Cranberry Place: Staffing Pattern Violations - PA
That resident, identified in inspection records as R151, told inspectors on January 29 that they needed the catheter adjusted. The problem had been visible on the desk monitor the entire time.
RN Employee E7, interviewed at 11:30 that morning, confirmed what the monitor showed: 22 minutes, then 25. The nurse did not dispute it.
The incident was one piece of a larger picture inspectors assembled during a complaint inspection at Cranberry Place. By 2:00 p.m. that same day, the facility's own Director of Nursing confirmed what residents had been saying in meeting after meeting: the facility did not have enough nursing staff to meet residents' needs.
The confirmation came with specifics. Staffing data for the third quarter fell short. Residents raised the issue at two of three Resident Council meetings, in November 2025 and again in January 2026. Six of seven residents who spoke in a group meeting described the same problem. Grievance records for January 2026 reflected it. And five of the ten residents inspectors observed directly, including R151, showed the effects.
The Director of Nursing, in confirming the deficiency, did not offer an explanation for why a resident with a malfunctioning catheter could wait more than a quarter of an hour with no response, the problem visible on a monitor at the desk the entire time.
Inspectors cited the facility under multiple Pennsylvania nursing home codes covering licensee responsibility, management, resident care policies, and nursing services.
R151's call light eventually went dark. Whether the catheter was adjusted correctly, and how long the resident waited in discomfort before that happened, the inspection report does not say.
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: 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
Cranberry Place in CRANBERRY TOWNSHIP, PA was cited for violations during a health inspection on January 31, 2026.
That resident, identified in inspection records as R151, told inspectors on January 29 that they needed the catheter adjusted.
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.