With a score of 28/100, Edenbrook South ranks in the bottom tier of Pennsylvania nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Edenbrook South is near the national average, with 3.73 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 58 deficiencies at Edenbrook South. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.73 | 3.8 | Average |
| Registered Nurses (RN) | 0.57 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.69 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.47 | 2.4 | Average |
| Weekend Total Nursing | 3.32 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Dec 22, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jun 3, 2025 · Pharmacy Service Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 3, 2025 · Quality of Life and Care Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Mar 3, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 23, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.7% | 4.5% | Worse |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 16.4% | 14.5% | Worse |
| Urinary tract infections | 3.2% | 2.5% | Worse |
| ADL decline (daily activities) | 22.7% | 14.0% | Worse |
| Excessive weight loss | 8.8% | 7.5% | Worse |
| New/worsened incontinence | 28.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $10,824
How This Grade Was Calculated
This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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