CareSentinel

Compiled from official CMS federal data

WILLOWS OF PRESBYTERIAN SENIOR, OAKMONT, PA — Violations & Inspection Reports

CCN 395713 · 1215 HULTON ROAD, OAKMONT, PA, 15139

Record as of Jun 2026 · Updated monthly from CMS

Does WILLOWS OF PRESBYTERIAN SENIOR have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WILLOWS OF PRESBYTERIAN SENIOR (CCN 395713), in OAKMONT, PA, has federal inspection findings. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related).

In its current inspection cycle, CMS cited the facility for 17 deficiencies; the most severe is rated H, a level CMS classifies as actual harm. The latest standard health inspection on file is dated 2025-12-02. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $132,149 in civil money penalties on file against the facility. The record also includes 6 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Dec 2025). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 6 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Dec 2025.
  • 3 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Oct 2025.
  • 2 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Nov 2024.
  • 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Nov 2023.
  • 9 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS displays its federal abuse icon on this facility's official record.

Below is this facility's federal inspection record as on file with CMS.

Federal Abuse Icon

Federal abuse icon on file

CMS displays this icon for facilities it has cited for resident abuse under its own published methodology — the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$132,149

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2025-05-23
HISTORICAL
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-10-15
CURRENT CYCLE
F600S/S H

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-10-15
CURRENT CYCLE
F689S/S H

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

53 more citations on file — Abuse & neglect 5 · Accidents & supervision 1 · Pressure ulcers 2 · Nutrition & hydration 1 · Medication & pharmacy 3 · Resident rights 7 · Other citations 32 (expand)
2025-12-02
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-12-02
CURRENT CYCLE
F583S/S E

Keep residents' personal and medical records private and confidential.

2025-12-02
CURRENT CYCLE
F604S/S E

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2025-12-02
CURRENT CYCLE
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2025-12-02
CURRENT CYCLE
F628S/S E

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-12-02
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-12-02
CURRENT CYCLE
F638S/S E

Assure that each resident’s assessment is updated at least once every 3 months.

2025-12-02
CURRENT CYCLE
F636S/S E

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2025-12-02
CURRENT CYCLE
F554S/S D

Allow residents to self-administer drugs if determined clinically appropriate.

2025-12-02
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-12-02
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-12-02
CURRENT CYCLE
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2025-12-02
CURRENT CYCLE
F694S/S D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

2025-12-02
CURRENT CYCLE
F761S/S D

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.

2025-12-02
CURRENT CYCLE
F688S/S D

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.

2025-05-23
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-05-23
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-05-08
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-11-22
HISTORICAL
F584S/S E

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.

2024-11-22
HISTORICAL
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2024-11-22
HISTORICAL
F676S/S D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2024-11-22
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-11-22
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-11-22
HISTORICAL
F638S/S D

Assure that each resident’s assessment is updated at least once every 3 months.

2024-11-22
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-11-22
HISTORICAL
F554S/S D

Allow residents to self-administer drugs if determined clinically appropriate.

2024-11-22
HISTORICAL
F688S/S D

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.

2024-11-22
HISTORICAL
F810S/S D

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

2024-11-22
HISTORICAL
F808S/S D

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

2024-11-22
HISTORICAL
F728S/S D

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

2024-11-22
HISTORICAL
F744S/S D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2024-11-22
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-11-22
HISTORICAL
F625S/S C

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

2024-07-09
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-03-20
HISTORICAL
F800S/S D

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

2024-03-20
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-11-20
HISTORICAL
F814S/S F

Dispose of garbage and refuse properly.

2023-11-20
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-11-20
HISTORICAL
F801S/S E

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

2023-11-20
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2023-11-20
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-11-20
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-11-20
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2023-11-20
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2023-11-20
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-11-20
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-11-20
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-11-20
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-11-20
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2023-11-20
HISTORICAL
F745S/S D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2023-11-20
HISTORICAL
F761S/S D

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.

2023-11-20
HISTORICAL
F849S/S D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

2023-11-20
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.0

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

WILLOWS OF PRESBYTERIAN SENIOR — Federal Record

CMS overall 1/5 · 17 current-cycle deficiencies · CMS abuse icon listed


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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