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Parkhouse Rehabilitation And Nursing Center

1600 Black Rock Road, Royersford, PA 19468 · For profit - Limited Liability company · 467 certified beds · (610) 948-8800 Medicare & Medicaid certified

Call the home — (610) 948-8800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Jun 20261 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • 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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Pharmacy
100 Springhouse Dr Ste 205 · (610) 226-6100 · Call to confirm hours
Grocery
Wegmans1.2 mi
600 Commerce Dr · (484) 902-1500 · Call to confirm hours
Park
1615 Black Rock Rd · (610) 948-5170 · Typically dawn to dusk
Place of worship

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 1 of 5
Short-stay residentsrehab / post-hospital 4 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.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased28.1%16.8%15.4%worse
Long-stay residents who lose too much weight6.5%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.5%0.7%0.9%better
Long-stay residents with a urinary tract infection3.3%1.5%2.0%worse
Long-stay residents with depressive symptoms13.4%10.8%6.5%worse
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury2.7%3.1%3.3%better
Long-stay residents whose ability to walk worsened19.6%17.0%16.1%worse
Long-stay residents on antianxiety or hypnotic medication16.3%20.0%18.9%better
Long-stay residents given the seasonal flu vaccine99.3%93.5%95.3%typical
Long-stay residents with pressure ulcers4.1%4.8%4.7%better
Long-stay residents with worsening bladder/bowel control28.6%25.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table26.7%17.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.5%1.4%1.4%worse
Short-stay residents given the seasonal flu vaccine49.7%68.7%79.4%worse
Short-stay residents rehospitalized after admission20.5%22.5%22.6%typical
Short-stay residents with an outpatient ER visit7.8%9.5%12.0%better
Long-stay hospitalizations per 1,000 resident days2.371.621.67worse
Long-stay outpatient ER visits per 1,000 resident days1.981.181.80typical

§ 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.

48.1% 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 159 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.1%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
64.2%U.S. median 56.6%
Met the expected recovery
0.21U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 64.2% 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 109 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF48.1%CMS range 39.1–56.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 8.0–13.910.7%Oct 2022–Sep 2024no 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 discharge64.2%56.6%Oct 2024–Sep 2025CMS 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 discharge54.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge55.0%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay1.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.6%CMS range 4.9–11.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 2022–Sep 2024CMS 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

0.34
RN hours/ resident / day
0.91
LPN hours/ resident / day
1.73
Aide hours/ resident / day
2.97
Total nurse hours/ resident / day
0.26
RN hoursweekends
53.0%
Total nursing turnover
34.6%
RN turnover

How full it usually is: this home is certified for 467 beds and averages 294.6 residents a day — about 63% occupied, or roughly 172 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 2.97 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.73 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 2.76 hrs/resident/day on weekends vs 3.06 on weekdays — 10% thinner on weekends. RN hours go from 0.37 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%.

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

12
deficiencies at the latest standard inspection (2026-06-12)
4
at the previous standard inspection (2025-05-30)

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.

ABCDEFGHIJKL

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.

31 citations, most serious first. The 11 most serious are shown; the remaining 20 are one tap away and print in full.

