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Hillcrest Center

1245 Church Road, Wyncote, PA 19095 · For profit - Limited Liability company · 180 certified beds · (215) 884-9990 Medicare & Medicaid certified

Call the home — (215) 884-9990 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0610) — cited Mar 20252 actual-harm citations
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 (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (33) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)
  • about 19% of its spending goes to commonly-owned related companies

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) 1 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
8101 Washington Ln · (215) 886-0440 · Call to confirm hours
Pharmacy
2471 W Cheltenham Ave Ste A · (215) 885-7779 · Call to confirm hours
Grocery
2471 W Cheltenham Ave · (215) 887-7300 · Call to confirm hours
Park
1250 Church Rd · (215) 884-7675 · Typically dawn to dusk
Place of worship
7910 Washington Ln · (215) 886-0404

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 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 improved from 1 to 3 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 rating3★
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 increased20.3%16.8%15.4%worse
Long-stay residents who lose too much weight7.2%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.1%0.7%0.9%better
Long-stay residents with a urinary tract infection0.7%1.5%2.0%better
Long-stay residents with depressive symptoms72.2%10.8%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury1.5%3.1%3.3%better
Long-stay residents whose ability to walk worsened11.1%17.0%16.1%better
Long-stay residents on antianxiety or hypnotic medication9.9%20.0%18.9%better
Long-stay residents given the seasonal flu vaccine99.4%93.5%95.3%typical
Long-stay residents with pressure ulcers4.9%4.8%4.7%typical
Long-stay residents with worsening bladder/bowel control19.7%25.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table13.6%17.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine86.1%68.7%79.4%typical
Short-stay residents rehospitalized after admission25.1%22.5%22.6%worse
Short-stay residents with an outpatient ER visit3.7%9.5%12.0%better
Long-stay hospitalizations per 1,000 resident days1.861.621.67worse
Long-stay outpatient ER visits per 1,000 resident days0.281.181.80better

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

§ 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.

59.8% 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 70 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.8%U.S. median 51.5%
Got home and stayed home
11.0%U.S. median 10.7%
Went back to hospital
45.8%U.S. median 56.6%
Met the expected recovery
0.32U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 45.8% 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 48 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 0.32 therapist hours per resident per day in 2026Q1 — more than 53% 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 SNF59.8%CMS range 47.2–71.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.0%CMS range 7.6–16.510.7%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 discharge45.8%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 discharge41.7%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 discharge45.8%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened5.5%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 hospitalization6.0%CMS range 3.2–10.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 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

0.38
RN hours/ resident / day
0.91
LPN hours/ resident / day
1.88
Aide hours/ resident / day
3.17
Total nurse hours/ resident / day
0.31
RN hoursweekends
36.5%
Total nursing turnover
41.2%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 160.8 residents a day — about 89% occupied, or roughly 19 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.03 hrs/resident/day on weekends vs 3.23 on weekdays — 6% thinner on weekends. RN hours go from 0.41 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% 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

8
deficiencies at the latest standard inspection (2026-04-16)
7
at the previous standard inspection (2025-05-02)

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.

33 citations, most serious first. The 12 most serious are shown; the remaining 21 are one tap away and print in full.

  • Actual harm · Gcited before2026-04-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, hospital records, and staff interviews, it was determined the facility failed to appropriately monitor and notify the physician of repeated critically elevated blood pressure readings and failed to ensure an anti-hypertensive medication was administered as ordered by the physician. This failure resulted in actual harm to Resident R12 who sustained uncontrolled hypertension, transferred to the hospital with a diagnosis of hypertensive urgency requiring hospital admission for one of 30 residents reviewed. (Resident R12)Findings include:Review of Resident R12's quarterly Minimum Data Set (MDS- federal mandated assessment tool) dated December 13, 2025, revealed the resident was admitted to the facility on [DATE]. The MDS identified diagnoses including Stroke (medical condition in which blood flow to a part of the brain is interrupted, resulting in brain cell damage that can affect movement, speech, and cognitive function), Anemia (condition characterized by a reduced number 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
  • Actual harm · G2025-05-02 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of clinical records, facility policy, dietary guidelines, and interview with staff, it was determined the facility failed to ensure Resident R369 was provided food items congruent with his/her dysphagia diet. This failure resulted in actual harm to Resident R369 who was able to obtain food items incongruent with his/her dietary restrictions, experienced a choking episode, requiring Cardio Pulmonary Resuscitation (CPR), and transfer to the hospital for one of 33 reviewed (Resident R369). Findings include: Review of the facility provided guidelines, Diet and Nutritional Care Manual Dysphagia Advanced (Level 3) or Mechanical (Dental) Soft Diet revealed This diet is used for individuals with mild oral and/or pharyngeal phase dysphagia. Foods that are difficult to chew are chopped, ground, shredded, cooked, or altered to make them easier to chew and swallow. Food should be prepared according to individual tolerance to the food. Any food that are very hard, sticky, chewy, or crunchy should be avoided . Food allowed Grains (Low-fat as appropriate) well moistened biscuits,…

