Bristol, PA

Bristol Health & Rehab Center

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $418,359 in total fines with 25 recent health deficiencies

905 Tower Road, Bristol, PA

(215) 785-3201

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

174

Certified beds

Average residents

139

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Communicare Health

Operator or chain grouping

Approved since

1969-01-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

122 facilities

Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars

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

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.26

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.42

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.61

CMS adjusted RN staffing hours

Adjusted total hours

3.94

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

21%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,436

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9929

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 17.97% · Performance 22.00% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.42

Baseline 7.26% · Performance 6.81% · Measure score 3.42 · Achievement 3.42 · Improvement 1.47

Total nurse turnover

8.85

Baseline 27.10% · Performance 27.50% · Measure score 8.85 · Achievement 8.85 · Improvement 0

Adjusted total nurse staffing

3.72

Baseline 3.51 hours · Performance 4.14 hours · Measure score 3.72 · Achievement 3.72 · Improvement 2.27

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.15%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 135 · Observed rate 13.33% · Lower 95% interval 7.58%
Discharge to community 44.51%
50.57%
6.1 pts worse
No Different than the National Rate · Eligible stays 65 · Observed rate 35.38% · Lower 95% interval 32.84%
Medicare spending per beneficiary 0.84
1.02
0.2 pts better
Drug regimen review with follow-up 98.52%
95.27%
3.2 pts better
Numerator 133 · Denominator 135
Falls with major injury 0.74%
0.77%
About the same
Numerator 1 · Denominator 135
Discharge self-care score 41.86%
53.69%
11.8 pts worse
Numerator 36 · Denominator 86
Discharge mobility score 38.37%
50.94%
12.6 pts worse
Numerator 33 · Denominator 86
Pressure ulcers or injuries, new or worsened 4.44%
2.29%
2.2 pts worse
Numerator 6 · Denominator 135 · Adjusted rate 4.59%
Healthcare-associated infections requiring hospitalization 6.81%
7.12%
0.3 pts better
No Different than the National Rate · Eligible stays 82 · Observed rate 6.1% · Lower 95% interval 3.48%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 170
Staff flu vaccination coverage 19.87%
42%
22.1 pts worse
Numerator 30 · Denominator 151
Discharge function score 60.47%
56.45%
4 pts better
Numerator 52 · Denominator 86
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 39 · Denominator 39
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 24 · Denominator 24
Resident COVID-19 vaccinations up to date 45.07%
25.2%
19.9 pts better
Numerator 32 · Denominator 71

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.1
1.7
1.4 pts worse
1.9
1.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.4 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.2
0.1 pts worse
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.6%
86.9%
4.7 pts better
93.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 89.8% · Q3 89.9% · Q4 93.0% · 4Q avg 91.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4%
93.5%
5.9 pts better
95.5%
3.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.4%
Percentage of long-stay residents experiencing one or more falls with major injury 1.2%
3.2%
2 pts better
3.3%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 1.4% · Q4 1.4% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.7%
6.5%
5.8 pts better
11.4%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight 4.5%
6.5%
2 pts better
5.4%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 5.9% · Q3 2.4% · Q4 5.0% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 44.6%
19.9%
24.7 pts worse
19.6%
25 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 43.7% · Q2 47.5% · Q3 43.1% · Q4 44.3% · 4Q avg 44.6%
Percentage of long-stay residents who received an antipsychotic medication 30.5%
18.7%
11.8 pts worse
16.7%
13.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 29.2% · Q3 35.1% · Q4 33.7% · 4Q avg 30.5% · 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 9.5%
19.6%
10.1 pts better
16.3%
6.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 6.1% · Q3 6.7% · Q4 9.6% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.1%
18.3%
3.2 pts better
14.9%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 8.8% · Q3 6.8% · Q4 18.6% · 4Q avg 15.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.9%
0.3 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
1.7%
1.2 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.5%
26.4%
0.9 pts better
19.8%
5.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.6% · Q2 24.3% · Q3 18.9% · Q4 25.3% · 4Q avg 25.5%
Percentage of long-stay residents with pressure ulcers 6.8%
5.3%
1.5 pts worse
5.1%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 8.2% · Q3 4.5% · Q4 5.7% · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.3%
68.9%
9.4 pts better
81.7%
3.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 76.6% · Q3 76.7% · Q4 79.6% · 4Q avg 78.3%
Percentage of short-stay residents who had an outpatient emergency department visit 7.1%
9.8%
2.7 pts better
12.0%
4.9 pts better
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 8.5% · Expected 13.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.1%
1.5%
0.6 pts worse
1.6%
0.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.7% · Q3 3.8% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.4%
68.7%
21.7 pts better
79.7%
10.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.3%
23.1%
7.2 pts worse
23.9%
6.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 31.7% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-26 · Fire 2024-09-26