  • Actual harm · Gcited before2025-05-30 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 the facility's policy, clinical records, and staff interviews, it was determined the facility failed to timely and comprehensively assess a pressure ulcer wound resulting in actual harm to one resident (Resident 2) and failed to follow physician's wound treatment orders for three of the 11 residents reviewed (Residents 2, 62, and 225). Findings include: Review of the facility's policy titled Skin Integrity, dated April 1, 2022, revealed documentation and care interventions for skin integrity including assessment/observation to be completed within the first twenty-four hours of admission/quarterly/significant change in condition using admission Nursing Evaluation. Review of Resident 2's diagnosis list revealed diagnoses including Quadriplegia (paralysis of all four extremities), Epilepsy (seizures), protein calorie malnutrition, Bipolar Disorder (psychiatric disorder) and Major Depressive Disorder (mental disorder characterized by persistent and debilitating feelings of sadness, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-06-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure 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 observations and staff interviews, it was determined that the facility failed to ensure the resident environment remained as free of accident hazards as possible by failing to ensure that the door leading to the trash chute on the memory care unit remained locked at all times.Findings include:Observations conducted on the memory care unit located on the 8th floor on June 9, 2026, at approximately 7:47 a.m. revealed a sign affixed to a door stating, TRASH CHUTE - This door must be kept locked at all times. THANK YOU. Further observation revealed the door was unlocked and located out of view of the nurses' station. A laundry cart had been placed in front of the trash chute, requiring the cart to be moved in order to gain access to the chute.Subsequent observations conducted on June 10 and June 11, 2026, revealed the door leading to the trash chute remained unlocked. The laundry cart remained positioned in front of the trash chute; however, the chute remained accessible once the cart was moved.An interview conducted with the Nursing Home Administrator (NHA) and Assistant…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · E2026-06-12 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    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 interview, observation, and facility policy review, it was determined the facility failed to implement enhanced barrier precautions (an infection control strategy to prevent the spread of multi-drug-resistant organisms in long term care facilities) for two out of four hallways reviewed on Unit 2 West. Findings include: A review of facility policy titled, Isolation Steps: Categories of Transmission-Based Precautions, reviewed August 2025 revealed: All residents with any of the following should use enhanced barrier precautions.open wounds, and/or indwelling medical devices (e.g. central line, urinary catheter, feeding tube, tracheostomy) . wear a gown and gloves for all interactions that may involve contact with a resident or the resident's environment. Donning PPE (personal protective equipment) upon room entry and properly discarding before exiting the patient room is done to contain pathogens (germs that cause disease). Observation of room [ROOM NUMBER] on June 9, 2026, at approximately 6:58 a.m.…

    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.

    Infection Control Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-06-12 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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, observations, and staff interviews, it was determined that the facility failed to protect the residents' rights for one of thirty-five residents reviewed (Resident 99)Findings include:Resident 99 was admitted to the facility on [DATE], with medical diagnoses that include Parkinsons's Disease (movement disorder of the nervous system), difficulty walking, need for assistance with personal care, unsteadiness on feet, and abnormality of gait (deviation from normal walking pattern.)A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 99, dated May 14, 2026, revealed that the resident utilizes a wheelchair, requires partial to moderate assistance with toileting hygiene, and substantial to maximum assistance with sit to stand and toilet transfers. Review of Resident 99's care plan revealed a focus dated November 11, 2025, noting the resident exhibits toileting deficits, putting them at risk for reduced independence…

    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.

    Resident Rights Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-06-12 · tag F0579 — isolated
    Provide information about how to apply for and use Medicare and Medicaid benefits.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, it was determined that the facility failed to provide the Notice of Medicare Non-Coverage (NOMNC) within the required timeframe for one out of one residents reviewed (Resident #335).Findings include:Review of Resident 335's medical record revealed a Notice of Medicare Non-Coverage (NOMNC) indicating Medicare-covered skilled services were ending on May 14, 2026. The notice was signed and dated by the resident on May 13, 2026, at 9:00 a.m., which was 1 day prior to the end of Medicare-covered services.An Interview conducted on June 12, 2025, at 12:05 p.m., with the Nursing Home Administrator (NHA) confirmed the NOMNC was not provided within the required 2-day (48-hour) timeframe.The facility failed to provide the NOMNC within the required 2-day advance timeframe from which it should have been provided.28 Pa. Code 201.18(b)(1) Management28 Pa. Code 201.29(a) Resident Rights

