Willows of Presbyterian Senior
1215 Hulton Road · Oakmont, PA · 15139 · 4128285600
193 certified beds Non profit - Corporation Chain: Presbyterian Seniorcare Network
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $132,149 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$132,149 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 3.58 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 3 · $132,149 |
Inspection citations (56 in the current record)
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Potential for harm · D December 2, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · D December 2, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · E December 2, 2025
Keep residents' personal and medical records private and confidential.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · E December 2, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 2, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · E December 2, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 2, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected December 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 2, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · D December 2, 2025
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.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · D December 2, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · E December 2, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · D December 2, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 3, 2025 · Pharmacy Service
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Potential for harm · D December 2, 2025
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 December 3, 2025 · Pharmacy Service
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Potential for harm · F December 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 3, 2025 · Nutrition and Dietary
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Potential for harm · E December 2, 2025
Provide and implement an infection prevention and control program.
Corrected December 3, 2025 · Infection Control
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Actual harm · H October 15, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · H October 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 18, 2025 · Quality of Life and Care
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Immediate jeopardy · J May 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 23, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Actual harm · G May 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D November 22, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 2, 2025 · Resident Rights
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Potential for harm · E November 22, 2024
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 January 2, 2025 · Resident Rights
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Potential for harm · D November 22, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Ensure each resident receives an accurate assessment.
Corrected January 2, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 15, 2025 | Fine | $74,263 |
| May 8, 2025 | Fine | $8,278 |
| May 8, 2025 | Fine | $49,608 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395713 · certified since January 7, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.