Southwestern Manor Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 500 North Lewis Run Road, Pittsburgh, PA 15122
- CCN
- 395742
- Ownership type
- For-profit, corporation
- Certified beds
- 118
- Residents per day
- 78
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Southwestern Manor Nursing and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 24 Jan 2025. The latest survey cycle has 15 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 1 fine of $60,520 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Allegheny County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 52 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Jan 2025 | 15 | 8 |
| Cycle 2 | 15 Dec 2023 | 15 | 8 |
| Cycle 3 | No date | 26 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jan 2025 | F0578 | 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. | D | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 4 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. | D | Standard survey | 4 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 | 4 Mar 2025 |
| 24 Jan 2025 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | C | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | B | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | B | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0946 | Provide training in compliance and ethics. | C | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 4 Mar 2025 |
| 24 Jan 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | C | Standard survey | 4 Mar 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Dec 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | D | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Feb 2024 |
| 15 Dec 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | 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 | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Feb 2024 |
| 15 Dec 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | C | Standard survey | 6 Feb 2024 |
Survey cycle 3: 26 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jun 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 | 6 Aug 2024 |
| 13 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | 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 | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Aug 2024 |
| 13 Jun 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint investigation | 6 Aug 2024 |
| 13 Mar 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 2 Apr 2024 |
| 12 Feb 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | 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 | 20 Mar 2023 |
| 12 Feb 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | 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 | 20 Mar 2023 |
| 12 Feb 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 20 Mar 2023 |
| 12 Feb 2023 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 20 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Jun 2024 | Fine | $60,520 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.11 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.54 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.84 | 0.91 | |
| Nurse aides | 1.74 | 2.19 | |
| All nurse staff, weekends | 2.89 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 65.4%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 61.5%
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.0% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.1% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Southwestern Healthcare Operations LLC
- Chain
- Imperial Healthcare Group (9 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Southwestern Healthcare Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 30 Apr 2021 |
| CH Pa7 SNF Holdings LLC | 5% or greater indirect ownership interest | 30 Apr 2021 | |
| Ens Holdings, LLC | 5% or greater indirect ownership interest | 11 Jul 2021 | |
| SK SW Operations Holdings LLC | 5% or greater indirect ownership interest | 30 Apr 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Allegheny County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Rehabilitation Center at Jefferson Hills, The | Jefferson Hills | 2 of 5 | 11 | $8,281 | 13 Feb 2026 | |
| Rose Meadows Health & Rehab Center | Pittsburgh | 1 of 5 | 9 | $274,651 | 3 Dec 2025 | |
| John J Kane Regional Center-Mc | McKeesport | 3 of 5 | 7 | $50,260 | 8 Nov 2024 | |
| Riverside Health & Rehab Center | McKeesport | 1 of 5 | 20 | $35,138 | 8 Jan 2026 | |
| Whitehall Borough Post Acute | Pittsburgh | 2 of 5 | 7 | $45,050 | 7 May 2026 | |
| Eldercrest Rehabilitation & Healthcare Center | Munhall | 3 of 5 | 10 | $18,962 | 14 Nov 2025 | |
| John J Kane Regional Center-GL | Pittsburgh | 2 of 5 | 14 | $0 | 9 Jul 2026 | |
| South Hills Post Acute | Bethel Park | 3 of 5 | 3 | $0 | 14 May 2026 | |
| Meadowcrest Rehabilitation & Healthcare Center | Bethel Park | 1 of 5 | 25 | $0 | 6 Mar 2026 | |
| Wecare at Mt Lebanon Rehabilitation and Nrsg Ctr | Pittsburgh | 2 of 5 | 26 | $0 | 18 Sep 2025 | |
| Heritage Care CenterSpecial Focus candidate | Pittsburgh | 1 of 5 | 38 | $0 | 21 Nov 2025 | |
| Asbury Health Center | Pittsburgh | 3 of 5 | 11 | $0 | 26 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Southwestern Manor Nursing and Rehabilitation (CCN 395742). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/southwestern-manor-nursing-and-rehabilitation-pittsburgh-pa-395742/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Southwestern Manor Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 24 Jan 2025. It was a standard survey. It gave 15 citations. The standard survey before the last one was on 15 Dec 2023.
- Who operates Southwestern Manor Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Imperial Healthcare Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Southwestern Manor Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.