Wyndmoor, PA

Chestnut Hill Lodge Health And Rehab Ctr

2-star overall rating with 3-star inspections with $16,301 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

8833 Stenton Avenue, Wyndmoor, PA

(215) 836-2100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

181

Certified beds

Average residents

161

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Jonathan Bleier

Operator or chain grouping

Approved since

1975-09-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 3 overall / 2 health / 3 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

0.41

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.46

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.13

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

3.97

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,909

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

Performance score

9.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.81% · Performance 21.26% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 5.83% · Performance 8.18% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.64

Baseline 69.09% · Performance 59.60% · Measure score 1.64 · Achievement 1 · Improvement 1.64

Adjusted total nurse staffing

2.23

Baseline 3.71 hours · Performance 3.71 hours · Measure score 2.23 · Achievement 2.23 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.47%
10.72%
0.8 pts worse
No Different than the National Rate · Eligible stays 106 · Observed rate 16.98% · Lower 95% interval 8.32%
Discharge to community 37.44%
50.57%
13.1 pts worse
Worse than the National Rate · Eligible stays 104 · Observed rate 24.04% · Lower 95% interval 28.23%
Medicare spending per beneficiary 0.95
1.02
0.1 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 103 · Denominator 103
Falls with major injury 0.97%
0.77%
0.2 pts worse
Numerator 1 · Denominator 103
Discharge self-care score 49.3%
53.69%
4.4 pts worse
Numerator 35 · Denominator 71
Discharge mobility score 38.03%
50.94%
12.9 pts worse
Numerator 27 · Denominator 71
Pressure ulcers or injuries, new or worsened 4.85%
2.29%
2.6 pts worse
Numerator 5 · Denominator 103 · Adjusted rate 4.53%
Healthcare-associated infections requiring hospitalization 8.18%
7.12%
1.1 pts worse
No Different than the National Rate · Eligible stays 60 · Observed rate 13.33% · Lower 95% interval 5.35%
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage 36.79%
42%
5.2 pts worse
Numerator 71 · Denominator 193
Discharge function score 46.48%
56.45%
10 pts worse
Numerator 33 · Denominator 71
Transfer of health information to provider 93.75%
95.95%
2.2 pts worse
Numerator 30 · Denominator 32
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 34 · Denominator 34
Resident COVID-19 vaccinations up to date 1.85%
25.2%
23.3 pts worse
Numerator 1 · Denominator 54

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.2
1.7
0.5 pts worse
1.9
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.8 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.2
0.2 pts worse
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 69.4%
86.9%
17.5 pts worse
93.4%
24 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 51.3% · Q2 58.3% · Q3 71.7% · Q4 97.3% · 4Q avg 69.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.7%
93.5%
4.8 pts worse
95.5%
6.8 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.7%
Percentage of long-stay residents experiencing one or more falls with major injury 1.0%
3.2%
2.2 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.3% · Q3 0.7% · Q4 1.4% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.8%
6.5%
4.7 pts better
11.4%
9.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.4% · Q3 1.4% · Q4 0.0% · 4Q avg 1.8%
Percentage of long-stay residents who lose too much weight 6.9%
6.5%
0.4 pts worse
5.4%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 9.8% · Q3 8.0% · Q4 4.3% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.4%
19.9%
5.5 pts better
19.6%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 13.7% · Q3 14.2% · Q4 16.0% · 4Q avg 14.4%
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 24.8%
19.6%
5.2 pts worse
16.3%
8.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 21.5% · Q3 27.7% · Q4 38.7% · 4Q avg 24.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 24.2%
18.3%
5.9 pts worse
14.9%
9.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 22.4% · Q3 25.5% · Q4 34.6% · 4Q avg 24.2% · 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 1.2%
1.7%
0.5 pts better
1.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.7% · Q3 0.0% · Q4 1.4% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.2%
26.4%
1.2 pts better
19.8%
5.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 21.6% · Q3 30.4% · Q4 31.6% · 4Q avg 25.2%
Percentage of long-stay residents with pressure ulcers 3.7%
5.3%
1.6 pts better
5.1%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.8% · Q3 2.3% · Q4 2.8% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.9%
68.9%
29 pts worse
81.7%
41.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 32.5% · Q3 46.3% · Q4 75.9% · 4Q avg 39.9%
Percentage of short-stay residents who had an outpatient emergency department visit 14.8%
9.8%
5 pts worse
12.0%
2.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 18.8% · Expected 14.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.3%
1.5%
0.8 pts worse
1.6%
0.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.3% · Q3 2.8% · Q4 1.4% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 43.1%
68.7%
25.6 pts worse
79.7%
36.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 43.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.2%
23.1%
5.1 pts worse
23.9%
4.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 36.5% · Expected 30.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-05 · Fire 2026-01-05