    Resident Rights Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-06-12 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to monitor the resident's behaviors, and medication side effects, for residents receiving a psychotropic medication for three of the five residents reviewed (Resident 15, 17, and 327). Findings: A review of the facility's policy titled Antipsychotic/Anxiolytic Utilization, last review in April 2025, revealed that documentation is necessary to assist in assessing whether the resident's behavioral symptom needs some form of intervention, determining whether the behavioral symptom is transitory or permanent. A review of Resident 15's physician order dated June 2, 2026, revealed an order Quetiapine Fumarate (Atypical anti-psychotic) Oral Tablet 25 mg 1 tablet by mouth at bedtime for anxiety A review of Resident 15's Medication Administration Records and progress notes medication revealed side effects were not monitored since the Quetiapine Fumarate medication started on March 12, 2026. A review of Resident 17's physician order dated August 28, 2025,…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · Dcited before2026-06-12 · tag F0641 — isolated
    Ensure 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 clinical records review and staff interview, it was determined that the facility failed to ensure that assessments accurately reflected the resident's status for three of the 35 residents reviewed (Residents 2,3, and 283). Findings Include: Review of Resident 2 progress note on 4/15/2026 at 12:47 nursing note stated Resident 2 sustained a witnessed fall after breakfast at 9:2am. [NAME] did strike her head, and she landed on her L hip after the fall. Further review of Resident 2 progress note on 4/18/2026 at 11:38 nurses note stated: Resident Xray results received after rereading DX:Acute left sub capital femur fracture with impaction (broken left side of your thighbone). Md notified and recommended for resident to be sent to hospital. Resident sent to Phoenixville Hospital. Daughter contacted but no answer. Brother contacted and aware of situation. A review of Resident 2's Quarterly Minimum Data Set (MDS- A standardized assessment tool that measures health status in long-term care residents) MDS is…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · Dcited before2026-06-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, resident and staff interviews and review of resident clinical records it was determined that the facility failed to provide assistance with activities of daily living for 1 of thirty-five residents reviewed (Resident 99).Findings include:Facility policy titled Activities of Daily Living (ADLs), last reviewed December 2024, notes it is the policy of the facility to understand the principals of quality of life, and honor and support these principals for each resident, and that the care and services provided are person centered, and honor and support each resident's preferences, choices, values and beliefs. The facility will provide care and services for hygiene-bathing, and toileting care.Resident 99 was admitted to the facility on [DATE], with medical diagnoses that include Parkinsons's Disease (movement disorder of the nervous system), difficulty walking, need for assistance with personal care, unsteadiness on feet, and abnormality of gait (deviation from normal walking…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · Dcited before2026-06-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 clinical record review, observations, and staff interview, it was determined that the facility failed to implement physicians' orders for three of 24 sampled residents (Residents R1, R16, R56 and R262). Findings include: Review of Resident R1's clinical record revealed an admission date of April 27, 2026. Clinical record review revealed that Resident R1's had diagnoses that included chronic obstructive pulmonary disease, unspecified (COPD, a condition caused by damage to the lungs resulting in swelling and irritation, also called inflammation, inside the airways that limit airflow into and out of the lungs), dependence on supplemental oxygen, psychosis (collection of symptoms that disrupt a person's thoughts and perceptions, making it difficult to distinguish what is real from what is not), and major depressive disorder, recurrent, moderate (a mood disorder that causes a persistent feeling of sadness and loss of interest). Review of Resident R1's clinical record revealed a physician order stating, Ear mates to oxygen tubing at all times to help relieve pressure, with 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · Dcited before2026-06-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical records review, and staff interviews, it was determined that the facility failed to follow a wound treatment order correctly and in a timely manner for one of ten residents reviewed (Resident 259).Findings: A review of Resident 259's active care plan revealed the resident was at risk for skin integrity impairment related to immobility and incontinence. The interventions, including an air mattress, repositioning, and treatment as ordered, were put in place. Additional interventions include applying Calamine-Zinc Oxide External Lotion, applied to the buttocks topically every day and evening shift for protectant (Dermaseptin ointment- A soothing skin protectant used to treat and prevent minor skin irritations by creating a protective, moisture-repelling barrier). A review of the nursing progress notes dated April 1, 2026, at 2:32 p.m., revealed the resident was observed with a new skin area of concern to the sacrum a large, (triangular bone located at the base of the spine, just below the lumbar vertebrae and between the hip bones), a DTI (Deep Tissue…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · Dcited before2026-06-12 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure proper monitoring of fluid restrictions for two of three residents reviewed for nutrition/hydration needs (Resident 108, and Resident 259). Findings: Review of facility policy, titled Restricting Fluids last revised November 11, 2025, documents the purpose of this procedure is to provide the resident with the amount of fluids necessary to maintain optimum health. A review of the facility's policy titled Weight Assessment and Intervention, last revised on March 11, 2025, revealed that weights will be measured monthly unless discontinued by the physician. Significant weight changes are defined as more or less than 5% within 30 days; more or less than 7.5% over 3 months, and more or less than 10% within 6 months. I the weight change meets the definition of Significant, the Dietitian should discuss with the IDCP team and make recommendations. The resident's physician will be made aware of the weight loss. Review of Resident 108's medical diagnoses revealed…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
Show the remaining 20 citations
  • Potential for harm · Dcited before2026-06-12 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, clinical record review and staff interview it was determined the facility failed to provide enteral nutrition (feeding delivered through a feeding tube) as ordered by the physician for one of one resident reviewed enteral feeding care. (Resident 14)Findings include: Review of facility policy and guidelines titled Enteral Feeding last revised April 15, 2024, documents the licensed nurse is responsible to assure patency of the feeding tube, administration of nutritional products and medications per physician orders, assessment of the tube and skin site and documentation of the enteral feeding process. Per the policy, documentation of the enteral feeding orders, volume, amounts, and care will be completed on the Medication Administration Record. Review of Resident 14's medical diagnoses revealed the resident admitted from the hospital on November 17, 2025, with medical diagnoses that include Traumatic Subarachnoid Hemorrhage (bleeding into the fluid-filled space between the brain and the protective tissue covering it, caused by physical head injury),…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-06-12 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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 the facility's policy and medication manufacturer's guidelines, observations, and interview with staff and resident, it was determined that the facility failed to secure a treatment cart for one out of two units reviewed (Two West) and failed to secure and control vials of homeopathic remedies for one out of seven residents reviewed (Resident 12), and failed to ensure medications were properly stored and labeled on two of six medication carts observed (second-floor medication cart B and third-floor medication cart A Findings: A review of the facility's policy titled Medication Storage, last reviewed on [DATE], revealed, Medications will be stored in a manner that maintains the integrity of the product, ensures the safety of the residents, and is in accordance with the Department of Health guidelines. The same policy revealed, Expired, discontinued and/or contaminated medications will be removed from the medication storage areas and disposed of in accordance with facility policy. A 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.

