Inspection Reports for Ridgecrest at Cranberry Woods
3020 Fairport Lane Cranberry Township, PA 16066, PA, 16066
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Inspection Report
Complaint Investigation
Census: 85
Capacity: 115
Deficiencies: 0
Oct 1, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection on 10/01/2025.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 115
Residents Served: 85
Memory Care Capacity: 41
Memory Care Residents Served: 29
Hospice Current Residents: 7
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 41
Residents Age 60 or Older: 85
Inspection Report
Complaint Investigation
Census: 90
Capacity: 115
Deficiencies: 2
Aug 19, 2025
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with resident care requirements and support plans.
Findings
The inspection found deficiencies related to failure to provide required assistance with activities of daily living (ADLs) to a resident, resulting in unwitnessed falls, and incomplete support plans that did not address all required resident needs including safety and cognitive aspects.
Complaint Details
The visit was complaint-related as indicated by the inspection information section stating 'Reason: Complaint'.
Deficiencies (2)
| Description |
|---|
| Failure to provide assistance with transferring, toileting, bladder management, and ambulating as required by the resident's assessment and support plan, resulting in unwitnessed falls. |
| Support plan did not address the resident's history of attempting to ambulate without assistance at night and history of falls. |
Report Facts
License Capacity: 115
Residents Served: 90
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 29
Current Hospice Residents: 9
Residents Diagnosed with Mental Illness: 2
Residents Aged 60 or Older: 90
Residents with Mobility Need: 42
Inspection Report
Complaint Investigation
Census: 85
Capacity: 115
Deficiencies: 1
Jul 9, 2025
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 07/09/2025 and 07/10/2025 to review compliance with sanitary conditions and other regulatory requirements.
Findings
The inspection found sanitary condition violations including fecal matter and odors in resident semi-private bathrooms. The facility submitted a plan of correction which was fully implemented and accepted by 08/22/2025.
Complaint Details
The inspection was complaint-driven and unannounced. The submitted plan of correction was fully implemented and accepted.
Deficiencies (1)
| Description |
|---|
| Sanitary conditions violation including feces near commode, fecal matter smears on commode rim and shower chair, and strong urine odor in resident semi-private bathroom. |
Report Facts
License Capacity: 115
Residents Served: 85
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 30
Total Daily Staff: 115
Waking Staff: 86
Residents Age 60 or Older: 85
Residents with Mental Illness: 2
Residents with Mobility Need: 30
Inspection Report
Plan of Correction
Census: 86
Capacity: 115
Deficiencies: 4
Apr 23, 2025
Visit Reason
The inspection was a partial, unannounced visit conducted due to an incident at the facility.
Findings
The inspection identified multiple deficiencies related to resident care, including improper use of manual restraints, abuse, failure to update resident assessments, and inadequate assistance with activities of daily living. The facility submitted a plan of correction which was accepted and later fully implemented.
Deficiencies (4)
| Description |
|---|
| Failure to provide assistance with activities of daily living as indicated in the resident’s assessment and support plan, including improper restraint of a resident during continence care. |
| Resident abuse including physical restraint and intimidation during care. |
| Use of prohibited manual restraint restricting resident movement during care. |
| Failure to update resident’s assessment and support plan to reflect significant changes in condition and behavior. |
Report Facts
License Capacity: 115
Residents Served: 86
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 29
Hospice Current Residents: 10
Resident with Mobility Need: 39
Residents 60 Years or Older: 86
Residents Diagnosed with Mental Illness: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff Person A | Named in findings related to abuse, improper restraint, and suspension pending investigation | |
| Residence Director | Involved in investigation, counseling, and education of staff related to deficiencies | |
| Assistant Residence Director | Involved in investigation and counseling of staff related to deficiencies | |
| Health Care Director | Reviewed and amended resident support plan to reflect changes in care needs | |
| Assistant Health Care Director | To be educated on regulation and involved in audits of support plans | |
| Executive Director | Responsible for retraining staff on abuse and neglect policy |
Inspection Report
Renewal
Census: 84
Capacity: 115
Deficiencies: 7
Jan 17, 2025
Visit Reason
The inspection was conducted as a renewal inspection with an incident review, including an unannounced full inspection on 01/17/2025 and a follow-up on 01/27/2025.
Findings
The inspection identified multiple deficiencies including lack of operable bedside lamps for residents, unlabeled and undated leftover food items, missing emergency procedures posting, undated menus, presence of discontinued medication, incorrect medication labeling, and incomplete support plan documentation for a resident with a private-duty companion. All deficiencies had plans of correction accepted and were implemented by 04/29/2025.
