5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Philadelphia, PA
3-star overall rating with 3-star inspections with $76,483 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
125 W Schoolhouse Lane, Philadelphia, PA
(215) 844-8806
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
165
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bedrock Care
Operator or chain grouping
Approved since
1991-10-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
RN hours / resident day
0.38
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
3.69
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
11,538
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.81
Baseline 22.42% · Performance 21.18% · Measure score 1.81 · Achievement 0.54 · Improvement 1.81
Healthcare-associated infections
0.99
Baseline 7.21% · Performance 7.54% · Measure score 0.99 · Achievement 0.99 · Improvement 0
Total nurse turnover
2.10
Baseline 65.35% · Performance 55.10% · Measure score 2.10 · Achievement 2.10 · Improvement 2.03
Adjusted total nurse staffing
1.67
Baseline 2.80 hours · Performance 3.45 hours · Measure score 1.67 · Achievement 1.31 · Improvement 1.67
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.2% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 15.79% · Lower 95% interval 8.18% |
| Discharge to community | 44.38% |
50.57%
6.2 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 27.03% · Lower 95% interval 31.19% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 33 · Denominator 33 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 33 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 12 · Denominator 21 |
| Discharge mobility score | 52.38% |
50.94%
1.4 pts better
|
Numerator 11 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 9.09% |
2.29%
6.8 pts worse
|
Numerator 3 · Denominator 33 · Adjusted rate 7.66% |
| Healthcare-associated infections requiring hospitalization | 7.54% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 3.85% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 188 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 12 · Denominator 21 |
| 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 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.7 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.5% |
86.9%
10.4 pts worse
|
93.4%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 79.1% · Q3 70.3% · Q4 71.3% · 4Q avg 76.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.5% |
93.5%
16 pts worse
|
95.5%
18 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 77.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.2%
1.4 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 0.6% · Q4 2.5% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
6.5%
6.2 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
6.5%
1.4 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.6% · Q3 10.7% · Q4 5.3% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.4% |
19.9%
5.5 pts better
|
19.6%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 14.2% · Q3 13.2% · Q4 14.1% · 4Q avg 14.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.6% |
18.7%
1.1 pts better
|
16.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 16.7% · Q3 20.3% · Q4 17.1% · 4Q avg 17.6% · 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 | 20.6% |
19.6%
1 pts worse
|
16.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 16.4% · Q3 26.7% · Q4 19.7% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.4% |
18.3%
3.1 pts worse
|
14.9%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 18.0% · Q3 24.5% · Q4 19.4% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.9%
0.8 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.7%
1.5 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.0% |
26.4%
5.6 pts worse
|
19.8%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 30.7% · Q3 32.3% · Q4 32.4% · 4Q avg 32.0% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
5.3%
0.9 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 5.5% · Q3 4.1% · Q4 7.0% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 23.7% |
68.9%
45.2 pts worse
|
81.7%
58 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 10.3% · Q3 27.6% · Q4 53.5% · 4Q avg 23.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
9.8%
About the same
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 12.5% · Expected 14.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 2.0% · Q4 2.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 36.0% |
68.7%
32.7 pts worse
|
79.7%
43.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 36.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.6% |
23.1%
6.5 pts better
|
23.9%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 20.8% · Expected 29.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nutrition and Dietary (9 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-11-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-11-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-11-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-11-02
Fire Safety
Meet other general requirements.
Corrected 2025-01-05
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-01-05
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-05
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-01-05
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-03-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-01
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-03-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-01
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-03-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-03-01
Inspection history
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 2025-10-10
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-10-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-10
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-10-10
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-05
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-05
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-05
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 2025-01-05
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-01-05
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-05
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 2025-01-05
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-01-05
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-01-05
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 2025-01-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-05
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-01-05
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2025-01-05
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 2025-01-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-05
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-01-05
Health
Keep all essential equipment working safely.
Corrected 2025-01-05
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2025-01-05
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-01-05
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 2024-10-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-15
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-05-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-12
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-03-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-01
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 2024-03-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-01
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-03-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-01
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-11-03
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 2023-06-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-28
Penalties and ownership
Fine · fine $56,521
Fine
Fine · fine $19,962
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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