Philadelphia, PA

Liberty Center For Rehabilitation And Nursing

3-star overall rating with 2-star inspections with abuse icon flag with $8,827 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

7310 Stenton Avenue, Philadelphia, PA

(215) 242-2727

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lme Family Holdings

Operator or chain grouping

Approved since

1988-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 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

0.53

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.62

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.87

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.02

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.65

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.05

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,267

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

Performance score

30.23

Composite VBP score used to determine payment impact.

Payment multiplier

0.9859

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.57

Baseline 19.22% · Performance 19.78% · Measure score 3.57 · Achievement 3.57 · Improvement 0

Healthcare-associated infections

4.08

Baseline 6.68% · Performance 6.62% · Measure score 4.08 · Achievement 4.08 · Improvement 0

Total nurse turnover

3.86

Baseline 33.33% · Performance 47.89% · Measure score 3.86 · Achievement 3.86 · Improvement 0

Adjusted total nurse staffing

0.57

Baseline 3 hours · Performance 3.24 hours · Measure score 0.57 · Achievement 0.57 · Improvement 0.37

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.78%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 84 · Observed rate 7.14% · Lower 95% interval 6.55%
Discharge to community	54.01%	50.57% 3.4 pts better	No Different than the National Rate · Eligible stays 71 · Observed rate 45.07% · Lower 95% interval 43.48%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 87 · Denominator 87
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 87
Discharge self-care score	39.34%	53.69% 14.3 pts worse	Numerator 24 · Denominator 61
Discharge mobility score	44.26%	50.94% 6.7 pts worse	Numerator 27 · Denominator 61
Pressure ulcers or injuries, new or worsened	2.3%	2.29% About the same	Numerator 2 · Denominator 87 · Adjusted rate 1.75%
Healthcare-associated infections requiring hospitalization	6.62%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 3.87%
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 122 · Denominator 122
Staff flu vaccination coverage	18.71%	42% 23.3 pts worse	Numerator 26 · Denominator 139
Discharge function score	39.34%	56.45% 17.1 pts worse	Numerator 24 · Denominator 61
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 24 · Denominator 24
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 32 · Denominator 32
Resident COVID-19 vaccinations up to date	68.42%	25.2% 43.2 pts better	Numerator 26 · Denominator 38

Quality measures

Resident outcomes and process scores

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 1.1 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	1.2 0.6 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.9% 13.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	0.3%	3.2% 2.9 pts better	3.3% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.7%	6.5% 9.2 pts worse	11.4% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 6.8% · Q3 13.7% · Q4 39.7% · 4Q avg 15.7%
Percentage of long-stay residents who lose too much weight	7.7%	6.5% 1.2 pts worse	5.4% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.9% · Q3 6.2% · Q4 13.1% · 4Q avg 7.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.9%	19.9% 8 pts better	19.6% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.6% · Q3 9.2% · Q4 14.9% · 4Q avg 11.9%
Percentage of long-stay residents who received an antipsychotic medication	14.4%	18.7% 4.3 pts better	16.7% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 19.0% · Q3 17.1% · Q4 2.7% · 4Q avg 14.4% · 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	1.5%	19.6% 18.1 pts better	16.3% 14.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.1%	18.3% 15.2 pts better	14.9% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 4.8% · Q4 4.7% · 4Q avg 3.1% · 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% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · 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 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.3%	26.4% 1.9 pts worse	19.8% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 32.0% · Q3 32.2% · Q4 22.0% · 4Q avg 28.3%
Percentage of long-stay residents with pressure ulcers	5.6%	5.3% 0.3 pts worse	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 6.6% · Q3 7.6% · Q4 6.3% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	68.9% 30.3 pts better	81.7% 17.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.1% · Q3 99.1% · Q4 99.2% · 4Q avg 99.2%
Percentage of short-stay residents who had an outpatient emergency department visit	6.1%	9.8% 3.7 pts better	12.0% 5.9 pts better	Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 6.1% · Expected 11.2% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.3%	68.7% 20.6 pts better	79.7% 9.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.8%	23.1% 0.3 pts better	23.9% 1.1 pts better	Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 22.4% · Expected 23.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

15 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-08-01 · Fire 2024-08-01

14 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-10-13 · Fire 2023-10-13

11 health deficiencies

Top issue: Resident Rights (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-05

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-07-29

E · Potential for more than minimal harm 2025-06-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-07-29

E · Potential for more than minimal harm 2025-06-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-07-29

E · Potential for more than minimal harm 2025-06-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-29

C · Minimal harm 2025-06-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-07-29

C · Minimal harm 2025-06-05

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-07-29

F · Potential for more than minimal harm 2024-08-01

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-01

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-01

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-07

F · Potential for more than minimal harm 2024-08-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-01

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 2024-10-01

E · Potential for more than minimal harm 2024-08-01

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 2024-10-01

E · Potential for more than minimal harm 2024-08-01

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-01

C · Minimal harm 2024-08-01

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-10-01

B · Minimal harm 2024-08-01

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2024-10-01

F · Potential for more than minimal harm 2023-10-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-10-13

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 2024-01-09

E · Potential for more than minimal harm 2023-10-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-10-13

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-10-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-09

C · Minimal harm 2023-10-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-09

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-05

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 2025-07-29

E · Potential for more than minimal harm 2025-06-05

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 2025-07-29

E · Potential for more than minimal harm 2025-06-05

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-07-29

E · Potential for more than minimal harm 2025-06-05