    Pharmacy Service Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-04-16 · tag F0825 — isolated
    Provide or get specialized rehabilitative services as required for a resident.
    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, clinical record review and staff interviews, it was determined the facility failed to ensure that rehabilitation services were provided one of three residents reviewed. (Resident R12) Findings include Review of Resident R12's clinical record revealed that the resident was admitted to the facility on [DATE]. Review of Resident 12's diagnosis's list includes unspecified dementia (general loss of cognitive abilities, including memory, unspecified severity, with mood disturbance) and pain in left shoulder. Observations made on April 16, 2026, at 11:45 am revealed Resident 12 had significant left-hand contracture (a shortening and stiffening of muscles that limits joint movement) Review of Resident 12's occupational therapy (OT) notes revealed Resident 12 evaluation and plan of treatment for left hand contracture was conducted on August 22, 2025. Review of Resident 12's OT short term goal(stg) revealed Patient will achieve normal anatomical alignment of the left fingers for 3 hours in order 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · tag F0919 — failed to provide a working call system — isolated
    Make 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 observations, clinical record review, and staff interview, it was determined that the facility failed to ensure that all residents had access to a call bell for assistance from staff for one of nine residents observed. (Resident 13). Findings include: Review of Resident 13's clinical record revealed resident was admitted to the facility on [DATE].Further review of Resident 13's admission assessment dated [DATE], revealed resident had a BIMS 15 (brief interview for mental status) indicating resident was cognitively intact.Review Resident 13 diagnosis list revealed schizoaffective disorder, bipolar type (characterized by symptoms of both schizophrenia (mental illness that affects how people think and behave) and bipolar disorder (mental condition that causes extreme mood swings)). Observation of seventh floor during complaint survey on April 16, 2026, at approximately 11:09 a.m. revealed Resident 13 was sitting on bedside with no call bell to alert staff for assistance if necessary. Upon checking the room…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-03-16 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 staff interview, it was determined that the facility failed to ensure a safe, clean, comfortable, and homelike environment for one of two units (North building Floor 8)Findings include:Observations on March 16, 2026, between 10:00 - 10:30 a.m. of the North building 8th floor (N8) revealed that the floor in front of the nursing station and the hallway was sticky. A visible spill was observed in the lounge area and in the doorway of room [ROOM NUMBER].Multiple scraps of paper were observed on the floor in the lounge area and in the hallways. A sugar packet was observed on the floor in room [ROOM NUMBER] and a plastic lid and straw were on the floor in room [ROOM NUMBER]. A plastic glove was observed on the floor in the hallway.A dried, brown substance was observed on the floor in the room and bathroom of room [ROOM NUMBER]. Additionally, a dried, brown substance was observed on the toilet.A dried food substance was observed on the floor in rooms [ROOM NUMBERS].A thermostat was observed in…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-04 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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 policy review, resident and staff interviews and review of resident records it was determined that the facility failed to provide assistance with activities of daily living for 1 of seventeen residents reviewed (Resident 1).Findings include:Facility policy titled Activities of Daily Living (ADLs), last reviewed December 2024, notes it is the policy of the facility to understand the principals of quality of life, and honor and support these principals for each resident, and that the care and services provided are person centered, and honor and support each resident's preferences, choices, values and beliefs. The facility will provide care and services for hygiene-bathing, dressing, grooming and oral care.Review of Resident 1's February 20, 2026, Activities of Daily Living (ADLs), admission Minimum Data Set (MDS), revealed the resident utilizes a wheelchair and requires supervision or touching assistance with showering/bathing, and requires supervision and touching assistance with tub/shower transfers.Interview with Resident 1 on March 3, 2026, at 2:30 p.m., when the resident…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 policy review, interviews and record reviews it was determined that the facility failed to properly administer medications for 1 out of five residents reviewed (Resident 5). Findings include: Review of facility policy and guidelines titled Administering Medications, last revised on April 17, 2024, documents medications shall be administered in a safe and timely manner and as prescribed.Per the policy, if a dosage is believed to be inappropriate or excessive for a resident, or a medication has been identified as having potential adverse consequences for the resident or is suspected of being associated with adverse consequences, the person preparing or administering the medication shall contact the resident's attending physician or medical director to discuss concerns.Additionally, the individual administering the medication must check the label to verify the right medication, right dosage, right time, and right method of administration before giving the medication.Review of Resident 5's care plan revealed medical diagnosis' that included Metabolic Encephalopathy (a change in…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-04 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make 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

