Suburban Woods Health & Reha
2751 Dekalb Pike, Norristown, PA 19401 · For profit - Limited Liability company · 119 certified beds · (610) 278-2700 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2025
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 16.0% | 16.8% | 15.4% | typical |
| Long-stay residents who lose too much weight | 5.1% | 6.2% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.3% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 13.2% | 10.8% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.9% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 14.9% | 17.0% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 18.0% | 20.0% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.2% | 4.8% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 18.9% | 25.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.8% | 17.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.6% | 1.4% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 83.4% | 68.7% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 28.9% | 22.5% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 5.4% | 9.5% | 12.0% | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
56.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 96 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 65.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 66 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 56.7%CMS range 45.4–66.1 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.5%CMS range 7.4–14.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 65.2% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 39.4% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 57.6% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 85.6% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 98.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.6%CMS range 4.0–11.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.67 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 119 beds and averages 111.8 residents a day — about 94% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.03 hrs/resident/day on weekends vs 3.52 on weekdays — 14% thinner on weekends. RN hours go from 0.50 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.
- Potential for harm · D2026-03-19 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, clinical record review and staff interview, it was determined that the facility failed to ensure that residents were afforded privacy related to the use of a telephone and medical assessment for two of 23 residents. (Resident R8 and Resident 82) Findings include: A review of the facility policy titled Resident's Rights and Facility Responsibilities Policy. last revised 09/30/2020 revealed, It is facility's policy to comply with all resident's rights, and to communicate these rights to residents and their designated representatives in a language that they can understand. Review of Resident R82's annual Minimum Data Set (MDS - a periodic assessment of care needs) dated March 4, 2026, revealed a Brief Interview for Mental Status (BIMS) of 3 which indicated that the resident cognition was severely impaired. On March 16, 2026, at 10:45 a.m., an observation was made of Resident R82 sitting in the dining room with approximately 15 residents, two staff members, and two otolaryngology consulting staff present, who were providing Ear, Nose, and Throat (ENT) evaluations…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-19 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, review of clinical records, and facility documentation and policy, it was determined that the facility failed to ensure an investigation related to a resident's fall was complete and thoroughly investigated to rule out neglect for one 24 resident records reviewed (Resident R6). Findings include: Review of the facility's Fall Prevention and Management policy updated in February 2025, stated, Falls will be reviewed such review should include results of the new fall risk assessment, discussion with resident and/or any witnessing partied as to potential causal factors, review of the environment where the fall occurred and discussion as to any new interventions which may help to prevent further falls. Resident R6's clinical records revealed the resident was alert and oriented, admitted to the facility on [DATE], with chronic compression fracture (small breaks in your spine) recently hospitalized for weakness. The resident was care planned for incontinent of bowel and bladder needing one…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-19 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, review of clinical records, and interviews with facility staff, it was determined that the facility failed to ensure that it was free of medication error rate of five percent or greater for two of three residents observed during medication administration (R13, R124).Findings include: On March 17, 2026, at 9:51 a.m., observed that Employee E5, a Licensed Nurse, administered the medicine, Aspirin Tablet Chewable 81 milligrams (MG), to Resident R13. Review of physician order dated May 15, 2026, for R13, revealed an order to administer Aspirin Tablet Delayed Release 81 MG, by mouth one time a day. This represents administration of the incorrect medication formulation. March 17, 2026, at 9:53 a.m., review of Physician order revealed that R13 was signed onto