    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 · D2026-06-30 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, review of clinical record, review of facility documentation, and staff interview, it was determined that the facility failed to notify the resident representative of a transfer to the hospital for one of one resident reviewed for notification of changes (Resident R1).Findings include: Review of facility policy titled Discharge and Transfer last revised June 11, 2026, revealed the facility is required to immediately inform the resident and residents representative when a decision is made to transfer the resident. Further, the policy states that when immediate transfers are required due to the residents' urgent medical needs, notification must be provided as soon as practicable. Review of resident R1's clinical record revealed that the resident was transported to his/her scheduled outpatient dialysis treatment on June 19, 2026, and subsequently required a transfer to the hospital, for further evaluation. Further review of Resident R1's clinical record revealed no documented evidence Resident R1's representative, Power of Attorney (POA - legal tool…

    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 · Dcited before2026-06-30 · 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 review of clinical records, and staff interview it was determined that the facility failed to ensure care and services were provided in accordance with physician orders for one of one resident reviewed (Resident R1). Findings include: Review of Resident R1's discharge MDS (minimum data set - federally mandated resident assessment and care screening) dated June 19, 2026, revealed the resident was discharged to a short-term acute care hospital. Per the MDS, Resident R1 has a diagnosis of end stage renal disease (also known as kidney failure) and receives hemodialysis (a machine used to physically filter waste out of the blood). Review of Resident R1's physician orders revealed an order dated October 21st, 2025, directing staff not to obtain blood pressure measurements in resident's left arm.Review of Resident R1's clinical record revealed vital signs of documented blood pressure measurements that are repeatedly obtained in the resident's left arm on the following dates: 6/4/2026: BP (blood pressure) 137/76 left arm6/6/2026: BP 97/66 left arm6/11/2026: BP 150/68 left…

    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 before2026-06-30 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, review of facility documentation, review of clinical records, and staff interview it was determined that the facility failed to maintain complete and accurate documentation one of two residents reviewed (Resident R1). Findings include: Review the facility policy titled Dialysis Hemodialysis Communication and Documentation last revised November 14, 2025, revealed the facility is responsible for maintaining ongoing communication and collaboration with the certified dialysis facility regarding the resident condition before and after each hemodialysis treatment the policy requires. A licensed nurse to complete the hemodialysis communication record including the pre dialysis evaluation before the resident leaves for dialysis. The dialysis facility to complete and return the communication form with the resident following treatment. Upon the resident return, a licensed nurse to review the dialysis facilities communication, assess the resident, and complete the post dialysis treatment evaluation. If the dialysis communication form is not returned, 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 Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · E2026-04-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review and staff interview, it was determined that the facility failed to ensure that supervision was provided to one of 30 residents reviewed (Resident R4) and the safe temperature of hot beverages in one of three nursing floors (Third Floor)Findings include: Review of Resident R4's clinical records revealed that the resident was admitted to the facility on [DATE], the diagnoses of Impulse Disorder, Dementia (Progressive cognitive decline), Abnormal Gait/Mobility (Unsteady walking pattern). Review of Resident R4's April 2026 physician orders revealed an order obtained March 1, 2026, for one-to-one supervision, at all times, every shift. Review of the resident's care plan dated March 3, 2026, revealed 1:1 supervision initiated at time of escalation -February 27, 2026. Observation conducted on April 13, 2026, at 10:45 a.m. revealed Resident R4 was alone in the room without any nursing staff present providing 1:1 supervision. Observation conducted on April 14, 2026, at 9:23…

