7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Ambler, PA
5-star overall rating with 3-star inspections with 7 recent health deficiencies
250 North Bethlehem Pike, Ambler, PA
(215) 643-6333
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
61
Certified beds
Average residents
56
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-03-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.20
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.88
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.12
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.42
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.92
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
7%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
1,834
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.68
Composite VBP score used to determine payment impact.
Payment multiplier
1.0084
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.70% · Performance 23.72% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.70
Baseline 6.35% · Performance 5.23% · Measure score 8.70 · Achievement 8.70 · Improvement 7.75
Total nurse turnover
8.13
Baseline 37.88% · Performance 30.44% · Measure score 8.13 · Achievement 8.13 · Improvement 5.21
Adjusted total nurse staffing
4.64
Baseline 4.5 hours · Performance 4.40 hours · Measure score 4.64 · Achievement 4.64 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.86% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 473 · Observed rate 9.3% · Lower 95% interval 8.75% |
| Discharge to community | 53.05% |
50.57%
2.5 pts better
|
No Different than the National Rate · Eligible stays 496 · Observed rate 51.01% · Lower 95% interval 49.54% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 282 · Denominator 282 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 282 |
| Discharge self-care score | 58.82% |
53.69%
5.1 pts better
|
Numerator 140 · Denominator 238 |
| Discharge mobility score | 56.72% |
50.94%
5.8 pts better
|
Numerator 135 · Denominator 238 |
| Pressure ulcers or injuries, new or worsened | 1.77% |
2.29%
0.5 pts better
|
Numerator 5 · Denominator 282 · Adjusted rate 1.98% |
| Healthcare-associated infections requiring hospitalization | 5.23% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 274 · Observed rate 3.28% · Lower 95% interval 3.21% |
| Staff COVID-19 vaccination coverage | 31.43% |
8.2%
23.2 pts better
|
Numerator 33 · Denominator 105 |
| Staff flu vaccination coverage | 61.45% |
42%
19.5 pts better
|
Numerator 102 · Denominator 166 |
| Discharge function score | 60.5% |
56.45%
4 pts better
|
Numerator 144 · Denominator 238 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 177 · Denominator 177 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 83 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 53.64% |
25.2%
28.4 pts better
|
Numerator 81 · Denominator 151 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.2
0.5 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.8% |
86.9%
5.9 pts better
|
93.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 94.1% · Q3 91.4% · Q4 94.6% · 4Q avg 92.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.7% |
6.5%
1.2 pts worse
|
11.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 10.0% · Q3 2.9% · Q4 11.1% · 4Q avg 7.7% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
6.5%
2.5 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 4.3% · Q3 3.8% · Q4 0.0% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
19.9%
1.9 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 20.8% · Q3 15.4% · Q4 21.7% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.6% |
18.7%
0.1 pts better
|
16.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.9% |
19.6%
3.7 pts better
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
18.3%
5.7 pts better
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 10.0% · Q3 9.1% · Q4 19.0% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
26.4%
1.7 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 29.6% · Q3 18.6% · Q4 32.0% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 15.5% |
5.3%
10.2 pts worse
|
5.1%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 17.4% · Q3 18.0% · Q4 10.9% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% |
68.9%
23.2 pts better
|
81.7%
10.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.0% · Q2 90.9% · Q3 92.8% · Q4 96.5% · 4Q avg 92.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
9.8%
5.8 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 3.6% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.4% |
68.7%
16.7 pts better
|
79.7%
5.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
23.1%
2.7 pts better
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 18.5% · Expected 21.7% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-09-13
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Not marked corrected
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-06-30
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-06-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-30
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-30
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-06-30
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2025-06-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-10-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-15
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-15
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-10-15
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-10-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-05
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-20
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-11-20
Health
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.
Corrected 2023-11-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-20
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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