About Edenbrook South
Edenbrook South, located in WILLIAMSPORT, PA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Edenbrook South
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.81 hrs
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Edenbrook South provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 116 | Feb 11, 2026 |
| Weighted Average | 148 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 20.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 10.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.6% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.6% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 23.7% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.9% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.3% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 3.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 3.9% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.6% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.3% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 62.7% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 23.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.9% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 20.1% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 27.0% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 71.7% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 38.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 28.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 14.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 8 complaints
- 2024: 11 complaints
- 2025: 3 complaints
- 2026: 1 complaint
- Total: 23 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jul 15, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 25, 2025 | Provide enough food/fluids to maintain a resident's health. |
| Mar 25, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 22, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Oct 22, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Oct 22, 2024 | 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. |
| Sep 10, 2024 | 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. |
| Jul 02, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| Jul 02, 2024 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. |
| Jul 02, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jul 02, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Jul 02, 2024 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Apr 26, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Apr 02, 2024 | 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. |
| Nov 17, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Nov 09, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 26, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Oct 26, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. |
| Aug 01, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Aug 01, 2023 | 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. |
| Jul 18, 2023 | 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. |
| Jul 18, 2023 | Provide safe and appropriate respiratory care for a resident when needed. |
| Jun 21, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
Nearby Hospitals
UPMC WILLIAMSPORT
WILLIAMSPORT, PA
GEISINGER JERSEY SHORE HOSPITAL
JERSEY SHORE, PA
GEISINGER MEDICAL CENTER
DANVILLE, PA
WELLSPAN EVANGELICAL COMMUNITY HOSPITAL
LEWISBURG, PA
GEISINGER MEDICAL CENTER MUNCY
MUNCY, PA
UPMC MUNCY
MUNCY, PA
DANVILLE STATE HOSPITAL
DANVILLE, PA
Owner & Operator Information
Business Entity
Legal Business Name Not Available
Management & Direction
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Darway Healthcare and Rehabilitation Center | N/A | 5 |
| Rose View Rehab and Care Center | N/A | 4 |
| Valley View Rehab and Nursing Center | N/A | 4 |
| The Williamsport Home | N/A | 3 |
| Nottingham Village | N/A | 3 |
| Muncy Place | N/A | 3 |
| Buffalo Valley Lutheran Villag | N/A | 2 |
| Milton Rehabilitation and Nursing Center | N/A | 2 |
| Oak Glen Healthcare and Rehabilitation Center | N/A | 3 |
| Highlands Rehabilitation and Healthcare | N/A | 2 |
Related Analysis
Best Nursing Homes in WILLIAMSPORT, PA
Compare Edenbrook South to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Edenbrook South directly at 5703233758. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.