    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 before2026-04-16 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 record review, staff interview and review of professional medical information, it was determined that the facility failed to ensure that four of four licensed nursing staff were knowledgeable in stoma/colostomy care. (Employees E5, E6, E7, and E10)Findings include: Review of the National library of Medicine article titled Intestinal Stoma last updated June3, 2023, revealed an intestinal stoma (colostomy or ileostomy) is a surgically created opening of the bowel through the abdominal wall and is a common, often life-saving procedure used to treat conditions such as colorectal cancer, bowel obstruction, and inflammatory bowel disease. Although stomas are common, they are associated with a high rate of complications (10-70%), including infection, retraction, prolapse, ischemia, fistula formation, and fluid/electrolyte imbalances. These complications can significantly impact the resident's health and require ongoing assessment, clinical judgment, and intervention. Care of a stoma 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-04-16 · tag F0761 — failed to label and store drugs safely — pattern
    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

    Based on observation and review of facility policy, it was determined that the facility failed to ensure that medications were properly stored and disposed on two of three nursing units. (1st and 3rd floors) Findings include: Review all facility policy titled Medication Storage storage of medication the the January of twenty 6 revealed medication biologicals are stored properly following manufacturers or provider pharmacy recommendations to keep their integrity and to support safe, effective drug administration the medication supply shall be accessible only to licensed nursing personnel, pharmacy personnel or staff members lawfully authorized to administer medications.Medications requiring storage at room temperature or captive temperatures ranging from 59 degrees Fahrenheit to 77 degrees Fahrenheit. Controlled room temperature is defined as 68 degrees Fahrenheit 77 degrees Fahrenheit excursions between 59 degrees Fahrenheit to 86 degrees Fahrenheit are layout with transit spikes to 104 degrees Fahrenheit as long as they don't exceed 24 hoursMedications requiring refrigeration 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, review facility documentation, review of clinical records, observations, and staff interviews, it was determined that the facility failed to ensure residents with limited range of motion received treatment and services to maintain or improve range of motion/mobility for one of three residents reviewed with limited range of motion (Resident R93).Findings Include: Review of facility policy Restorative Nursing revised August 7, 2023, revealed restorative programs are coordinated by nursing or in collaboration with rehabilitation and are patient specific based on individual patient needs. Review of Resident R93's comprehensive Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated March 4, 2026, revealed the resident was assessed with a BIMS of 12 and had diagnoses of hemiplegia or hemiparesis (weakness to one side of the body) and malnutrition. Review of Resident R93's comprehensive care plan dated April 10, 2025, revealed the resident was at…

    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 before2026-04-16 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, observations, and staff interviews it was determined that the facility failed to maintain infection control practices related to collection and transport of biohazards on one of three nursing units (2nd floor).Findings Include: Review of facility policy Collection and Transport of Specimens revised March 20, 2026, revealed that specimen collection items are kept in a separate area away from food, medications, and other items. Observations on April 13, 2026, at 10:20 a.m. revealed consultant lab tech, Employee E19, was holding a biohazard specimen transport pouch with a vial of blood enclosed in the bag. Lab tech, Employee E19, proceeded to hold the biohazard specimen pouch inside a cooler filled with ice [located at the 2nd floor nurses station] and used the ice scoop to pour ice into the biohazard specimen pouch enclosed with a vial of blood. Interview on April 13, 2026, at 10:20 a.m. surveyor asked lab tech, Employee E19, if this is how he/she should be preparing the vial of blood for transport to which the lab tech, Employee E19, replied it was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-16 · 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 — the official record, unedited, may be distressing

    Based on review of facility policy, review of facility documentation, review of grievances, and interviews with residents and staff, it was determined that the facility failed to ensure a sanitary, and homelike environment for one of three nursing units (2nd floor) Findings include:During an initial tour of the 2nd floor on April 13, 2026, at 11:15 a.m. there was a strong feces odor in the back hallway. Observations on April 13, 2026, at 11:50 a.m. revealed Resident R93's toilet was covered in feces. Resident R93 reported accidentally making a mess on the toilet overnight. Interview on April 13, 2026, at 11:56 a.m. with nurse aide, Employee E18, confirmed Resident R93's toilet was observed to be covered in feces at the start of his/her shift at 7:00 a.m. Observations on April 16, 2026, at 10:15 a.m. on the 2nd floor revealed meal trays from breakfast (consisting of eggs, and pudding) were left on the counter in the nourishment room. Further observations revealed a hole in the wall behind the sink. 28 Pa. Code 201.18(2.1) Management

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-16 · tag F0925 — failed to control pests — isolated
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and resident interview, the facility failed to ensure that the environment remains free of pest for one on three dining rooms. (3rd floor) Findings include:Interview with Resident 1 on April 13, 2026, revealed concerns regarding the presence of pests in the facility. The resident reported repeatedly observing mice in her room and provided photographic documentation supporting the presence of rodents within the living environment. Interview with Resident 154 on April 15, 2026, at approximately 12:00 p.m. in the third-floor dining room revealed concerns regarding pest activity within the facility. The resident stated that mice are frequently observed throughout the unit and reported that the issue has been ongoing for several months without resolution. The resident further stated that he observed a mouse earlier that day in the dining room under the PTAC (packaged terminal air conditioner) unit. 28 Pa Code 201.18(b)(3)(e)(1)(2.1) Management

