Cranberry Place: Staffing Pattern Violations - PA
Cranberry Place failed to provide pressure ulcer prevention treatments as ordered for Resident R156, according to the facility's own treatment records reviewed by inspectors. The resident's Treatment Administration Record showed no evening shift treatment was given on December 26, 2025, despite doctor's orders requiring twice-daily care.
The Director of Nursing confirmed the facility's failure during a January 30 interview at 9:48 a.m., admitting staff did not provide the ordered treatments for Resident R156.
The problems extended beyond one resident. During a second interview that same afternoon at 3:00 p.m., the Director of Nursing acknowledged the facility failed to properly monitor and assess residents to prevent pressure ulcers from developing. Two of three residents examined by inspectors — R83 and R156 — did not receive necessary wound prevention services.
The doctor's orders for Resident R156 specifically required staff to report any decline in wound care twice daily during morning and evening shifts. Missing even one treatment cycle can increase risks for patients already vulnerable to skin breakdown.
State inspectors classified the violation as causing minimal harm or potential for actual harm, affecting few residents. The inspection occurred January 31 following a complaint about care at the facility.
Pressure ulcers represent one of the most preventable yet serious complications in nursing home care. When prevention protocols break down, residents face increased pain, infection risks, and longer healing times.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cranberry Place from 2026-01-31 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Cranberry Place in CRANBERRY TOWNSHIP, PA was cited for violations during a health inspection on January 31, 2026.
The problems extended beyond one resident.
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.