Southwestern Nursing and Rehabilitation Center

500 North Lewis Run Road · Pittsburgh, PA · 15122 · 4124660600

118 certified beds For profit - Corporation Chain: Imperial Healthcare Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.
  • 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.

65% 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 39
Serious harm & abuse 20% 66
Staffing 20% 54
Federal penalties 15% 63
Trend 10% 86
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: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.093.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day2.85≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)1 · $60,520

Inspection citations (58 in the current record)

  • Potential for harm · D January 24, 2025

    Honor 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.

    Corrected March 4, 2025 · Resident Rights

  • Potential for harm · D January 24, 2025

    Assess the resident when there is a significant change in condition

    Corrected March 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 24, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 24, 2025

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

    Corrected March 4, 2025 · Quality of Life and Care

  • Potential for harm · D January 24, 2025

    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.

    Corrected March 4, 2025 · Pharmacy Service

  • Potential for harm · F January 24, 2025

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

    Corrected March 4, 2025 · Nutrition and Dietary

  • Potential for harm · E January 24, 2025

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 24, 2025

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Corrected March 4, 2025 · Infection Control

  • Potential for harm · F January 24, 2025

    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 4, 2025 · Nursing and Physician Services

  • No harm found · C January 24, 2025

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Corrected March 4, 2025 · Administration

  • No harm found · B January 24, 2025

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Corrected March 4, 2025 · Administration

  • No harm found · B January 24, 2025

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Corrected March 4, 2025 · Resident Rights

  • No harm found · B January 24, 2025

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected March 4, 2025 · Administration

  • No harm found · C January 24, 2025

    Provide training in compliance and ethics.

    Corrected March 4, 2025 · Administration

  • No harm found · C January 24, 2025

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected March 4, 2025 · Administration

  • Actual harm · G June 13, 2024 · found via complaint

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

    Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · H June 13, 2024 · found via complaint

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

    Corrected August 6, 2024 · Quality of Life and Care

  • Actual harm · G June 13, 2024 · found via complaint

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

    Corrected August 6, 2024 · Quality of Life and Care

  • Actual harm · G June 13, 2024 · found via complaint

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

    Corrected August 6, 2024 · Quality of Life and Care

  • Potential for harm · E June 13, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected August 6, 2024 · Nursing and Physician Services

  • Potential for harm · D June 13, 2024 · found via complaint

    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 August 6, 2024 · Nursing and Physician Services

  • Potential for harm · D June 13, 2024 · found via complaint

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

    Corrected August 6, 2024 · Quality of Life and Care

  • Potential for harm · D June 13, 2024 · found via complaint

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

    Corrected August 6, 2024 · Quality of Life and Care

  • Potential for harm · F June 13, 2024 · found via complaint

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

    Corrected August 6, 2024 · Nutrition and Dietary

  • Potential for harm · D June 13, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 6, 2024 · Infection Control

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

Federal penalties

DateTypeAmount / length
June 13, 2024Fine$60,520

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395742 · certified since September 22, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.