Federal inspection record · CMS data as of October 1, 2026

Luther Woods Nursing And Rehabilitation Center

313 County Line Road, Hatboro, PA · (215) 675-5005

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
140
Residents per day
123
Ownership
For-Profit
Chain
Lifeworks Rehab
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 8, 1977

1

How this home got 3 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Luther Woods Nursing And Rehabilitation Center carries 51 inspection points. That is fewer than 51% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 51 pts · 3★

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

18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 15 4 pts
E 2 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care4D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 3, 2025 · Complaint · F689 · Corrected December 12, 2025

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    November 21, 2025 · Standard · F686 · Corrected December 29, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 12, 2024 · Standard · F684 · Corrected January 3, 2025

  4. D

    Provide enough food/fluids to maintain a resident's health.

    March 22, 2024 · Standard · F692 · Corrected April 11, 2024

Resident Assessment and Care Planning4D
  1. D

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

    December 3, 2025 · Complaint · F842 · Corrected December 12, 2025

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 21, 2025 · Standard · F656 · Corrected December 29, 2025

  3. D

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

    November 21, 2025 · Standard · F658 · Corrected December 29, 2025

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 22, 2024 · Standard · F656 · Corrected April 10, 2024

Administration2D
  1. D

    Keep complete, dated laboratory records in the resident's record.

    December 3, 2025 · Complaint · F775 · Corrected December 12, 2025

  2. D

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

    March 22, 2024 · Standard · F847 · Corrected April 11, 2024

Nutrition and Dietary2F
  1. F

    Dispose of garbage and refuse properly.

    November 21, 2025 · Standard · F814 · Corrected December 29, 2025

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 21, 2025 · Standard · F812 · Corrected December 29, 2025

Resident Rights2E
  1. E

    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.

    November 21, 2025 · Standard · F585 · Corrected December 29, 2025

  2. D

    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.

    August 21, 2024 · Complaint · F584 · Corrected September 13, 2024

Pharmacy Service2D
  1. D

    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.

    December 12, 2024 · Standard · F761 · Corrected December 31, 2024

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 22, 2024 · Standard · F755 · Corrected April 10, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    May 13, 2026 · Complaint · F880 · Corrected June 9, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    December 3, 2025 · Complaint · F610 · Corrected December 12, 2025

Inspection history

  1. 2025-11-21

    11 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2024-12-12

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

  3. 2024-03-22

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 53 min of nursing staff time a day, 40 min of it from a registered nurse.

This home

3 h 53 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 44% of nursing staff and 46% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse2.41.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better0.81.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16.2 pts worse71.6%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better1.4%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms13.4 pts worse27.2%13.8%13.5%
Percentage of long-stay residents who lose too much weight1.9 pts worse7.9%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts worse22.3%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.5 pts better8.1%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.6 pts better5.8%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts better10.1%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better0.3%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse26.8%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1.8 pts better2.9%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.9 pts worse59.9%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts worse11.7%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.1%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.1 pts better91.0%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission8.6 pts worse30.6%22.0%23.4%

·

Who owns and runs it

7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Luther Woods Health Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Birnbaum, Israel5% Or Greater Indirect Ownership Interest · Individual33%10 facilities
Kohn, Avrohom5% Or Greater Indirect Ownership Interest · Individual33%6 facilities
Netzer, Michele5% Or Greater Indirect Ownership Interest · Individual33%6 facilities
Mclaughlin, LynnW-2 Managing Employee · Individual0%1 facilities
Netzer, MicheleCorporate Director · Individual0%6 facilities
Vita Healthcare Group LLCOperational/Managerial Control · Organization0%1 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness3C
  1. C

    Establish staff and initial training requirements.

    November 21, 2025 · E37 · Corrected January 5, 2026

  2. C

    Conduct testing and exercise requirements.

    November 21, 2025 · E39 · Corrected January 5, 2026

  3. C

    Establish roles under a Waiver declared by secretary.

    December 12, 2024 · E26 · Corrected January 31, 2025

·

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