10 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-12-05 · Fire 2024-12-05

15 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2024-02-28 · Fire 2024-02-28

14 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2026-01-05

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2026-02-24

E · Potential for more than minimal harm 2026-01-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-02-24

E · Potential for more than minimal harm 2026-01-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-02-24

E · Potential for more than minimal harm 2026-01-05

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2026-02-24

E · Potential for more than minimal harm 2026-01-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-02-24

E · Potential for more than minimal harm 2024-12-05

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-12-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-12-05

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-12-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-02-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-05

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

E · Potential for more than minimal harm 2026-01-05

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-05

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Not marked corrected

D · Potential for more than minimal harm 2026-01-05

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Not marked corrected

D · Potential for more than minimal harm 2026-01-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Not marked corrected

D · Potential for more than minimal harm 2026-01-05

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Not marked corrected

D · Potential for more than minimal harm 2026-01-05

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

D · Potential for more than minimal harm 2026-01-05

F684 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2026-01-05

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Not marked corrected

D · Potential for more than minimal harm 2026-01-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Not marked corrected

D · Potential for more than minimal harm 2025-02-19

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 2025-03-31

E · Potential for more than minimal harm 2024-12-05

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 2025-01-27

E · Potential for more than minimal harm 2024-12-05

F925 · Environmental Deficiencies

Health

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

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-12-05

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 2025-01-27

D · Potential for more than minimal harm 2024-12-05

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-12-05

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-12-05

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 2025-01-27

D · Potential for more than minimal harm 2024-12-05

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 2025-01-27

D · Potential for more than minimal harm 2024-12-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-12-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-27

D · Potential for more than minimal harm 2024-09-05

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-10-09

D · Potential for more than minimal harm 2024-09-05

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-09

D · Potential for more than minimal harm 2024-09-05

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-10-09

D · Potential for more than minimal harm 2024-05-07

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 2024-06-14

D · Potential for more than minimal harm 2024-05-07

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 2024-06-14

F · Potential for more than minimal harm 2024-02-28

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-02-28

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-02-28

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 2024-04-17

D · Potential for more than minimal harm 2024-02-28

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 2024-04-17

D · Potential for more than minimal harm 2024-02-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-02-28

F690 · Quality of Life and Care Deficiencies

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 2024-04-17

D · Potential for more than minimal harm 2024-02-28

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-02-28

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-02-28

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-04-17

D · Potential for more than minimal harm 2024-01-25

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 2024-02-07

E · Potential for more than minimal harm 2023-11-20

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-11-20

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 2024-01-04

D · Potential for more than minimal harm 2023-08-02

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 2023-09-05

D · Potential for more than minimal harm 2023-04-17

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 2023-06-02

Penalties and ownership

What sits behind the stars

$8,150 2023-04-17

Fine

Fine · fine $8,150

Fine

$8,151 2023-04-17

Fine

Fine · fine $8,151

Fine

Ownership

Ch Operating Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2018-01-04
Bleier, Jonathan

5% Or Greater Indirect Ownership Interest · Individual

0% 18 facilities 2018-01-04
Bleier, Jonathan

Corporate Officer · Individual

0% 18 facilities 2018-01-04
Crestview 360 Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2018-01-04
Crestview 720 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2018-01-04
Pappas, Peter

Corporate Officer · Individual

0% 2 facilities 2023-02-21
Pappas, Peter

W-2 Managing Employee · Individual

0% 2 facilities 2022-11-14
Sod, Yaakov

Corporate Officer · Individual

0% 13 facilities 2018-01-04
Sofia, Lisa

Corporate Officer · Individual

0% 11 facilities 2018-01-04

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