Lansdale, PA

Gwynedd Healthcare And Rehabilitation Center

5-star overall rating with 4-star inspections with $24,065 in total fines with 2 recent health deficiencies

773 Sumneytown Pike, Lansdale, PA

(215) 699-5000

Compare this facility

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

181

Certified beds

Average residents

167

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Colev Gestetner

Operator or chain grouping

Approved since

1980-08-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 4 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

0.54

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.29

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.72

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

3.53

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.89

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,271

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

Performance score

17.44

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.43% · Performance 22.95% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 7.14% · Performance 8.64% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.08

Performance 46.99% · Measure score 4.08 · Achievement 4.08 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.89

Baseline 3.38 hours · Performance 3.90 hours · Measure score 2.89 · Achievement 2.89 · Improvement 1.67

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.02%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 297 · Observed rate 11.11% · Lower 95% interval 8.56%
Discharge to community	57.23%	50.57% 6.7 pts better	Better than the National Rate · Eligible stays 257 · Observed rate 50.58% · Lower 95% interval 50.77%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	97.76%	95.27% 2.5 pts better	Numerator 218 · Denominator 223
Falls with major injury	0.45%	0.77% 0.3 pts better	Numerator 1 · Denominator 223
Discharge self-care score	83.8%	53.69% 30.1 pts better	Numerator 119 · Denominator 142
Discharge mobility score	74.65%	50.94% 23.7 pts better	Numerator 106 · Denominator 142
Pressure ulcers or injuries, new or worsened	1.79%	2.29% 0.5 pts better	Numerator 4 · Denominator 223 · Adjusted rate 1.64%
Healthcare-associated infections requiring hospitalization	8.64%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 192 · Observed rate 9.9% · Lower 95% interval 6.26%
Staff COVID-19 vaccination coverage	0.53%	8.2% 7.7 pts worse	Numerator 1 · Denominator 188
Staff flu vaccination coverage	40.51%	42% 1.5 pts worse	Numerator 79 · Denominator 195
Discharge function score	78.17%	56.45% 21.7 pts better	Numerator 111 · Denominator 142
Transfer of health information to provider	99.24%	95.95% 3.3 pts better	Numerator 130 · Denominator 131
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 25 · Denominator 25
Resident COVID-19 vaccinations up to date	29.75%	25.2% 4.6 pts better	Numerator 36 · Denominator 121

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 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	1.2 0.2 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	50.0%	86.9% 36.9 pts worse	93.4% 43.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 53.2% · Q2 51.0% · Q3 48.0% · Q4 47.5% · 4Q avg 50.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.5%	93.5% 4 pts better	95.5% 2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury	3.9%	3.2% 0.7 pts worse	3.3% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.3% · Q3 3.4% · Q4 5.0% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.6%	6.5% 0.9 pts better	11.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.2% · Q3 5.9% · Q4 8.0% · 4Q avg 5.6%
Percentage of long-stay residents who lose too much weight	3.1%	6.5% 3.4 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.7% · Q3 3.6% · Q4 3.7% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.5%	19.9% 5.4 pts better	19.6% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 13.5% · Q3 15.4% · Q4 16.0% · 4Q avg 14.5%
Percentage of long-stay residents who received an antipsychotic medication	10.5%	18.7% 8.2 pts better	16.7% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.7% · Q3 10.8% · Q4 10.7% · 4Q avg 10.5% · 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	5.3%	19.6% 14.3 pts better	16.3% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 1.3% · Q3 5.6% · Q4 7.7% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.5%	18.3% 9.8 pts better	14.9% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 8.1% · Q3 6.7% · Q4 8.7% · 4Q avg 8.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 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 with new or worsened bowel or bladder incontinence	16.3%	26.4% 10.1 pts better	19.8% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 18.1% · Q3 12.5% · Q4 20.1% · 4Q avg 16.3%
Percentage of long-stay residents with pressure ulcers	3.6%	5.3% 1.7 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.1% · Q3 3.5% · Q4 1.8% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	13.4%	68.9% 55.5 pts worse	81.7% 68.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 14.0% · Q3 13.3% · Q4 10.8% · 4Q avg 13.4%
Percentage of short-stay residents who had an outpatient emergency department visit	7.8%	9.8% 2 pts better	12.0% 4.2 pts better	Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.6% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.1%	1.5% 0.6 pts worse	1.6% 0.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 3.4% · Q4 1.7% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	75.4%	68.7% 6.7 pts better	79.7% 4.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 75.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.6%	23.1% 1.5 pts worse	23.9% 0.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 23.8% · Expected 23.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-11-15 · Fire 2024-11-15

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-01-26 · Fire 2024-01-26

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2024-01-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-02-27

Inspection history

Recent health citations

G · Actual harm 2025-12-04

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 2026-01-13

D · Potential for more than minimal harm 2025-12-04

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 2026-01-13

D · Potential for more than minimal harm 2025-12-04

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2026-01-13

D · Potential for more than minimal harm 2024-11-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-11-15

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 2024-12-31

D · Potential for more than minimal harm 2024-11-15

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 2024-12-31

D · Potential for more than minimal harm 2024-06-04

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-07-09

G · Actual harm 2024-01-26

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 2023-11-22

F · Potential for more than minimal harm 2024-01-26

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 2024-03-07

E · Potential for more than minimal harm 2024-01-26