Lansdale, PA

Elm Terrace Gardens

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

660 North Broad Street, Lansdale, PA

(215) 361-5600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

72

Certified beds

Average residents

65

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1981-06-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.20

Registered nurse staffing

LPN hours / resident day

0.68

Licensed practical nurse staffing

Aide hours / resident day

2.92

Nurse aide staffing

Weekend hours

4.31

Weekend nurse staffing

RN turnover

20%

Annual RN turnover

Total nurse turnover

41%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.7
0.1 pts worse
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.2
0.4 pts worse
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 63.3%
86.9%
23.6 pts worse
93.4%
30.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.6%
93.5%
8.9 pts worse
95.5%
10.9 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.6%
3.2%
2.4 pts worse
3.3%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 3.4%
6.5%
3.1 pts better
5.4%
2 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who received an antipsychotic medication 1.0%
18.7%
17.7 pts better
16.7%
15.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 55.0%
19.6%
35.4 pts worse
16.3%
38.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 45.6%
18.3%
27.3 pts worse
14.9%
30.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.0%
0.9%
2.1 pts worse
1.0%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.1%
1.7%
2.4 pts worse
1.7%
2.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.7%
26.4%
1.7 pts better
19.8%
4.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.1%
5.3%
1.2 pts better
5.1%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 28.4%
68.9%
40.5 pts worse
81.7%
53.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.2%
9.8%
1.6 pts better
12.0%
3.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.5%
0.1 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 39.4%
68.7%
29.3 pts worse
79.7%
40.3 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.9%
23.1%
4.8 pts worse
23.9%
4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-05-17 · Fire 2024-05-17

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

5 fire-safety deficiencies

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

Cycle 3 Health 2023-06-01 · Fire 2023-06-01

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-27

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-27

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-03-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-30

F · Potential for more than minimal harm 2024-05-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-05-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-07-25

E · Potential for more than minimal harm 2024-05-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-25

E · Potential for more than minimal harm 2024-05-17

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-07-25

C · Minimal harm 2024-05-17

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-07-25

E · Potential for more than minimal harm 2023-06-01

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-01

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-01

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 2023-07-11

E · Potential for more than minimal harm 2023-06-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-01

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-11

C · Minimal harm 2023-06-01

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-07-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-27

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 2025-04-21

D · Potential for more than minimal harm 2025-03-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-27

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 2025-04-21

D · Potential for more than minimal harm 2024-05-17

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 2024-06-10

D · Potential for more than minimal harm 2023-06-01

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 2023-07-05

D · Potential for more than minimal harm 2023-06-01

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 2023-07-05

D · Potential for more than minimal harm 2023-06-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-05

D · Potential for more than minimal harm 2023-06-01

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-07-05

C · Minimal harm 2023-06-01

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-07-05

Penalties and ownership

What sits behind the stars

Ownership

Burns, James

Corporate Director · Individual

0% 1 facilities 2017-06-27
Butterworth, Nancy

Corporate Director · Individual

0% 1 facilities 2019-09-24
Campbell, Craig

Corporate Director · Individual

0% 1 facilities 2016-06-28
Covington, Craig

Corporate Director · Individual

0% 1 facilities 2021-09-28
Friends Services For The Aging

Operational/Managerial Control · Organization

0% 14 facilities 2012-07-01
Fuller, Mary

Corporate Director · Individual

0% 1 facilities 2024-09-24
Glantz, Natalie

Corporate Director · Individual

0% 1 facilities 2017-10-24
Hafeez, Madeeha

Operational/Managerial Control · Individual

0% 1 facilities 2025-10-27
Helpa, Donald

Corporate Director · Individual

0% 1 facilities 2008-09-23
Kastle, Kerry

Corporate Director · Individual

0% 1 facilities 2024-09-24
Krathanzel, Eric

Corporate Director · Individual

0% 1 facilities 2018-01-23
Mathues, Harold

Corporate Director · Individual

0% 1 facilities 1987-06-23
Messner, Diane

Corporate Director · Individual

0% 1 facilities 2022-11-22
Meyers, Jennifer

Operational/Managerial Control · Individual

0% 1 facilities 2023-02-21
Meyers, Jennifer

Corporate Officer · Individual

0% 1 facilities 2023-02-21
Murphy, Timothy

Operational/Managerial Control · Individual

0% 3 facilities 2011-11-18
Murphy, Timothy

Corporate Officer · Individual

0% 3 facilities 2011-11-18
Parola, John

Corporate Director · Individual

0% 1 facilities 2016-03-22
Parvin, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2016-08-29
Parvin, Robert

Corporate Officer · Individual

0% 1 facilities 2016-08-29
Phillips, Matthew

Operational/Managerial Control · Individual

0% 1 facilities 2023-06-01
Rice, Karen

Corporate Director · Individual

0% 1 facilities 2023-06-27
Tatum, Kathryn

Corporate Director · Individual

0% 1 facilities 2013-03-26
Wagner, Linsay

Operational/Managerial Control · Individual

0% 1 facilities 2025-10-23
Wagner, Linsay

Corporate Officer · Individual

0% 1 facilities 2018-10-23

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1-star overall rating with 1-star inspections with $191,228 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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Lansdale, PA

3-star overall rating with 3-star inspections with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
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Staffing
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Fines
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#3

Montgomeryville Skilled Nursing And Rehabilitati

Montgomeryville, PA

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$0

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