SOUTHWESTERN NURSING AND REHABILITATION CENTER
500 NORTH LEWIS RUN ROAD, PITTSBURGH, PA 15122 · CCN 395742
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 118
- Avg residents/day
- 81.1
- Phone
- 4124660600
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 | 15 | 10.1 | 9.5 | +4.9 worse |
| 2 | 2023-12-15 | 27 | 10.9 | 9.8 | +16.1 worse |
| 3 | 2023-02-12 | 18 | 10.5 | 9.3 | +7.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 5 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.06 | 65.3% |
| RN staffing (reported) | 0.49 | 54.5% |
| Total nurse staffing (adjusted) | 3.22 | — |
Fines & penalties
- Total fines
- $60,520
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- IMPERIAL HEALTHCARE GROUP
- Facilities in chain
- 13
- Chain avg overall
- 2.40 / 5
Inspection citations (60)1 immediate jeopardy4 actual harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-01-24 · Health · corrected 2025-03-04
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2025-01-24 · Health · corrected 2025-03-04
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2025-01-24 · Health · corrected 2025-03-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-24 · Health · corrected 2025-03-04
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.2025-01-24 · Health · corrected 2025-03-04
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 2025-03-04
Potential for more than minimal harm
- CF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2025-01-24 · Health · corrected 2025-03-04
Potential for minimal harm
- BF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-01-24 · Health · corrected 2025-03-04
Potential for minimal harm
- BF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-01-24 · Health · corrected 2025-03-04
Potential for minimal harm
- EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-01-24 · Health · corrected 2025-03-04
Potential for more than minimal harm
- BF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-01-24 · Health · corrected 2025-03-04
Potential for minimal harm
- DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-01-24 · Health · corrected 2025-03-04
Potential for more than minimal harm
- CF0946Provide training in compliance and ethics.2025-01-24 · Health · corrected 2025-03-04
Potential for minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-01-24 · Health · corrected 2025-03-04
Potential for more than minimal harm
- CF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-01-24 · Health · corrected 2025-03-04
Potential for minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-13 · Health · corrected 2024-08-06
Actual harm
- HF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-13 · Health · corrected 2024-08-06
Actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-13 · Health · corrected 2024-08-06
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-13 · Health · corrected 2024-08-06
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-06-13 · Health · corrected 2024-08-06
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-06-13 · Health · corrected 2024-08-06
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-06-13 · Health · corrected 2024-08-06
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-06-13 · Health · corrected 2024-08-06
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.2024-06-13 · Health · corrected 2024-08-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-06-13 · Health · corrected 2024-08-06
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-06-13 · Health · corrected 2024-08-06
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-03-13 · Health · corrected 2024-04-02
Potential for more than minimal harm
- DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2023-12-15 · Health · corrected 2024-02-06
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.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0680Ensure the activities program is directed by a qualified professional.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- EF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2023-12-15 · Health · corrected 2024-02-06
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.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-15 · Health · corrected 2024-02-06
Potential for more than minimal harm
- CF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-12-15 · Health · corrected 2024-02-06
Potential for minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-06 · Health · corrected 2023-06-27
Potential for more than minimal harm
- EF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-06-06 · Health · corrected 2023-06-27
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.2023-04-21 · Health · corrected 2023-05-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-21 · Health · corrected 2023-05-11
Immediate jeopardy
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-02-12 · Health · corrected 2023-03-20
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.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-12 · Health · corrected 2023-03-20
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.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-02-12 · Health · corrected 2023-03-20
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.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
- DF0924Put firmly secured handrails on each side of hallways.2023-02-12 · Health · corrected 2023-03-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-04-30 |
| CH PA7 SNF HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| ENS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-11 |
| LIONHEART SNF LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-11 |
| SK SW OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| THE ENS FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-11 |
| GOTTESMAN, DANIEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-11 |
| HERZKA, YISROEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| GOTTESMAN, DANIEL | Individual | CORPORATE OFFICER | — | 2021-07-11 |
| HERZKA, YISROEL | Individual | CORPORATE OFFICER | — | 2021-07-11 |
| DELP, SARA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-12-05 |
Other facilities in PITTSBURGH
| Name | Overall | Beds |
|---|---|---|
| UPMC MAGEE-WOMENS HOSPITAL TCU | ★★★★★ | 20 |
| CONCORDIA OF THE SOUTH HILLS | ★★★★★ | 46 |
| Vincentian Home | ★★★★★ | 106 |
| Providence Point Healthcare Residence | ★★★★☆ | 42 |
| John J Kane Regional Center-Gl | ★★★☆☆ | 255 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.