    Based on observations it was revealed that the facility failed to provide a safe, sanitary and comfortable environment for residents, staff and the public 2 of 8 units observed. (north building floor 7 and 8) Findings include:Observations made on March 3, 2026, at 2:15 p.m., of the North Building 8th floor (N8) bathroom revealed used briefs on the trash can, paper towels, used gloves, and empty bottles of body wash and shampoo in the sinks.Observations of the N8 trash chute closet revealed trash overflowing in the bin with papers, used gloves, paper towels, and food on the floor.Observations of the North Building stairwell revealed used gloves on the landing between floors North Building 7th floor (N7) and N8.Observations made on March 4, 2025, at 10:05 a.m., of trash chute rooms on all floors of the North Building revealed food, used gloves and papers and paper towels on the floor on N8.Interview conducted with the Nursing Home Administrator (NHA) and Director of Nursing (DON) on March 4, 2026, at 12:55 p.m., when the above information was presented the NHA and DON stated they…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-30 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, it was determined that the facility failed to ensure a safe, clean, homelike, comfortable environment for one of twenty-seven rooms observed (room [ROOM NUMBER]).Findings include: Observations made on September 7, 2025, at 12:15 p.m., of 27 rooms on the 8th floor, revealed that one wall in room [ROOM NUMBER] had paint that was bubbled and peeling. Further observations revealed drywall that was cracked with pieces of drywall sitting on the windowsill. Observations were made of fraying fall mats on the 6th floor in rooms 601, 615, 616, 625, and 627. Interview conducted with Nursing Home Administrator (NHA) and Director of Nursing (DON), on January 30, 2026, at 2:20 p.m. when the above was presented, the NHA stated she would investigate the matter. Resident Rights 483.10(i)(1)-(7)

