Nursing HomeInspections

Edenbrook South

Nursing home in Williamsport, PA

Medicare & Medicaid certified1★ overall (CMS)

Call (570) 323-3758Send a messageMap ↗

Public-record details

Address
101 Leader Drive, Williamsport, PA 17701
Phone
(570) 323-3758
Listed under
For-profit
Medicare CCN
395396
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
116
Average residents per day
87
Ownership
For-profit, limited Liability company
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1977
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 395396. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 11, 2026. CMS lists 66 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 20, 2023 to Feb 11, 2026): 19 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 11, 2026Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
C
Potential for minimal harm, widespread
Feb 11, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary
C
Potential for minimal harm, widespread
Feb 11, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 11, 2026Keep residents' personal and medical records private and confidential.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 11, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 11, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 11, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 11, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 11, 2026Ensure 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 11, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 11, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services
D
Potential for more than minimal harm, isolated
Feb 11, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 66. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,824 in the last three years.

May 2, 2024Fine: $10,824

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.51 hours
Registered nurse (RN) time per resident per day
0.55 hours
Nurse aide time per resident per day
2.03 hours
Total nurse staffing on weekends
3.27 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
77%
Administrators who left in the past year
6

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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