Cycle 1
Health 2025-01-09 · Fire 2025-01-09
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Warminster, PA
Christ's Home Retirement Community
5-star overall rating with 5-star inspections with 2 recent health deficiencies
1 Shepherd's Way Suite 100, Warminster, PA
(215) 956-2270
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
48
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2009-11-12
CMS approved date
Coverage
Medicare
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
1.84
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.04
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.49
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.66
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.37
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.88
CMS adjusted RN staffing hours
Adjusted total hours
5.17
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
500
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.71
Composite VBP score used to determine payment impact.
Payment multiplier
1.0217
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.03
Baseline 23.41% · Performance 19.88% · Measure score 5.03 · Achievement 3.35 · Improvement 5.03
Healthcare-associated infections
10
Baseline 6.51% · Performance 4.09% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
4.85
Baseline 29.54% · Performance 43.86% · Measure score 4.85 · Achievement 4.85 · Improvement 0
Adjusted total nurse staffing
7.60
Baseline 5.09 hours · Performance 5.24 hours · Measure score 7.60 · Achievement 7.60 · Improvement 1.71
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 419 · Observed rate 8.11% · Lower 95% interval 7.57% |
| Discharge to community | 63.59% |
50.57%
13 pts better
|
Better than the National Rate · Eligible stays 433 · Observed rate 62.36% · Lower 95% interval 59.28% |
| Medicare spending per beneficiary | 0.76 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.28% |
95.27%
4 pts better
|
Numerator 274 · Denominator 276 |
| Falls with major injury | 0.72% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 276 |
| Discharge self-care score | 58.26% |
53.69%
4.6 pts better
|
Numerator 134 · Denominator 230 |
| Discharge mobility score | 47.83% |
50.94%
3.1 pts worse
|
Numerator 110 · Denominator 230 |
| Pressure ulcers or injuries, new or worsened | 2.17% |
2.29%
0.1 pts better
|
Numerator 6 · Denominator 276 · Adjusted rate 2.61% |
| Healthcare-associated infections requiring hospitalization | 4.09% |
7.12%
3 pts better
|
Better than the National Rate · Eligible stays 256 · Observed rate 1.17% · Lower 95% interval 2.45% |
| Staff COVID-19 vaccination coverage | 5.95% |
8.2%
2.2 pts worse
|
Numerator 5 · Denominator 84 |
| Staff flu vaccination coverage | 97.57% |
42%
55.6 pts better
|
Numerator 201 · Denominator 206 |
| Discharge function score | 51.3% |
56.45%
5.2 pts worse
|
Numerator 118 · Denominator 230 |
| Transfer of health information to provider | 97.96% |
95.95%
2 pts better
|
Numerator 48 · Denominator 49 |
| Transfer of health information to patient | 99.53% |
96.28%
3.2 pts better
|
Numerator 213 · Denominator 214 |
| Resident COVID-19 vaccinations up to date | 31.58% |
25.2%
6.4 pts better
|
Numerator 48 · Denominator 152 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
86.9%
13.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.2%
1.4 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.8% · 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 · 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 · 4Q avg 2.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.0% |
19.9%
7.9 pts better
|
19.6%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.3% |
18.7%
9.4 pts better
|
16.7%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.3% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.1% |
0.9%
3.2 pts worse
|
1.0%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
1.7%
2.1 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.4% |
26.4%
7 pts better
|
19.8%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.4% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.3%
0.5 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
68.9%
28.6 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 98.0% · Q3 97.4% · Q4 97.4% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
9.8%
4.3 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 4.9% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% |
68.7%
27 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
23.1%
0.9 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 19.5% · Expected 19.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-13 · Fire 2024-03-13
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-04-06 · Fire 2023-04-06
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-03-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-28
C · Minimal harm
2024-03-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-28
E · Potential for more than minimal harm
2023-04-06
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-05-19
E · Potential for more than minimal harm
2023-04-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-19
E · Potential for more than minimal harm
2023-04-06
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-01-09
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-21
D · Potential for more than minimal harm
2025-01-09
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-21
E · Potential for more than minimal harm
2023-04-06
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 2023-05-15
D · Potential for more than minimal harm
2023-04-06
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-04-06
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 2023-05-15
D · Potential for more than minimal harm
2023-04-06
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 2023-05-15
D · Potential for more than minimal harm
2023-04-06
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 2023-05-15
Penalties and ownership
What sits behind the stars
Ownership
Alizzi, Karen
Operational/Managerial Control · Individual
Bryant, John
Operational/Managerial Control · Individual
Bryant, John
Corporate Officer · Individual
Buchanan, Esther
Operational/Managerial Control · Individual
Buchanan, Esther
Corporate Officer · Individual
Christ's Home
Operational/Managerial Control · Organization
Clemens, Thomas
Operational/Managerial Control · Individual
Clemens, Thomas
Corporate Officer · Individual
Gilbert, Peter
Operational/Managerial Control · Individual
Gilbert, Peter
Corporate Officer · Individual
Hart, David
Operational/Managerial Control · Individual
Hart, David
Corporate Officer · Individual
Hui, Timothy
Operational/Managerial Control · Individual
Hui, Timothy
Corporate Officer · Individual
Koval, Kevin
Operational/Managerial Control · Individual
Lajeunesse, Bernard
Operational/Managerial Control · Individual
Lajeunesse, Bernard
Corporate Officer · Individual
Mcgovern, James
Operational/Managerial Control · Individual
Mcgovern, James
Corporate Director · Individual
Mcgovern, James
Corporate Officer · Individual
Reed, Sharon
Operational/Managerial Control · Individual
Reed, Sharon
Corporate Officer · Individual
Stein, Paul
Operational/Managerial Control · Individual
Stein, Paul
Corporate Officer · Individual
Ward, Carol
Operational/Managerial Control · Individual
Ward, Carol
Corporate Officer · Individual
Zeidler, Frank
Operational/Managerial Control · Individual
Zeidler, Frank
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Ann's Choice
Warminster, PA
5-star overall rating with 4-star inspections with 4 recent health deficiencies
#2
Masonic Village At Warminster
Warminster, PA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Majestic Oaks Rehabilitation And Nursing Center
Warminster, PA
1-star overall rating with 1-star inspections with $35,175 in total fines with 21 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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