Skilled nursing
EDENBROOK SOUTH
0.00 reviews · 0 verifiedWILLIAMSPORT, PALic. 395396
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
VBP-RElevated VBP readmission rate (22.0%)Source: CMS SNF VBP (PDC)
FINECMS fine: $10,824Source: CMS Penalties
VBPLower SNF VBP program ranking (#13,617)Source: CMS SNF VBP (PDC)
VBP-THigh nursing staff turnover in VBP period (67%)Source: CMS SNF VBP (PDC)
Provided by facility
Edenbrook South is a skilled nursing facility focused on providing excellence in post-acute rehabilitation and long-term care. The facility emphasizes a holistic and personalized approach to care, ensuring that each guest is treated like family. With a commitment to fostering a supportive environment, Edenbrook South attracts top healthcare professionals dedicated to enhancing the well-being of their guests.
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.78 total HPRDRN 0.58 · weekend 94%Oct 2025 – Dec 2025
Survey history
18 inspections89 deficiencies on record
Federal IDs
CCN 395396
Overall: 1/5 · Health: 1/5 · Staffing: 2/5 · QM: 3/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspectionsShowing 12 of 18 inspections.
Health surveyFeb 2026 · CMS21 deficiencies
- F-554SS D — Allow residents to self-administer drugs if determined clinically appropriate.
- F-583SS D — Keep residents' personal and medical records private and confidential.
- F-584SS E — 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.
- F-604SS E — Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F-628SS D — Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F-641SS D — Ensure each resident receives an accurate assessment.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-684SS E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-693SS D — 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.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-726SS D — 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.
- F-730SS E — Observe each nurse aide's job performance and give regular training.
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-756SS C — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-759SS D — Ensure medication error rates are not 5 percent or greater.
- F-761SS E — 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.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-814SS C — Dispose of garbage and refuse properly.
- F-880SS D — Provide and implement an infection prevention and control program.
Fire safetyFeb 2026 · STATE FIRE MARSHAL6 deficiencies
- K-211SS F — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-225SS E — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-353SS E — Inspect, test, and maintain automatic sprinkler systems.
- K-374SS E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
- K-712SS C — Have simulated fire drills held at unexpected times.
Health surveyDec 2025 · CMS1 deficiencies
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
Health surveyJun 2025 · CMS1 deficiencies
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyMar 2025 · CMS2 deficiencies
- F-684SS E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-692SS D — Provide enough food/fluids to maintain a resident's health.
Health surveyJan 2025 · CMS14 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-584SS D — 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.
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-641SS D — Ensure each resident receives an accurate assessment.
- F-677SS E — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-688SS E — 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.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-726SS E — 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.
- F-756SS E — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-758SS E — 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.
- F-761SS D — 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.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS E — Provide and implement an infection prevention and control program.
Fire safetyJan 2025 · STATE FIRE MARSHAL7 deficiencies
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS E — Provide properly protected cooking facilities.
- K-325SS E — Have properly installed hallway dispensers for alcohol-based hand rub.
- K-353SS E — Inspect, test, and maintain automatic sprinkler systems.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-919SS E — Meet requirements for the use of electrical equipment.
- K-923SS E — Have proper medical gas storage and administration areas.
Health surveySep 2024 · CMS3 deficiencies
- F-677SS E — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-688SS E — 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.
- F-806SS D — Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Health surveyAug 2024 · CMS1 deficiencies
- F-584SS E — 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.
Health surveyMay 2024 · CMS5 deficiencies
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-710SS D — Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- F-756SS D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-757SS E — Ensure each resident’s drug regimen must be free from unnecessary drugs.
Health surveyMay 2024 · CMS1 deficiencies
- F-600SS G — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Health surveyFeb 2024 · CMS13 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F-584SS D — 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.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-686SS E — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-688SS D — 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.
- F-695SS E — Provide safe and appropriate respiratory care for a resident when needed.
- F-732SS B — Post nurse staffing information every day.
- F-756SS E — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-758SS D — 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.
- F-761SS D — 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.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Write a reviewOperated by Unverified operator (CMS) (privately held) since 1977.