Deficiencies (7)
| Description |
|---|
| Residents #2 and #3 did not have access to a source of light that could be turned on and off at bedside. |
| Unlabeled and undated bags of beans, pierogis, and mixed vegetables found in the walk-in freezer. |
| Local municipality’s emergency management plan was not posted in a conspicuous and public place in the home. |
| Posted menus did not include dates. |
| Discontinued prescription medication (Ondansetron 8mg) was still in the medication cart after discontinuation. |
| Medication label for Resident #5’s Systane indicated use as needed, conflicting with prescribed daily use instructions. |
| Resident #6’s support plan was not updated to reflect hiring of a private-duty companion for supervision. |
Report Facts
License Capacity: 115
Residents Served: 84
Secured Dementia Care Unit Capacity: 41
Residents Served in Dementia Unit: 27
Hospice Residents: 7
Residents Age 60 or Older: 84
Residents with Mental Illness: 2
Residents with Mobility Need: 29
Total Daily Staff: 113
Waking Staff: 85
Inspection Report
Follow-Up
Census: 75
Capacity: 115
Deficiencies: 2
Oct 24, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident and interim review, including follow-up on a submitted plan of correction.
Findings
The submitted plan of correction was fully implemented as determined by reviews on 10/24/2024, 10/28/2024, and 11/05/2024. Deficiencies included lint accumulation in a dryer lint trap and discrepancies in resident diet assessments, both of which were addressed with corrective actions.
Deficiencies (2)
| Description |
|---|
| Approximate 1/4-inch accumulation of lint in the lint trap of the 2nd floor resident laundry room dryer. |
| Resident assessment indicated a soft diet, but annual medical evaluation indicated a regular diet. |
Report Facts
License Capacity: 115
Residents Served: 75
Secured Dementia Care Unit Capacity: 41
Residents Served in Dementia Care Unit: 25
Current Hospice Residents: 8
Inspection Report
Complaint Investigation
Census: 75
Capacity: 115
Deficiencies: 0
Aug 23, 2024
Visit Reason
The inspection was conducted as a complaint and incident investigation with a partial, unannounced visit on 08/23/2024 and an off-site exit conference on 09/12/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related and incident-related; no deficiencies were found and no follow-up was required.
Report Facts
License Capacity: 115
Residents Served: 75
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 26
Hospice Current Residents: 2
Total Daily Staff: 101
Waking Staff: 76
Inspection Report
Follow-Up
Census: 58
Capacity: 115
Deficiencies: 4
May 31, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident at the facility, with a focus on reviewing the submitted plan of correction.
Findings
The facility was found to have failed to report certain incidents to the Department within required timeframes and had multiple incidents of resident aggression and abuse. The submitted plan of correction was accepted and fully implemented by the time of this follow-up inspection.
Deficiencies (4)
| Description |
|---|
| Failure to report incidents to the Department within 24 hours as required. |
| Resident engaged in multiple incidents of verbal and physical aggression towards staff and other residents, including pushing, hitting, and invading personal space. |
| Resident support plans did not adequately document mental health needs and supervision requirements. |
| Failure to document family requests regarding resident care, such as locking resident doors during sleeping hours. |
Report Facts
License Capacity: 115
Residents Served: 58
Secured Dementia Care Unit Capacity: 41
Residents Served in Dementia Unit: 17
Total Daily Staff: 76
Waking Staff: 57
Inspection Report
Complaint Investigation
Census: 84
Capacity: 115
Deficiencies: 3
May 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by a complaint and incident review conducted by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
The facility failed to timely report a resident's death to the Department, neglected to assist a resident in securing ordered medical consultations, and did not properly maintain resident records including the death certificate. Multiple deficiencies related to abuse, incident reporting, and record content were identified and plans of correction were submitted and implemented.
Complaint Details
The visit was complaint-related and substantiation status is not explicitly stated. The complaint involved failure to report incidents, neglect related to medical care and consultations, and incomplete resident records.
Deficiencies (3)
| Description |
|---|
| The home did not report a resident's death incident to the Department within 24 hours as required. |
| A resident was neglected as the home failed to assist with securing a gastroenterologist consultation and hospice consultation despite physician orders. |
| Resident record did not include the official death certificate. |
Report Facts
Licensed Capacity: 115
Resident Census: 84
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 28
Total Daily Staff: 116
Waking Staff: 87
Residents 60 Years or Older: 84
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 32
Inspection Report
Renewal
Census: 78
Capacity: 115
Deficiencies: 11
Jan 10, 2024
Visit Reason
The inspection was conducted as a renewal and complaint investigation for the facility ATRIA AT CRANBERRY WOODS, including multiple review dates from 01/10/2024 to 01/29/2024.
