Cranberry Place: Resident Rights Violation Over Bed - PA
That sequence of events, documented during a January 2025 inspection at Cranberry Place, a nursing home at 5 Saint Francis Way in Cranberry Township, Pennsylvania, forms the basis of a resident rights deficiency cited by state inspectors. It is a small violation, classified at the lowest level of harm. It is also a precise and complete account of what it looks like when a nursing home tells a resident one thing and does another.
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See the Derila PillowThe resident, identified in inspection records only as Resident R94, was admitted to Cranberry Place and, as of a November 2024 assessment, carried diagnoses of diabetes, anxiety, and depression. Those conditions don't bear directly on what happened with the bed. But they are the background against which a person lies in a room, watches a window they cannot reach, and waits to hear back from the people responsible for their care.
On January 23, 2025, inspectors interviewed Resident R94, who told them they wanted to switch from the door-side bed to the window bed, which had been empty since the roommate left. R94 said they had talked to staff about it. Staff had agreed. The move was supposed to happen.
That same morning, at 11:16 a.m., inspectors spoke with the Director of Social Services, identified in the report as Employee E2. She confirmed the facility knew about the request and was going to honor it.
The next morning, January 24, at 9:00 a.m., inspectors returned and spoke with Resident R94 again. The switch had not happened. A new roommate had arrived overnight and was in the window bed.
The Nursing Home Administrator, interviewed later that day, confirmed it. The facility had failed to move Resident R94 to the window bed.
There is no explanation in the inspection record for why it didn't happen. No competing priority is documented. No note that someone tried and couldn't. No account of whether anyone told Resident R94 what was coming before the new roommate arrived. The record contains a request, a confirmation that the request would be honored, and then the fact that it wasn't.
Inspectors cited the facility under Pennsylvania Code provisions governing resident rights and facility management.
The deficiency is tagged as affecting few residents and causing minimal harm or potential for actual harm. That classification is accurate in a clinical sense. Resident R94 was not injured. No medication was missed. No wound went untreated. What happened was smaller than that, and in some ways harder to quantify. A person asked for something reasonable. The people in charge of their daily life said yes. Then a stranger was given what had been promised, and Resident R94 woke up to find the window bed occupied and no explanation waiting.
Nursing homes are required under Pennsylvania law to protect and promote resident rights, including the right to be treated with dignity and to have their preferences respected. The bed-switch request was not a demand for extraordinary accommodation. It was one person asking to move a few feet across a shared room while the space was available.
The administrator's confirmation to inspectors, that yes, the facility failed, is the entire record. No dispute, no alternative account, no plan of correction included in the inspection findings themselves.
Resident R94 remained in the door bed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cranberry Place from 2025-01-24 including all violations, facility responses, and corrective action plans.
Additional Resources
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Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 14, 2026 · Our methodology
Cranberry Place in CRANBERRY TOWNSHIP, PA was cited for violations during a health inspection on January 24, 2025.
It is a small violation, classified at the lowest level of harm.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.