nursing home in Pittsburgh, PA

Southwestern Manor Nursing and Rehabilitation

500 North Lewis Run Road, Pittsburgh, PA 15122 · (412) 466-0600

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Southwestern Manor Nursing and Rehabilitation at a glance

Southwestern Manor Nursing and Rehabilitation is a 118-bed for-profit nursing home in Pittsburgh, Pennsylvania (Allegheny County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Pennsylvania average of 3.

Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.9 hours.

Its most recent standard health inspection (January 24, 2025) found 16 health citations. The Pennsylvania average is 10.

Federal regulators fined it 1 time in the past three years, totaling $60,520.

Nursing staff turnover is 65.4% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
118
Certified for
Medicare and Medicaid
Chain / affiliated entity
Imperial Healthcare Group
Medicare-certified since
September 22, 1987
Resident/family council
Resident
County
Allegheny County
CMS Certification Number
395742

Ratings

MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 53 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.6 / 53.6 / 5Worse
Long-stay quality rating (higher is better)5 / 53.8 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)2 / 53.3 / 53.3 / 5Worse

Staffing

This facility3.11 hrsPennsylvania average3.89 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.11 hrs3.89 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.54 hrs0.79 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.74 hrs2.19 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.89 hrs3.53 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)65.4%44.5%45.8%Worse
Registered nurse turnover (yearly) (lower is better)61.5%39.9%42.9%Worse

Inspections

This facility16Pennsylvania average10U.S. average9
Health citations in the most recent inspection: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)16109Worse
Citations from complaint investigations (latest cycle) (lower is better)133Better
Weighted health inspection score ⓘ (lower is better)11182.480.6Worse

Penalties

This facility1Pennsylvania average1U.S. average1
Fines in the past 3 years: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$60,520$25,774$30,972Worse
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Certified beds118127107
Average residents per day7810586
Occupancy65.8%84%80.9%

Long-stay residents

This facility2.7%Pennsylvania average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.7%3.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)6.2%4.8%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)20.1%17.7%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)1.2%0.7%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)5%16.8%13.9%Better
Long-stay residents whose walking worsened (lower is better)3.2%17%14.1%Better
Long-stay residents who lose too much weight (lower is better)9.4%6.2%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)21.5%10.8%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.2%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)15.9%20%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)23.8%25.5%19%Worse
Long-stay residents given a flu vaccine (higher is better)69.7%93.5%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)100%87.5%93.6%Better

Short-stay residents

This facility0.4%Pennsylvania average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.4%1.4%1.6%Better
Short-stay residents given a flu vaccine (higher is better)14.3%68.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)97.8%70%82%Better

Inspection citations

State inspectors cited this home for 57 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.