    Environmental Deficiencies · Deficient, Provider has date of correction
Show the remaining 21 citations
  • Potential for harm · Ecited before2026-04-07 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility documentation, review of facility's policy and residents and staff interviews, it was determined that the facility failed to maintain an effective pest control program to ensure that the building was free of rodents.Findings include: Review of the facility policy titled PM 105 Infection Control Practices indicated that the facility is responsible for maintaining a pest-free environment through the use of a contracted pest control vendor, providing services on a periodic basis (weekly, monthly, or as needed). Review of pest control service reports revealed ongoing and repeated interventions for rodent activity throughout the facility. On April 3, 2026, at 8:00 PM, pest control documentation indicated the placement of two snap traps in the staff bathroom, identification of rodent feces in the corner near vending machines, and capture of a mouse in the maintenance office. Additionally, a mouse was reported in resident room [ROOM NUMBER], prompting placement of rodenticide…

    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 · E2025-05-02 · tag F0623 — pattern
    Provide 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 interview with staff and review of facility provided documentation, it was determined facility did not notify Long Term Care State Ombudsman of facility-initiated discharges for two of six months reviewed. (November 2024 and December 2024) Findings include: Review of facility policy 'Discharge and Transfer,' revised on March 24, 2025, indicates that copies of notices for emergency transfers must also be sent to the ombudsman, but they may be sent when practicable, such as in a list of patients on a monthly basis or per state requirements. Review of facility provided documentation revealed that facility's Social Services, Employee, E9, e-mailed long term care ombudsman on February 3, 2025 at 12:15 pm - forwarding monthly discharges from November 2024 - January 2025 stating I have been sending the discharges to another e-mail address which kept bouncing back. Review of e-mail response from Long Term Care Ombudsman on February 3, 2025, at 12:24 pm, revealed that only January 2025 and February 2025 notices are acceptable at this point and anything earlier, there's not much we…

    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 before2025-05-02 · 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 observations, interview with staff and review of facility provided documentation, it was determined that facility did not ensure to maintain infection control and prevention practices on one of three units observed (1st floor unit) Findings include: Review of facility policy 'Standard Precautions,' revised on May 1, 2024, instructs employees to handle, transport, and process soiled, used linen in a manner that prevents skin and mucous membrane exposures, contamination of clothing, and avoids transfer of microorganisms to other individuals and the environment. Review of facility policy 'Enhanced Barrier Precautions, (EBP's) revised on December 16, 2024, indicates that EBP's are an infection control intervention designed to reduce transmission of novel or multi-drug-resistant organisms. It employs targeted personal protective equipment (PPE) use during high- contact patient/resident activities. Observations on 1st floor unit, on Wednesday, April 30, 2025, at 9:30 a.m., revealed nurse aide, Employee E6,…

    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 date of correction
  • Potential for harm · D2025-05-02 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview with resident and staff, review of facility provided documentation, and review of clinical record, it was determined that facility did not provide reasonable accommodations related to phone services for one of 33 residents reviewed. (Resident R149) Findings include: Review of facility policy 'Resident Right's: Role of Social Services,' revised on February 16, 2024, indicates that purpose of policy is to assure that patient's personal dignity, psychosocial well-being, and self-determination are maintained. Review of Resident R149's Minimum Data Set, completed on February 6, 2025, indicates that resident's BIMS (Brief Interview for Mental Status) is score 8. Review of R149's clinical record, on Wednesday, April 30, 2025, revealed medical history of Alzheimer's disease (progressive degenerative disease of the brain), fluency disorder (trouble speaking in a fluid or flowing way), depression (major loss of itnerest in pleasurable activities), and cognitive communication deficit. Interview with Resident R149 on Tuesday, April 29, 2025, at 11:30 am, revealed that she was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-02 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, interviews with staff and reviews of policies and procedures, it was determined that the interdisciplinary care team failed to update or revised the care plan for activities of daily living for one of two residents reviewed. ( Resident R90) Findings include: Review of the policy titled Center Policies and Operations revealed that it was the interdisciplinary care teams' responsibility to revise and implement a care plan for each resident. The care plan was developed for each resident to attain their highest practicable physical, mental and psychosocial well being. The care plan for each resident was to indicate any services and treatments to be administered for the resident to achieve measurable goals of care. Clinical record review for Resident R90 revealed a quarterly assessment dated [DATE] that indicated this resident was cognitively impaired, and had bilateral upper and lower extremity impairments. The assessment indicated that this resident used a wheel chair for mobility…

