Twin Cedar Senior Living

Q: What neighborhood is Twin Cedar Senior Living in?

Twin Cedar Senior Living is in the Little Walker Road neighborhood of Shohola.

Q: What is the license number of Twin Cedar Senior Living?

According to PA state health department records, Twin Cedar Senior Living's license number is 228500.

Q: When does Twin Cedar Senior Living's license expire?

According to PA state health department records, Twin Cedar Senior Living's license expires on November 26, 2026.

Q: What is the occupancy rate at Twin Cedar Senior Living?

Twin Cedar Senior Living's occupancy is 59%.

Q: Does Twin Cedar Senior Living operate as a for-profit or non-profit?

Twin Cedar Senior Living is registered as a for-profit in PA.

Q: How many beds does Twin Cedar Senior Living have?

Twin Cedar Senior Living has 37 beds.

Overview of Twin Cedar Senior Living

Operated by Little Walker Holdings LLC, Twin Cedar Senior Living is a single-story community in Shohola, Pennsylvania, in Pike County. The community offers assisted living, adult day care, residential care, and respite care, giving families several care options based on a loved one’s needs. Residents can choose from Private, Deluxe Private, and Friendship Suites within the 37-bed community.

The community is currently home to both long-term and short-term residents. It has an occupancy rate of about 59%. This means there is room for new residents without the community being full. The neighborhood isn’t very walkable, so families need to drive for most errands and outings. Transportation services, fitness and recreation programs, and on-site parking are available. Visits and appointments more convenient for residents and families.

State inspections over the past several years have reviewed documentation and follow-up practices, resident safety procedures, and environmental systems such as water quality management. Corrective actions were completed and verified after each review. Families touring Twin Cedar may want to ask how these safety and quality practices are managed today.

Twin Cedar is dedicated to individual care that enables residents to maintain as much independence as possible and adapts support as needs evolve. The community also provides respite stays, which allow families to access short-term care or to get a feel for the community before making a long-term commitment.

Facility Direct Line (570) 296-7471

37-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 0 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

59%

Lower than the Pennsylvania average: 78.7%

Occupied beds

22 / 37

Average occupied beds in Pennsylvania homes 103 beds

Facility TypePersonal Care Homes

IssuanceNovember 26, 2025

ExpirationNovember 26, 2026

CountyPike

License LevelFULL

License Number228500

Twin Cedar Senior Living is legally operated by Little Walker Holdings LLC.

Profit StatusFor-profit

26 Total Daily Staff PA avg: 76.9

20 Waking Staff

0 Resident Support Staff

23 Residents Served

3 Current Residents

Since 2021 · 5 years of data 26 citations 3 complaints 9 inspections 2 waivers

Inspection Score

1 point below the Pennsylvania average for assisted living residences (83/100)

Waivers A higher number of waivers may indicate the facility relies on staff who don't fully meet standard credential requirements. A lower number may suggest the facility meets staffing qualification standards without exemptions.

This Facility PA Average vs. PA Avg

Waivers are Pennsylvania Department of Health exemptions that let a facility operate outside required staffing ratios or staff credential rules. A higher count can signal that the facility regularly relies on exceptions — for example, fewer nursing hours per resident or staff who don't fully meet qualification standards — which may affect day-to-day care.
2
vs 0.9 avg
↑ 122% higher than PA avg

Data reflects the most recent 5 years (since 2021).

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Pennsylvania state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Pennsylvania state average