hospice services with a hospice service provider, with a diagnosis of End Stage PVD ( PVD stands for Peripheral Vascular Disease; End-stage Peripheral Vascular Disease is the most severe form of PVD, where blood flow to the limbs is critically reduced, causing pain at rest, non-healing wounds, or tissue damage…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-19 · tag F0777 — isolatedProvide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and review of resident records, it was determined that the facility failed to promptly notify physician of a change in residents' condition when radiology report confirmed positive for fracture for one of 23 records reviewed (Resident R6). Findings include: Resident R6's clinical records revealed the resident was alert and oriented, admitted to the facility on [DATE], with chronic compression fracture (small breaks in your spine) and recently hospitalized for weakness. The resident was care planned for incontinent of bowel and bladder needing one person to assist with toileting and a fall risk, that included, keeping the resident's bed in the lowest position and using proper footwear for safety. Review of Resident R6's nursing notes indicated the resident had an unwitnessed fall and was found lying on the floor in the resident's room on December 20, 2025 at 8:00 a.m. An order was received from on-call doctor to obtain an x-ray of 2 views of the resident's right Femur. (thigh bone) Review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-22 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of clinical records, review of facility policies and interviews with staff, it was determined that the facility failed to ensure that medication administration times were following according to physician order for three of three residents reviewed. (Resident R1, Resident R2, Resident R3)Findings include: Review of an undated facility policy, Administration of Medication, under section 6.1 Medication Administration Times, revealed Facility should commence medication administration within sixty (60) minutes before the designated times of administration and should be completed no later than sixty (60) minutes after designated times of administration. Further review revealed Facility should administer medications ordered before meals approximately thirty (30) minutes before mealtimes and should administer medications ordered to be given after meals no later than thirty (30) minutes after a meal has ended. Review of facility meal delivery schedule revealed the following times for all nursing units, Breakfast delivery between 07:35a.m. - 8:25a.m.; Lunch delivery between…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observations, interviews with residents and staff and reviews of the job descriptions, it was determined that the facility failed to ensure the safety of one of two resident reviewed after the resident was returned to the facility from a contracted transportation company, who transported the resident to a medical appointment. (Resident R1) Findings include:Observation of Resident R1 at 10:45 a.m., on December 3, 2025, revealed that this resident was only able to have vision from the left eye. Interview with Resident R1 at the time of the observation revealed that he was having problems with vision in the left eye. Review of Resident R1's clinical record revealed a physician's assessment dated [DATE], that indicated Resident R1 had a history of right eye exenteration for melanoma. Continued review of the physician's report revealed that Resident R1 had been recommended prescription eyeglasses and at this time was diagnosed with a cataract of the left eye. Review of Resident R1's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-04-03 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. Findings include: A tour of the Food Service Department was conducted on March 31, 2025, at 9:15 a.m. with Employee E5, Food Service Director (FSD), revealed the following concerns: Observation in the receiving dock revealed a lot of trash scattered around the loading dock next to the dumpster including empty milk carton, plastic juice cups and paper. Observation in the dry storage area revealed a buildup of dust, dirt and black substance on the floor under she shelves next to the aluminum freezer walls. Observation in the walk-in freezer revealed that the floor was dirty and had debris on the floor under the shelves. Observation in the walk-in cooler revealed that the floor was dark and dirty with [NAME] stains on the floor under the shelves. Observation of the wall in the dish room area…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-03 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based upon interviews with residents and staff, review of clinical records, facility documentation and policy, it was determined that the facility failed to ensure residents were free from abuse and neglect for one of 21 resident records reviewed (Resident R94). Findings include: Review of the facility's policy titled, Abuse, Neglect, and Exploitation revised July 2024, states, The facility will not tolerate abuse, neglect, mistreatment, of residents. The same policy states that Mental abuse includes humiliation, punishment and deprivation. Review of Resident R94's clinical record revealed that the resident was admitted to the facility on [DATE] with the diagnoses of bipolar