Nursing Home Alerts

Edenbrook South

101 Leader Drive, Williamsport, PA 17701

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Edenbrook South is a nursing home in Williamsport, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(570) 323-3758
Last standard health inspection
February 11, 2026 (9 months ago)
Certified beds
116
Residents per day, on average
84.5
Ownership type
For profit - Limited Liability company
Legal business name
Legal Business Name Not Available
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the Pennsylvania average (65 vs 31).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  3. 1 citation

    Health inspection on July 6, 2026

    CMS lists this as a complaint inspection.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on August 4, 2026.

    See this home on CMS Care Compare

  4. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Ownership

      CMS no longer lists a chain for this home.

  5. CMS update of February 25, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

    • Name

      CMS lists a new legal business name for this home.

  6. 21 citations

    Health inspection on February 11, 2026

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0812 4 times since 2023.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0584 4 times since 2024.

    • Citation F0604. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0684 5 times since 2023.

    • Citation F0730. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0761 3 times since 2024.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0628. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0641 2 times since 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0677 5 times since 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0695 3 times since 2024.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0726 2 times since 2025.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0755 2 times since 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0880 2 times since 2025.

    • Citation F0947. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0756. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on March 31, 2026.

      CMS has cited this home for F0756 4 times since 2024.

    • Citation F0814. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on March 31, 2026.

    See this home on CMS Care Compare

  7. 6 citations

    Fire safety inspection on February 11, 2026

    CMS lists this as a standard inspection.

    • Citation K0211. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on April 7, 2026.

      CMS has cited this home for K0211 2 times since 2024.

    • Citation K0225. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.

      CMS lists it as corrected on April 7, 2026.

      CMS has cited this home for K0225 2 times since 2024.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on April 7, 2026.

      CMS has cited this home for K0321 3 times since 2024.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on April 7, 2026.

      CMS has cited this home for K0353 3 times since 2024.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on April 7, 2026.

    • Citation K0712. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on April 7, 2026.

    See this home on CMS Care Compare

  8. 1 citation

    Health inspection on December 23, 2025

    CMS lists this as a complaint inspection.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

    See this home on CMS Care Compare

  9. CMS update of November 20, 2025

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5.

  10. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Ownership

      CMS lists this home under a new chain.

    • Staffing

      Total nurse staffing reported to CMS went from 3.4 to 2.2 hours per resident per day.

    • Fine

      CMS changed the fine from May 2, 2024 from $16,652 to $10,824.

  11. CMS update of June 25, 2025

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  12. 1 citation

    Health inspection on June 4, 2025

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on July 15, 2025.

    See this home on CMS Care Compare

  13. CMS update of March 26, 2025

    • Name

      CMS lists a new name for this home. It was WILLIAMSPORT SOUTH REHABILITATION AND NURSING CENT.

  14. 2 citations

    Health inspection on March 4, 2025

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 25, 2025.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on March 25, 2025.

    See this home on CMS Care Compare

  15. CMS update of February 26, 2025

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

  16. 14 citations

    Health inspection on January 24, 2025

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0688. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 12, 2025.

      CMS has cited this home for F0688 3 times since 2024.

    • Citation F0726. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0758. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 12, 2025.

      CMS has cited this home for F0758 2 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on March 12, 2025.

      CMS has cited this home for F0550 2 times since 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0607. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on March 12, 2025.

      CMS has cited this home for F0607 2 times since 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 12, 2025.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 12, 2025.

    See this home on CMS Care Compare

  17. 7 citations

    Fire safety inspection on January 24, 2025

    CMS lists this as a standard inspection.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on February 10, 2025.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on February 10, 2025.

    • Citation K0325. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed hallway dispensers for alcohol-based hand rub.

      CMS lists it as corrected on February 10, 2025.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on February 10, 2025.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on February 10, 2025.

      CMS has cited this home for K0363 2 times since 2024.

    • Citation K0919. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on February 10, 2025.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on February 10, 2025.

    See this home on CMS Care Compare

  18. CMS update of October 30, 2024

    • CMS abuse icon

      CMS added its abuse icon to this home.

  19. 3 citations

    Health inspection on September 12, 2024

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on October 22, 2024.

    • Citation F0688. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 22, 2024.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on October 22, 2024.

    See this home on CMS Care Compare

  20. CMS update of August 29, 2024

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  21. 1 citation

    Health inspection on August 6, 2024

    CMS lists this as a complaint inspection.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 10, 2024.

    See this home on CMS Care Compare

  22. CMS update of July 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  23. CMS update of May 29, 2024

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  24. 5 citations

    Health inspection on May 22, 2024

    CMS lists this as a complaint inspection.

    • Citation F0757. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on July 2, 2024.

    • Citation F0607. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on July 2, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on July 2, 2024.

    • Citation F0710. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

      CMS lists it as corrected on July 2, 2024.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on July 2, 2024.

    See this home on CMS Care Compare

  25. 1 citation

    Health inspection on May 2, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    116 of 656 Pennsylvania homes (18%) got a citation at the actual harm level in 2024.

    • Citation F0600. Severity G: actual harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on April 26, 2024.

    See this home on CMS Care Compare

  26. Fine

    May 2, 2024 (2 years ago)

    CMS fine of $10,824 on May 2, 2024.

    See this home on CMS Care Compare

  27. 13 citations

    Health inspection on February 16, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 2, 2024.

    • Citation F0732. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on April 2, 2024.

    See this home on CMS Care Compare

  28. 6 citations

    Fire safety inspection on February 16, 2024

    CMS lists this as a standard inspection.

    • Citation K0211. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on March 27, 2024.

    • Citation K0225. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have stairways and smokeproof enclosures used as exits that meet safety requirements.

      CMS lists it as corrected on March 27, 2024.

    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on March 27, 2024.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 27, 2024.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on March 27, 2024.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on March 27, 2024.

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  29. CMS update of December 21, 2023

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  30. 1 citation

    Health inspection on November 8, 2023

    CMS lists this as a complaint inspection.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on November 17, 2023.

    See this home on CMS Care Compare

  31. 1 citation

    Health inspection on October 13, 2023

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on November 9, 2023.

    See this home on CMS Care Compare

Questions

When was Edenbrook South last inspected?

CMS lists February 11, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Edenbrook South have?

CMS lists 65 health citations since October 13, 2023. CMS also calls these deficiencies.

Has Edenbrook South been fined?

CMS lists 1 fine in the past three years, $10,824 in total.

What is the CMS star rating of Edenbrook South?

Its CMS overall star rating is 1 of 5.

Is Edenbrook South a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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