17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Philadelphia, PA
3-star overall rating with 2-star inspections with $11,450 in total fines with 17 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1401 Ivy Hill Road, Philadelphia, PA
(215) 233-5605
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
145
Certified beds
Average residents
136
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1982-04-28
CMS approved date
Coverage
Medicare + Medicaid
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
RN hours / resident day
0.50
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.37
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
1.36
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.44
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.95
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,604
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9923
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.91
Baseline 21.32% · Performance 18.69% · Measure score 5.91 · Achievement 5.91 · Improvement 5.62
Healthcare-associated infections
2.97
Baseline 5.85% · Performance 6.95% · Measure score 2.97 · Achievement 2.97 · Improvement 0
Total nurse turnover
3.55
Performance 49.17% · Measure score 3.55 · Achievement 3.55 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.29
Baseline 3.39 hours · Performance 4.01 hours · Measure score 3.29 · Achievement 3.29 · Improvement 2.12
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.04% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 10% · Lower 95% interval 6.84% |
| Discharge to community | 48.13% |
50.57%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 37.31% · Lower 95% interval 36.15% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 58.73% |
95.27%
36.5 pts worse
|
Numerator 37 · Denominator 63 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 63 |
| Discharge self-care score | 44% |
53.69%
9.7 pts worse
|
Numerator 22 · Denominator 50 |
| Discharge mobility score | 48% |
50.94%
2.9 pts worse
|
Numerator 24 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 63 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.95% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 51 · Observed rate 7.84% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 35% |
8.2%
26.8 pts better
|
Numerator 21 · Denominator 60 |
| Staff flu vaccination coverage | 77.55% |
42%
35.5 pts better
|
Numerator 152 · Denominator 196 |
| Discharge function score | 54% |
56.45%
2.5 pts worse
|
Numerator 27 · Denominator 50 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 26.47% |
25.2%
1.3 pts better
|
Numerator 9 · Denominator 34 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.7
0.6 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.5 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.2
0.2 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.8% |
86.9%
10.1 pts worse
|
93.4%
16.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.3% · Q2 82.2% · Q3 81.7% · Q4 59.8% · 4Q avg 76.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.2% |
93.5%
6.3 pts worse
|
95.5%
8.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.2% |
3.2%
3 pts better
|
3.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.2% |
6.5%
2.3 pts better
|
11.4%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 7.1% · Q3 3.6% · Q4 4.4% · 4Q avg 4.2% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
6.5%
2.6 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.8% · Q3 5.2% · Q4 2.7% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.5% |
19.9%
9.4 pts better
|
19.6%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 13.9% · Q3 11.0% · Q4 6.9% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.7% |
18.7%
11 pts better
|
16.7%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 9.0% · Q3 9.2% · Q4 5.2% · 4Q avg 7.7% · 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 | 11.7% |
19.6%
7.9 pts better
|
16.3%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 7.3% · Q3 10.5% · Q4 12.0% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
18.3%
5.5 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 6.5% · Q3 8.2% · Q4 8.3% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.9%
0.5 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.7%
1.3 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
26.4%
2.2 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 34.2% · Q3 22.6% · Q4 33.8% · 4Q avg 28.6% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
5.3%
2.2 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 2.9% · Q3 8.1% · Q4 10.4% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.9% |
68.9%
38 pts worse
|
81.7%
50.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 34.5% · Q2 34.3% · Q3 29.0% · Q4 27.5% · 4Q avg 30.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.3% |
9.8%
2.5 pts better
|
12.0%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 7.9% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.4% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 30.4% |
68.7%
38.3 pts worse
|
79.7%
49.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.1% |
23.1%
6 pts better
|
23.9%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 17.5% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Rights (7 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-17
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-17
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-17
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-05-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-08-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-07-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-12
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-09-12
Fire Safety
Meet other general requirements.
Corrected 2023-09-12
Inspection history
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 2025-05-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-13
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-05-13
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-13
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-05-13
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-13
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 2025-05-13
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-05-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-13
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-13
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-05-13
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 2025-05-13
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-05-13
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-13
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 2024-07-12
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-07-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-12
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-07-12
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 2024-07-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-12
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-07-12
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 2024-07-12
Health
Provide or obtain dental services for each resident.
Corrected 2024-07-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-12
Health
Keep all essential equipment working safely.
Corrected 2024-07-12
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-11-28
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-11-28
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 2023-11-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-12
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2023-09-12
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-09-12
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-12
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 2023-09-12
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 2023-09-12
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-12
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 2023-09-12
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-09-12
Health
Dispose of garbage and refuse properly.
Corrected 2023-09-12
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-09-12
Health
Assess the resident when there is a significant change in condition
Corrected 2023-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-29
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-16
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-05-16
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-03-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-28
Penalties and ownership
Fine · fine $11,450
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
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Glenside, PA
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