Norristown, PA

Ivory Wellness Center

2-star overall rating with 2-star inspections with $25,324 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2004 Old Arch Road, Norristown, PA

(610) 277-0380

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

111

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Paramount Care Centers

Operator or chain grouping

Approved since

1979-06-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

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

0.51

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.18

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.44

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.26

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.11

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.93

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

958

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

Performance score

61.70

Composite VBP score used to determine payment impact.

Payment multiplier

1.0167

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

8.15

Baseline 44.44% · Performance 30.38% · Measure score 8.15 · Achievement 8.15 · Improvement 6.68

Adjusted total nurse staffing

4.19

Baseline 3.53 hours · Performance 4.27 hours · Measure score 4.19 · Achievement 4.19 · Improvement 2.80

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.25%	10.72% 1.5 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 20% · Lower 95% interval 8.71%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.79	1.02 0.2 pts better
Drug regimen review with follow-up	94.87%	95.27% 0.4 pts worse	Numerator 37 · Denominator 39
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 39
Discharge self-care score	72.73%	53.69% 19 pts better	Numerator 16 · Denominator 22
Discharge mobility score	45.45%	50.94% 5.5 pts worse	Numerator 10 · Denominator 22
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 39 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 130
Staff flu vaccination coverage	21.05%	42% 20.9 pts worse	Numerator 32 · Denominator 152
Discharge function score	63.64%	56.45% 7.2 pts better	Numerator 14 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	27.27%	25.2% 2.1 pts better	Numerator 6 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.7 0.1 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	1.2 1.8 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	79.2%	86.9% 7.7 pts worse	93.4% 14.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 76.3% · Q2 82.0% · Q3 77.8% · Q4 80.6% · 4Q avg 79.2%
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	3.4%	3.2% 0.2 pts worse	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.0% · Q3 2.8% · Q4 2.8% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	12.5%	6.5% 6 pts worse	11.4% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.8% · Q4 41.7% · 4Q avg 12.5%
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 4.1% · Q3 2.0% · Q4 3.0% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.5%	19.9% 0.4 pts better	19.6% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 19.2% · Q3 21.9% · Q4 22.1% · 4Q avg 19.5%
Percentage of long-stay residents who received an antipsychotic medication	27.2%	18.7% 8.5 pts worse	16.7% 10.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 26.9% · Q3 28.8% · Q4 30.2% · 4Q avg 27.2% · 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	23.7%	19.6% 4.1 pts worse	16.3% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 37.7% · Q3 13.9% · Q4 29.7% · 4Q avg 23.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.1%	18.3% 1.2 pts better	14.9% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 27.6% · Q3 10.8% · Q4 19.8% · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.9% 0.6 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	1.7% 0.2 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.9% · Q4 1.9% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.8%	26.4% 1.4 pts worse	19.8% 8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 33.2% · Q3 24.0% · Q4 25.2% · 4Q avg 27.8%
Percentage of long-stay residents with pressure ulcers	2.1%	5.3% 3.2 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 2.6% · Q4 2.4% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	49.5%	68.9% 19.4 pts worse	81.7% 32.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 50.0% · Q3 73.9% · Q4 55.0% · 4Q avg 49.5%
Percentage of short-stay residents who had an outpatient emergency department visit	9.7%	9.8% 0.1 pts better	12.0% 2.3 pts better	Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 12.8% · Expected 14.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.8%	68.7% 25.1 pts better	79.7% 14.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.4%	23.1% 6.3 pts worse	23.9% 5.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 33.3% · Expected 27.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-03 · Fire 2025-12-03

12 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-10-31 · Fire 2024-10-31

30 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-01-22 · Fire 2024-01-22

26 health deficiencies

Top issue: Resident Rights (6 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2025-12-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-12-30

C · Minimal harm 2025-12-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-12-30

C · Minimal harm 2024-01-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-03-15

Inspection history

Recent health citations

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

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2026-01-20

F · Potential for more than minimal harm 2025-12-03

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 2025-12-23

E · Potential for more than minimal harm 2025-12-03

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-12-23

E · Potential for more than minimal harm 2025-12-03

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-03

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-03

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 2025-12-23

D · Potential for more than minimal harm 2025-12-03

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-03

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-03

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-03

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-03

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 2025-12-23

D · Potential for more than minimal harm 2025-12-03

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-12-23

F · Potential for more than minimal harm 2024-10-31

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 2024-12-02

E · Potential for more than minimal harm 2024-10-31

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-12-02

E · Potential for more than minimal harm 2024-10-31

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 2024-12-02

E · Potential for more than minimal harm 2024-10-31

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-12-02

E · Potential for more than minimal harm 2024-10-31

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-12-02

E · Potential for more than minimal harm 2024-10-31

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-12-02

E · Potential for more than minimal harm 2024-10-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-31

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 2024-12-02

D · Potential for more than minimal harm 2024-10-31

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-31

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 2024-12-02

D · Potential for more than minimal harm 2024-10-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-31

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 2024-12-02

D · Potential for more than minimal harm 2024-10-31

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-31

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-31

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-31

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-10-31

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-12-02

B · Minimal harm 2024-10-31

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-09-10

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 2024-10-02

F · Potential for more than minimal harm 2024-09-10

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-10-02

D · Potential for more than minimal harm 2024-09-10

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-02

B · Minimal harm 2024-09-10

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-01

G · Actual harm 2024-07-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-30

G · Actual harm 2024-07-30

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 2024-08-30

D · Potential for more than minimal harm 2024-07-30

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-30

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 2024-08-30

D · Potential for more than minimal harm 2024-07-30

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-05-16

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-06-17

D · Potential for more than minimal harm 2024-05-16

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2024-06-17

J · Immediate jeopardy 2024-01-22

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 2024-02-21

J · Immediate jeopardy 2024-01-22

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 2024-02-21

G · Actual harm 2024-01-22

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-02-21

F · Potential for more than minimal harm 2024-01-22

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 2024-02-21

E · Potential for more than minimal harm 2024-01-22

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-02-21