Nursing homes › Pennsylvania › Edenbrook South
101 Leader Drive, Williamsport, PA 17701 · 5703233758 · 116 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 3.51 (Pennsylvania median: 3.63). RN hours: 0.55. Weekend total: 3.27. Nursing staff turnover: 61%.
All-time on record: 68 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-03-31 |
| 2026-02-11 | 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. | E | Health | corrected 2026-03-31 |
| 2026-02-11 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Health | corrected 2026-03-31 |
| 2026-02-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-03-31 |
| 2026-02-11 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2026-03-31 |
| 2026-02-11 | 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. | E | Health | corrected 2026-03-31 |
| 2026-02-11 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2026-03-31 |
| 2026-02-11 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | C | Health | corrected 2026-03-31 |
| 2026-02-11 | Dispose of garbage and refuse properly. | C | Health | corrected 2026-03-31 |
| 2025-12-23 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | Past Non-Compliance |
| 2025-06-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-07-15 |
| 2025-03-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-03-25 |
| 2025-03-04 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-03-25 |
| 2025-01-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-03-12 |
| 2025-01-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-03-12 |
| 2025-01-24 | 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. | E | Health | corrected 2025-03-12 |
| 2025-01-24 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Health | corrected 2025-03-12 |
| 2025-01-24 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2025-03-12 |
| 2025-01-24 | 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. | E | Health | corrected 2025-03-12 |
| 2025-01-24 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-03-12 |
| 2025-01-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-03-12 |
| 2025-01-24 | 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. | D | Health | corrected 2025-03-12 |
| 2025-01-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-03-12 |
| 2025-01-24 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-03-12 |
| 2025-01-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-03-12 |
| 2025-01-24 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-03-12 |
| 2025-01-24 | 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. | D | Health | corrected 2025-03-12 |
| 2024-09-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-10-22 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-02 | Fine | $10,824 |
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395396. Corrections: data@carerecords.org.