PA 160 enters Richland Township in Cambria County, becoming Forest Hills Drive and heading into wooded areas with some fields and homes, turning to the north. The road crosses Norfolk Southern's South Fork Secondary and continues into forested areas to the west of the railroad tracks, curving to the northeast. The route crosses into Adams Township and intersects the eastern terminus of PA 756 in the community of Elton. PA 160 continues northeast through a mix of farmland and woodland with some residences, turning north and east as it runs through the residential community of Salix. The road turns north through more rural areas, coming to an intersection with PA 869. At this point, PA 160 turns east to form a concurrency with PA 869, crossing Norfolk Southern's South Fork Secondary railroad line prior to crossing the South Fork Little Conemaugh River into Croyle Township. Here, the road becomes Mill Road passes through Lovett. PA 869 splits from PA 160 by heading southeast onto Beaver Run Avenue, and PA 160 heads east through woods with some fields. The road turns to the northwest and becomes Fairview Avenue, heading through areas of farms and woods with some homes. After a curve to the northeast, the route enters Summerhill Township and turns west onto Fieldstone Avenue before heading north onto Springside Avenue. PA 160 heads through more rural areas with some development before crossing into the borough of Wilmore, where it crosses Little Conemaugh River and passes under Norfolk Southern's Pittsburgh Line. The road heads into residential areas and crosses PA 53, becoming Evergreen Road.