EDENBROOK SOUTH
101 LEADER DRIVE, WILLIAMSPORT, PA 17701 · CCN 395396
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 116
- Avg residents/day
- 86.6
- Phone
- 5703233758
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-24 | 18 | 10.1 | 9.5 | +7.9 worse |
| 2 | 2024-02-16 | 23 | 10.9 | 9.8 | +12.1 worse |
| 3 | 2023-03-17 | 17 | 10.5 | 9.3 | +6.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.73 | 66.7% |
| RN staffing (reported) | 0.57 | 80.0% |
| Total nurse staffing (adjusted) | 4.07 | — |
Fines & penalties
- Total fines
- $10,824
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- EDEN EAST HEALTHCARE MANAGEMENT
- Facilities in chain
- 5
- Chain avg overall
- 1.60 / 5
Inspection citations (58)1 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-23 · Health
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-04 · Health · corrected 2025-07-15
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-04 · Health · corrected 2025-03-25
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-03-04 · Health · corrected 2025-03-25
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0584Honor 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.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- EF0688Provide 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.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- EF0758Implement 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.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-24 · Health · corrected 2025-03-12
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-12 · Health · corrected 2024-10-22
Potential for more than minimal harm
- EF0688Provide 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.2024-09-12 · Health · corrected 2024-10-22
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-09-12 · Health · corrected 2024-10-22
Potential for more than minimal harm
- EF0584Honor 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.2024-08-06 · Health · corrected 2024-09-10
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-22 · Health · corrected 2024-07-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-22 · Health · corrected 2024-07-02
Potential for more than minimal harm
- DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-05-22 · Health · corrected 2024-07-02
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-22 · Health · corrected 2024-07-02
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-22 · Health · corrected 2024-07-02
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-02 · Health · corrected 2024-04-26
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0584Honor 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.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0688Provide 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.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2024-02-16 · Health · corrected 2024-04-02
Potential for minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0758Implement 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.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0761Ensure 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.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-16 · Health · corrected 2024-04-02
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-08 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-13 · Health · corrected 2023-11-09
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-09-20 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-20 · Health · corrected 2023-10-26
Potential for more than minimal harm
- EF0761Ensure 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.2023-07-13 · Health · corrected 2023-08-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-13 · Health · corrected 2023-08-01
Potential for more than minimal harm
- EF0584Honor 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.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-22 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0584Honor 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.2023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
- EF0688Provide 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.2023-03-17 · Health · corrected 2023-05-25
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
- EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0888Ensure staff are vaccinated for COVID-192023-03-17 · Health · corrected 2023-05-02
Potential for more than minimal harm
Ownership
No ownership records.
Other facilities in WILLIAMSPORT
| Name | Overall | Beds |
|---|---|---|
| ROSE VIEW REHAB AND CARE CENTER | ★★★★☆ | 123 |
| Williamsport Home, The | ★★★☆☆ | 129 |
| EDENBROOK NORTH | ★★☆☆☆ | 152 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.