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Complaint Investigation

Cranberry Place

August 12, 2025 · Cranberry Township, PA · 5 Saint Francis Way
Citations 1
CMS Rating 2/5
Beds 150
Provider ID 395845
Healthcare Facility
Cranberry Place
Cranberry Township, PA  ·  View full profile →
Inspection Summary

Cranberry Place in CRANBERRY TOWNSHIP, PA — inspection on August 12, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Review of the facility Resident Rights: policy last reviewed 6/2025, indicated employees shall treat all residents with kindness, respect, and dignity.

Federal and state laws guarantee certain basic rights to all residents of this facility, these rights include but not inclusive to being treated with respect, kindness and dignity, to be free from corporal punishment.

Review of the clinical record indicated Resident R3 was admitted to the facility on [DATE].

Review of Resident R3's Minimum Data Set (MDS - a periodic assessment of care needs) dated 5/16/25, indicated diagnoses of hypertension (high blood pressure), aphasia (affects ability to speak, understand, read, or write) and hemiplegia (one sided paralysis) right dominant side.

Section C- cognitive patters coded resident is rarely/never understood).

During a review of documentation provided by the facility on 8/12/25, at 1:50 p.m. indicated on 8/5/25, a nurse alerted facility leadership that an aide hit Resident R3 during care multiple times.

The nurse immediately stepped between the aide and resident and escorted the aide out of the resident's rooms.

During an interview completed on 8/12/25, at 1:50 p.m. the Director of nursing confirmed the allegation of physical abuse was substantiated and Nurse Aid perpetrator Employee E9 was terminated and that the facility failed to ensure that residents were free from abuse for one of three residents reviewed (Resident R3). 28 Pa.

Code 201.14(a) Responsibility of licensee.28 Pa.

Code 201.18(b)(d)(1)(3)(e)(1) Management.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CRANBERRY TOWNSHIP, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Cranberry Place or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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