Philadelphia, PA

Deer Meadows Rehabilitation Center

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

8301 Roosevelt Boulevard, Philadelphia, PA

(215) 624-7575

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

206

Certified beds

Average residents

193

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Jonathan Bleier

Operator or chain grouping

Approved since

1978-12-11

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

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

0.43

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.00

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.08

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.43

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.17

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.51

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

30%

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

9,655

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

Performance score

22.98

Composite VBP score used to determine payment impact.

Payment multiplier

0.9830

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.69

Baseline 23.93% · Performance 22.42% · Measure score 1.69 · Achievement 0 · Improvement 1.69

Healthcare-associated infections

2.69

Baseline 6.05% · Performance 7.03% · Measure score 2.69 · Achievement 2.69 · Improvement 0

Total nurse turnover

3.04

Baseline 47.96% · Performance 51.27% · Measure score 3.04 · Achievement 3.04 · Improvement 0

Adjusted total nurse staffing

1.77

Baseline 3.16 hours · Performance 3.58 hours · Measure score 1.77 · Achievement 1.77 · Improvement 1.12

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.05%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 356 · Observed rate 13.48% · Lower 95% interval 9.95%
Discharge to community	45.9%	50.57% 4.7 pts worse	No Different than the National Rate · Eligible stays 310 · Observed rate 36.77% · Lower 95% interval 38.66%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 318 · Denominator 318
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 318
Discharge self-care score	46.54%	53.69% 7.1 pts worse	Numerator 101 · Denominator 217
Discharge mobility score	44.24%	50.94% 6.7 pts worse	Numerator 96 · Denominator 217
Pressure ulcers or injuries, new or worsened	1.89%	2.29% 0.4 pts better	Numerator 6 · Denominator 318 · Adjusted rate 1.65%
Healthcare-associated infections requiring hospitalization	7.03%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 210 · Observed rate 8.1% · Lower 95% interval 4.74%
Staff COVID-19 vaccination coverage	0.64%	8.2% 7.6 pts worse	Numerator 2 · Denominator 314
Staff flu vaccination coverage	18.75%	42% 23.2 pts worse	Numerator 60 · Denominator 320
Discharge function score	42.4%	56.45% 14.1 pts worse	Numerator 92 · Denominator 217
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 86 · Denominator 86
Transfer of health information to patient	99.22%	96.28% 2.9 pts better	Numerator 127 · Denominator 128
Resident COVID-19 vaccinations up to date	40.59%	25.2% 15.4 pts better	Numerator 69 · Denominator 170

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.6	1.7 0.9 pts worse	1.9 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.7 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.2 0.1 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.2%	86.9% 7.3 pts better	93.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 94.6% · Q3 94.0% · Q4 95.2% · 4Q avg 94.2%
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	5.7%	3.2% 2.5 pts worse	3.3% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.0% · Q3 6.6% · Q4 4.8% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.6%	6.5% 4.9 pts better	11.4% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.3% · Q3 1.0% · Q4 0.0% · 4Q avg 1.6%
Percentage of long-stay residents who lose too much weight	15.3%	6.5% 8.8 pts worse	5.4% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 17.9% · Q3 14.3% · Q4 17.8% · 4Q avg 15.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.8%	19.9% 5.1 pts better	19.6% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 13.7% · Q3 15.6% · Q4 13.4% · 4Q avg 14.8%
Percentage of long-stay residents who received an antipsychotic medication	5.9%	18.7% 12.8 pts better	16.7% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.1% · Q3 5.5% · Q4 4.7% · 4Q avg 5.9% · 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	14.5%	19.6% 5.1 pts better	16.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 12.9% · Q3 11.6% · Q4 15.0% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.4%	18.3% 2.9 pts better	14.9% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 20.8% · Q3 16.7% · Q4 12.8% · 4Q avg 15.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.9% 0.3 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.9% · Q3 0.5% · Q4 0.4% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.2%	1.7% 1.5 pts better	1.7% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.6%	26.4% 5.8 pts better	19.8% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 20.3% · Q3 17.5% · Q4 18.3% · 4Q avg 20.6%
Percentage of long-stay residents with pressure ulcers	5.8%	5.3% 0.5 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.6% · Q3 4.7% · Q4 5.7% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.3%	68.9% 14.4 pts better	81.7% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.8% · Q2 84.8% · Q3 83.4% · Q4 79.6% · 4Q avg 83.3%
Percentage of short-stay residents who had an outpatient emergency department visit	6.8%	9.8% 3 pts better	12.0% 5.2 pts better	Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 7.6% · Expected 12.4% · 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 0.0% · Q2 0.0% · Q3 0.7% · Q4 1.4% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.5%	68.7% 19.8 pts better	79.7% 8.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.7%	23.1% 2.6 pts worse	23.9% 1.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 30.4% · Expected 28.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-10-23 · Fire 2025-10-23

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-11-22 · Fire 2024-11-22

15 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2024-02-16 · Fire 2024-02-16

16 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-10-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-12

F · Potential for more than minimal harm 2025-10-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-10-23

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2026-02-26

E · Potential for more than minimal harm 2025-10-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-10-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-10-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-10-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-10-23

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2026-01-12

C · Minimal harm 2025-10-23

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2026-01-12

E · Potential for more than minimal harm 2024-11-22

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-11-22

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-11-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-11-22

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-11-22

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-02-16

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-02-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-02-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-02-16

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-22

E · Potential for more than minimal harm 2024-02-16

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-04-22

B · Minimal harm 2024-02-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-22

Inspection history

Recent health citations

G · Actual harm 2025-10-23

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 2025-12-02

D · Potential for more than minimal harm 2025-10-23

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 2025-12-02

D · Potential for more than minimal harm 2025-10-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-10-23

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 2025-12-02

D · Potential for more than minimal harm 2025-10-23

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 2025-12-02

D · Potential for more than minimal harm 2025-10-23

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 2025-12-02

D · Potential for more than minimal harm 2025-10-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-10-23

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 2025-12-02

D · Potential for more than minimal harm 2025-10-23

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-10-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-10-23

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-07-14

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 2025-08-18

D · Potential for more than minimal harm 2025-04-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-10

F925 · Environmental Deficiencies

Health

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

Corrected 2025-04-02

D · Potential for more than minimal harm 2024-12-30

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-01-26

E · Potential for more than minimal harm 2024-11-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-11-22

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-11-22

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 2025-01-13

D · Potential for more than minimal harm 2024-11-22

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 2025-01-13

D · Potential for more than minimal harm 2024-11-22

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 2025-01-13

D · Potential for more than minimal harm 2024-11-22

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-11-22

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-11-22

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-11-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-13

D · Potential for more than minimal harm 2024-11-22

F925 · Environmental Deficiencies

Health

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

Corrected 2025-01-13

E · Potential for more than minimal harm 2024-07-25

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-07-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-05-31

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 2024-07-01

D · Potential for more than minimal harm 2024-04-17