Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Shepherd Of The Valley Liberty during CMS and state inspections, most recent first.
During a multi-day power outage, the facility relied only on a gas stove, leaving kitchen equipment such as the food processor unusable and resulting in residents on pureed diets receiving limited items like mashed potatoes, stuffing, tomato soup, and cream of wheat without clear protein sources. Several residents with dysphagia, protein-calorie malnutrition, significant weight loss, COPD, and other chronic conditions had orders for pureed diets and nutritional supplements, but documentation in progress notes, intake records, and MARs did not show that any additional supplementation beyond routine orders was provided during the outage. Dietary staff could not specify what protein foods were served, no records were kept of the actual foods provided, tray tickets did not list what was served, and one resident reported not getting enough to eat or receiving extra items such as shakes or ice cream. The DON and RD could not verify that residents on pureed diets received well-balanced, protein-adequate meals during this emergency period.
The facility did not maintain an effective system to ensure that all licensed nurses, including LPNs and RNs, held current CPR certification as required by policy. Multiple staff members were found to have worked with expired CPR certifications, a lapse confirmed by both the Human Resources Director and the DON. This deficiency had the potential to affect all residents in the facility.
Surveyors found that the facility did not maintain a clean environment, with a resident's room and bathroom showing visible dirt, dust, and dried feces, and mechanical lifts in common areas having significant dirt and debris. Interviews and documentation revealed inconsistent cleaning schedules and a lack of clear protocols for cleaning certain areas, despite the facility's stated goal of daily thorough cleaning.
Failure to Ensure Adequate Pureed Diet Nutrition During Power Outage
Penalty
Summary
The deficiency involves the facility’s failure to ensure residents received a nourishing, palatable, well‑balanced diet that met daily nutritional and special dietary needs during a prolonged power outage. The facility experienced a power outage from the evening of 03/13/26 until the morning of 03/15/26, during which only the gas stove functioned in the kitchen because there were no generator-connected (red) outlets. As a result, staff could not use the food processor to prepare pureed foods and instead served items that could be made with boiling water. Dietary staff reported that residents on pureed diets were given mashed potatoes, stuffing, tomato soup, and cream of wheat, and no record was kept of the specific foods served during this period. Tray tickets for affected meals did not indicate what foods were actually provided. Four residents with orders for pureed diet textures were specifically reviewed. One resident had dementia, type 2 diabetes mellitus, dysphagia oral phase, and was care planned as at risk for nutritional decline, with interventions including pureed diet with thickened liquids and house supplements twice daily. Another resident had protein calorie malnutrition, muscle wasting and atrophy, diverticulosis, and a history of significant weight loss, and was also care planned for pureed texture and house supplements twice daily. A third resident had dysphagia oropharyngeal phase, respiratory failure, intellectual disabilities, adult failure to thrive, and was ordered a pureed diet with nectar thick liquids and a daily house supplement. The fourth resident had COPD, GERD, mild cognitive impairment, major depressive disorder, significant weight loss, and was ordered a pureed diet with nectar thick liquids, Magic Cup with meals, and house supplements with meals for weight loss. For all four residents, review of progress notes, nurse aide intake tracking, and MARs showed no documentation that any additional supplementation beyond the routinely scheduled supplements was provided during the power outage dates. Dietary staff, including the Dietary Supervisor and Dietary Director, were unable to identify what protein sources were served to residents on pureed diets during this time. A DTR and a Regional RN asserted that residents on pureed diets received nutritional supplements and that items such as tomato soup provided some protein, but the RD could not confirm whether additional supplementation was actually provided during the outage. One cognitively intact resident reported not getting enough to eat during the outage and stated that, although some food was provided, it was not enough to satisfy hunger and no additional items like ice cream or health shakes were offered. The DON confirmed that tray tickets did not specify what foods were served during the power outage, and there was no documentation to substantiate that residents on pureed diets received balanced meals or adequate protein during this emergency period. The deficiency affected four reviewed residents with pureed diet orders and had the potential to affect all eight residents in the facility who required pureed diet textures. The lack of a system to ensure well‑balanced, nutritionally adequate pureed meals during the power outage, combined with the absence of documentation of what foods and supplements were actually provided, led to the finding that the facility did not meet the requirement to provide each resident with a diet that met daily nutritional and special dietary needs during the emergency event.
Failure to Ensure Current CPR Certification for Nursing Staff
Penalty
Summary
Facility administration failed to maintain an effective system to ensure that all licensed nurses held current cardiopulmonary resuscitation (CPR) certification, as required by facility policy. Review of personnel files revealed multiple instances where CPR certifications for both LPNs and RNs had expired before being renewed. The Human Resources Director confirmed that lapses in CPR recertification were identified through the facility's tracking process. The Director of Nursing stated that corporate was responsible for CPR certification and was unaware that some nurses were not current with their certifications. The DON also confirmed that staff performing CPR were required to maintain current certification, and that CPR recertification was offered through the American Heart Association. Facility policy required all direct care staff to maintain current CPR certification as a condition of employment, with failure to obtain certification within 30 days of expiration resulting in removal from the work schedule and possible disciplinary action. Despite this policy, several nurses were found to have worked with expired CPR certifications, potentially affecting all 61 residents in the facility. The deficiency was identified during a complaint investigation and verified through interviews and record review.
Failure to Maintain Clean Environment and Equipment
Penalty
Summary
The facility failed to maintain a clean environment, including resident rooms and mechanical lifts, as observed during an initial tour with the Assistant Director of Nursing. In one resident's room, the floor was dirty with visible crumbs and dust buildup, the toilet had yellow and brown streaks on the outer bowl, and there was a brown spot on the wall that appeared to be dried feces. Additional observations included dust buildup on baseboards, fireplaces, and tables in common areas, as well as visible dirt and debris on mechanical lifts such as sit-to-stand and Hoyer lifts. These findings were verified by facility staff at the time of observation. Interviews with the Environmental Services Supervisor and housekeeping staff revealed inconsistencies in cleaning schedules, with some rooms cleaned every three days and others daily or every other day. Housekeeping services were subcontracted, and there was a lack of a set schedule for cleaning certain areas such as baseboards and fireplaces. Documentation review showed that the facility's stated goal was daily thorough cleaning, but audit tools and workflow sheets indicated cleaning was performed as needed or when visible dirt was present. Photos provided by the cleaning contractor confirmed the presence of unclean conditions in the resident's bathroom, and meeting minutes reflected ongoing issues with housekeeping services.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 319 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Girard
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Liberty Health Care Center Inc | 2.3 mi | — | 4 | 0 |
| Autumn Hills Care Center | 2.6 mi | — | 2 | 0 |
| Heritage Manor Jewish Hm For | 3.6 mi | — | 0 | 0 |
| Windsor Health Care Center | 4.3 mi | — | 1 | 0 |
| Omni Manor Nursing Home | 4.9 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Shepherd Of The Valley Liberty.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.