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-30 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, it was determined that the facility failed to ensure food was stored in a clean, sanitary environment in the pantry of one of three floors observed (floor 8).Findings include: Observations of the 8th floor pantry revealed rust and brown stains on the outside and inside of the cabinets, brown stains on the countertop, and red and brown stains inside of the refrigerator and freezer. Observations revealed a coffee carafe with dried coffee at the bottom, a water-stained ice bucket and ice scoop was observed on the counter. Further review revealed rust on the coffee and ice machines, and calcium build-up on the ice machine, sink fixtures and inside the sink. Interview conducted with Nursing Home Administrator (NHA) and Director of Nursing (DON), on January 30, 2026, at 2:20 p.m., when the above was presented, the NHA stated it was the responsibility of both dietary and housekeeping staff to clean the pantry. The NHA stated she would investigate the matter. Food and Nutrition Services 483.60(i)(1)(2)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-07-28 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of facility policy, nursing unit observations, and staff interviews it was determined that the facility failed to provide a clean and homelike environment on one of four nursing units (8 North Nursing Unit) and for 12 of 17 residents (Residents R1, R3, R4, R5, R6, R7, R8, R9, R10, R11, R13, and R14).Findings include: Review of the facility policy, Resident Rights - Safe/Clean/ Comfortable/ Homelike Environment dated 1/8/25, indicated, It is the policy of the facility to provide a safe, clean, comfortable homelike environment. The facility must provide a safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. Included in the listing of the services provided were housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior and clean bed and bath linens that are in good condition. During an observation on 7/28/25, at 10:59 a.m., of the nursing unit dining room it was noted that the floor appeared unclean, and the surveyor's shoes stuck to 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-07-28 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide 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 review of facility documents, observations, and resident and staff interviews, it was determined that the facility failed to provide activity of daily living (ADL) assistance for 11 of 17 residents (Residents R1, R2, R3, R6, R8, R9, R10, R11, R12, R14 and R15).Findings include: Review of the facility policy Activities of Daily Living (ADLs) dated 1/8/25, indicated A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. During an observation on 7/28/25, at 10:59 a.m., Resident R12 was observed in the dining room wearing a gown and a flannel jacket. The gown had large areas of visible soilage. During an observation on 7/28/25, at 11:03 a.m., Resident R1 was observed asleep on a bed with no bed linens. During an observation on 7/28/25, at 11:05 a.m., Resident R2 was walking in the hallway with one sock only partially on his left foot (approximately four inches of loose sock hanging off the toe end) and a different type of sock on his foot, with visible soilage.…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-28 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of facility documents, nursing unit observations, and staff interviews, it was determined that the facility failed to provide an ongoing program of activities to meet the interests of and support the physical, mental, and psychosocial well-being of residents on one of four nursing units (Nursing Unit 8 North). Findings include: Review of the Facility Assessment most recently reviewed 5/23/25, indicated that the facility will provide care for residents with Alzheimer's disease (a type of brain disorder that causes problems with memory, thinking and behavior) and non-Alzheimer's dementia (a group of symptoms that affects memory, thinking and interferes with daily life). The Facility Assessment further stated that they will provide therapeutic recreation as a service to their resident population. During an observation of the 8 North nursing unit (secure unit for residents with memory impairments) on 7/28/25, at 10:45 a.m., three residents were observed folding towels. Observations throughout the remainder of the day failed to reveal any further recreational activities…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-28 · tag F0807 — failed to offer suitable drinks — pattern
    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, policy review, clinical record review, and staff interviews, the facility failed to provide drinking water consistent with resident needs and preferences for one out of four units sampled (8 North nursing unit). Findings include:Review of information published by the Alzheimer's Society, titled Drinking, Hydration and Dementia indicated, Someone with dementia may not recognize that they are thirsty, or they may forget to drink. They might also struggle to get themselves a drink or tell you when they are thirsty. Review of the facility policy, Quality of Care - Nutrition/Hydration Status Maintenance dated 1/8/25, indicated It is the policy of the facility to provide Nutrition/Hydration Status Maintenance Services in accordance with State and Federal regulations and that a resident Is offered sufficient fluid intake to maintain proper hydration and health.During observations completed on the memory impaired unit on 7/28/25, the following was noted:11:03 a.m. Resident R1 was observed in bed. No drinking cups were noted in his room. Resident R1 had no other…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-30 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of facility policy, clinical records, and staff interview, it was determined that the facility failed to ensure weights were monitored and a significant weight change was promptly addressed for three out of fifteen residents reviewed (Resident 36, 223 and 274). Findings include: A review of the facility's policy titled Weight Assessment and Intervention, revised February 15, 2022, revealed Any weight change of greater than or less than 5 pounds within 30 days will be retaken for confirmation. The dietician will also review monthly weights by the 10th of the month to follow individual weight trends. Negative trends will be assessed and addressed by Dietician whether or not the definition of Significant Weight change is met. If the weight loss meets the definition of Significant, the Dietician should discuss with the Interdisciplinary Team and make recommendations. Review of Resident 36's clinical record revealed diagnoses including depression and unspecified severe protein-calorie malnutrition (critical condition resulting from adequate intake of protein 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on review of facility policy, observations, and interview with staff, it was determined that the facility failed to store food in accordance with professional standards for food service safety in the freezer area. Findings included: Review of facility policy, Food Storage Dating & Labeling, Revised December ninth, 2022, revealed that Leftover food is stored in covered containers or wrapped carefully and securely. Each item is clearly labeled and dated before being refrigerated Observations in the freezer on May 27th, 2025, at 10:00 AM revealed a bag of frozen burgers opened and undated. In additionally, there were frozen chicken patties opened and without a date. Interview on May 27th, 2025, during the kitchen tour with Employee E-4 confirmed all items should be labeled and dated. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1) Management 28 Pa. Code 201.18(b)(3) Management 28 Pa. Code 211.10(a) Resident care policies

