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Home / Pennsylvania / Pittsburgh

Little Sisters of the Poor

1028 Benton Avenue, Pittsburgh, PA 15212 · Allegheny County · (412) 307-1100

48 certified beds, about 45 residents a day · Non profit - Corporation · Medicare and Medicaid since 2008

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 396116 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 22, 2026, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 46 health citations since December 2023, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 4 fines totaling $59,057 in the last three years; the largest was $25,672, and the latest is dated January 22, 2026.

Nurses and nurse aides worked 5.26 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.43 of those hours.

32.8% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 46 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
22D
16E
4F
Potential for minimal harm
0A
0B
0C
January 22, 2026Standard inspection, Complaint inspection · 3 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to protect a resident from neglect that resulted in actual harm resulting in a scalp laceration, requiring three staples for one of three residents reviewed (Resident R35).
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on review of facility policy, clinical records, facility documents, and staff interviews, it was determined that the facility failed to ensure that residents received adequate assistance to prevent accidents, which resulted in actual harm, requiring three staples for one of three residents reviewed (Resident R35).
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 5, 2026
    Inspectors wroteBased on a review of policy, observation and staff interview, it was determined that the facility failed to properly maintain kitchen equipment in a sanitary condition creating the potential for cross contamination in the main kitchen of the facility.
December 3, 2025Complaint inspection · 6 citations
  1. E
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on review of facility education documents, and staff interview, it was determined that the facility failed to provide training on effective communication for nine of ten staff members (Nurse Aides (NA) Employee E2, NA E3, NA E4, NA E5, NA E6, NA E7, NA E9, Licensed Practical Nurse (LPN) Employee E10, and Registered Nurse (RN) Employee E11).
  2. E
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on review of facility education documents, and staff interview, it was determined that the facility failed to provide Quality Assurance and Performance Improvement (QAPI) training for three of ten staff members (Nurse Aides (NA) Employees E2, NA E3, and NA E4).
  3. E
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on review of facility education documents, and staff interview, it was determined that the facility failed to provide Compliance and Ethics training for three of ten staff members (Nurse Aides (NA) Employees E2, NA E3, and NA E4).
  4. E
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on review of facility education documents, and staff interview, it was determined that the facility failed to provide Behavioral training for three of ten staff members (Nurse Aides (NA) Employee E6, NA E8, and Licensed Practical Nurse (LPN) Employee E10.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, clinical and facility record review, facility provided documents, and staff interviews, it was determined that the facility failed to provide adequate supervision during bathing for one of three residents (Resident R1). This failure was determined to be past non-compliance.
  6. D
    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
    F942 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on review of facility education documents, and staff interview, it was determined that the facility failed to provide training on Resident Rights for one of ten staff members (Nurse Aide (NA) Employee E4).
May 21, 2025Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 13, 2025
    Inspectors wroteBased on review of facility policy and documentation, staff and resident interview it was determined that the facility failed to protect resident from neglect for one of three residents (Resident R1).
  2. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 13, 2025
    Inspectors wroteBased on review of facility policy, clinical record review and resident and staff interview it was determined that the facility failed to provide medically related social services for one of three resident reviewed (Resident R1).
April 16, 2025Complaint inspection · 3 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on review of facility policy and documents, clinical records, and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervision which resulted in an elopement (resident exits to an unsupervised or unauthorized area without the facility's knowledge) for one of four residents (Resident R1). This failure created an immediate jeopardy situation for one of four residents (Resident R1).
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview it was determined that the facility failed to notify a physician of elopements for one of four residents (Resident R1).
  3. D
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on review of job descriptions, clinical records and staff interviews, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to effectively manage the facility to prevent the elopements of a resident (Resident R1).
November 27, 2024Standard inspection, Complaint inspection · 23 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility documents, clinical record review, and resident and staff interviews, it was determined that the facility failed to provide adequate supervision for a visually impaired resident during an activity involving a horse that resulted in the actual harm of the horse biting a resident and causing a fracture for one of six residents reviewed (Resident R17).
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on a review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly date food items to ensure proper rotation, and failed to prevent possible cross-contamination while storing food service items, and failed to properly perform handwashing in the Main Kitchen.
  3. E
    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.
    F575 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observations and staff interview it was determined that the facility failed to have required postings for the Medicaid Fraud Control Unit for the facility.
  4. E
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observations, Group interview, and staff interview, it was determined that the facility failed to ensure that the Department of Health Survey Results were readily accessible to residents and visitors, and failed to post notice of the availability of the results on two of two Nursing Floors. (First Floor, and Second Floor) Findings Include: Observations on the nursing care units on the First and Second Floor bulletin boards failed to include information for the Department of Health Survey results throughout the survey from 11/25/24, through 11/27/24. During a group interview on 11/26/24, at 9:59 a.m. ten out of ten residents were unaware of the location where the survey results binder would be located and available to review. During an observation and interview on 11/27/24, at 11:10 a.m. [...]
  5. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, observations, interviews, and clinical record review, it was determined that the facility failed to provide appropriate respiratory care for four of seven residents (Residents R15, R25, R27, and R29).
  6. 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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observations, review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to conduct ongoing accurate assessments to ensure that bedrails were used to meet resident needs and the risks associated with bedrail usage for five of five residents (Residents R17, R21, R27, R29, and R30).
  7. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to properly monitor resident's personal refrigerators to ensure that food is properly stored and maintained for two of two residents (Residents R17 and R29), failed to implement Enhanced Barrier Precautions (EBP) for two of two residents (Residents R1 and R3), failed to provide a safe and sanitary environment to help prevent the potential for cross contamination for one of two medication rooms (First Floor Medication Room), and failed to implement infection control practices to prevent cross contamination during a dressing change for one of three residents (Resident R29).
