive Titusville, PA 16354 F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to and the facility must promote and facilitate resident self-determination through support…

    Read full statement of deficiencies
  • InspectionFire Safety2 deficiencies
    View inspection report

Ownership

Valley West Health

12nursing homes nationwide, in CMS records

FAQ

Questions and answers

What is Titusville Nursing and Rehab?
Titusville Nursing and Rehab is a Medicare- and Medicaid-certified nursing home in Titusville, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 395901.
What is the CMS rating for Titusville Nursing and Rehab?
Titusville Nursing and Rehab has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Titusville Nursing and Rehab have?
Titusville Nursing and Rehab is certified for 77 beds. It serves an average of 60.4 residents per day.
How many citations does Titusville Nursing and Rehab have?
Titusville Nursing and Rehab has 15 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Titusville Nursing and Rehab last inspected?
Titusville Nursing and Rehab was last inspected on June 6, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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