DateCitationSeverityStatus
July 22, 2026
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected August 5, 2026
January 24, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected February 20, 2025
January 24, 2025
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
F
Potential harm, widespread
Corrected March 4, 2025
January 24, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 4, 2025
January 24, 2025
Standard
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
E
Potential harm, pattern
Corrected March 4, 2025
January 24, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected March 4, 2025
January 24, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 4, 2025
January 24, 2025
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
D
Potential harm, isolated
Corrected March 4, 2025
January 24, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected March 4, 2025
January 24, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected March 4, 2025
January 24, 2025
Standard
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
D
Potential harm, isolated
Corrected March 4, 2025
January 24, 2025
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
C
No harm, widespread
Corrected March 4, 2025
January 24, 2025
Standard
Provide training in compliance and ethics.
Administration Deficiencies · Tag F0946
C
No harm, widespread
Corrected March 4, 2025
January 24, 2025
Standard
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies · Tag F0848
C
No harm, widespread
Corrected March 4, 2025
January 24, 2025
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
B
No harm, pattern
Corrected March 4, 2025
January 24, 2025
Standard
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
B
No harm, pattern
Corrected March 4, 2025
January 24, 2025
Standard
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Tag F0942
B
No harm, pattern
Corrected March 4, 2025
June 13, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
H
Actual harm, pattern
Corrected August 6, 2024
June 13, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected August 6, 2024
June 13, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected August 6, 2024
June 13, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected August 6, 2024
June 13, 2024
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected August 6, 2024
June 13, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected August 6, 2024
June 13, 2024
Complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
E
Potential harm, pattern
Corrected August 6, 2024
June 13, 2024
Complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
D
Potential harm, isolated
Corrected August 6, 2024
June 13, 2024
Complaint
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.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected August 6, 2024
June 13, 2024
Complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected August 6, 2024
June 13, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 6, 2024
March 13, 2024
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected April 2, 2024
December 15, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected January 30, 2024
December 15, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected January 30, 2024
December 15, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected January 30, 2024
December 15, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected January 30, 2024
December 15, 2023
Fire safety
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912
E
Potential harm, pattern
Corrected January 30, 2024
December 15, 2023
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
C
No harm, widespread
Corrected January 30, 2024
December 15, 2023
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
C
No harm, widespread
Corrected January 30, 2024
December 15, 2023
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
C
No harm, widespread
Corrected January 30, 2024
December 15, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
C
No harm, widespread
Corrected March 5, 2024
December 15, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected March 5, 2024
December 15, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected February 6, 2024
December 15, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected February 6, 2024
December 15, 2023
Standard
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Tag F0710
E
Potential harm, pattern
Corrected February 6, 2024
December 15, 2023
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0809
E
Potential harm, pattern
Corrected February 6, 2024
December 15, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected February 6, 2024
December 15, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0575
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
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.
Administration Deficiencies · Tag F0838
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0585
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected February 6, 2024
December 15, 2023
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
C
No harm, widespread
Corrected February 6, 2024
February 12, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected March 16, 2023
February 12, 2023
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected April 20, 2023
February 12, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected March 20, 2023
February 12, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected March 20, 2023
February 12, 2023
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0809
E
Potential harm, pattern
Corrected March 20, 2023
February 12, 2023
Standard
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
E
Potential harm, pattern
Corrected March 20, 2023
February 12, 2023
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected March 20, 2023
February 12, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Tag F0924
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected March 20, 2023
February 12, 2023
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected March 20, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $60,520 in fines.

DatePenaltyAmount / length
June 13, 2024Fine$60,520

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLC
Organization
5% or greater direct ownership interest100%04/30/2021
CH PA7 SNF HOLDINGS LLC
Organization
5% or greater indirect ownership interest—04/30/2021
ENS HOLDINGS, LLC
Organization
5% or greater indirect ownership interest—07/11/2021
GOTTESMAN, DANIEL
Individual
5% or greater indirect ownership interest—07/11/2021
SK SW OPERATIONS HOLDINGS LLC
Organization
5% or greater indirect ownership interest—04/30/2021
THE ENS FAMILY TRUST
Organization
5% or greater indirect ownership interest—07/11/2021
GOTTESMAN, DANIEL
Individual
corporate officerNOT APPLICABLE07/11/2021
HERZKA, YISROEL
Individual
corporate officerNOT APPLICABLE07/11/2021
DELP, SARA
Individual
w-2 managing employeeNOT APPLICABLE12/05/2023

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Frequently asked questions

What is Southwestern Manor Nursing and Rehabilitation's rating?

Southwestern Manor Nursing and Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.

How many inspection citations did Southwestern Manor Nursing and Rehabilitation receive?

Its most recent standard health inspection found 16 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.

Does Southwestern Manor Nursing and Rehabilitation accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Southwestern Manor Nursing and Rehabilitation?

It is for profit - corporation and part of Imperial Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Southwestern Manor Nursing and Rehabilitation and how do I contact it?

Southwestern Manor Nursing and Rehabilitation is at 500 North Lewis Run Road, Pittsburgh, PA 15122. Phone: (412) 466-0600.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.