Cycle 1
Health 2025-09-12 · Fire 2025-09-12
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Elkins Park, PA
Elkins Crest Health & Rehabilitation Center
5-star overall rating with 4-star inspections with $8,018 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
265 E. Township Line Road, Elkins Park, PA
(215) 379-2700
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
150
Certified beds
Average residents
146
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1985-11-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 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
0.35
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.62
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.95
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
2.65
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
3.48
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,571
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.71
Composite VBP score used to determine payment impact.
Payment multiplier
0.9967
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.22
Baseline 19.23% · Performance 19.94% · Measure score 3.22 · Achievement 3.22 · Improvement 0
Healthcare-associated infections
3.06
Baseline 5.57% · Performance 6.92% · Measure score 3.06 · Achievement 3.06 · Improvement 0
Total nurse turnover
9.02
Baseline 43.80% · Performance 26.80% · Measure score 9.02 · Achievement 9.02 · Improvement 8.47
Adjusted total nurse staffing
2.18
Baseline 3.33 hours · Performance 3.70 hours · Measure score 2.18 · Achievement 2.18 · Improvement 0.99
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.04% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 17.28% · Lower 95% interval 8.86% |
| Discharge to community | 48.4% |
50.57%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 82 · Observed rate 37.8% · Lower 95% interval 38.71% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 66.67% |
95.27%
28.6 pts worse
|
Numerator 38 · Denominator 57 |
| Falls with major injury | 1.75% |
0.77%
1 pts worse
|
Numerator 1 · Denominator 57 |
| Discharge self-care score | 57.89% |
53.69%
4.2 pts better
|
Numerator 22 · Denominator 38 |
| Discharge mobility score | 52.63% |
50.94%
1.7 pts better
|
Numerator 20 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 1.75% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 57 · Adjusted rate 1.55% |
| Healthcare-associated infections requiring hospitalization | 6.92% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 53 · Observed rate 7.55% · Lower 95% interval 4.43% |
| Staff COVID-19 vaccination coverage | 53.85% |
8.2%
45.7 pts better
|
Numerator 91 · Denominator 169 |
| Staff flu vaccination coverage | 34.91% |
42%
7.1 pts worse
|
Numerator 59 · Denominator 169 |
| Discharge function score | 57.89% |
56.45%
1.4 pts better
|
Numerator 22 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 47.22% |
25.2%
22 pts better
|
Numerator 17 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
86.9%
5.7 pts better
|
93.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.2% · Q2 91.3% · Q3 92.7% · Q4 92.4% · 4Q avg 92.6% |
| 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 | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 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 who have depressive symptoms | 9.8% |
6.5%
3.3 pts worse
|
11.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 4.8% · Q3 7.4% · Q4 18.3% · 4Q avg 9.8% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.5%
2.2 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.0% · Q3 4.2% · Q4 4.1% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.4% |
19.9%
5.5 pts worse
|
19.6%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 25.0% · Q3 25.2% · Q4 25.4% · 4Q avg 25.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.3% |
18.7%
15.4 pts better
|
16.7%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.4% · Q3 3.8% · Q4 4.8% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.2%
About the same
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.7% |
19.6%
5.9 pts better
|
16.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 14.3% · Q3 4.8% · Q4 29.4% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
18.3%
6.2 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.2% · Q3 2.6% · Q4 35.5% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.9%
0.7 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.7%
1.3 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
26.4%
2.5 pts better
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 23.4% · Q3 21.2% · Q4 28.2% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.3%
2.3 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.2% · Q3 2.5% · Q4 4.6% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 67.7% |
68.9%
1.2 pts worse
|
81.7%
14 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.2% · Q2 66.1% · Q3 71.3% · Q4 65.7% · 4Q avg 67.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% |
9.8%
1.1 pts worse
|
12.0%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 13.2% · Expected 13.5% · 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 1.1% · 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 | 69.6% |
68.7%
0.9 pts better
|
79.7%
10.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 69.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
23.1%
0.2 pts better
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 25.0% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-08 · Fire 2024-10-08
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2023-09-22 · Fire 2023-09-22
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-12
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-10-13
F · Potential for more than minimal harm
2025-09-12
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-13
C · Minimal harm
2024-10-08
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-15
C · Minimal harm
2024-10-08
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-11-15
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-09-12
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 2025-10-13
D · Potential for more than minimal harm
2025-09-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-13
D · Potential for more than minimal harm
2025-09-12
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 2025-10-13
D · Potential for more than minimal harm
2025-09-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-13
D · Potential for more than minimal harm
2025-09-12
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-10-13
C · Minimal harm
2025-09-12
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-13
C · Minimal harm
2025-09-12
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-10-13
C · Minimal harm
2025-09-12
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-10-13
G · Actual harm
2024-11-14
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 2024-11-10
F · Potential for more than minimal harm
2024-10-08
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 2024-10-31
D · Potential for more than minimal harm
2024-10-08
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-10-31
D · Potential for more than minimal harm
2024-10-08
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-10-31
D · Potential for more than minimal harm
2024-10-08
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-31
F · Potential for more than minimal harm
2023-09-22
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 2023-10-24
E · Potential for more than minimal harm
2023-09-22
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 2023-10-24
D · Potential for more than minimal harm
2023-09-22
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-10-24
D · Potential for more than minimal harm
2023-09-22
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-10-24
B · Minimal harm
2023-05-15
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.
Not marked corrected
Penalties and ownership
What sits behind the stars
$8,018
2024-11-14
Fine
Fine · fine $8,018
Fine
Ownership
Saber Pa Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)
5% Or Greater Indirect Ownership Interest · Organization
Bnv Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
Carroll, Michelle
Operational/Managerial Control · Individual
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020
5% Or Greater Indirect Ownership Interest · Organization
Dwyer, Francis
Operational/Managerial Control · Individual
Lewis, Steven
Operational/Managerial Control · Individual
Saber Governance LLC
Operational/Managerial Control · Organization
Saber Healthcare Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Shg Management LLC
Operational/Managerial Control · Organization
Volpe, Benjamin
Operational/Managerial Control · Individual
Weisberg, William
Operational/Managerial Control · Individual
Wiw Dynasty LLC
5% Or Greater Indirect Ownership Interest · Organization
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