25 health deficiencies

Top issue: Infection Control (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-01-26 · Fire 2023-01-26

19 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2023-01-26

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-02-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-28

G · Actual harm 2025-07-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-07-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-08

G · Actual harm 2025-03-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-30

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-30

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-30

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-03-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-30

D · Potential for more than minimal harm 2024-12-26

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-01-30

J · Immediate jeopardy 2024-10-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-30

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-22

K · Immediate jeopardy 2024-09-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-21

K · Immediate jeopardy 2024-09-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-26

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-07-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-23

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-08-30

D · Potential for more than minimal harm 2023-12-11

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-01-16

F · Potential for more than minimal harm 2023-11-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F585 · Resident Rights Deficiencies

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 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-11-30

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-01-16

D · Potential for more than minimal harm 2023-09-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-24

D · Potential for more than minimal harm 2023-09-13

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-10-03

D · Potential for more than minimal harm 2023-09-13

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-10-03

D · Potential for more than minimal harm 2023-08-17

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-10-03

D · Potential for more than minimal harm 2023-08-17

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-10-03

D · Potential for more than minimal harm 2023-08-17

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-10-03

D · Potential for more than minimal harm 2023-05-18

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-18

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-18

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2023-06-27

E · Potential for more than minimal harm 2023-05-10

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-06-13

D · Potential for more than minimal harm 2023-05-03

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-06-13

D · Potential for more than minimal harm 2023-05-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-13

E · Potential for more than minimal harm 2023-01-26

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-26

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-26

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-01-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-03-01

Penalties and ownership

What sits behind the stars

$105,996 2024-10-30

Fine

Fine · fine $105,996

Fine

$312,363 2024-07-23

Fine

Fine · fine $312,363

Fine

Ownership

Omg Mstr Lsco, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2021-03-01
C R Stoltz Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 28 facilities 2021-03-01
C.r. Stoltz Family Investment Company Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 57 facilities 2021-03-01
C.r. Stoltz Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2021-03-01
Chiles, Machere

Operational/Managerial Control · Individual

0% 2 facilities 2024-08-05
Groves, Donna

Operational/Managerial Control · Individual

0% 102 facilities 2023-04-14
Health Care Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 38 facilities 2021-03-01
I. Rosedale Family Investment Company Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 46 facilities 2021-03-01
I. Rosedale Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2021-03-01
R.s. Wilheim Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 95 facilities 2021-03-01
Romeo, Dominic

Operational/Managerial Control · Individual

0% 105 facilities 2023-04-01
Romeo, Dominic

Corporate Officer · Individual

0% 105 facilities 2023-04-01
Ronald S Wilheim 2012 Spousal Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 97 facilities 2021-03-01
Rosedale Family Investment Company, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 95 facilities 2021-03-01
Rrw, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 94 facilities 2021-03-01
S.l. Rosedale Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2021-03-01
Singh, Luvkarnjit

Operational/Managerial Control · Individual

0% 1 facilities 2021-02-01
Stoltz, Charles

Corporate Officer · Individual

0% 103 facilities 2021-03-01
Tower Mgt Co., LLC

Operational/Managerial Control · Organization

0% 1 facilities 2021-03-01
Wilheim Family Investment Company, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 94 facilities 2021-03-01
Wilheim, Ronald

Corporate Officer · Individual

0% 98 facilities 2021-03-01

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Other facilities in reach

#1

Juniper Village At Bucks County Rehab And Skd Care

Bensalem, PA

5-star overall rating with 4-star inspections with $40,682 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
5 / 5
Fines
$40,682
#2

Masonic Village At Burlington

Burlington, NJ

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $86,411 in total fines with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$86,411
#3

Complete Care At Burlington Woods, LLC

Burlington, NJ

3-star overall rating with 3-star inspections with $63,469 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$63,469

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