  8. E
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, facility documents and staff interviews, it was determined that the facility failed to provide Communication training to four of seven direct care facility staff reviewed (Employees E1, E10, E12 and E14).
  9. E
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, facility documents, and staff interview, it was determined that the facility failed to provide training on resident protection from abuse and neglect for two of seven staff members (Employees E11, and E13).
  10. E
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, facility documents, and staff interview, it was determined that the facility failed to provide training on Quality Assurance and Performance Improvement (QAPI) for seven of seven staff members (Employee E1, E9, E10, E11, E12, E13, and E14).
  11. E
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, facility documents, and staff interview, it was determined that the facility failed to provide training on Infection Control for five of seven staff members (Employees E1, E9, E10, E12, and E14).
  12. E
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, facility documents, and staff interview, it was determined that the facility failed to provide training on Compliance and Ethics for two of seven staff members (Employees E11, and E13).
  13. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility documents, and staff interviews it was determined that the facility failed to ensure that all nurse aide staff received a minimum of twelve hours of in-service education training each year for five out of five Nurse Aide Employees (Employee E9, E10, E11, E12, and E13)
  14. E
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    F949 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, facility documents and staff interviews, it was determined that the facility failed to provide training on Behavioral Health for three of seven staff members (Employees E1, E10, and E14).
  15. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on a review of facility policy, observations, and resident and staff interviews, it was determined that the facility failed to provide care in a manner and environment that promotes and maintains quality of life by failing to allow a resident to smoke at requested times for one of three residents reviewed (Resident R17).
  16. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observations, resident, and staff interviews, it was determined that the facility failed to determine the ability to self-administer medications for one of three residents (Residents R24).
  17. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observation, and staff interview, it was determined that the facility failed to maintain a safe homelike environment in one of four nursing units (St. [NAME]).
  18. 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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, resident grievances for 12 months, and resident and staff interviews, it was determined that the facility failed to ensure resident grievances were addressed timely for one of two grievances reviewed.
  19. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on clinical record review, and staff interview it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider for two of two residents with facility-initiated transfers (Resident R17 and R35).
  20. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on clinical record review, and staff interview, it was determined that the facility failed to notify the resident/resident representative and/or the representative of the Office of the State Long-Term Care Ombudsman of resident transfers, in writing, to include to include the following: the reason for the transfer or discharge, date of transfer, location of transfer, statement of the resident's appeal rights, and name, address (mailing and email), and telephone number of the Office of the State Long-Term Care Ombudsman for two of two resident records reviewed (Resident R17 and R35) Findings Include: Review of the clinical record indicated Resident R17 was admitted to the facility on [DATE]. [...]
  21. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, clinical records, and staff interviews, it was determined that the facility failed to notify the resident or resident's representative of the facility bed-hold policy (an agreement for the facility to hold a bed for an agreed upon rate during a hospitalization) for two of two resident hospital transfers (Resident R17, and R35). Findings Include: Review of the facility policy Bed Hold and Return dated 11/4/24, and previously dated 11/6/23, indicated that the facility will provide the resident and resident representative a written notice which specifies the duration of the bed-hold policy at the time of transfer for hospitalization or therapeutic leave. Review of the clinical record indicated Resident R17 was admitted to the facility on [DATE]. [...]
  22. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to make certain that residents were provided appropriate treatment and care by failing to implement the facility's hypoglycemia (low blood sugar) protocol, failing to document appropriate hypoglycemia interventions, failing to notify the physician of a resident's refusal of weekly weights, and failing to follow physicians orders for one of five residents reviewed (Resident R21).
  23. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of facility policies, observations, and staff interviews it was determined that the facility failed to properly store medical supplies and biologicals in one of two medication rooms.
December 8, 2023Standard inspection · 9 citations
  1. F
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on a review of facility policy, facility's planned cycle menus, observations, and interviews with staff, it was determined that the facility failed to develop therapeutic menu extensions to ensure a pre-planned nutritionally adequate menu was developed for four of four weeks of their cycle menu.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on facility policy, national and state guidance, clinical record review, observations, and staff interviews, it was determined the facility failed to establish COVID policies updated to national standards, accurately track COVID positive residents, and implement the proper precautions before they can spread to other persons in the facility for one of three residents (Resident R32).
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview it was determined that the facility failed to notify a physician of abnormal glucose readings via a Capillary Blood Glucose (CBG) for one out of three residents (Resident R42).
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on a review of Resident Assessment Instrument (RAI) User's Manual, clinical records, and staff interviews, it was determined that the facility failed to ensure that MDS assessments accurately reflected the resident's status for two of twelve residents (Resident R26 and R43).
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on review of facility policy, clinical records, and staff interview it was determined that the facility failed to provide interventions to treat abnormal glucose readings via a Capillary Blood Glucose (CBG) level and provide treatment as ordered for one out of three residents (Resident R42).
  6. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased a review of facility policy, clinical record review and staff interview, it was determined that the facility failed to timely assess the nutritional status and develop an individualized care plan after an unplanned weight loss for one resident (Resident R14), and failed to timely assess the nutritional status of one resident (Resident R26).
  7. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on review of facility policy, observations, resident records and staff interview it was determined that the facility failed to accurately monitor the intake of a enteral feed for one out two residents (Resident R1).
  8. D
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined the Director of Nursing failed to follow accepted standards of nursing practice.
  9. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2024
    Inspectors wroteBased on facility policy, clinical record review and staff interview, it was determined that the facility failed to make certain that pneumococcal vaccinations were administered in a timely fashion for one of five residents (Resident R34).