    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 before2025-05-02 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations of care and services, clinical record reviews, and interviews with staff, it was determined that the facility failed to ensure that a physician's order was obtained, for the use of resident care adapted equipment for one of two residents reviewed. (Resident R151) Findings iclude: Review of Resident R151's quarterly Minimum Data Set (MDS- assessment of resident's needs) dated April 22, 2025 revealed that the resident only sometimes responded adequately to simple directions and had severe cognitive impaired. Continued review of the MDS revealed that the resident was functionally impaired on one side with the upper body extremity (shoulder, elbow, wrist and hand) and totally dependent on staff assistance for eating, personal hygiene and putting on and taking off foot wear. Clinical record review indicated that Resident R151 had diagnoses that included: left hemicraniectomy (brain surgery that removes part of the brain to reduce swelling), left sided hemiplegia (weakness to one side of 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-02 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, staff and resident interviews, it was determined that the facility failed to provide culturally competent, trauma informed care in accordance with professional standards of practice, accounting for the resident's past experiences and preferences in order to eliminate and/or mitigate triggers that may cause re-traumatization of the resident for one of 33 residents sampled (Resident R 73) Findings include: A review of the clinical record revealed that Resident R73 was admitted to the facility on [DATE], with diagnoses panic disorder (episodic paroxysmal anxiety), anxiety disorder, major depressive disorder (loss in pleasurable activities), post-traumatic stress disorder (PTSD), dementia (progressive defenerative disease of the brain), psychotic disturbance, mood disturbance and anxiety. Interviewed with Social Worker, Employee E12 on May 2, 2025, at 11:47 a.m., revealed that the Resident R73's PTSD triggers is unknown by facility. Resident R73's current care plan on February 3,…

    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 · D2025-03-17 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, interviews with staff and residents, reviews of policies, procedures and facility documentation, investigation, it was determined that that facility staff failed to immediately report an allegation of resident verbal and physical abuse for one of fourteen residents reviewed. Resident R1) Findings include: A review of the facility policy titled abuse prohibition dated October 24, 2022 revealed that the facility prohibits abuse, mistreatment, neglect, misappropriation of resident property and exploitation of all residents. The policy said that the facility was responsible for implementation of an abuse prohibition program. The facility was responsible for investigation of incidents and allegations of abuse. The policy said that the administrator was responsible for immediate investigations of alleged abuse. The investigation was to be documented with any witnesses that were interviewed. The administrator was responsible to report allegations to the local authority, within 24 hours. The administrator will take all corrective actions necessary to prevent…

    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 date of correction
  • Potential for harm · Ecited before2024-07-29 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the review of clinical records, facility documentation, interview with staff, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care of residents with PICC line ( a tube placed in a large vein in the neck, chest, groin, or arm to give fluids, blood, or medications or to do medical tests quickly) for two of four employee records reviewed. (Employee E8 and E9). Findings Include: Observation of Resident R137 on July 25, 2024, at 10:22 a.m., revealed that the resident had a right upper extremity PICC line insertion. There was documentation on the dressing to indicate the date and time the dressing last changed was July 18, 2024. Review of clinical record for Resident R13 revealed that the resident was admitted to the facility on [DATE]. Review Resident R137's physician order dated March 29, 2024, revealed an order to Change Catheter Site Transparent Dressing. Indicate external catheter length and upper arm…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-07-29 · 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 observations, review of facility policies, review of facility documentation, review of clinical records, and staff interviews, it was determined that the facility failed to establish an effective infection control program related to infection surveillance, catheter care, and use of personal protective equipment with transmission-based precautions for one of three nursing units observed (2nd floor). Findings Include: Review of facility policy COVID-19 revised July 1, 2024, revealed in addition to standard precautions, special contact and droplet precautions will be implemented for residents confirmed to have COVID-19 based on the Centers for Disease Prevention & Control (CDC) guidance. Further review of facility policy revealed staff will follow the patient specific PPE signage. Review of Infection Control Guidance: SARS-CoV-2 from the CDC website (https://www.cdc.gov /covid/hcp/infection-control) revised June 24, 2024, revealed healthcare professional who enter the room of a patient with confirmed…

