Centennial Healthcare And Rehabilitation Center
4400 West Girard Avenue, Philadelphia, PA 19104 · For profit - Limited Liability company · 180 certified beds · (215) 477-1170 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has an abuse, neglect, or exploitation citation (F0600), cited Aug 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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 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 | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 fell from 3 to 2 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 | 11.1% | 16.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.9% | 6.2% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 1.0% | 0.7% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 0.2% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 18.1% | 10.8% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.2% | 0.2% | 0.1% | worse |
| Long-stay residents with falls causing major injury | 0.5% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 9.8% | 17.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 15.7% | 20.0% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.6% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 9.8% | 4.8% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 22.3% | 25.5% | 21.2% | typical |
| Short-stay residents who newly got an antipsychotic medication | 1.4% | 1.4% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 37.2% | 68.7% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 26.1% | 22.5% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 13.2% | 9.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.99 | 1.62 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.48 | 1.18 | 1.80 | better |
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.
47.2% 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 100 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 81.3% 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 91 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 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% 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 | 47.2%CMS range 36.4–56.9 | 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 | 8.2%CMS range 5.8–10.9 | 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 | 81.3% | 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 | 65.9% | 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 | 71.4% | 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 | 100.0% | 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 | 82.3% | 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 | 80.7% | 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 | 3.0% | 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 | 7.7%CMS range 4.8–11.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.78 | 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 180 beds and averages 172.1 residents a day — about 96% occupied, or roughly 8 beds typically open. It runs essentially full — expect a waiting list. 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 3.45 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 3.22 hrs/resident/day on weekends vs 3.54 on weekdays — 9% thinner on weekends. RN hours go from 0.46 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 52% 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 more than at the previous inspection — worsening. 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 · D2025-08-15 · 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 on interviews with resident and facility staff, review of resident and facility documentation and policy it was determined that the facility did not ensure one resident was free from verbal and mental abuse during two incidents for 39 resident records reviewed (Resident R116).Findings include:Review of the facility policy and procedure. Last revised on October 2022, for Abuse of Residents states. It the facility's policy that acts of physical, verbal, psychological and financial abuse directed against residents are absolutely prohibited. The policy defines verbal abuse as to any use of oral written or gestured language that included disparaging and derogatory terms to residents and their families, or within hearing distance to describe residents, regardless of their age, ability to comprehend or disability. The same policy states, Mental abuse, includes, but not limited to resident humiliation intimidation threatening demeanor, harassment and threats of punishment or withholding a treatment, services, or…
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 · D2025-08-15 · 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 interviews with resident and staff, review of clinical records, facility documentation and policy it was determined that the facility failed to complete a thorough investigation to rule out verbal and mental abuse for one resident during two incidents with staff of 39 resident records reviewed ( Resident R116). Findings includeReview of the facility policy and procedures, revised on, October 2022 titled, Abuse of Residents states. It the facility's policy that acts of physical, verbal, psychological and financial abuse directed against residents are absolutely prohibited. The policy defines verbal abuse as to any use of oral written or gestured language that included disparaging and derogatory terms to residents and their families, or within hearing distance to describe residents, regardless of their age, ability to comprehend or disability. The same policy states, Mental abuse, includes, but not limited to resident humiliation intimidation threatening demeanor, harassment and threats of punishment or…
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 · D2025-08-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations of care and treatments, clinical record review, interviews with residents and staff, and reviews of policies and procedures, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for each resident to meet the resident's medical, nursing and mental and psychosocial needs identified in the comprehensive assessment for two of 31 residents reviewed. (Resident R116 and R180). Findings includeReview of the facility's policy titled, Care plan Policy revised March 2024, states the interdisciplinary team (IDT) is responsible for the development of resident care plans. Each resident's care plan is consistent with the resident's right to participate in the development and implementation of his or her plan of care including the right to participate in the planning process, request revisions, see the care plan and sign it after significant changes are made. The same policy states that care plan interventions are chosen based on relevant clinical…
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 before2025-08-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical records review and staff interview, it was determined that the facility failed to ensure that a resident on oxygen therapy was assessed for the need of oxygen for one of 31 resident records reviewed. (Resident R127)Findings Include: Review of facility policy titled Oxygen Therapy dated February 10, 2010, revealed that under section Policy: It is the policy of the facility that oxygen therapy is administered per physician's order or as an emergency measure util a physician order is obtained. Under section Steps to administer oxygen # 12. Document the procedure in the medical record. Review of Resident R127 revealed that Resident R127 was admitted to the facility on [DATE], with a diagnosis of Peripheral Vascular Disease (poor circulations of the extremities). Review of physician's order revealed an order for Oxygen at 2 liters n/c (nasal canula) PRN (when needed) every shift, notify MD if oxygen is less than 94% as needed for SOB (shortness of breath). Observation on initial tour 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 · D2025-08-15 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — the official record, unedited, may be distressing
Based upon interviews with staff, review of residents' records, and facility policy it was determined the facility failed to determine one resident with a substantial weight loss was reweighed in a timely manner for one of 39 resident records reviewed (Resident R99) Findings includeReview of the facility's policy titled, Weight and Weight Change Management not dated states, Residents with a suspected weight change (per MDS guidelines) will have a reweigh completed in a timely manner. Review of Resident R99 weights reveal on July 17, 2025, a weight of 140.6 lbs. and on July 23, 2025, was 133.6 lbs. calculating a substantial weight loss per MDS guidelines, of 4.98% in six days. Further review of Resident R99 clinical record revealed the facility failed to re-weigh the resident in a timely manner. This was confirmed with the registered dietician on August 12, 2025, who confirmed the substantial change in weight loss should have been reweighed and was not done.
