Twin Cedar Senior Living

Assisted Living, Respite Care & Adult Day Care · Pike County, PA

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: Who is the owner of Twin Cedar Senior Living?

The legal owner and operator of Twin Cedar Senior Living is Little Walker Holdings Llc.

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: How many beds does Twin Cedar Senior Living have?

Twin Cedar Senior Living has 37 beds.

Q: Has Twin Cedar Senior Living had any recent deficiencies or citations?

Twin Cedar Senior Living has had 26 recently reported deficiencies.

Assisted Living, Respite Care & Adult Day Care · Pike County, PA

364 Little Walker Rd, Shohola, PA 18458 View map

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Overview of Twin Cedar Senior Living

The vibrant ambiance of the Twin Cedar Senior Living community provides the best convenience and comfort for seniors who want to stay active and maintain independence through a calming lifestyle. Offering long-term care and adult day care services, the nurturing environment empowers and enhances the quality of life for residents by tailoring care to each unique individual. The tightly-knit home offers an environment where the holistic wellness of seniors is met.

Twin Cedar strives to provide its residents with a comfortable lifestyle of everyday living, making it an ideal place to call a new home. Regardless of your living option, management and staff are guaranteed to provide, management and staff are guaranteed to provide attentive care and supervision. Services include enriching programs, engaging activities, delicious dining, and respite stays available for seniors and their families’ comfort and convenience.

(570) 296-7471

Types of Care at Twin Cedar Senior Living

Assisted Living Respite Care Adult Day Care

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

StatusLicensed

IssuanceNovember 26, 2025

ExpirationNovember 26, 2026

CountyPike

License LevelFULL

License Number228500

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

Profit StatusProfit

26 Total Daily Staff

20 Waking Staff

0 Resident Support Staff

23 Residents Served

3 Current Residents

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

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

Inspection Score

Near the Pennsylvania average for assisted living residences.

Pennsylvania assisted living residences benchmark: C+ 77/100

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 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
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

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 18% fewer total inspections than a typical Pennsylvania assisted living residence (9 vs. PA avg 11).↓ 18% better
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

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
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 most recent inspection on March 6, 2025, found deficiencies related to fire drills and medical evaluation documentation, with the facility’s plan of correction fully implemented by the review date. Earlier inspections showed a pattern of issues involving safety procedures during fire drills, water quality concerns requiring a boil water advisory, and documentation related to resident care and food storage. Complaint investigations included a substantiated case in March 2023 where a resident was injured during a fire drill evacuation due to inadequate equipment, but most other complaints were unsubstantiated. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility has addressed prior deficiencies through accepted plans of correction, indicating some improvement despite recurring themes in safety and documentation.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

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

13.8 miles from city center Estimated distance in miles from Shohola's city center to Twin Cedar Senior Living's address, calculated via Google Maps. — 10.08 miles to nearest hospital (Wayne Memorial Outpatient Center)

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Financial Assistance for
Assisted Living in Pennsylvania

Twin Cedar Senior Living is located in Shohola, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.

Get Financial aid guidance

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?

The legal owner and operator of Twin Cedar Senior Living is 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%.

How many beds does Twin Cedar Senior Living have?

Twin Cedar Senior Living has 37 beds.

Has Twin Cedar Senior Living had any recent deficiencies or citations?

Twin Cedar Senior Living has had 26 recently reported deficiencies.

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Twin Cedar Senior Living