Cycle 1
Health 2025-07-17 · Fire 2025-07-17
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.
Philadelphia, PA
Cathedral Village
2-star overall rating with 2-star inspections with abuse icon flag with $219,489 in total fines with 7 recent health deficiencies
600 East Cathedral Road, Philadelphia, PA
(215) 487-1300
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
68
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Presbyterian Senior Living
Operator or chain grouping
Approved since
1980-03-28
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 3 overall / 3 health / 4 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
0.70
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.09
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.98
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.45
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
0.76
CMS adjusted RN staffing hours
Adjusted total hours
4.31
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,207
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.45
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.25% · Performance 22.95% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.14
Baseline 6.09% · Performance 6.89% · Measure score 3.14 · Achievement 3.14 · Improvement 0
Total nurse turnover
0
Baseline 38.57% · Performance 62.50% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.24
Baseline 3.67 hours · Performance 3.71 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.87% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 164 · Observed rate 12.8% · Lower 95% interval 8.59% |
| Discharge to community | 62.28% |
50.57%
11.7 pts better
|
Better than the National Rate · Eligible stays 154 · Observed rate 57.79% · Lower 95% interval 57.32% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.33% |
95.27%
3.1 pts better
|
Numerator 118 · Denominator 120 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 120 |
| Discharge self-care score | 58.25% |
53.69%
4.6 pts better
|
Numerator 60 · Denominator 103 |
| Discharge mobility score | 56.31% |
50.94%
5.4 pts better
|
Numerator 58 · Denominator 103 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 120 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.9% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 122 · Observed rate 5.74% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 8.87% |
8.2%
0.7 pts better
|
Numerator 22 · Denominator 248 |
| Staff flu vaccination coverage | 22.26% |
42%
19.7 pts worse
|
Numerator 67 · Denominator 301 |
| Discharge function score | 61.17% |
56.45%
4.7 pts better
|
Numerator 63 · Denominator 103 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 23 · Denominator 23 |
| Transfer of health information to patient | 94.74% |
96.28%
1.5 pts worse
|
Numerator 72 · Denominator 76 |
| Resident COVID-19 vaccinations up to date | 19.67% |
25.2%
5.5 pts worse
|
Numerator 12 · Denominator 61 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.1 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.2
0.4 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.5 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.5% |
86.9%
1.6 pts better
|
93.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.5% · Q2 86.8% · Q3 91.8% · Q4 93.9% · 4Q avg 88.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.0% |
93.5%
11.5 pts worse
|
95.5%
13.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
3.2%
2.6 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 5.7% · Q3 4.1% · Q4 2.0% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 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 who lose too much weight | 8.7% |
6.5%
2.2 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 7.1% · Q3 5.4% · Q4 10.0% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.6% |
19.9%
8.3 pts better
|
19.6%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 14.3% · Q3 10.5% · Q4 10.0% · 4Q avg 11.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.3% |
18.7%
6.4 pts better
|
16.7%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 14.3% · Q3 8.8% · Q4 8.8% · 4Q avg 12.3% · 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 | 19.4% |
19.6%
0.2 pts better
|
16.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.6% |
18.3%
8.3 pts worse
|
14.9%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.1% · Q2 38.2% · Q3 6.1% · Q4 15.8% · 4Q avg 26.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% |
26.4%
3.6 pts better
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 27.7% · Q3 21.9% · Q4 18.1% · 4Q avg 22.8% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
5.3%
1.9 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 32.6% |
68.9%
36.3 pts worse
|
81.7%
49.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.4% · Q2 18.5% · Q3 32.7% · Q4 43.2% · 4Q avg 32.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
9.8%
3.8 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 11.9% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.0% |
68.7%
43.7 pts worse
|
79.7%
54.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 25.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
23.1%
4.4 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 21.2% · Expected 18.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2025-02-10 · Fire 2025-02-10
8 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-05-02 · Fire 2024-05-02
17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-21
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.