- Potential for harm · D2025-08-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 clinical records and staff interview, it was determined that the facility failed to ensure that oxygen was administered in accordance with physician orders for one of one resident observed in oxygen therapy. (Resident R167)Findings Include: Review of facility policy entitled Oxygen Therapy dated February 10, 2010, revealed that under section Policy: It is the policy of the facility that oxygen therapy is administered per physician's order or as an emergency measure util a physician order is obtained. Review of Resident R167's clinical record revealed that resident was admitted to the facility on [DATE], with the diagnosis of Chronic Obstructed Pulmonary Disease (COPD). Review of physician's order dated July 4, 2025, reveled an order to administer Oxygen at 3L (liters)/min via nasal cannula continuously every shift Review of MDS (minimum data set- a federally required resident assessment conducted at a specific interval) dated May 3, 2025, revealed that resident was on oxygen.…
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 · D2025-08-15 · tag F0835 — failed to run the facility competently — isolatedAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews with staff, reviews of clinical records and policies and procedures, observations of resident care and treatment, it was determined that for one of 31 residents reviewed, the facility failed to administer and use its' resources effectively and efficiently to maintain the highest practicable physical, mental and psychosocial well-being of each resident. (Resident R180). Findings Include: A review of the facility's policy titled incident and accident dated July 2025, revealed the facility was responsible to complete a report of all accidents/incidents for each resident. The facility was responsible for investigation of the incident/accident for each resident to determine the risk factors that contributed to the event. The facility was also responsible to ensure that the resident's environment was free of accident hazards as possible. The policy said that the interdisciplinary team would develop a care plan to ensure that the resident's environment was free of accident hazards as possible. The policy indicated that the completed investigation and review by the…
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 · D2025-08-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical records review and staff interview, it was determined that the facility failed to ensure that residents clinical records were completed related to oxygen therapy for one of 31 resident records reviewed. (Resident R127)Findings Include: Review of facility policy titled Oxygen Therapy dated February 10, 2010, revealed that under section Policy: It is the policy of the facility that oxygen therapy is administered per physician's order or as an emergency measure util a physician order is obtained. Under section Steps to administer oxygen # 12. Document the procedure in the medical record. Review of Resident R127 revealed that Resident R127 was admitted to the facility on [DATE], with a diagnosis of Peripheral Vascular Disease (poor circulations of the extremities). Review of physician's order revealed an order for Oxygen at 2 liters n/c (nasal canula) PRN (when needed) every shift, notify MD if oxygen is less than 94% as needed for SOB (shortness of breath). Observation on initial tour…
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 · D2025-08-15 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and staff interview, it was determined that the facility failed to follow infection control procedures during medication administration to one of one resident observed during medication pass. (Resident R127)Findings Include: Review of an undated facility policy entitled Infection Control Policy revealed that under section Policy #1. The infection control nurse, in conjunction with the Quality Assurance committee, has responsibility for overall infection control in the building. Under section Purpose In order to provide maximum protection to residents, visitors, and personnel from pathogenic microorganisms and infectious diseases, methods of prevention and control shall be implemented. Medication administration observation conducted on August 12, 2025, at 10:56 AM revealed that the Licensed nurse, Employee E15 was in the process of administering medications to Resident R127. Further observation revealed that two white tablets were on top of the medication cart. Interview with Licensed nurse, Employee E15, conducted at the time of the observation revealed that the…
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 before2025-03-12 · 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 observations, review of facility policy, staff interviews, and the review of clinical records, it was determined that the facility failed to ensure that medications were administered on time, as ordered by the physician for 3 out of 3 residents reviewed (Resident R1, R2 and R3). Findings include: Review of the facility policy, Medication Administration and Disposition, with a revision date of June 2023 indicated that medications must be administered within one hour of their prescribed time, unless otherwise specified (for example, before and after meal orders). During an observation on March 12, 2025 st 10:50 a.m. Employee E3 (licensed nurse) was observed standing at her medication cart, and confirmed that she was still administering medications to residents and that she had some rooms in 219-233, in addition to other rooms in which she still had to administer medications. Employee E3 reported that she did not start medication administration because she got into work later. Review of March 2025 physician orders for Resident R1 included diagnoses of respiratory failure (a…
