Federal inspection record · CMS data as of October 1, 2026
Horsham Center For Jewish Life
1425 Horsham Road, North Wales, PA · (215) 371-3000
- Certified beds
- 324
- Residents per day
- 303
- Ownership
- For-Profit
- Chain
- Imperial Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 19, 2001
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
★★★★★−1 star
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
Horsham Center For Jewish Life carries 120.75 inspection points. That is fewer than 22% 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
49 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 (3)
-
G
Provide safe, appropriate dialysis care/services for a resident who requires such services.
-
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 Care13E
- 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
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide or obtain dental services for each resident.
- 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 the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning6E
- E
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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
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.
Nutrition and Dietary6E
- 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 food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights6E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- 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.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services5E
- E
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 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
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration4E
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Freedom from Abuse, Neglect, and Exploitation3D
- D
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
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2026-04-09
15 health deficiencies · 22 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-06-20
13 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-02-07
21 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 34 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 68% of registered nurses left in the past year, along with 3 administrators.
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
$114,699 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-08 | Fine | $17,345 |
| 2024-08-20 | Fine | $97,354 |
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 days1.1 pts worse | 2.6 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 0.9 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine37 pts worse | 50.8% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 93.7% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 4.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.1 pts worse | 21.9% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts worse | 6.9% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts worse | 20.5% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts better | 15.2% | 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 worsened11.5 pts better | 3.9% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.4 pts better | 8.0% | 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 infection0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse | 28.3% | 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 vaccine9.3 pts worse | 61.5% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better | 8.8% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.1 pts worse | 56.8% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse | 26.3% | 22.0% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| 1425 Horsham SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Chrh Equities LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Coastal States Bank | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Cs Horsham Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Cw Horsham Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Ens Holding Group Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Ens Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Firstrust Savings Bank | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Gottesman, Daniel | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 24 facilities |
| Greystone Servicing Company, LLC, A Delaware Limited Liability Company | 5% Or Greater Security Interest · Organization | 0% | 15 facilities |
| Herzka, Yisroel | Corporate Officer · Individual | 0% | 75 facilities |
| Klitnick, Yechiel | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Synovous Bank, National Association | 5% Or Greater Security Interest · Organization | 0% | 5 facilities |
| The Ens Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| The Huntington National Bank | 5% Or Greater Security Interest · Organization | 0% | 16 facilities |
| Ymcs Equities LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
·
Fire safety
43 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke18F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 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
Install a fire alarm system that can be heard throughout the facility.
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness8F
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish emergency prep training and testing.
- F
Conduct risk assessment and an All-Hazards approach.
- C
Establish procedures for tracking staff and patients during an emergency.
- C
Establish policies and procedures for medical documentation.
- C
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems8F
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
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
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Egress5E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have properly located and lighted "Exit" signs.
- C
Install emergency lighting that can last at least 1 1/2 hours.
Construction2E
- C
Meet other general requirements.
- E
Meet other general requirements.
Services1E
- E
Install properly constructed and protected linen or trash chutes.
Miscellaneous1E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
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