Bensalem, PA

Juniper Village At Bucks County Rehab And Skd Care

5-star overall rating with 4-star inspections with $40,682 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

3200 Bensalem Boulevard, Bensalem, PA

(215) 752-2370

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

17

Certified beds

Average residents

15

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Juniper Communities

Operator or chain grouping

Approved since

1991-08-15

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

3 facilities

Chain averages 4 overall / 4 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

1.70

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.33

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.00

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

6.03

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

3.03

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

5.24

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

1.09

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.24

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.83

CMS adjusted RN staffing hours

Adjusted total hours

6.50

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,927

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

Performance score

28.37

Composite VBP score used to determine payment impact.

Payment multiplier

0.9850

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.99

Baseline 22.40% · Performance 19.99% · Measure score 3.99 · Achievement 3.11 · Improvement 3.99

Healthcare-associated infections

1.68

Baseline 8.51% · Performance 7.74% · Measure score 1.68 · Achievement 0 · Improvement 1.68

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

Not reported

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

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.47%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 78 · Observed rate 5.13% · Lower 95% interval 6.17%
Discharge to community	64.15%	50.57% 13.6 pts better	Better than the National Rate · Eligible stays 81 · Observed rate 60.49% · Lower 95% interval 55.71%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	97.56%	95.27% 2.3 pts better	Numerator 40 · Denominator 41
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 41
Discharge self-care score	63.64%	53.69% 10 pts better	Numerator 21 · Denominator 33
Discharge mobility score	66.67%	50.94% 15.7 pts better	Numerator 22 · Denominator 33
Pressure ulcers or injuries, new or worsened	7.32%	2.29% 5 pts worse	Numerator 3 · Denominator 41 · Adjusted rate 8.38%
Healthcare-associated infections requiring hospitalization	7.74%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 4.37%
Staff COVID-19 vaccination coverage	12.82%	8.2% 4.6 pts better	Numerator 5 · Denominator 39
Staff flu vaccination coverage	19.51%	42% 22.5 pts worse	Numerator 8 · Denominator 41
Discharge function score	63.64%	56.45% 7.2 pts better	Numerator 21 · Denominator 33
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	100%	96.28% 3.7 pts better	Numerator 26 · Denominator 26
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	23.8%	86.9% 63.1 pts worse	93.4% 69.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 23.8%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.2% 3.2 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 4Q avg 0.0%
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with pressure ulcers	4.3%	5.3% 1 pts better	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	11.0%	68.9% 57.9 pts worse	81.7% 70.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 6.9% · Q3 14.1% · Q4 12.7% · 4Q avg 11.0%
Percentage of short-stay residents who had an outpatient emergency department visit	19.8%	9.8% 10 pts worse	12.0% 7.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 19.1% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.5%	1.5% 1 pts worse	1.6% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.2% · Q4 4.1% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	8.5%	68.7% 60.2 pts worse	79.7% 71.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 8.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.0%	23.1% 2.1 pts better	23.9% 2.9 pts better	Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 21.3% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-18 · Fire 2025-06-18

3 health deficiencies

Top issue: Administration (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-09-19 · Fire 2024-09-19

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2023-11-03 · Fire 2023-11-03

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-07-31

E · Potential for more than minimal harm 2025-06-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-06-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-31

C · Minimal harm 2025-06-18

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-09-12

C · Minimal harm 2025-06-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-07-31

F · Potential for more than minimal harm 2024-09-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-30

E · Potential for more than minimal harm 2024-09-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-11-30

E · Potential for more than minimal harm 2024-09-19

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-11-30

E · Potential for more than minimal harm 2024-09-19

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-11-30

E · Potential for more than minimal harm 2024-09-19

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 2024-11-30

E · Potential for more than minimal harm 2024-09-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-30

F · Potential for more than minimal harm 2023-11-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-13

F · Potential for more than minimal harm 2023-11-03

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-01-13

F · Potential for more than minimal harm 2023-11-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-13

E · Potential for more than minimal harm 2023-11-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-13

E · Potential for more than minimal harm 2023-11-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-13

E · Potential for more than minimal harm 2023-11-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-13

C · Minimal harm 2023-11-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-01-13

C · Minimal harm 2023-11-03

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-01-13

C · Minimal harm 2023-11-03

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-01-13

C · Minimal harm 2023-11-03

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-13

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-18

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-18

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 2025-07-31

D · Potential for more than minimal harm 2025-06-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-31

D · Potential for more than minimal harm 2024-09-19

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-09-19

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 2024-11-18

D · Potential for more than minimal harm 2024-09-19

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-09-19

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 2024-11-18

D · Potential for more than minimal harm 2024-09-19

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 2024-11-18

D · Potential for more than minimal harm 2024-09-19