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 · E2024-10-31 · tag F0644 — patternCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of clinical records, interview with staff and review of facility policy, it was revealed that the facility did not ensure revision were made to the PASRR (Pre-admission Screening and Resident Review) application to include mental health diagnoses for four out of 34 residents reviewed. (Resident R62, R88. R26, R23) Findings include: Review of the undated facility policy titled PASSR policy and procedure revealed that all residents reguardless of payer source would have a PASSR form completed. The policy indicated that any resident with mental health disorder would have a complete and accurate PASSR done and referral made for a level II PASSAR, if necessary. The policy also indicated that all residents with newly evident serious mental health disorder, intellectual disability, or a related condition with a significant change in status were required to have a PASSR completed and screening done. The policy indicated that this screening would determine the PASSR level II documentation and screening, if necessary. Review of Resident R62's PASRR completed on September 29,…
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 · E2024-10-31 · tag F0732 — patternPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews with facility staff, it was determined that he facility did not ensure to accurately post information regarding daily nurse staffing data as required. Findings include: Observations of posted daily staffing information on October 28, 2024 at 11:45 AM , 2nd floor unit, did not include total hours required, did not include actual hours worked for each shift, excluded call outs and unit. Observations of posted daily staffing information on October 29, 2024 at 1:30 PM, 2nd floor unit, did not include total hours required, did not include actual hours worked for each shift, excluded call outs and unit. Review of posted daily staffing information for October 30, 2024 did not include total hours required, did not include actual hours worked for each shift, excluded call outs and unit. Review of posted daily staffing information for October 31, 2024 did not include total hours required, did not include actual hours worked for each shift, excluded call outs and unit. Reviewed 'daily staffing information,' for week of July 1st, 2024 through July 7th, 2024…
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 · D2024-10-31 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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 review and staff interview, it was determined that the PASRR-ID (Preadmission Screening and Resident Review Identification) was not appropriately completed for one of 34 residents reviewed (Resident R2). Findings include: The PASRR (Preadmission Screening Resident Review) was created in 1987 through language in the Omnibus Budget Reconciliation Act (OBRA) and it has three goals: to identify individuals with mental illness and/or intellectual disability, to ensure they are placed appropriately, whether in the community or in a nursing facility, and to ensure they receive the services they require for their mental illness or intellectual disability. The PASRR Level 1 must be completed on all persons who are considering admission to a Medicaid certified nursing facility. Review of Resident R2's clinical record revealed the resident was admitted to the facility on [DATE], with diagnoses including Psychosis (Psychosis is a set of symptoms that cause a person to lose touch with reality, and…
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 before2024-10-31 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, reviews of resident clinical records, facility policies and procedures, and interviews with staff and residents, it was determined that the facility failed to follow physician orders for one out of 34 residents reviewed. (Resident R122) Findings include: Review of Resident R122's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnosis of Acquired Absence of Left Leg Below Knee, and Encounter for Orthopedic Aftercare Following Surgical Amputation. Review of physician order dated January 22, 2024, for Resident R122, revealed an order; patient to wear bilateral shrinker on bilateral lower extremities at all times with exception of self-care/skin checks. On October 30, 2024, at 10:07 a.m., it was observed that Resident R122 had not been administered with bilateral shrinker on bilateral lower extremities at all times with exception of self-care/skin checks. Interview with the Licensed Nurse, Employee E12, at the time of the findings confirmed the…
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 · D2024-10-31 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and clinical record review, it was determined that the facility failed to correctly administer medications in accordance with physician orders, for one of four residents' medication administration observed, resulting in a significant medication error (Resident R151). Findings include: Review of facility policy on Medication Administration and Disposition, revised on June 2023, indicated that Medications must be administered in accordance with the written physician orders. On October 29, 2024, at 9:49 a.m., observed that Employee E3, a Licensed Nurse, administered to Resident R30, the medicine, Keppra Oral Tablet 1000 MG (Levetiracetam), one tablet by mouth in the morning for Seizure. Review of the physician order for R30 revealed that the order was to administer Keppra Oral Tablet 1000 MG (Levetiracetam), two tablets by mouth in the morning for Seizure (A seizure is a temporary period of abnormal electrical activity in the brain that can cause physical changes in behavior. Seizures can cause a variety of symptoms, including loss 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 · D2024-01-16 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 policies, clinical record reviews and interviews with staff, it was determined that the facility failed to develop a baseline care plan, including the minimum healthcare information necessary to properly care for a resident within 48 hours of admission, for one of 34 residents reviewed (Resident R84). Findings include: Review of facility policy, Care Planning - Interdisciplinary Team undated, revealed, The interdisciplinary team is responsible for the development of resident care plans. Review of Resident R84's admission MDS (Minimum Data Set - a mandatory periodic resident assessment tool), dated December 15, 2023, revealed that the resident was admitted to the facility on [DATE], and had diagnoses including cancer, Parkinson's Disease (a progressive disorder of the nervous system that affects movement), cerebrovascular accident (damage to the brain from interruption of its blood supply), atrial fibrillation (an irregular, often rapid heart rate that commonly causes poor blood flow),…
