Cycle 1
Health 2025-01-09 · Fire 2025-01-09
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Kennett Square, PA
Crosslands
5-star overall rating with 4-star inspections with $12,735 in total fines with 3 recent health deficiencies
1660 East Street Road, Kennett Square, PA
(610) 388-1441
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
50
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Kendal
Operator or chain grouping
Approved since
1977-09-26
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 4 health / 5 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.18
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.13
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.74
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.05
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.32
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.56
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.79
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.42
CMS adjusted RN staffing hours
Adjusted total hours
6.05
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
589
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.93
Composite VBP score used to determine payment impact.
Payment multiplier
1.0206
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.16
Baseline 25.33% · Performance 21.46% · Measure score 4.16 · Achievement 0 · Improvement 4.16
Healthcare-associated infections
5.38
Baseline 6.30% · Performance 6.23% · Measure score 5.38 · Achievement 5.38 · Improvement 0.03
Total nurse turnover
7.87
Baseline 33.33% · Performance 31.51% · Measure score 7.87 · Achievement 7.87 · Improvement 1.65
Adjusted total nurse staffing
9.36
Baseline 6.27 hours · Performance 5.74 hours · Measure score 9.36 · Achievement 9.36 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.81% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 9.23% · Lower 95% interval 7.58% |
| Discharge to community | 27.32% |
50.57%
23.2 pts worse
|
Worse than the National Rate · Eligible stays 52 · Observed rate 17.31% · Lower 95% interval 17.18% |
| Medicare spending per beneficiary | 0.51 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 28 · Denominator 28 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 28 |
| Discharge self-care score | 44% |
53.69%
9.7 pts worse
|
Numerator 11 · Denominator 25 |
| Discharge mobility score | 36% |
50.94%
14.9 pts worse
|
Numerator 9 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 28 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.23% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 0% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 1.86% |
8.2%
6.3 pts worse
|
Numerator 3 · Denominator 161 |
| Staff flu vaccination coverage | 97.1% |
42%
55.1 pts better
|
Numerator 268 · Denominator 276 |
| Discharge function score | 52% |
56.45%
4.5 pts worse
|
Numerator 13 · Denominator 25 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.2
0.2 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.2%
2.1 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
6.5%
5.9 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
6.5%
5.9 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.3% |
19.9%
7.4 pts worse
|
19.6%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 27.7% · Q3 26.8% · Q4 30.8% · 4Q avg 27.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.7% |
18.7%
12 pts better
|
16.7%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.1% · Q3 3.2% · Q4 6.1% · 4Q avg 6.7% · 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 | 14.3% |
19.6%
5.3 pts better
|
16.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 13.3% · Q4 11.4% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.3% |
18.3%
8 pts worse
|
14.9%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 21.7% · Q3 25.0% · Q4 27.0% · 4Q avg 26.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
0.9%
0.9 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.8% · Q3 1.5% · Q4 2.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.7%
0.5 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.0% · Q3 0.0% · Q4 2.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 37.2% |
26.4%
10.8 pts worse
|
19.8%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.5% · Q2 38.7% · Q3 33.4% · Q4 25.3% · 4Q avg 37.2% |
| Percentage of long-stay residents with pressure ulcers | 10.5% |
5.3%
5.2 pts worse
|
5.1%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 15.9% · Q3 12.2% · Q4 5.5% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.2% |
68.9%
16.3 pts better
|
81.7%
3.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 83.9% · Q3 86.7% · Q4 84.8% · 4Q avg 85.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.5% |
9.8%
1.3 pts better
|
12.0%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 7.1% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% |
68.7%
28.2 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.2% |
23.1%
11.9 pts better
|
23.9%
12.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 7.1% · Expected 15.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-28 · Fire 2023-12-28
1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-01-27 · Fire 2023-01-27
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-12-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-12-30
E · Potential for more than minimal harm
2023-12-28
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 2023-12-30
E · Potential for more than minimal harm
2023-12-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-30
D · Potential for more than minimal harm
2023-01-27
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2023-02-17
Inspection history
Recent health citations
G · Actual harm
2025-01-09
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 2025-03-07
D · Potential for more than minimal harm
2025-01-09
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-01-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-21
E · Potential for more than minimal harm
2024-01-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-29
E · Potential for more than minimal harm
2024-01-22
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 2023-12-14
D · Potential for more than minimal harm
2023-12-28
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-01-31
Penalties and ownership
What sits behind the stars
$12,735
2025-01-09
Fine
Fine · fine $12,735
Fine
Ownership
Beaver, Seth
Operational/Managerial Control · Individual
Berardi, Michele
Operational/Managerial Control · Individual
Citizens Bank Of Pennsylvania
5% Or Greater Security Interest · Organization
Citizens Bank Of Pennsylvania
5% Or Greater Mortgage Interest · Organization
Emig, Catherine
Operational/Managerial Control · Individual
Evans, Patricia
Corporate Director · Individual
Evans, Patricia
Corporate Officer · Individual
Grove, David
Corporate Director · Individual
Grove, David
Corporate Officer · Individual
Helle, Jennifer
Corporate Director · Individual
Hurd, William
Corporate Director · Individual
Huxtable, Jonathan
Corporate Director · Individual
Lawrence, Thomas
Operational/Managerial Control · Individual
Marsillo, Lisa
Operational/Managerial Control · Individual
Marsillo, Lisa
Corporate Officer · Individual
O'brien, Timothy
Operational/Managerial Control · Individual
Petrocelli, Susan
Corporate Director · Individual
Pettiford, Quiana
Operational/Managerial Control · Individual
Plasha, Edward
Operational/Managerial Control · Individual
Poutasse, Sarah
Corporate Director · Individual
Renz, Susan
Corporate Director · Individual
Renz, Susan
Corporate Officer · Individual
Spackman, Frederick
Corporate Director · Individual
Spackman, Frederick
Corporate Officer · Individual
Stover, Anthony
Corporate Director · Individual
Taylor, Andrea
Corporate Director · Individual
Taylor, Donna
Operational/Managerial Control · Individual
Ward, Clare
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Pocopson Home
West Chester, PA
5-star overall rating with 4-star inspections with $16,036 in total fines
#2
Kendal At Longwood
Kennett Square, PA
5-star overall rating with 5-star inspections
#3
West Chester Rehabilitation And Healthcare Center
West Chester, PA
2-star overall rating with 2-star inspections with $83,889 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out