Cycle 1
Health 2025-05-16 · Fire 2025-05-16
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Newtown, PA
Chandler Hall Health Services
5-star overall rating with 5-star inspections with 2 recent health deficiencies
99 Barclay Street, Newtown, PA
(215) 860-4000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
53
Certified beds
Average residents
46
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1973-06-18
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
Hours and turnover
RN hours / resident day
0.80
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.05
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.43
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.28
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.99
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
4.36
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,238
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.82% · Performance 22.03% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.80
Baseline 6.98% · Performance 7.60% · Measure score 0.80 · Achievement 0.80 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
4.47
Baseline 3.59 hours · Performance 4.35 hours · Measure score 4.47 · Achievement 4.47 · Improvement 2.98
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.43% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 201 · Observed rate 7.46% · Lower 95% interval 6.84% |
| Discharge to community | 67.61% |
50.57%
17 pts better
|
Better than the National Rate · Eligible stays 195 · Observed rate 63.59% · Lower 95% interval 61.84% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 155 · Denominator 155 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 155 |
| Discharge self-care score | 34.38% |
53.69%
19.3 pts worse
|
Numerator 33 · Denominator 96 |
| Discharge mobility score | 57.29% |
50.94%
6.4 pts better
|
Numerator 55 · Denominator 96 |
| Pressure ulcers or injuries, new or worsened | 1.94% |
2.29%
0.4 pts better
|
Numerator 3 · Denominator 155 · Adjusted rate 1.96% |
| Healthcare-associated infections requiring hospitalization | 7.59% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 133 · Observed rate 6.77% · Lower 95% interval 4.69% |
| Staff COVID-19 vaccination coverage | 33.33% |
8.2%
25.1 pts better
|
Numerator 24 · Denominator 72 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 32.29% |
56.45%
24.2 pts worse
|
Numerator 31 · Denominator 96 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 111 · Denominator 111 |
| Resident COVID-19 vaccinations up to date | 27.63% |
25.2%
2.4 pts better
|
Numerator 21 · Denominator 76 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.2
1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
86.9%
2.8 pts better
|
93.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 92.6% · Q3 81.5% · Q4 93.5% · 4Q avg 89.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
93.5%
3.4 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
3.2%
2.3 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.9% · 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 | 2.1% |
6.5%
4.4 pts better
|
5.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 4.5% · Q4 0.0% · 4Q avg 2.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.3% |
19.9%
6.6 pts better
|
19.6%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 8.3% · Q3 8.7% · Q4 19.2% · 4Q avg 13.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.8% |
18.7%
5.9 pts better
|
16.7%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 14.3% · Q4 12.0% · 4Q avg 12.8% · 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 | 36.8% |
19.6%
17.2 pts worse
|
16.3%
20.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
18.3%
6.1 pts better
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 13.6% · Q3 13.6% · Q4 4.3% · 4Q avg 12.2% · 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 | 1.7% |
1.7%
About the same
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 3.8% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
26.4%
2.9 pts better
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 31.7% · Q3 23.1% · Q4 21.7% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
5.3%
0.6 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 10.0% · Q3 4.8% · Q4 0.0% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.3% |
68.9%
10.4 pts better
|
81.7%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.2% · Q2 73.9% · Q3 82.2% · Q4 80.3% · 4Q avg 79.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
9.8%
0.8 pts worse
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 9.8% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.4% |
68.7%
10.7 pts better
|
79.7%
0.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.8% |
23.1%
8.7 pts worse
|
23.9%
7.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.8% · Observed 27.6% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-13 · Fire 2024-06-13
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2023-07-07 · Fire 2023-07-07
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-06-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-28
E · Potential for more than minimal harm
2024-06-13
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-08-28
E · Potential for more than minimal harm
2024-06-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-28
E · Potential for more than minimal harm
2024-06-13
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-09-17
E · Potential for more than minimal harm
2024-06-13
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-28
C · Minimal harm
2024-06-13
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-08-28
C · Minimal harm
2024-06-13
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-08-28
C · Minimal harm
2024-06-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-28
E · Potential for more than minimal harm
2023-07-07
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-15
C · Minimal harm
2023-07-07
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-15
C · Minimal harm
2023-07-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-16
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 2025-06-13
B · Minimal harm
2025-05-16
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-13
D · Potential for more than minimal harm
2024-06-13
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 2024-07-02
F · Potential for more than minimal harm
2023-07-07
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 2023-08-01
D · Potential for more than minimal harm
2023-07-07
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 2023-08-01
D · Potential for more than minimal harm
2023-07-07
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-08-01
C · Minimal harm
2023-07-07
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 2023-08-01
Penalties and ownership
What sits behind the stars
Ownership
Chandler Hall Health Services, Inc
5% Or Greater Direct Ownership Interest · Organization
Bayardi, Elizabeth
Corporate Officer · Individual
Donnelly, Christopher
Operational/Managerial Control · Individual
Donnelly, Christopher
Corporate Director · Individual
Johnson, Sherrin
Corporate Officer · Individual
Landenberger, Christine
Operational/Managerial Control · Individual
Landenberger, Christine
Corporate Director · Individual
Landenberger, Christine
Corporate Officer · Individual
Sheehan, Paul
Corporate Officer · Individual
Whitman, John
Operational/Managerial Control · Individual
Whitman, John
Corporate Director · Individual
Whitman, John
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Pennswood Village
Newtown, PA
3-star overall rating with 2-star inspections with abuse icon flag with $40,721 in total fines with 3 recent health deficiencies
#2
Pickering Manor Home
Newtown, PA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#3
Crestview Center
Langhorne, PA
3-star overall rating with 2-star inspections with $43,638 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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