Philadelphia, PA

Germantown Home

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

6950 Germantown Avenue, Philadelphia, PA

(215) 848-3306

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

172

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1976-10-01

CMS approved date

Coverage

Medicare + Medicaid

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

0.49

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.92

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.71

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.34

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.26

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

0.55

CMS adjusted RN staffing hours

Adjusted total hours

4.17

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

20%

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

4,664

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

Performance score

39.04

Composite VBP score used to determine payment impact.

Payment multiplier

0.9921

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.49% · Performance 21.50% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.51

Baseline 6.09% · Performance 6.19% · Measure score 5.51 · Achievement 5.51 · Improvement 0

Total nurse turnover

6.3

Baseline 28.26% · Performance 37.93% · Measure score 6.3 · Achievement 6.3 · Improvement 0

Adjusted total nurse staffing

3.81

Baseline 3.76 hours · Performance 4.16 hours · Measure score 3.81 · Achievement 3.81 · Improvement 1.50

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.2%
10.72%
1.5 pts better
No Different than the National Rate · Eligible stays 108 · Observed rate 6.48% · Lower 95% interval 6.33%
Discharge to community 51.45%
50.57%
0.9 pts better
No Different than the National Rate · Eligible stays 63 · Observed rate 42.86% · Lower 95% interval 41.04%
Medicare spending per beneficiary 0.84
1.02
0.2 pts better
Drug regimen review with follow-up 91.49%
95.27%
3.8 pts worse
Numerator 86 · Denominator 94
Falls with major injury 1.06%
0.77%
0.3 pts worse
Numerator 1 · Denominator 94
Discharge self-care score 44.87%
53.69%
8.8 pts worse
Numerator 35 · Denominator 78
Discharge mobility score 33.33%
50.94%
17.6 pts worse
Numerator 26 · Denominator 78
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 94 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.19%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 63 · Observed rate 4.76% · Lower 95% interval 3.53%
Staff COVID-19 vaccination coverage 0.55%
8.2%
7.6 pts worse
Numerator 1 · Denominator 181
Staff flu vaccination coverage 90.28%
42%
48.3 pts better
Numerator 325 · Denominator 360
Discharge function score 33.33%
56.45%
23.1 pts worse
Numerator 26 · Denominator 78
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 53

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.7
About the same
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.2
0.4 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.3%
86.9%
5.6 pts worse
93.4%
12.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 82.6% · Q2 82.7% · Q3 85.2% · Q4 74.9% · 4Q avg 81.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
93.5%
4.2 pts better
95.5%
2.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
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 0.6% · Q2 0.6% · Q3 1.2% · Q4 1.8% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.2%
6.5%
6.3 pts better
11.4%
11.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight 6.6%
6.5%
0.1 pts worse
5.4%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.9% · Q3 6.5% · Q4 3.9% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.0%
19.9%
12.9 pts better
19.6%
12.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.9% · Q3 6.1% · Q4 6.0% · 4Q avg 7.0%
Percentage of long-stay residents who received an antipsychotic medication 11.0%
18.7%
7.7 pts better
16.7%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 13.0% · Q3 9.9% · Q4 8.4% · 4Q avg 11.0% · 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 18.0%
19.6%
1.6 pts better
16.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 17.0% · Q3 18.1% · Q4 14.1% · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 23.6%
18.3%
5.3 pts worse
14.9%
8.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 28.2% · Q3 20.2% · Q4 24.4% · 4Q avg 23.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4%
0.9%
1.5 pts worse
1.0%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.7% · Q3 2.3% · Q4 0.9% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.8%
1.7%
0.9 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.2%
26.4%
6.2 pts better
19.8%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 21.1% · Q3 19.2% · Q4 17.6% · 4Q avg 20.2%
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 · Q1 4.9% · Q2 7.0% · Q3 4.5% · Q4 2.6% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 53.6%
68.9%
15.3 pts worse
81.7%
28.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 48.1% · Q2 61.7% · Q3 56.1% · Q4 47.0% · 4Q avg 53.6%
Percentage of short-stay residents who had an outpatient emergency department visit 4.7%
9.8%
5.1 pts better
12.0%
7.3 pts better
Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.5% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.5%
0.4 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 51.2%
68.7%
17.5 pts worse
79.7%
28.5 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.9%
23.1%
2.2 pts better
23.9%
3 pts better
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 19.1% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-01 · Fire 2025-08-01

7 health deficiencies

Top issue: Infection Control (3 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-09-20 · Fire 2024-09-20

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-12-08 · Fire 2023-12-08

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-18

F · Potential for more than minimal harm 2025-08-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-10-18

E · Potential for more than minimal harm 2025-08-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-10-18

B · Minimal harm 2025-08-01

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-10-18

B · Minimal harm 2025-08-01

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2025-10-18

E · Potential for more than minimal harm 2024-09-20

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-09-20

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-09-20

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-09-20

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-09-20

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-09-20

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-11-29

F · Potential for more than minimal harm 2023-12-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-02-16

F · Potential for more than minimal harm 2023-12-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-16

F · Potential for more than minimal harm 2023-12-08

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-02-16

E · Potential for more than minimal harm 2023-12-08

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-16

E · Potential for more than minimal harm 2023-12-08

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-02-16

E · Potential for more than minimal harm 2023-12-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-16

C · Minimal harm 2023-12-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-11

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 2025-12-17

E · Potential for more than minimal harm 2025-08-01

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 2025-09-25

E · Potential for more than minimal harm 2025-08-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-25

E · Potential for more than minimal harm 2025-08-01

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-09-25

E · Potential for more than minimal harm 2025-08-01

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-01

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-09-25

B · Minimal harm 2025-08-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-25

D · Potential for more than minimal harm 2024-09-20

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-09-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-09-20

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 2024-11-19

D · Potential for more than minimal harm 2024-09-20

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 2024-11-19

D · Potential for more than minimal harm 2024-09-20

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-09-20

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-11-19

D · Potential for more than minimal harm 2023-10-12

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-30

Penalties and ownership

What sits behind the stars

Ownership

Newcourtland

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1994-11-22
Demarco, Michael

Corporate Officer · Individual

0% 1 facilities 2016-07-01
Duffey, Joseph

Operational/Managerial Control · Individual

0% 1 facilities 2018-11-01
Duffey, Joseph

Corporate Director · Individual

0% 1 facilities 2018-11-01
Howard, Pamela

Corporate Officer · Individual

0% 2 facilities 2019-06-01
Kent, Robert

Corporate Officer · Individual

0% 1 facilities 2018-11-01
Mcgrath, Joseph

Corporate Director · Individual

0% 1 facilities 2014-06-01
Naylor, Mary

Corporate Director · Individual

0% 1 facilities 2018-06-01

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Staffing
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Fines
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#3

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