Fire safety inspections

14 fire safety citations on file: 6 on January 22, 2026, 2 on November 27, 2024, 6 on December 8, 2023.

Every fire safety citation14 citations
  1. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 22, 2026 · Corrected (the home has a date of correction)
  2. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 22, 2026 · Corrected (the home has a date of correction)
  3. D
    Have properly located and lighted "Exit" signs.
    K 293 · January 22, 2026 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 22, 2026 · Corrected (the home has a date of correction)
  5. D
    Have proper medical gas storage and administration areas.
    K 923 · January 22, 2026 · Corrected (the home has a date of correction)
  6. C
    Conduct testing and exercise requirements.
    E 39 · January 22, 2026 · Corrected (the home has a date of correction)
  7. D
    Have an enclosure around a vertical opening shaft.
    K 311 · November 27, 2024 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 27, 2024 · Corrected (the home has a date of correction)
  9. E
    Provide properly protected cooking facilities.
    K 324 · December 8, 2023 · Corrected (the home has a date of correction)
  10. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 8, 2023 · Corrected (the home has a date of correction)
  11. C
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 8, 2023 · Corrected (the home has a date of correction)
  12. C
    Have properly located and lighted "Exit" signs.
    K 293 · December 8, 2023 · Corrected (the home has a date of correction)
  13. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 8, 2023 · Corrected (the home has a date of correction)
  14. C
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 8, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 22, 2026Fine $8,236
January 22, 2026Fine $9,110
April 16, 2025Fine $25,672
November 27, 2024Fine $16,039

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)5.263.893.86
Registered nurses1.430.790.69
All nursing staff on weekends4.563.533.42
Nurse aides3.59
Licensed practical nurses0.24
Nursing staff turnover (share who left in a year)32.8%44.5%45.8%
Registered nurse turnover33.3%39.9%42.9%
Administrators who leftnot reported

CMS expects 3.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.54 on weekdays and 4.56 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.77 in April to June 2025 to 5.26 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.261.435.544.56 16.3%0 of 9045
Oct to Dec 20255.601.575.934.77 17.5%0 of 9244
Jul to Sep 20255.861.476.214.96 19.7%0 of 9243
Apr to Jun 20255.771.426.124.89 21.0%0 of 9143
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
32.916.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
8.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.13.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.517.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.44.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.317.715.4

Owners and operators

Legal business name: LITTLE SISTERS OF THE POOR OF THE STATE OF PENNSYLVANIA.

NameRoleTypeShareSince
Byrd, DanielleCorporate officerIndividual07/17/2024
George, JansiCorporate officerIndividual06/07/2023
Maguire, LoraineCorporate officerIndividual04/18/2023
Rowley, MaryCorporate officerIndividual02/07/2019
Little Sisters of the Poor of the State of PennsylvaniaOperational/managerial controlOrganization01/01/1966
Byrd, DanielleOperational/managerial controlIndividual07/17/2024
George, JansiOperational/managerial controlIndividual06/07/2023
Maguire, LoraineOperational/managerial controlIndividual04/18/2023
Rowley, MaryOperational/managerial controlIndividual02/07/2019
Maguire, LoraineAdp of the SNFIndividual05/28/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on January 22, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on December 3, 2025: "Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 10 problems in this area, most recently on December 3, 2025: "Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on November 27, 2024: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Little Sisters of the Poor's Medicare star rating?
CMS rates Little Sisters of the Poor 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Little Sisters of the Poor get at its last inspection?
3 health deficiencies at the standard inspection on January 22, 2026. The Pennsylvania average is 10.
Has Little Sisters of the Poor been fined?
Yes. CMS lists 4 fines totaling $59,057 in the last three years.
Does Little Sisters of the Poor accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Little Sisters of the Poor?
CMS lists 10 owners and managers. Legal business name: LITTLE SISTERS OF THE POOR OF THE STATE OF PENNSYLVANIA.

Sources

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