Edinboro Manor
Edinboro, Pennsylvania · CCN 395645
20 surveys since 2011. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 109
- Surveys
- 20
- Harm or worse
- 2
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 121
- Ownership
- For profit - Corporation
- Chain
- HCF MANAGEMENT
- County
- Erie
- Medicare-certified since
- 1984
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 132 for-profit facilities of 100–127 beds in Pennsylvania.
Last survey on record
Jan 22, 2026
291 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.23 | 3.42 |
| Registered-nurse hours per resident day | 0.34 | — |
| Annual nurse turnover | 38.5% | 47.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1976.0% | E520.0% | F— |
| No harm, potential for minimal | A— | B— | C14.0% |
Most frequently cited here
In CMS’s current monthly file.
- F6574×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6553×
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F5842×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F5751×
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- F5771×
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
In the surveyor’s words
From the most serious findings on record at Edinboro Manor, in the surveyor’s own words.
- Immediate jeopardy, widespreadF812Mar 3, 2023
Based on a review of facility policy and facility records, observations, and staff interviews, it was determined that the facility failed to maintain safe storage of perishable foods, safe preparation/service of foods, and a sanitary kitchen for all residents creating an Immediate Jeopardy situation for one of one kitchens. Findings include: Review of the facility policy entitled, Storage of Perishable Foods dated 12/15/22, indicated that All perishable goods are refrigerated at the appropriate temperature and in an orderly and sanitary manner. A reliable thermometer shall be provided in a clearly visible position placed inside each refrigerator and freezer close to the door. It is the responsibility of the A.M. and P.M. cook to read and record temperatures. […]
- No harm, potential for more than minimal, widespreadF802Mar 3, 2023
Based on observations and staff interviews, it was determined that the facility failed to provide sufficient staff to carry out the functions of the food and nutrition services in the main kitchen. Findings include: No policy was provided regarding sufficient dietary staff, dining room availability, and/or utilizing disposable dishes. Observations on 2/28/23, through 3/03/23, revealed the dining room was not open for the residents to eat breakfast, lunch and/or dinner. Further observations on 2/28/23, through 3/03/23, revealed all meals delivered to the residents' rooms on disposable styrofoam dishes. An interview with the Dietary Cook Employee E7 on 3/01/23, at approximately 11:35 a.m. […]
- No harm, potential for more than minimal, widespreadF881Mar 3, 2023
Based on review of facility policy, infection control documentation and staff interview, it was determined that the facility failed to develop, promote, and implement a facility-wide system to monitor the use of antibiotics, and implement an antibiotic stewardship program that contained a system of reports related to monitoring antibiotic usage and resistance data for 10 consecutive months (June 2022-March 2023). Findings include: Review of a facility policy entitled Antibiotic Stewardship reviewed 12/15/22, indicated that: The primary purpose of the care community infection prevention and control program is designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable disease and infection. […]
- No harm, potential for more than minimal, widespreadF882Mar 3, 2023
Based on review of facility records and staff interviews, it was determined that the facility failed to ensure the designated Infection Preventionist (IP) was qualified with specialized training in infection prevention and control. Findings include: During an interview on 3/1/23, at 12:00 p.m with the IP revealed that he/she had taken over the IP position in July 2022, and as of 3/1/23, had not successfully completed the required specialized Infection Preventionist course. During an interview on 3/3/23, at 10:15 a.m. the Regional Director of Clinical Services confirmed that the IP overseeing the infection control program and duties since July 2022 had not yet successfully completed the required specialized training / education. 28 Pa. Code 201.18(e)(1) Management 28 Pa. […]
- No harm, potential for more than minimal, widespreadF806May 28, 2021
Based on review of facility policy and menus, observations, and resident and staff interviews, it was determined that the facility failed to follow the resident food preferences for two of 105 Residents (Residents R301 and R18), offer resident alternative selections to the main menu of similar nutritive value for 20 of 105 Residents (Residents R19, R34, R41, R201, R6, R13, R18, R21, R32, R48, R54, R57, R65, R67, R71, R84, R86, R88, R92, and R98 and following the posted menu for four of 105 Residents (Residents R6, R27, R78 and R88). Findings include: A review of facility policy dated 12/2/20, entitled Meal Service indicated All food is prepared and assembled in a centralized kitchen, according to resident food choice and preference. […]
Read 22 findings in full →The most serious and the most recent: 22 of 109 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 22, 2026Standard9 findings
- Jan 31, 2025Standard5 findings
- Feb 15, 2024Standard10 findings
- Oct 5, 2023Complaint1 finding
- Mar 3, 2023Standard and complaint15 findings · 1 harm
- Apr 28, 2022Standard4 findings
- Oct 8, 2021Complaint1 finding
- May 28, 2021Standard13 findings
Show the 12 earlier surveys
- Nov 5, 2019Standard4 findings
- Mar 29, 2019Complaint1 finding · 1 harm
- Oct 12, 2018Standard3 findings
- Nov 8, 2017Standard6 findings
- May 23, 2017Complaint1 finding
- Oct 7, 2016Standard5 findings
- Nov 20, 2015Standard4 findings
- Oct 24, 2014Standard15 findings
- Nov 15, 2013—4 findings
- Jan 4, 2013—1 finding
- Oct 12, 2012—2 findings
- Nov 10, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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