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 · D2024-01-16 · 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 clinical record review, observations, and interview with staff, it was determined that facility failed to provide incontinence care in a timely manner for one resident out of 34 reviewed. (Resident R81) Findings include: According to facility provided policy 'Activities of Daily Living (ADL's), Supporting,' appropriate care and services will be provided for residents who are unable to carry out ADL's independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with: hygiene (bathing, dressing, grooming, and oral care), and elimination (toileting). Review of Resident's R81's clinical record revealed past medical history of stage four chronic kidney disease, dementia without behavioral disturbance, high blood pressure, type two diabetes mellitus, urinary tract infection, anemia, kidney failure. Review of R81's minimum data set (MDS), completed on December 6, 2023, revealed Brief Interview For Mental Status (BIMS) score of 9, which indicated that the resident had moderate cognitive impairment. Additional…
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 before2024-01-16 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policies, clinical record reviews and interviews with residents and staff, the facility failed to follow physician orders related to medication administration for one of seven reviewed (Residents R73). Findings include: Review of facility policy, Medication Administration dated last revised June 2023, revealed that Medications must be administered within one (1) hour of their prescribed time. Continued review revealed that nursing staff are expected to Follow the five rights; the right resident, right medication, right dose, right time and right route. Review of Resident R73's admission MDS (Minimum Data Set - a mandatory periodic resident assessment tool), dated December 8, 2016, revealed that the resident was admitted to the facility on [DATE], and had a diagnosis of type 2 diabetes mellitus with hyperglycemia (diabetes - ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose). During…
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 · D2024-01-16 · 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 observation and interviews with residents and staff, it was determined that the facility did not provide a safe, functional environment for 8 of 36 resident observed on the third-floor nursing unit relating to properly functional sinks. (Residents R151,R26, R58, R99,R5,R101,R30,R163) Findings include: Interview with Resident R26 and R151 on January 10, 2024 at 11:40 a.m. revealed that the was no working hot water in their room and bathroom. Resident R151 stated the hot water has not worked in months forcing her to use other residents sink for hot water. Interview with 28 residents on the third-floor nursing unit revealed that the water initially will run cool but after time would become warm and comfortable. Observation of the sink in room [ROOM NUMBER], Resident R26 and Resident R151 room, revealed that after running only hot water faucet after five minutes the water was still running cold. The sink in the shared bathroom, with Resident R99 and Residents R58 also was observed as the hot water faucet…
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 · B2024-10-31 · tag F0623 — patternProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility provided documentation and interview with staff, it was determined that the facility failed to notify the Office of the State Long - Term Care Ombudsman of initiated emergency transfers and discharges for two out of three months reviewed (July 2024/August 2024) Findings include: Upon request, facility provided list of involuntary discharges and transfer notices for months of July 2024, August 2024 and September 2024; indicating that lists have been sent via fax to local ombudsman. Review of facility provided documentation revealed e-mail communication between facility's social worker, employee E3, local ombudsman, and state ombudsman, dated October 17, 2024 at 2:17 p.m. clarifying that discharge notices are to be sent to State long - term care ombudsman and that currently the State ombudsman can only record September and October notices at this point . anything earlier, there's not much we can do for the resident. Interview with facility's Social Worker, Employee E3, on October 30, 2024 at 9:15 a.m., confirmed the above findings. 28 Pa Code 201.14(a)…
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 COLEV GESTETNER — 7 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 | 3 of 5 | 4.6 | -1.6 vs chain |
| Health inspection | 3 of 5 | 3.9 | -0.9 vs chain |
| Staffing | 2 of 5 | 3.3 | -1.3 vs chain |
| Quality measures | 3 of 5 | 4.4 | -1.4 vs chain |
The other 6 homes this chain runs (chain average 4.6★, per CMS)
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 | Share | Since |
|---|---|---|---|---|
| GESTETNER, COLEV | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | 97% | since 11/02/2011 |
| BERGER, YAAKOV | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/23/2025 |
| BLUMENKRANTZ, TUVYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2012 |
CMS files one row per role, so the 6 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.
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 80% 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.
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 395950. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-15, 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.