Findings
The inspection found multiple deficiencies related to resident care plans, medication management, fire safety drills, equipment safety, food storage, and housekeeping practices. Plans of correction were submitted and fully implemented by 04/23/2024.
Complaint Details
The inspection included a complaint investigation component as indicated by the reason for visit: Renewal, Complaint.
Deficiencies (11)
| Description |
|---|
| Resident #1's support plan did not address personal care needs for fall risk despite multiple falls. |
| Staff member A did not complete the Federal Bureau of Investigations criminal history check upon moving to Pennsylvania. |
| Bedside enablers for residents #1 and #2 presented entrapment and impingement hazards. |
| Uncovered trash can and dumpster lid left open, creating sanitation hazards. |
| Food stored on the floor and undated food containers found in kitchen areas. |
| Lint accumulation in dryer lint traps in multiple laundry rooms. |
| Fire drills during sleeping hours not conducted at required intervals and failure to use alternate exit routes. |
| Fire safety letter did not indicate designated fire-safe meeting places. |
| Resident #3 had discontinued medication present and was not administered prescribed medication on multiple dates. |
| Multiple residents refused medications but the home failed to notify prescribing physicians. |
| Resident #4 did not have a preadmission screening form completed and initial assessment was delayed. |
Report Facts
License Capacity: 115
Residents Served: 78
Memory Care Capacity: 41
Memory Care Residents Served: 25
Current Hospice Residents: 6
Total Daily Staff: 107
Waking Staff: 80
Number of Deficiencies: 19
Inspection Report
Complaint Investigation
Census: 69
Capacity: 115
Deficiencies: 0
Sep 19, 2023
Visit Reason
The inspection was conducted as a complaint investigation with an unannounced partial inspection on 09/19/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related; however, no deficiencies or citations were found, and a follow-up was not required.
Report Facts
Total Daily Staff: 94
Waking Staff: 71
Residents Served: 69
License Capacity: 115
Residents 60 Years or Older: 67
Residents with Mobility Need: 25
Inspection Report
Census: 71
Capacity: 115
Deficiencies: 0
Jun 13, 2023
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, due to an incident.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 115
Residents Served: 71
Secured Dementia Care Unit Capacity: 40
Secured Dementia Care Unit Residents Served: 21
Current Hospice Residents: 8
Residents Age 60 or Older: 70
Residents Diagnosed with Mental Illness: 5
Residents with Mobility Need: 23
Inspection Report
Complaint Investigation
Census: 72
Capacity: 115
Deficiencies: 0
Mar 14, 2023
Visit Reason
The inspection was conducted as a complaint investigation at the facility Atria at Cranberry Woods.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
Total Daily Staff: 87
Waking Staff: 65
Residents Served: 72
License Capacity: 115
Secured Dementia Care Unit Capacity: 41
Secured Dementia Care Unit Residents Served: 16
Residents Age 60 or Older: 70
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 7
Residents with Mobility Need: 15
Residents Receiving Supplemental Security Income: 0
Residents with Physical Disability: 0
Inspection Report
Complaint Investigation
Census: 58
Capacity: 115
Deficiencies: 0
Feb 10, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at the facility.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was triggered by a complaint and incident, but no deficiencies or citations were found.
Report Facts
License Capacity: 115
Residents Served: 58
Secured Dementia Care Unit Capacity: 41
Residents Served in Dementia Care Unit: 17
Resident Support Staff: 0
Total Daily Staff: 76
Waking Staff: 57
Residents Age 60 or Older: 58
Residents Diagnosed with Mental Illness: 2
Residents with Mobility Need: 18
Inspection Report
Renewal
Census: 59
Capacity: 115
Deficiencies: 10
Jan 3, 2023
Visit Reason
The inspection was conducted as a renewal and complaint investigation for the facility ATRIA AT CRANBERRY WOODS, including unannounced full inspections on 01/03/2023, 01/04/2023, and 01/17/2023.
Findings
Multiple deficiencies were identified including unsigned resident contracts, lack of resident education on rights and medication refusal, sanitary issues, inadequate lighting in resident rooms, improper fire drill procedures and documentation, incomplete medical evaluations, undated menus, and incomplete resident assessments. Plans of correction were accepted and implemented by 02/23/2023.