    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 date of correction
  • Potential for harm · E2024-07-29 · tag F0881 — failed to use antibiotics responsibly — pattern
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of facility documentation, facility policies and staff interviews, it was determined that the facility failed to maintain an effective antibiotic stewardship program that includes a system that includes antibiotic use protocols and a system to effectively monitor antibiotic usage for five of five months of antibiotic stewardship program data reviewed. (February 2024, March 2024, April 2024, May 2024 and June 2024). Findings Include: Review of facility policy Antibiotic Stewardship dated August 7, 2024 , revealed that Centers will implement an Antibiotic Stewardship Program (ASP) that includes antibiotic use protocols and systems for monitoring antibiotic use. The Infection Preventionist (IP) is responsible for the Infection Prevention and Control program including ASP. The Administrator is ultimately responsible for the overall compliance with the ASP. The Director of Nursing (ON) and Medical Director are responsible for executing the ASP standards. Further review of facility policy and protocol revealed that the facility policy included CDC (Centers for Disease…

    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 date of correction
  • Potential for harm · E2024-07-29 · tag F0944 — pattern
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the review of facility provided documentation and interview with staff, it was determined that facility did not ensure to include as part of its Quality Assurance and Performance Improvement (QAPI) program mandatory training that outlines and informs staff of the elements and goals of the facility's QAPI program for four of five employees reviewed (Employees E10, E11, E12 and E13) Findings include: Review of Employee education record for Employee E10, Licensed Practical Nurse, revealed no evidence of training provided regarding facility's QAPI program. Review of Employee education record for Employee E11, Nurse Aide, revealed no evidence of training provided regarding facility's QAPI program. Review of Employee education record for Employee E12, Nurse Aide, revealed no evidence of training provided regarding facility's QAPI program. Review of Employee education record for Employee E13, Licensed Practical Nurse, revealed no evidence of training provided regarding facility's QAPI program. Findings confirmed with Director of Nursing on July 29, 2024. 28 Pa Code…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-29 · 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 review of clinical records and resident and staff interviews, it was determined that the facility failed to ensure medications were administered per physician orders for one of 34 residents reviewed (Resident R68). Findings Include: Review of Resident R68's Quarterly Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated June 28, 2024, revealed the resident was cognitively intact and had a diagnosis of urinary tract infection (an infection in any part of the urinary system) in the last 30 days. Review of Resident R68's comprehensive care plan revised August 30, 2023, revealed the resident was at risk for alterations in comfort related to impaired mobility and skin breakdown. Interventions included to medicate resident as ordered for pain. Further review of Resident R68's comprehensive care plan revised March 14, 2024, revealed the resident had a history of urinary tract infection and was at risk for sepsis. During an interview with Resident R68 on July 26, 2024, at 2:25 p.m. the resident reported he missed doses of his Oxycodone (opioid…

    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 · D2024-07-29 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids 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 observations, review of clinical records, facility policies and procedures, and interviews with staff and resident, it was determined that the facility failed to provide adequate treatment and care for a PICC (Peripherally Inserted Central Line Catheter) in accordance with professional standards of practice for one of one resident with PICC line reviewed (Resident R137). Findings include: Review of facility policy, Peripherally Inserted Central Line Catheter (PICC), dated August 2021 revealed that Measure circumference of upper arm before insertion as a baseline and when clinically indicated to assess for the presence of edema and possible deep vein thrombosis. Measure 10 cm above the insertion site. Measure external length of PICC catheter (catheter only-not the hub, extension set or needleless connector) at insertion, with each dressing change, and when clinically indicated if catheter dislodgement is suspected. Compare to measurement obtained at insertion. Observation of Resident R137 on July 25,…

    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 · D2024-07-29 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and the review of clinical records, it was determined that the facility failed to ensure that a medication was available in a timely manner for 1 out of 34 residents reviewed (Resident R135). Findings include: Review of the July 2024 physician orders for Resident R135 included the following diagnosis: Diabetes (a condition that affects your blood sugar levels and can cause serious complications); Obesity; Chronic Kidney Disease (a gradual loss of kidney function that can lead to kidney failure); Hypertension (high blood pressure) and Vitamin D Deficiency (a condition that occurs when the an individual doesn't have enough vitamin D, which is crucial for maintaining healthy bones, teeth, and muscles). Continued review of the July 2024 physician orders included an order dated April 18, 2024 and monthly thereafter, for the administration a K2 Plus D3 Oral Tablet [PHONE NUMBER] MCG-UNIT (a vitamin supplement that helps support bone health by aiding calcium absorption and utilization). The orders…

