SHENANDOAH SENIOR LIVING COMMUNITY in Shenandoah, PA has a 1 out of 5 overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It is flagged for the lowest overall rating; reported nurse staffing is 3.25 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: January 7, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2543.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
0.84
Nurse aides
1.95
Weekend nursing
2.95
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
19.4%7.1%Improving
Residents with a fall causing major injury
1.1%3.4%Worsening
Residents with pressure ulcers (bedsores)
2.3%1.1%Improving
Residents with a urinary tract infection
1.2%2.3%Worsening
Residents who lost too much weight
7.4%3.6%Improving
Residents who were physically restrained
1.1%1.1%No change
Residents needing more help with daily activities
11.2%11.1%No change
Residents whose ability to walk got worse
21.2%21.6%No change
Long-stay residents on antianxiety or sleep medication
19%20.9%Worsening
Short-stay residents newly given an antipsychotic
1.8%0%Improving
Residents with a long-term catheter
1.2%1.1%No change
Residents with new or worsening incontinence
27.8%27.1%Improving
Residents with depressive symptoms
2.5%6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—91.5%—
Long-stay residents given the pneumonia vaccine
84.3%79.8%Worsening
Short-stay residents given the seasonal flu vaccine
—23.3%—
Short-stay residents given the pneumonia vaccine
26.4%24.7%Worsening
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to provide services that met professional standards of quality. Cited January 2026 — isolated incident, actual harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2024 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to run its operations effectively and efficiently using its available resources. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 835 — 42 CFR §483.70 — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2025 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 11 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $63,635 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Feb 16, 2024
20 days
Federal fine
Feb 16, 2024
$63,635
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of GABRIEL SEBBAG & THE SAMARA FAMILY · 7 homes · 1.4 stars avg
Occupancy
101.6 residents on an average day (85% of 119 beds)
Resident voice
Resident council
Medicare history
Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.