disorder (moods of extreme highs and of extreme lows), depression, muscle weakness and scoliosis (unnatural curvature of the spine). Review of Resident R94's nursing note dated March 20, 2025, stated, Resident reported to staff that she had put her call light on and requested to go to the bathroom, she stated that staff informed her she…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, review of facility documentation, review of clinical record, and staff interview, it was determined that the facility failed to provide adequate supervision to prevent an elopement for one of two residents reviewed for wandering/elopement (Resident R308). Findings Include: Review of facility policy Elopement/Unauthorized Absence dated August 2, 2024, revealed the facility will identify residents with potential and/or actual risk factors for elopement and protect the resident through development and implementation of safety interventions. In the event of a resident elopement the facility will implement its policies and procedures promptly to locate the resident in a timely manner. Review of Resident R308's Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated August 8, 2024, revealed the resident had severe cognitive impairment and had diagnoses of dementia (decline in cognitive function that interferes with daily life) and altered mental…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-03 · tag F0840 — isolatedEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, and interviews with staff, it was determined that the facility failed to ensure timely provision of professional services furnished by outside providers, for one of 21 resident records reviewed (Resident R93). Findings include Review of Resident R93's clinical record revealed that the resident was admitted to the facility on [DATE], with a diagnosis of Huntington's disease (a rare, inherited neurological disorder that causes nerve cells in the brain to break down, leading to progressive physical and mental decline). Review of nursing note dated January 8, 2025, indicated the resident refused to go to an outside appointment with the hospital related to the diagnosis of Huntington disease. Continue review of the same note stated, Appointment attempted to be rescheduled, message left to contact facility to schedule a new appointment date and time. Further review of Resident R93's clinical record revealed no documented evidence that the facility ensure that the appointment was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · D2025-04-03 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review and interview with staff, it was determined that the facility did not maintain complete and accurate medical records related to diagnoses for physician ordered medications for two of 21 records reviewed (Residents R18 and R81). Findings include: Review of clinical documentation for Resident R18 revealed a physician order, dated January 1, 2025, for Metoclopramide HCl 10MG tablet, with the instructions 1 tab, oral, three times a day .before meals. On the order sheet, the area marked ICD-10 Diagnosis was filled out as N/A (not applicable). There was no reason for use given for the medication. Further review revealed another physician order, dated January 30, 2025, for Systane Hydration, 0.4-0.3%, with the instructions 1 drop in each eye once a day. On the order sheet, the area marked ICD-10 Diagnosis was filled out as N/A. There was no reason for use given for the medication. Review of clinical documentation for Resident R81 revealed a physician order, dated March 20, 2025, for Lidocaine HCl .cream; 4%, with the instructions administer cream to right…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-03 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of resident records and interviews with staff, it was determined the facility did not ensure antibiotics were administered with adequate indication for use for one of 21 resident records reviewed (Resident R94). Findings include: Review of Resident R94's clinical record revealed that the resident was admitted to the facility on [DATE] diagnosed with bipolar disorder (moods of extreme highs and of extreme lows), depression, muscle weakness and scoliosis (unnatural curvature of the spine). Review of Resident R94's physician note dated October 28, 2024 indicated the resident's urinalysis was abnormal, noting the resident's white count was improving, the urinalysis weakly suggestive of infection and was still waiting for the colony count and cultures and sensitivities and noted the resident denied any urinary symptoms. Further review of Resident R94's nursing notes, dated October 28, 2024, revealed the labs were further reviewed by a Nurse Practioner that ordered an antibiotic, Bactrim DS for three…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-05-17 · tag F0809 — failed to serve meals on a reasonable schedule — patternEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility documentation, observations, and staff and resident interviews, it was determined that the facility failed to ensure meals were served in accordance with resident preferences for two of two nursing units (1st and 2nd floor). Findings Include: Interview on May 14, 2024, at 12:30 p.m. with Resident R100 revealed lunch used to be served at noon. Recently, lunch has been coming later since change in process of delivering food