Edenbrook South

101 Leader Drive · Williamsport, PA · 17701 · 5703233758

116 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

61% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 84
Staffing 20% 68
Federal penalties 15% 76
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.813.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day3.57≈ weekday level
Nursing turnover / year61%median 45%
Fines (3-yr window)1 · $10,824

Inspection citations (70 in the current record)

  • Potential for harm · D February 11, 2026

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

    Corrected March 31, 2026 · Resident Rights

  • Potential for harm · D February 11, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected March 31, 2026 · Resident Rights

  • Potential for harm · E February 11, 2026

    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.

    Corrected March 31, 2026 · Resident Rights

  • Potential for harm · E February 11, 2026

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

    Corrected March 31, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 11, 2026

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

    Corrected March 31, 2026 · Resident Rights

  • Potential for harm · D February 11, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 31, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2026

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

    Corrected March 31, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · E February 11, 2026

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

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D February 11, 2026

    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.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D February 11, 2026

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

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D February 11, 2026

    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.

    Corrected March 31, 2026 · Nursing and Physician Services

  • Potential for harm · E February 11, 2026

    Observe each nurse aide's job performance and give regular training.

    Corrected March 31, 2026 · Nursing and Physician Services

  • Potential for harm · D February 11, 2026

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

    Corrected March 31, 2026 · Pharmacy Service

  • Potential for harm · D February 11, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 31, 2026 · Pharmacy Service

  • Potential for harm · E February 11, 2026

    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.

    Corrected March 31, 2026 · Pharmacy Service

  • Potential for harm · F February 11, 2026

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

    Corrected March 31, 2026 · Nutrition and Dietary

  • Potential for harm · D February 11, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 31, 2026 · Infection Control

  • Potential for harm · D February 11, 2026

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected March 31, 2026 · Nursing and Physician Services

  • No harm found · C February 11, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 31, 2026 · Pharmacy Service

  • No harm found · C February 11, 2026

    Dispose of garbage and refuse properly.

    Corrected March 31, 2026 · Nutrition and Dietary

  • Potential for harm · D December 23, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Past Non-Compliance · Resident Assessment and Care Planning

  • Potential for harm · D June 4, 2025 · found via complaint

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

    Corrected July 15, 2025 · Pharmacy Service

  • Potential for harm · E March 4, 2025 · found via complaint

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

    Corrected March 25, 2025 · Quality of Life and Care

  • Potential for harm · D March 4, 2025 · found via complaint

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

    Corrected March 25, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 2, 2024Fine$10,824

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395396 · certified since November 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.