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-30 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based upon clinical record review and interview, it was determined the facility failed to ensure an accurate Minimum Data Set Assessment was accurately ompleted for one of 35 residents reviewed (Resident 223). Findings include: Review of Resident 223's Quarterly Minimum Data Set Assessment (MDS - periodic assessment of resident needs) dated April 6, 2025, revealed Resident 223 had a significant weight loss. Review of Resident 223's Weight Summary revealed Resident 223 weighed 144 pounds on March 12, 2025; 131.2 pounds on March 13, 2025, and 142.0 pounds on April 10, 2025. Review of Resident 223's weight change note dated April 10, 2025, revealed RD [registered dietitian] obtained reweight to refute weight change. CBW [current body weight] 142 pounds 4/10. Interview with Licensed Employee E5 on May 30, 2025, at 9:33 a.m. revealed that Resident 223's Quarterly MDS dated [DATE], inaccurately reflected a significant weight loss for Resident 223. 28 Pa. Code 211.5(f) Clinical Records

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-07 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the Pennsylvania Professional Nursing Practice Act, facility policy and procedure, observations, and staff interviews it was determined the facility failed to ensure that staff met the professional standards for a licensed nurse during medication administration for one of three residents reviewed (Resident 201). Findings include: The Professional Code, Title 49, Professional and Vocational Standards (Pennsylvania Professional Nursing Practice Act), Chapter 21.145(a) states that the Licensed Practical Nurse (LPN) is prepared to function as a member of the health-care team by exercising sound nursing judgment based on preparation, knowledge, and experience in nursing competency. The LPN participates in the planning, implementing, and evaluating nursing care, using focused assessment in settings where nursing takes place. Review of Chapter 21.145 (3) indicates, an LPN shall follow the written, established policies and procedures of the facility that are consistent with the Act. Review of the facility's policy titled Administering Medications, dated April 1, 2022,…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-07 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility policies and procedures, observations, and staff interview, it was determined that the facility failed to ensure that a resident receives the appropriate treatment to prevent complications of enteral feeding for one of four residents reviewed (Resident 269). Findings include: Review of the facility policy Enteral Nutrition via Pump, Procedure, (controlled method for providing nutritional needs via tube feeding), revealed the procedure was when using canned formula the tubing that is connected to a [fed] bag is only good for 24 hours. The bag must be changed every 24 hours. Review of Resident 269's clinical record revealed the following diagnoses: Hemiplegia and Hemiparesis following non-traumatic intracerebral hemorrhage affecting left non-dominant side (weakness or paralysis on one side of the body due to bleeding within the brain tissue), Diabetes Mellitus Type II with Nephropathy (condition where high blood sugar levels damage the blood vessels in the kidneys, leading to kidney failure1),and Gastroesophageal reflux disease (GERD) without…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-07 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure 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 observation, review of manufacturer's guidelines clinical record review, and staff interviews, it was determined that the facility failed to correctly administer medications to a resident and failed to ensure that residents were free from a medication error rate of five percent or greater for two of three residents reviewed (Resident 122 and 201) resulting in a medication error rate of 17.24% percent. Findings include: Review of the facility's policy titled Administering Medications dated April 1, 2022, revealed medication should all be administered in a safe and timely manner, and as prescribed. Review of Morphine Sulfate ER manufacturer's guide revealed the following Do not break, crush, or chew the medication, it can cause rapid release and absorption of a potentially fatal dose of Morphine. Observation of the medication administration was conducted with licensed nurse Employee E3 supervised by licensed nurse Employee E4 on June 5, 2024, at 9:15 a.m. Employee E3 crushed medications Aspirin 81 mg (medication used to treat pain, and inflammation) one tablet, Amlodipine 5…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

$31.3M
Net patient revenuemost recent cost report
-13.7%
Operating marginrevenue minus expenses
$986K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 89%Medicare 4%Other / private 7%

About 89% 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 $986K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$315per resident / day
operating cost
$9,568per month
≈ monthly operating cost
$277per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Pennsylvania
$11,954/mo
Nursing home (semi-private)
$13,688/mo
Nursing home (private)
$6,480/mo
Assisted living

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 395454. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-12, 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.

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