Southwestern Manor Nursing and Rehabilitation

Nursing Home · Pittsburgh, PA

CMS overall rating 1/5 For profit - Corporation

CMS certification number395742

Contact & location

500 North Lewis Run Road
Pittsburgh, PA 15122
Allegheny County
Phone
(412) 466-0600
ZIP code
15122 – all care providers

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Facility details

Certified beds
118
Residents per day
77.7 (66% occupied)
Ownership
For profit - Corporation
Legal name
Southwestern Healthcare Operations LLC
Chain
Imperial Healthcare Group (9 facilities, avg 2.3★)
Medicare certified since
September 22, 1987
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 3.0
Quality measures★★★★★ 3/5
State avg 3.6
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.11 (state 3.89 · U.S. 3.86)
Registered nurses (RN)
0.54 (state 0.79 · U.S. 0.69)
Licensed practical nurses
0.84 (state 0.91 · U.S. 0.86)
Nurse aides
1.74 (state 2.19 · U.S. 2.32)
Weekend total
2.89 (state 3.53 · U.S. 3.42)
Nursing staff turnover
65.4 (state 44.5 · U.S. 45.8)%
RN turnover
61.5 (state 39.9 · U.S. 42.9)%

Inspections

Last standard inspection
January 24, 2025
Health deficiencies (last cycle)
15.0 (state 10.1 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
56 health · 13 fire safety · includes actual harm
DateCitationSeverityStatus
2025-01-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
F0945 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-01-24 Provide a neutral and fair arbitration process and agree to arbitrator and venue.
F0848 · Administration Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-03-04
2025-01-24 Provide training in compliance and ethics.
F0946 · Administration Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-03-04
2025-01-24 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-03-04
2025-01-24 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-03-04
2025-01-24 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F0942 · Resident Rights Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-03-04
2025-01-24 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-03-04
2024-06-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 H
Actual harm		 Corrected 2024-08-06
2024-06-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-06
2024-06-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-06
2024-06-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-06
2024-06-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-06-13 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-06-13 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-06-13 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-06-13 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-06-13 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-06-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-06
2024-03-13 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-02
2023-12-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
F0710 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 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.
F0809 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 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.
F0575 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 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.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 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.
F0838 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-06
2023-12-15 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2024-02-06
2023-02-12 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-12 Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-12 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-12 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.
F0809 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-12 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-12 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20
2023-02-12 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $60,520 in fines.

DateTypeAmount
2024-06-13Fine$60,520

Ownership & management

NameRoleSince
Southwestern Healthcare Operations Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
CH Pa7 SNF Holdings LLC (organization)5%+ Indirect Ownership Interest
Ens Holdings, LLC (organization)5%+ Indirect Ownership Interest
Gottesman, Daniel (individual)5%+ Indirect Ownership Interest
SK SW Operations Holdings LLC (organization)5%+ Indirect Ownership Interest
The Ens Family Trust (organization)5%+ Indirect Ownership Interest
Gottesman, Daniel (individual)Corporate Officer · NOT APPLICABLE
Herzka, Yisroel (individual)Corporate Officer · NOT APPLICABLE
Delp, Sara (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Southwestern Manor Nursing and Rehabilitation?

Southwestern Manor Nursing and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Pennsylvania.

How many beds does Southwestern Manor Nursing and Rehabilitation have?

It has 118 certified beds and cares for about 78 residents per day.

Has Southwestern Manor Nursing and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $60,520 in the last three years.

Who owns Southwestern Manor Nursing and Rehabilitation?

It is part of Imperial Healthcare Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Southwestern Manor Nursing and Rehabilitation?

(412) 466-0600. The facility is located at 500 North Lewis Run Road, Pittsburgh, PA 15122.

Other nursing homes in Pittsburgh

Compare all nursing homes in Pittsburgh, PA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.