EDENBROOK SOUTH

CCN 395396 · For profit - Limited Liability company · 116 certified beds · Lycoming · PA


EDENBROOK SOUTH is a 116-bed nursing home in WILLIAMSPORT, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1977-11-01. It averages 86.8 residents a day.

What harm was found in the violations cited at EDENBROOK SOUTH?

CMS lists 66 health-inspection deficiencies for EDENBROOK SOUTH, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-02-11.

Survey dateTagDeficiencySeverity
2026-02-11F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-11F0584, F0604, F0684, F0730, F0761Honor 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Observe each nurse aide's job performance and give regular training. / 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
2026-02-11F0554, F0583, F0628, F0641, F0656, F0677, F0693, F0695, F0726, F0755, F0759, F0880, F0947Allow residents to self-administer drugs if determined clinically appropriate. / Keep residents' personal and medical records private and confidential. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2026-02-11F0756, F0814Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Dispose of garbage and refuse properly.C
2025-12-23F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-06-04F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-03-04F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2025-03-04F0692Provide enough food/fluids to maintain a resident's health.D
2025-01-24F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-01-24F0677, F0688, F0726, F0756, F0758, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide and implement an infection prevention and control program.E
2025-01-24F0550, F0584, F0607, F0641, F0684, F0695, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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
2024-09-12F0677, F0688Provide care and assistance to perform activities of daily living for any resident who is unable. / 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
2024-09-12F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2024-08-06F0584Honor 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
2024-05-22F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E
2024-05-22F0607, F0677, F0710, F0756Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D
2024-05-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-02-16F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-02-16F0686, F0695, F0756Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2024-02-16F0550, F0580, F0584, F0677, F0684, F0688, F0758, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / 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
2024-02-16F0732Post nurse staffing information every day.B
2023-11-08F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-10-13F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2023-09-20F0561, F0689Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E

Why was EDENBROOK SOUTH fined?

DateTypeAmount
2024-05-02Fine$10,824

How is EDENBROOK SOUTH staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.512673.88823
Total nursing staff turnover (%)61.244.5
Average number of residents per day86.8104.6

Who owns EDENBROOK SOUTH?

EDENBROOK SOUTH is registered with CMS as For profit - Limited Liability company.

Were you or a family member harmed at EDENBROOK SOUTH?