Not marked corrected
E · Potential for more than minimal harm
2025-08-12
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Not marked corrected
F · Potential for more than minimal harm
2025-07-17
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 2025-08-14
D · Potential for more than minimal harm
2025-07-17
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-14
D · Potential for more than minimal harm
2025-07-17
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-14
D · Potential for more than minimal harm
2025-07-17
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-14
G · Actual harm
2025-06-16
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 2025-07-04
F · Potential for more than minimal harm
2025-02-10
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 2025-03-18
F · Potential for more than minimal harm
2025-02-10
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-03-18
D · Potential for more than minimal harm
2025-02-10
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 2025-03-18
D · Potential for more than minimal harm
2025-02-10
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 2025-03-18
D · Potential for more than minimal harm
2025-02-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-18
D · Potential for more than minimal harm
2025-02-10
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-18
D · Potential for more than minimal harm
2025-02-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-18
G · Actual harm
2024-09-19
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 2024-10-25
K · Immediate jeopardy
2024-05-02
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 2024-06-18
K · Immediate jeopardy
2024-05-02
F839 · Administration Deficiencies
Health
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2024-06-18
F · Potential for more than minimal harm
2024-05-02
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-18
E · Potential for more than minimal harm
2024-05-02
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 2024-06-18
E · Potential for more than minimal harm
2024-05-02
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-18
E · Potential for more than minimal harm
2024-05-02
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 2024-06-18
E · Potential for more than minimal harm
2024-05-02
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-05-02
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 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F761 · Pharmacy Service Deficiencies
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 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-05-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-18
G · Actual harm
2023-04-26
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 2023-05-02
Penalties and ownership
What sits behind the stars
$32,526
2024-09-19
Fine
Fine · fine $32,526
Fine
$175,513
2024-05-02
Fine
Fine · fine $175,513
Fine
$11,450
2023-04-26
Fine
Fine · fine $11,450
Fine
Ownership
Phi
5% Or Greater Direct Ownership Interest · Organization
Benchmark Therapies, Inc.
Operational/Managerial Control · Organization
Birdsall, James
Corporate Director · Individual
Bowser, Nicole
Operational/Managerial Control · Individual
Burden, Ashley
Operational/Managerial Control · Individual
Carr, Randi
Corporate Director · Individual
Cathedral Village
5% Or Greater Direct Ownership Interest · Organization
Chottiner, Lawrence
Corporate Director · Individual
Clancy, James
Operational/Managerial Control · Individual
Curana Health Of Pennsylvania Pc
Operational/Managerial Control · Organization
Davis, Danny
Corporate Officer · Individual
Davis, Todd
Corporate Officer · Individual
Denison, Barbara
Corporate Director · Individual
Derr, Scott
Corporate Director · Individual
Duncan, Jean
Corporate Director · Individual
Elliott, Brenda
Corporate Director · Individual
Goldstein, Terry
Corporate Director · Individual
Hoffman, Cynthia
Corporate Director · Individual
Hoffman, Cynthia
Corporate Officer · Individual
Katz, Paul
Operational/Managerial Control · Individual
Kinard, Joseph
Corporate Director · Individual
King, Caroline
Corporate Director · Individual
King, Caroline
Corporate Officer · Individual
Krieger, Daniel
Corporate Officer · Individual
Lange, Holly
Corporate Director · Individual
Mcalister, Dyan
Corporate Officer · Individual
Merriweather, Barbara
Corporate Director · Individual
Paxton, Stuart
Corporate Director · Individual
Phi
Operational/Managerial Control · Organization
Reimann, Susan
Corporate Director · Individual
Rhodes, Cheryl
Corporate Director · Individual
Ross, Kevin
Corporate Director · Individual
Scott, Susan
Corporate Director · Individual
Scott, Susan
Corporate Officer · Individual
Seibert, Joseph
Corporate Director · Individual
Sharer, Jessica
Corporate Officer · Individual
Shropshire, Jennifer
Corporate Director · Individual
Stone, Robyn
Corporate Director · Individual
Wickline, Beverly
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Meadowview Rehabilitation And Nursing Center
White Marsh, PA
2-star overall rating with 2-star inspections with $79,414 in total fines with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Masonic Village At Lafayette Hill
Lafayette Hill, PA
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Waverly Heights
Gladwyne, PA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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