Complaint Details
The visit included a complaint investigation related to resident rights education and contract signatures for residents #1 and #2. The complaint was addressed with plans of correction accepted and implemented.
Deficiencies (10)
| Description |
|---|
| Contracts for residents #1 and #2 were not signed by the residents nor indicated inability to sign. |
| Residents #1 and #2 had not been educated on their rights and the right to lodge complaints without retaliation. |
| The 3rd floor microwave had dried food residue on the interior. |
| Resident #3's bedroom did not have an operable lamp or source of light at bedside. |
| Fire drills were announced to staff in advance, violating the requirement for unannounced drills. |
| Fire drill records lacked accurate resident counts and evacuation data for multiple dates. |
| Medical evaluations for residents #4 and #5 were incomplete, missing vital signs and other required data. |
| Facility menus posted on the 2nd floor were not dated. |
| Residents #1 and #2 had not been educated on their right to question or refuse medication. |
| Resident assessments for residents #2, #3, and #4 were incomplete or missing required contact information for formal and informal supports. |
Report Facts
Inspection dates: 3
Residents served: 59
License capacity: 115
Secured dementia care unit capacity: 41
Residents in secured dementia care unit: 16
Current hospice residents: 1
Residents aged 60 or older: 58
Residents with mobility need: 16
Staff total daily: 75
Staff waking: 56
Fire drill dates with inaccurate resident counts: 12
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 23, 2022
Visit Reason
The visit was conducted to review the submitted plan of correction for the facility following previous inspections on 08/23/2022, 08/24/2022, and 08/26/2022.
Findings
The Pennsylvania Department of Human Services determined that the submitted plan of correction is fully implemented and that continued compliance must be maintained.
Report Facts
Inspection dates: 3
Inspection Report
Renewal
Census: 39
Capacity: 115
Deficiencies: 7
Mar 16, 2022
Visit Reason
The inspection was a renewal inspection conducted on 03/16/2022 and 03/17/2022 to assess compliance with licensing requirements for ATRIA AT CRANBERRY WOODS.
Findings
The inspection identified several deficiencies including improper placement of carbon monoxide alarms, unsecured bed enabler posing a fall hazard, sanitary condition issues such as odors and cigarette butts, improper food storage, incomplete medical evaluations, and unsigned support plans. Plans of correction were accepted and implemented with follow-up submissions and monitoring scheduled.
Deficiencies (7)
| Description |
|---|
| Carbon monoxide detector was placed approximately 10 feet from fossil fuel burning hot water tanks inside the mechanical/boiler room instead of at least 15 feet or just outside the door. |
| Bed enabler attached to resident #1’s bed was not securely fastened and moved approximately 5 inches in each direction, creating a potential fall hazard. |
| Pungent rotten egg/sulfur odor near first floor elevator and exit door near resident room 103; approximately 20 cigarette butts found on ground in designated smoking area. |
| Opened and unsealed 5-gallon container of Hershey's Premium ice cream found on floor of ice cream freezer in kitchen. |
| Resident #2's initial medical evaluation was completed before admission date, not within required timeframe. |
| Resident #3's initial medical evaluation was incomplete, missing body positioning/movement, health status, and cognitive functioning information. |
| Support plan for resident #3 was not signed by the resident and did not indicate if resident was unable or declined to sign. |
Report Facts
License Capacity: 115
Residents Served: 39
Residents in Secured Dementia Care Unit: 11
Hospice Residents: 3
Residents with Mobility Need: 14
Total Daily Staff: 53
Waking Staff: 40
Cigarette Butts: 20
Fossil Fuel Burning Hot Water Tanks: 3
Bed Enabler Movement: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Resident Services Director | Named in relation to ensuring bed enabler corrections, medical evaluation audits, and support plan compliance. | |
| Executive Director | Named in relation to monitoring carbon monoxide detector, auditing bed rails, and reviewing medical evaluations and support plans. | |
| Regional Care Director | Named in relation to providing training on bed rail use, medical evaluation compliance, and support plan assessment processes. | |
| Maintenance Director | Named in relation to addressing carbon monoxide alarm placement, odor source, and smoking area maintenance. | |
| Director of Culinary Services | Named in relation to correcting food storage violations and staff training. | |
| Assistant Director of Culinary Services | Named in relation to monitoring lids for food storage compliance. |
Inspection Report
Routine
Deficiencies: 0
Oct 29, 2021
Visit Reason
The inspection was conducted as a routine licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report
Plan of Correction
Census: 22
Capacity: 115
Deficiencies: 15
Jun 15, 2021
Visit Reason
The inspection was conducted as a full, unannounced review for renewal and complaint reasons at the facility ATRIA AT CRANBERRY WOODS.