Overall vs. PA average

Latest Inspection March 6, 2025 Renewal

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	PA Average	vs. PA Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	26	63	This facility has 59% fewer total citations than a typical Pennsylvania assisted living residence (26 vs. PA avg 63).↓ 59% better Rank #163 / 478 Total citations — State benchmarked This home is ranked 163rd out of 478 homes in Pennsylvania. Shows this facility's total citations compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.
Citations per year Average citations per year since 2021.	5.2	12.6	This facility has 59% fewer citations per year than a typical Pennsylvania assisted living residence (5.2 vs. PA avg 12.6).↓ 59% better
Citations per inspection Average citations per inspection.	2.9	5.7	This facility has 49% fewer citations per inspection than a typical Pennsylvania assisted living residence (2.9 vs. PA avg 5.7).↓ 49% better Rank #168 / 478 Citations per inspection — State benchmarked This home is ranked 168th out of 478 homes in Pennsylvania. Shows this facility's citations per inspection compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	PA Average	vs. PA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	9	11	This facility has had 18% fewer total inspections than the Pennsylvania average (9 vs. PA avg 11). More inspections can mean more regulatory scrutiny rather than worse care.↓ 18% fewer
Inspections with citations Inspections that resulted in at least one regulatory citation.	7	8	This facility has 13% fewer inspections with citations than a typical Pennsylvania assisted living residence (7 vs. PA avg 8).↓ 13% better
Inspection citation rate Percentage of inspections that resulted in at least one citation.	78%	73%	This facility has 5 percentage points higher inspection citation rate than a typical Pennsylvania assisted living residence (78% vs. PA avg 73%).↑ 5% worse Rank #345 / 478 Inspection citation rate — State benchmarked This home is ranked 345th out of 478 homes in Pennsylvania. Shows this facility's % of inspections with citations compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	PA Average	vs. PA Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	3	4	This facility has 25% fewer total complaints than a typical Pennsylvania assisted living residence (3 vs. PA avg 4).↓ 25% better Rank #242 / 478 Total complaints — State benchmarked This home is ranked 242nd out of 478 homes in Pennsylvania. Shows this facility's complaint inspections compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.
Complaints per year Average complaints per year since 2021.	0.6	0.8	This facility has 25% fewer complaints per year than a typical Pennsylvania assisted living residence (0.6 vs. PA avg 0.8).↓ 25% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The March 6, 2025 renewal inspection found three deficiencies but accepted the plan of correction as fully implemented by review date.
The March 24, 2023 complaint investigation documented abuse-level findings when a resident was pushed during a fire drill and sustained a fractured ankle.
Water safety issues with coliform contamination led to a boil water advisory in June 2024, which was resolved after chlorination and discontinuation of the advisory.

Show Inspection Reports

What does this home offer?

Housing Options: Private / Deluxe Private / Friendship Suites

Building Type: Single-story

Transportation Service

Fitness and Recreation

Parking Available

1.1 miles from city center Estimated distance in miles from Shohola's city center to Twin Cedar Senior Living's address, calculated via Google Maps.

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Community HealthChoices (CHC)

PA Medicaid CHC

Age 65+ or disabled

General Pennsylvania resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).

Managed care model; high urban demand (e.g., Philadelphia, Pittsburgh).

Benefits

Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Pennsylvania OPTIONS Program

PA OPTIONS

Age 60+

General Pennsylvania resident, at risk of nursing home placement.

Income Limits ~$2,000/month individual, varies by region

Asset Limits $8,000 individual

Cost-sharing required above certain income; rural/urban balance.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Living Independence for the Elderly (LIFE)

Pennsylvania LIFE (PACE)

Age 55+

General PA resident (specific counties), NFLOC, safe with LIFE support.

Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.

Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.

16 providers in 25 counties (e.g., Allegheny, Luzerne); LIFE branding unique to PA.

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Pennsylvania Medicare Savings Program

Age 65+ or disabled

General PA resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Pennsylvania Family Caregiver Support Program

Age —

General Caregivers of 60+ needing care or 55+ caregivers of others; PA resident; functional needs (2+ ADLs).

Income Limits (2025) No strict cap; reimbursements up to $600/month if care recipient income < ~$2,322/month 185% FPL

Asset Limits Not assessed; need-based.

High demand; includes grandparent caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Supplies (~$2,000/year) Caregiver training

VA Aid and Attendance (A&A) and Housebound Benefits

Pennsylvania VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General PA resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran population; supports rural/urban care needs.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax/Rent Rebate Program (PTRR)

Pennsylvania Property Tax/Rent Rebate Program

Age 65+

General PA resident, homeowner/renter (or widow/er 50+, disabled 18+).

Income Limits (2025) ~$45,000/year individual or couple, excludes half of Social Security

Asset Limits Not assessed; income-focused.

Rebates up to $1,000; ~600,000 eligible annually.

Benefits

Rebates ($250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Senior Farmers’ Market Nutrition Program (SFMNP)

Pennsylvania SFMNP

Age 60+

General PA resident, low-income.

Income Limits (2025) ~$2,322/month individual, 185% FPL

Asset Limits Not assessed.

Vouchers (~$50/season) via 52 AAAs; serves ~200,000 annually.

Benefits

Vouchers (~$50/season) for fresh produce at approved markets

What neighborhood is Twin Cedar Senior Living in?

Twin Cedar Senior Living is in the Little Walker Road neighborhood of Shohola.

Who is the owner of Twin Cedar Senior Living?

Twin Cedar Senior Living is legally operated by Little Walker Holdings LLC.

What is the license number of Twin Cedar Senior Living?

According to PA state health department records, Twin Cedar Senior Living's license number is 228500.

When does Twin Cedar Senior Living's license expire?

According to PA state health department records, Twin Cedar Senior Living's license expires on November 26, 2026.

What is the occupancy rate at Twin Cedar Senior Living?

Twin Cedar Senior Living's occupancy is 59%.

Does Twin Cedar Senior Living operate as a for-profit or non-profit?

Twin Cedar Senior Living is registered as a for-profit in PA.

How many beds does Twin Cedar Senior Living have?

Twin Cedar Senior Living has 37 beds.

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