Federal inspection record · CMS data as of October 1, 2026
Southwestern Manor Nursing And Rehabilitation
500 North Lewis Run Road, Pittsburgh, PA · (412) 466-0600
- Certified beds
- 118
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Imperial Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 22, 1987
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Southwestern Manor Nursing And Rehabilitation carries 80 inspection points. That is fewer than 34% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
51 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights11D
- C
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.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
Provide information about how to apply for and use Medicare and Medicaid benefits.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- B
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care10E
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure the activities program is directed by a qualified professional.
Administration8E
- C
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- C
Provide training in compliance and ethics.
- C
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- B
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- B
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- C
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Resident Assessment and Care Planning4E
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure each resident receives an accurate assessment.
- D
Assess the resident when there is a significant change in condition
Nursing and Physician Services4F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Pharmacy Service3D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Infection Control3E
- D
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspection history
2026-02-20
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-01-24
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (5 deficiencies)
2023-12-15
27 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 8 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 8 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$60,520 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-13 | Fine | $60,520 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.7 pts better | 98.5% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine42.3 pts worse | 51.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.5 pts worse | 29.3% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 7.5% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts better | 16.2% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.7 pts worse | 22.3% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.9 pts better | 6.5% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.1 pts better | 5.3% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.8% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts worse | 25.7% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 4.4% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27 pts better | 97.8% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts worse | 12.4% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine65.9 pts worse | 5.0% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.5 pts worse | 30.5% | 22.0% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Southwestern Healthcare Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Ch Pa7 SNF Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Delp, Sara | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Ens Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Gottesman, Daniel | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 24 facilities |
| Gottesman, Daniel | Corporate Officer · Individual | 0% | 24 facilities |
| Herzka, Yisroel | Corporate Officer · Individual | 0% | 75 facilities |
| Sk Sw Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| The Ens Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Construction2E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
- C
Meet other general requirements.
Miscellaneous2C
- C
Have simulated fire drills held at unexpected times.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems2E
- E
Have power receptacles that are properly grounded.
- E
Ensure proper usage of power strips and extension cords.
Emergency Preparedness1C
- C
Develop and maintain an Emergency Preparedness Program (EP).
Services1C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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Rehabilitation Center At Jefferson Hills, The
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 37 min
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-
Rose Meadows Health & Rehab Center
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-
John J Kane Regional Center-Mc
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★★★★★- Worst citation, 3 yrs
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