Findings
The report details multiple deficiencies including unsigned resident contracts, missing signed statements acknowledging receipt of resident rights, incomplete criminal background checks, safety hazards with resident equipment, uncovered trash receptacles, lint accumulation in dryers, inadequate swimming area policies, emergency procedures not posted conspicuously, uninspected fire extinguisher in a vehicle, menus not posted properly, lack of resident education on medication refusal rights, incomplete preadmission screening, incomplete support plans, and missing lock manufacturer statements. Plans of correction were submitted and accepted for all deficiencies with completion dates mostly in July 2021.
Deficiencies (15)
| Description |
|---|
| Resident #2's and #3's resident-home contracts were not signed by the residents at the time of taking financial possession. |
| Resident #2's and #3's records did not contain signed statements acknowledging receipt of resident rights and complaint procedures. |
| No Pennsylvania criminal background checks were completed for staff persons A, B, C and D; checks were done through a third party. |
| An uncovered quarter length bedrail on resident #1's bed posed a potential entrapment hazard and was not secured. |
| A full, uncovered trash can was found in the back area of the bistro kitchen. |
| An approximate 1/8" accumulation of lint was present in the lint trap of the 1st floor laundry room dryer. |
| The home’s written policies for the swimming area did not require an assessment prior to use or detail physical protections for safe use and supervision. |
| Emergency procedures were stored in a cabinet behind the receptionist's counter, not in a conspicuous and public place. |
| The fire extinguisher in the home's Ford Starcraft conversion van had not been inspected by a fire safety expert. |
| The current week's menus were not posted in a public and conspicuous place in the home. |
| No documentation that residents #2 and #3 were educated on their right to refuse or question medication if they believed there was a medication error. |
| Resident #3's preadmission screening form did not include assessment of ability to use and avoid poisonous materials or determination if the home can meet the resident’s needs. |
| Resident #1's and #2's initial support plans did not address use of assistive devices and multiple diagnoses as indicated on their most recent medical evaluations. |
| The letter from the manufacturer of the home's magnetic locking system did not indicate that the system will shut down and doors will open easily upon power failure or override by keypad. |
| Resident #3's initial support plan did not address multiple diagnoses including Alzheimer's disease, macular degeneration, and hypertension. |
Report Facts
License Capacity: 115
Residents Served: 22
Secured Dementia Care Unit Capacity: 41
Residents Served in Dementia Unit: 9
Total Daily Staff: 33
Waking Staff: 25
Entrapment Hazard Opening Size: 24.5
Entrapment Hazard Opening Size: 3.5
Lint Accumulation: 0.125
Inspection Dates: 2
Inspection Report
Original Licensing
Capacity: 115
Deficiencies: 5
Mar 1, 2021
Visit Reason
The inspection was conducted as a new licensing inspection for the newly licensed personal care home facility, Atria at Cranberry Woods, which was not yet serving four or more residents at the time of inspection.
Findings
The facility was found to be in substantial compliance with applicable regulations, but several deficiencies were noted related to trash receptacles, food storage, and vehicle documentation. Plans of correction were accepted and implemented.
Deficiencies (5)
| Description |
|---|
| An uncovered, 1/4 full trash can was next to the kitchen dishwashing station with the lid on the floor nearby. |
| Both lids of the trash dumpster outside the home were open, and the dumpster was approximately 1/4 full of trash. |
| Food items (broccoli cheese soup, lemon chicken orzo, breaded chicken breast tenderloins) were stored on the floor of the walk-in freezer. |
| Multiple unsealed food items were found in the refrigerator and walk-in freezer, including plastic bags containing French fries, chicken strips, hamburger patties, breaded veal slices, and cod loins. |
| The home did not have a copy of the registration card for the Ford E350 mini bus used to transport residents. |
Report Facts
License Capacity: 115
Secured Dementia Care Unit Capacity: 41
Residents Served: 0
Deficiencies cited: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joe Eveges | Lead Inspector | Lead inspector conducting the on-site inspection on 03/01/2021 |
| Jamie L. Buchenauer | Deputy Secretary | Signed the licensing letter and certificate of compliance |
| Joe Conver | Administrator | Facility administrator named in the inspection summary |
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