Federal inspection record · CMS data as of October 1, 2026
Graduate Post Acute
1526 Lombard Street, Philadelphia, PA · (215) 546-5960
- Certified beds
- 150
- Residents per day
- 140
- Ownership
- For-Profit
- Chain
- Marquis Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1980
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Graduate Post Acute carries 152 inspection points. That is fewer than 14% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
89 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care22E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure the activities program is directed by a qualified professional.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Resident Assessment and Care Planning15E
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights12E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Give residents a notice of rights, rules, services and charges.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nutrition and Dietary11F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- F
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation8E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
Environmental6E
- E
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services6E
- E
Observe each nurse aide's job performance and give regular training.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Administration3D
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Inspection history
2026-07-31
21 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2025-12-03
24 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (13 deficiencies)
2024-11-22
44 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 39 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 52% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,940 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-26 | Fine | $9,113 |
| 2024-11-22 | Fine | $8,827 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.8 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine53.5 pts worse | 34.3% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better | 94.7% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 2.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms40.5 pts worse | 54.3% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 6.8% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.2 pts better | 8.9% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts better | 10.0% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.6 pts better | 4.8% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better | 9.8% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts better | 24.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts worse | 5.6% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine43.3 pts worse | 27.5% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts worse | 10.6% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.8 pts worse | 40.1% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts better | 21.6% | 22.0% | 23.4% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Graduate Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Feldman, Zacharia | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Feldman, Zacharia | Corporate Director · Individual | 0% | 1 facilities |
| Feldman, Zacharia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Feldman, Zacharia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Flagler, Osher | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 48 facilities |
| Graduate Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Harman, Dina | Managing Control - Governing Body · Individual | 0% | 35 facilities |
| Harman, Dina | Adp Of The SNF · Individual | 0% | 35 facilities |
| Kirchdoerffer, Susan | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Kirchdoerffer, Susan | Adp Of The SNF · Individual | 0% | 3 facilities |
| Levovitz, Tzvi | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 43 facilities |
| Manufacturers & Traders Trust Company | 5% Or Greater Mortgage Interest · Organization | 0% | 14 facilities |
| Manufacturers & Traders Trust Company | 5% Or Greater Security Interest · Organization | 0% | 14 facilities |
| Marquis Limited LLC | Operational/Managerial Control · Organization | 0% | 82 facilities |
| Marquis Limited LLC | Adp Of The SNF · Organization | 0% | 82 facilities |
| Papada, Jonathan | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Papada, Jonathan | Adp Of The SNF · Individual | 0% | 8 facilities |
| Posen, Mindee | Corporate Officer · Individual | 0% | 88 facilities |
| Posen, Mindee | Adp Of The SNF · Individual | 0% | 88 facilities |
| Reliant Pro Rehab LLC | Operational/Managerial Control · Organization | 0% | 77 facilities |
| Reliant Pro Rehab LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Rokeach, Fraide | Indirect Ownership Interest · Individual | 0% | 45 facilities |
| Rokowsky, Yitzchok | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 50 facilities |
| Viroja, Yogesh | Managing Control - Governing Body · Individual | 0% | 63 facilities |
| Viroja, Yogesh | Adp Of The SNF · Individual | 0% | 63 facilities |
·
Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke16F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems10E
- E
Have proper medical gas storage and administration areas.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Services4E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Install properly constructed and protected linen or trash chutes.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Construction2E
- E
Use approved construction type or materials.
- C
Meet other general requirements.
Emergency Preparedness1C
- C
Conduct testing and exercise requirements.
·
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