Pennsylvania › Lycoming County › Williamsport
Edenbrook South
101 Leader Drive, Williamsport, PA 17701
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 116 beds, Edenbrook South serves Williamsport in Lycoming County, Pennsylvania and has taken Medicare and Medicaid residents since 1977.
CMS gives it 1 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 66 health deficiencies across the three most recent survey cycles (22, 21, 23 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 56.9 per 100 beds, more than the state median of 22.2.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 61.2%.
Compared with county, state and nation
| Measure | This facility | Lycoming Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 66 | 56 | 26 | 28.7 |
| Citations per 100 beds | 56.9 | 36.8 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.8 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 61.2% | 57.3% | 44.3% | 45.8% |
| Fines listed | $10,824 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Feb 2026, 24 Jan 2025.
Severity mix: G ×1 D ×36 E ×23 F ×3 B ×1 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0584 | 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. | E | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0761 | 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 | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0693 | 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. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0726 | 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. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | C | Standard survey | 31 Mar 2026 |
| 11 Feb 2026 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 31 Mar 2026 |
| 23 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | Past Non-Compliance |
| 4 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Jul 2025 |
| 4 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 25 Mar 2025 |
| 4 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 25 Mar 2025 |
| 24 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0688 | 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 | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0726 | 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. | E | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0758 | 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. | E | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0584 | 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. | D | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 12 Mar 2025 |
| 24 Jan 2025 | F0761 | 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 | Standard survey | 12 Mar 2025 |
| 12 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 22 Oct 2024 |
| 12 Sep 2024 | F0688 | 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 | Complaint investigation | 22 Oct 2024 |
| 12 Sep 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 22 Oct 2024 |
| 6 Aug 2024 | F0584 | 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. | E | Complaint investigation | 10 Sep 2024 |
| 22 May 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 2 Jul 2024 |
| 22 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 2 Jul 2024 |
| 22 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 2 Jul 2024 |
| 22 May 2024 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Complaint investigation | 2 Jul 2024 |
| 22 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 2 Jul 2024 |
| 2 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 26 Apr 2024 |
| 16 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0584 | 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. | D | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0688 | 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. | D | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0758 | 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. | D | Complaint investigation | 2 Apr 2024 |
| 16 Feb 2024 | F0761 | 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 | Standard survey | 2 Apr 2024 |
| 16 Feb 2024 | F0732 | Post nurse staffing information every day. | B | Standard survey | 2 Apr 2024 |
| 8 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 17 Nov 2023 |
| 13 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 9 Nov 2023 |
| 20 Sep 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 26 Oct 2023 |
| 20 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 26 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 May 2024 | Fine | $10,824 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 61.2%, RNs 76.9%; 6 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.0% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.2% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lycoming County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Rose View Rehab and Care Center | Williamsport | 123 | 4 | 3 | 2 | 33 | 26.8 | — | 21 Nov 2025 |
| Valley View Rehab and Nursing Center | Montoursville | 163 | 4 | 3 | 5 | 34 | 20.9 | — | 10 Apr 2026 |
| Muncy Place | Muncy | 138 | 3 | 3 | 4 | 20 | 14.5 | — | 25 Jul 2025 |
| Williamsport Home, The | Williamsport | 129 | 3 | 3 | 3 | 31 | 24.0 | — | 29 Jan 2026 |
| Edenbrook North | Williamsport | 152 | 2 | 2 | 3 | 56 | 36.8 | $305K | 24 Apr 2026 |
| Jersey Shore Skilled Nursing and Rehabilitation Ce | Jersey Shore | 120 | 1 | 1 | 1 | 61 | 50.8 | $46K | 8 Apr 2026 |
| Wecare At Sycamore Rehabilitation and Nursing Cent | Montoursville | 133 | 1 | 1 | 1 | 84 | 63.2 | — | 26 Jun 2026 |
All 8 facilities in Lycoming County
Questions and answers
How many deficiencies has Edenbrook South been cited for?
66 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Edenbrook South been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Edenbrook South compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Edenbrook South?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Edenbrook South last inspected?
The most recent survey or investigation in the CMS record is dated 11 Feb 2026; the most recent standard health survey was 11 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.