Cycle 1
Health 2024-12-05 · Fire 2024-12-05
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Lafayette Hill, PA
Health Center At The Hill At Whitemarsh, The
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
4000 Fox Hound Drive, Lafayette Hill, PA
(215) 402-8600
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
49
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-07-18
CMS approved date
Coverage
Medicare
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
1.47
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.15
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.54
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.38
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
5.27
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.14
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.25
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.54
CMS adjusted RN staffing hours
Adjusted total hours
5.82
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
16%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
341
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
72.60
Composite VBP score used to determine payment impact.
Payment multiplier
1.0236
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.1
Baseline 16.93% · Performance 19.99% · Measure score 3.1 · Achievement 3.1 · Improvement 0
Healthcare-associated infections
7.75
Baseline 4.83% · Performance 5.52% · Measure score 7.75 · Achievement 7.75 · Improvement 0
Total nurse turnover
10
Baseline 26.98% · Performance 22.58% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
8.19
Baseline 5.68 hours · Performance 5.41 hours · Measure score 8.19 · Achievement 8.19 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.54% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 485 · Observed rate 7.63% · Lower 95% interval 7.5% |
| Discharge to community | 67.03% |
50.57%
16.5 pts better
|
Better than the National Rate · Eligible stays 490 · Observed rate 65.71% · Lower 95% interval 62.87% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 95.28% |
95.27%
About the same
|
Numerator 222 · Denominator 233 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 233 |
| Discharge self-care score | 65.31% |
53.69%
11.6 pts better
|
Numerator 128 · Denominator 196 |
| Discharge mobility score | 47.45% |
50.94%
3.5 pts worse
|
Numerator 93 · Denominator 196 |
| Pressure ulcers or injuries, new or worsened | 1.72% |
2.29%
0.6 pts better
|
Numerator 4 · Denominator 233 · Adjusted rate 2.26% |
| Healthcare-associated infections requiring hospitalization | 5.52% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 254 · Observed rate 3.54% · Lower 95% interval 3.67% |
| Staff COVID-19 vaccination coverage | 5.02% |
8.2%
3.2 pts worse
|
Numerator 11 · Denominator 219 |
| Staff flu vaccination coverage | 97.05% |
42%
55 pts better
|
Numerator 329 · Denominator 339 |
| Discharge function score | 68.88% |
56.45%
12.4 pts better
|
Numerator 135 · Denominator 196 |
| Transfer of health information to provider | 95.27% |
95.95%
0.7 pts worse
|
Numerator 161 · Denominator 169 |
| Transfer of health information to patient | 96.3% |
96.28%
About the same
|
Numerator 26 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 56.14% |
25.2%
30.9 pts better
|
Numerator 64 · Denominator 114 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.2
0.3 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% |
86.9%
9.6 pts better
|
93.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 100.0% · Q4 90.5% · 4Q avg 96.5% |
| 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 | 4.7% |
3.2%
1.5 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.2% · Q4 0.0% · 4Q avg 4.7% · Used in QM five-star |
| 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 · Q2 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.4% |
6.5%
0.9 pts worse
|
5.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.6% |
19.9%
14.3 pts better
|
19.6%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.9% |
18.7%
1.8 pts better
|
16.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.9% · 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% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.5% |
18.3%
11.2 pts worse
|
14.9%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.5% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.7%
0.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 40.3% |
26.4%
13.9 pts worse
|
19.8%
20.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 49.5% · 4Q avg 40.3% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
5.3%
2.4 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.5% |
68.9%
8.6 pts better
|
81.7%
4.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.3% · Q2 83.9% · Q3 79.3% · Q4 83.6% · 4Q avg 77.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
9.8%
4.7 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 4.5% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.6% · Q4 1.1% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 58.4% |
68.7%
10.3 pts worse
|
79.7%
21.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
23.1%
1.4 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 18.6% · Expected 20.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-14 · Fire 2024-02-14
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Construction (2 deficiencies)
Cycle 3
Health 2023-04-21 · Fire 2023-04-21
2 health deficiencies
Top issue: Resident Rights (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-12-05
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-03
E · Potential for more than minimal harm
2024-12-05
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 2025-01-03
E · Potential for more than minimal harm
2024-12-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-03
E · Potential for more than minimal harm
2024-12-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-03
E · Potential for more than minimal harm
2024-12-05
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-01-03
F · Potential for more than minimal harm
2024-02-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-15
E · Potential for more than minimal harm
2024-02-14
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-03-15
E · Potential for more than minimal harm
2024-02-14
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-03-15
E · Potential for more than minimal harm
2024-02-14
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-03-15
E · Potential for more than minimal harm
2024-02-14
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 2024-03-15
E · Potential for more than minimal harm
2024-02-14
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 2024-03-15
F · Potential for more than minimal harm
2023-04-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-04-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-04-21
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-31
F · Potential for more than minimal harm
2023-04-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-31
E · Potential for more than minimal harm
2023-04-21
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-05-31
E · Potential for more than minimal harm
2023-04-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-31
E · Potential for more than minimal harm
2023-04-21
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-05-31
C · Minimal harm
2023-04-21
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-05-31
C · Minimal harm
2023-04-21
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-31
C · Minimal harm
2023-04-21
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-05-31
C · Minimal harm
2023-04-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-31
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-02-14
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 2024-02-16
D · Potential for more than minimal harm
2023-04-21
F573 · Resident Rights Deficiencies
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-06-05
D · Potential for more than minimal harm
2023-04-21
F622 · Resident Rights Deficiencies
Health
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.
Corrected 2023-06-05
Penalties and ownership
What sits behind the stars
Ownership
Branton, Richard
Corporate Director · Individual
Cantor, Andrew
Corporate Director · Individual
Danielewicz, Michael
Corporate Director · Individual
Davis, Lynne
Corporate Director · Individual
Evans, Corey
Operational/Managerial Control · Individual
Evans, Corey
Corporate Officer · Individual
Ficken, Bruce
Corporate Director · Individual
Fleming, Peter
Corporate Officer · Individual
Haverstick, Patrice
Corporate Director · Individual
Jones, Richard
Corporate Director · Individual
Lagreca, Jane
Corporate Director · Individual
Landau, Lee
Corporate Director · Individual
Levitan, Ken
Corporate Director · Individual
Lewis, Lynne
Corporate Director · Individual
Lubarsky, Neil
Corporate Director · Individual
Marrazzo, William
Corporate Director · Individual
Mccormick, William
Corporate Officer · Individual
Patton-Thaxton, Sharon
Corporate Director · Individual
Roberts, Debra
Corporate Director · Individual
Rodgers, Debbie
Corporate Director · Individual
Ryan, Peter
Corporate Director · Individual
Silberstein, Efram
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Saint Joseph Villa
Flourtown, PA
5-star overall rating with 4-star inspections with $8,278 in total fines with 4 recent health deficiencies
#2
Masonic Village At Lafayette Hill
Lafayette Hill, PA
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Meadowview Rehabilitation And Nursing Center
White Marsh, PA
2-star overall rating with 2-star inspections with $79,414 in total fines with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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