trucks. Interview on May 14, 2024, at 12:35 p.n. with alert and oriented Resident R68 and R81 revealed residents were upset because lunch is supposed to be served at noon but still has not been delivered. Further interview revealed lunch has been getting served late and has come late as 2:00 p.m. Observations on May 14, 2024, at 12:42 p.m. revealed a lunch truck was just delivered to the 1st floor dining room. Interview on May 14, 2024, at 1:00 p.m. with Nurse Aide, Employee E3, revealed the 1st floor nursing unit is still waiting for 2 more food trucks to be delivered. Further interview revealed a total of 3 food trucks are delivered to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews with residents and staff, it was determined that the facility failed to maintain a safe, clean, comfortable, and homelike environment for one of two nursing units observed (2 floor nursing unit). Findings include: Facility policy titled Occupied Resident Room Cleaning Procedure last revised on August 30, 2022 revealed Proper cleaning and disinfecting of environmental surfaces is necessary to break the chain of infection. Cleaning refers to the removal of visible soil from surfaces through the physical action of scrubbing with detergents/surfactants and rinsing with water. This step is to reduce the volume of organisms on a surface and remove foreign material that could interfere with disinfection. Occupied resident rooms will be cleaned daily to maintain a sanitary environment. On May 14, 2024, at 11:23 a.m. observations on the Second-floor unit room [ROOM NUMBER] B bed revealed quarter of the privacy curtain was falling off as there was no curtain hooks. There was a floor…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility policies, review of clinical records, and staff interviews, it was determined that the facility failed to develop comprehensive care plans related to medication administration and recovery of history alcohol abuse to meet the care needs for one of three residents reviewed. (Resident R50) Findings include: Review of the facility's policy titled Comprehensive Care Planning Policy revealed that the facility must develop a comprehensive Person-Centered Care Plan for each resident that includes a measurable objective and timetables to meet the resident medical nursing, and mental and psychosocial need that are identified in the comprehensive assessments. There may be additional problem area not triggered by the MDS (Minimum Data Set, federal mandated process for clinical assessment of all residents) which will need to be addressed in the care plan. Review of residents clinical record revealed that Resident R50 has a diagnosis of Diabetes type 2 (chronic condition which blood glucose level are too high), muscle weakness, spinal stenosis (narrowing of the spine…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, review of facility policy, clinical record review, resident and staff interviews, it was determined that the facility failed to provide appropriate Activity of Daily Living (ADL) for three of 21 residents reviewed who were unable to carryout ADL care independently. (Resident R19, R29, and R75) Findings include: A review of the Facility Policy titled, Personal Care last revised on November 8, 2023, revealed Morning care will be offered each day to promote resident comfort, cleanliness, grooming, and general wellbeing. Residents who can perform their own personal care are encouraged to do so but will be provided with setup assistance if needed. Showers and baths are scheduled two times weekly or more or less often according to resident preference. Further under procedures number 7. Provide shaving as desired by resident 9. Provide fingernail care Review of MDS (Minimum Data Set-assessment of resident care need) for Resident R19 dated April 24, 2024, revealed that the resident was dependent on the staff for personal hygiene, transfer, and toileting. MDS also…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of safety data sheet, review of facility documentation, review of clinical records, observations, and staff and resident interviews, it was determined that the facility failed to ensure residents received adequate supervision during transfers for two of three residents reviewed for falls (Resident R84 and R30) and failed to ensure the resident environment remained free of accident hazards related to access to cleaning agents and the security of windows. Findings Include: Review of facility policy Mechanical Lift revised January 7, 2022, revealed a mechanical lift may be used for transferring residents that cannot be safely transferred by themselves or with staff assistance. Two staff person assist/oversight is required for total body lifts. Review of Resident R84's Quarterly Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated February 15, 2024, revealed the resident was cognitively intact and was total dependence (full staff performance every time), 2-persons physical assist for transfers (how resident moves between surfaces…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy and staff interviews, it was determined that the facility failed to ensure that residents call systems was accessible for 11 out of 11 residents reviewed (Residents R29, R49, R75, R103, R95, R76, R81, R8, R66, R85, R53). Findings: Facility policy titled Operations last revised on February 24, 