    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
  • Potential for harm · D2024-07-29 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the review of clinical records, interviews with resident and staff, it was determined that the facility failed to ensure that residents drug regimen was free of unnecessary drugs related to the use of antipsychotic medication without adequate monitoring for two of five residents reviewed for drug regimen. (Resident R45 and Resident R29) Findings Include: Review of facility policy, Medication Management, dated January 2024, revealed that Each resident's drug regimen is reviewed to ensure it is free from unnecessary drugs. This includes any drug In excessive dose (including duplicate drug therapy): for excessive duration; without adequate monitoring: without adequate indications for its use; in the presence of adverse consequences which indicate the dose should be reduced or discontinued; or . any combination of these reasons. Medication management is based on the care process and includes recognition or identification of the problem/need, assessment, diagnosis/cause identification, management/treatment, monitoring, and revising interventions, as warranted as well as…

    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
  • Potential for harm · E2023-08-22 · tag F0550 — failed to protect resident dignity and rights — pattern
    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

    Based on observations and interviews with staff, it was determined that the facility failed to promote care for residents that maintains or enhances dignity and respect related to two dining rooms observed. (First Floor and Second Floor dining rooms.) Findings include: Review of facility policy titled, Resident Rights Under Federal Law revised February 1, 2023, indicated that the facility must treat each resident with respect and dignity and care for each resident in a manner and an environment that promotes maintenance or enhancement of his/her self-esteem and self-worth. Interview with Resident R1 on August 21, 2023, at 10:10 a.m. revealed meals do not arrive timely and that residents were not served at one time, you just sit there and watch someone else eat. Observations of the First-floor dining room on August 21, 2023, at 12:15 p.m. revealed the following: A table of three residents, only one resident was served a meal. Further observations revealed a resident walked into the dining room to be seated and was told there was no more room available for her to sit. Employee E14…

    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 · D2023-08-22 · tag F0559 — isolated
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    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 review and interviews with residents and staff, it was determined that the facility failed to provide written notice, including reason for transfer before a resident's room was change for one of 12 residents reviewed (Resident R10). Findings Include: A review of facility policy titled, Room transfers revised August 7, 2023, revealed Notification of room change, or new roommate will be provided within reasonable/required time frames . If the room change is facility initiated and the patient agrees to transfer, the facility must give the resident or resident representative as much notice as possible including an explanation of the reason for the move. The facility must provide an opportunity for the resident or resident representative to see the location and meet the new roommate. Review of Resident R10's Quarterly Minimum Data Set (MDS - federally mandated assessment of a resident's abilities and care needs) dated June 15, 2023, revealed Resident R10 was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop 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 review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop comprehensive care plans to meet care needs for two of 12 residents reviewed. (Resident R10, R1) Findings include: Review of facility policy titled, Person- Centered Care Plan revised October 24, 2022, revealed that the Care plan will be created for each resident to attain or maintain the patient's highest practicable physical, mental and psychosocial wellbeing and to To eliminate or mitigate triggers that may cause re-traumatization of the patient. The care plan must be customized to each individual patient's preferences and needs. Review of Resident R10's Quarterly Minimum Data Set (MDS - federally mandated assessment of a resident's abilities and care needs) dated June 15, 2023, revealed Resident R10 was admitted to the facility on [DATE], with diagnoses including mild cognitive impairment, cognitive communication deficit, anxiety, and depression. Review of Resident's BIMS (Brief…

    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 · D2023-08-22 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations of the Food and Nutrition Services, reviews of policies and procedures, and interviews with residents, it was determined that the facility failed to ensure that each resident received foods and beverages that were at appetizing temperatures. Findings include: Review of the facility policy titled, Time and Temperature Control and Recording revised September 2017, revealed, bacteria and other foodborne pathogens can grow quickly in the temperature Danger Zone of 41-135 degrees Fahrenheit . Proper holding and transport of food is critical for resident safety and wellness. Further review, under the section titled Transporting, revealed, that all hot foods must be maintained at 135 degrees Fahrenheit or above and that all cold foods are maintained at 41 degrees Fahrenheit to minimize opportunities for bacterial growth. Observations of the tray line conducted on August 21, 2023, at approximately 1:00 p.m. revealed the salad container was not cooled/iced on the tray line to maintain proper cold holding procedures and ensure food safety. On August 21, 2023, at 1:30…

    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 · Dcited before2023-08-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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 review of facility documentation, review of clinical records, review of facility policy and staff interview, it was determined that the facility failed to maintain complete clinical records for one of 12 residents reviewed (Resident R12). Findings Include: A review of facility policy titled, Elopement of Patient revised September 24, 2022, indicated that all Elopement Risk Identification forms for residents at risk of elopement must be current. Residents will be evaluated for elopement risk with change in condition. The elopement investigation to be completed within five days. Review of the Facility Elopement Investigation Report, dated, August 10, 2023, indicated that Resident R12 was observed by the supervisor ambulating independently outside in the front of the building. Resident is severely cognitively impaired, identified as an elopement risk with wanderguard in place and functioning . Upon return to her room staff noted that the window screen was pushed out & the window open approximately 10.…

    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

“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.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 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 →

RatingThis homeChain avg
Overall 2 of 52.4-0.4 vs chain
Health inspection 2 of 52.3-0.3 vs chain
Staffing 1 of 52.5-1.5 vs chain
Quality measures 5 of 53.5+1.5 vs chain
The other 183 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Alexandria Care CenterLos Angeles, CA 1 of 5Bay Crest Care CenterTorrance, CA 1 of 5Bethlehem North Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bethlehem South Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bridgeville Rehabilitation & Care CenterBridgeville, PA 1 of 5Brightwood CenterFollansbee, WV 1 of 5Carlisle Skilled Nursing And Rehabilitation CenterCarlisle, PA 1 of 5Casa De Oro CenterLas Cruces, NM 1 of 5Devonshire Care CenterHemet, CA 1 of 5Gettysburg CenterGettysburg, PA 1 of 5Glenwood CenterFlorence, AL 1 of 5Heritage CenterHuntington, WV 1 of 5Hidden Valley CenterOak Hill, WV 1 of 5Inners Creek Skilled Nursing And Rehabilitation CeDallastown, PA 1 of 5Jersey Shore Skilled Nursing And Rehabilitation CeJersey Shore, PA 1 of 5Kingston Court Skilled Nursing And RehabilitationYork, PA 1 of 5Las Palomas CenterAlbuquerque, NM 1 of 5Lebanon Center, Genesis HealthCareLebanon, NH 1 of 5Lebanon Skilled Nursing And Rehabilitation CenterLebanon, PA 1 of 5Linden Grove Health Care CenterPuyallup, WA 1 of 5Magnolia RidgeGardendale, AL 1 of 5Marmet CenterMarmet, WV 1 of 5Meridian CenterHigh Point, NC 1 of 5Merry Wood LodgeElmore, AL 1 of 5Mount Olive CenterMount Olive, NC 1 of 5Mountain Ridge Center, Genesis HealthCareFranklin, NH 1 of 5Oak Grove CenterWaterville, ME 1 of 5Oceanside Skilled Nursing And RehabilitationHampton, NH 1 of 5Orchard Park Health Care & Rehab CenterTacoma, WA 1 of 5Parkersburg CenterParkersburg, WV 1 of 5Pembroke CenterPembroke, NC 1 of 5Pine LodgeBeckley, WV 1 of 5Playa Del Rey CenterPlaya del Rey, CA 1 of 5Pocahontas CenterMarlinton, WV 1 of 5Pottstown Skilled Nursing and Rehabilitation CentePottstown, PA 1 of 5Putnam CenterHurricane, WV 1 of 5Ridgewood CenterRidgewood, NJ 1 of 5Rio Rancho CenterRio Rancho, NM 1 of 5River City CenterDecatur, AL 1 of 5River Ridge CenterKennebunk, ME

Showing 40 of 183; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
GENESIS PA HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 02/02/2015
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/02/2015
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
BERG, MICHAELIndividualCORPORATE OFFICERsince 03/02/2015
BRIDGEFORD, LAURAIndividualCORPORATE OFFICERsince 06/01/2024
MENDELSON, AVIIndividualCORPORATE OFFICERsince 06/01/2024
MAJMUNDAR, SAPANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2022
MORRIS, DIANEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2022
TANAI, ROEEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/04/2025

CMS files one row per role, so the 20 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

10 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$19.2M
Net patient revenuemost recent cost report
-11.3%
Operating marginrevenue minus expenses
$4.0M
Related-party expense19% of expenses
Who pays — share of resident-days
Medicaid 90%Medicare 3%Other / private 7%

About 90% 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 $4.0M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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 2024. 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

$347per resident / day
operating cost
$10,556per month
≈ monthly operating cost
$312per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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 395481. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-16, 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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