2023, revealed It is the policy of the facility to provide residents with a means of communicating with staff. A call system is installed in each resident room and toilet/bath areas. The facility responds to resident needs and requests. It further revealed under procedures number 3. Staff will respond to call lights promptly. Review of MDS (Minimum Data Set-assessment of resident care need) for Resident R29 dated May 14, 2024, revealed that the resident was dependent on the staff for personal hygiene, transfer, toileting, dressing, bed mobility. MDS also revealed that the resident had a BIMS (Brief Interview for Mental status) score of 13 which indicated that the resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-17 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the review of facility policy, observations and interviews with resident and staff, it was determined that the facility failed to ensure a functional, sanitary environment on one of two nursing units observed (2nd floor nursing units) and for for 6 out of 10 residents reviewed. (Residents R4, R131, R66, R56, R29, and R50). Findings: Review of facility policy titled Occupied resident room cleaning revised August 30, 2022, revealed that occupied resident room will be cleaned daily, it is housekeeping's responsibility to inspect room and report any maintenance issues noted during cleaning. On May 14, 2024, at 11:37 a.m. on the Second-floor north side of the nursing unit at the end of the hallway there was a strong urine odor. License nurse, Employee E11 confirmed the observations and reported that Resident R39 was incontinent and has behavioral issues with her incontinence. On May 14, 2024, at 12:54 p.m. observation was confirmed by the Maintenance and Housekeeping Director, Employee E10 that there was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2025-04-03 · tag F0641 — widespreadEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of clinical records and staff interview, it was determined that the facility failed to ensure that the Minimum Data Set Assessments (MDS - a federally mandated standardized assessment conducted at specific intervals to plan resident care) accurately reflected the status of two residents out of 21 sampled (Residents R48 & R93). Findings included: A review of Resident R48's clinical record revealed that the resident was admitted to the facility on [DATE]. Review of Resident R48's physician orders revealed a February 4, 2025, order to admitted to hospice care with the diagnosis of Parkinson's Disease (progressive disease of the central nervous system). Further review of a Significant Change Minimun Data Set (MDS) assessment dated [DATE], section J revealed that the resident had a life expectancy of less than six months, and that section O did not indicate that the resident was on hospice. Interview with the MDS Coordinator, Employee E4 on April 2, 2025, at 11:25 a.m. confirmed that Resident R48…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to SABER HEALTHCARE GROUP — 126 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 2.9 | +2.1 vs chain |
| Health inspection | 4 of 5 | 2.6 | +1.4 vs chain |
| Staffing | 2 of 5 | 2.2 | -0.2 vs chain |
| Quality measures | 5 of 5 | 4.0 | +1.0 vs chain |
The other 125 homes this chain runs (chain average 2.9★, per CMS)
Showing 40 of 125; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| SABER PA HOLDINGS, LLC | Organization | DIRECT OWNERSHIP INTEREST | since 04/01/2025 |
| SABER HEALTHCARE HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 02/12/2018 |
| WIW DYNASTY LLC | Organization | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 01/01/2023 |
| NICOLUZAKIS, GREGORY | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 03/01/2019 |
| VOLPE, BENJAMIN | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 03/01/2019 |
| WEISBERG, WILLIAM | Individual | CORPORATE OFFICER; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNF | since 02/12/2018 |
| SABER GOVERNANCE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/01/2019 |
| SHG MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2019 |
| CARROLL, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/25/2024 |
| DUKMEN, COURTNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/13/2025 |
| WILLIAMS, CAMERON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 11/01/2024 |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | ADP OF THE SNF | since 01/01/2023 |
| BNV DYNASTY LLC | Organization | ADP OF THE SNF | since 01/01/2023 |
| CIBC BANK USA | Organization | ADP OF THE SNF | since 05/02/2022 |
| CITRIN COOPERMAN ADVISORS LLC | Organization | ADP OF THE SNF | since 02/12/2018 |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | ADP OF THE SNF | since 01/01/2023 |
| RKL LLP | Organization | ADP OF THE SNF | since 01/26/2023 |
| SABER HEALTHCARE GROUP LLC | Organization | ADP OF THE SNF | since 02/12/2018 |
| SHG RECS, LLC | Organization | ADP OF THE SNF | since 04/29/2026 |
| SUBURBAN WOODS RE GROUP LLC | Organization | ADP OF THE SNF | since 05/02/2022 |
CMS files one row per role, so the 29 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
14 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in PA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Pennsylvania Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 395912. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.