Cycle 1
Health 2025-02-21 · Fire 2025-02-21
0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Lansdale, PA
Meadowood
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
3205 Skippack Pike, Lansdale, PA
(610) 584-1000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
59
Certified beds
Average residents
53
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-10-26
CMS approved date
Coverage
Medicare
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
Hours and turnover
RN hours / resident day
1.21
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.46
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.01
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.20
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.13
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.28
CMS adjusted RN staffing hours
Adjusted total hours
4.72
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
105
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
85.15
Composite VBP score used to determine payment impact.
Payment multiplier
1.0267
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.96
Baseline 20.29% · Performance 17.74% · Measure score 7.96 · Achievement 7.96 · Improvement 7.31
Healthcare-associated infections
10
Baseline 4.59% · Performance 4.11% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
10
Baseline 28.33% · Performance 19.67% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
6.1
Baseline 4.10 hours · Performance 4.81 hours · Measure score 6.1 · Achievement 6.1 · Improvement 3.76
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.45% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 258 · Observed rate 9.69% · Lower 95% interval 8.21% |
| Discharge to community | 60.17% |
50.57%
9.6 pts better
|
Better than the National Rate · Eligible stays 246 · Observed rate 58.94% · Lower 95% interval 53.22% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.29% |
95.27%
4 pts better
|
Numerator 139 · Denominator 140 |
| Falls with major injury | 0.71% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 140 |
| Discharge self-care score | 59.29% |
53.69%
5.6 pts better
|
Numerator 67 · Denominator 113 |
| Discharge mobility score | 57.52% |
50.94%
6.6 pts better
|
Numerator 65 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 140 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 4.11% |
7.12%
3 pts better
|
Better than the National Rate · Eligible stays 174 · Observed rate 0% · Lower 95% interval 2.49% |
| Staff COVID-19 vaccination coverage | 4% |
8.2%
4.2 pts worse
|
Numerator 7 · Denominator 175 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 265 · Denominator 265 |
| Discharge function score | 74.34% |
56.45%
17.9 pts better
|
Numerator 84 · Denominator 113 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 92.71% |
96.28%
3.6 pts worse
|
Numerator 89 · Denominator 96 |
| Resident COVID-19 vaccinations up to date | 52.5% |
25.2%
27.3 pts better
|
Numerator 21 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.5 · 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 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
86.9%
10.4 pts better
|
93.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.1% · Q4 92.3% · 4Q avg 97.3% |
| 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 | 2.0% |
3.2%
1.2 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 2.9% · Q4 2.6% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
6.5%
4.4 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 3.1% · Q4 2.6% · 4Q avg 2.1% |
| 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 3.6% · Q2 3.8% · Q3 4.2% · Q4 4.2% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
19.9%
6.4 pts better
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 11.1% · Q3 16.0% · Q4 12.5% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
18.7%
12.4 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · 4Q avg 6.3% · 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 need for help with daily activities has increased | 26.4% |
18.3%
8.1 pts worse
|
14.9%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 26.1% · Q3 28.6% · 4Q avg 26.4% · 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 | 3.4% |
1.7%
1.7 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.1% · Q3 0.0% · Q4 5.1% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
26.4%
2 pts better
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 26.4% · Q3 23.2% · Q4 12.6% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
5.3%
4.2 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.8% |
68.9%
7.9 pts better
|
81.7%
4.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.1% · Q2 85.9% · Q3 75.6% · Q4 71.3% · 4Q avg 76.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.1% |
9.8%
5.7 pts better
|
12.0%
7.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.1% · Observed 3.7% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 2.0% · Q3 0.0% · Q4 1.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.9% |
68.7%
26.2 pts better
|
79.7%
15.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.3% |
23.1%
10.8 pts better
|
23.9%
11.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 10.1% · Expected 19.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-03 · Fire 2024-05-03
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-07-19 · Fire 2023-07-19
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-21
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-21
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-04-01
E · Potential for more than minimal harm
2023-07-19
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-07-19
K221 · Egress Deficiencies
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-07-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-07-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-07-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-07-19
F657 · Resident Assessment and Care Planning Deficiencies
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 2023-09-11
D · Potential for more than minimal harm
2023-07-19
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-11
Penalties and ownership
What sits behind the stars
Ownership
Mckenney, Bruce
5% Or Greater Indirect Ownership Interest · Individual
Back, Marlon
Operational/Managerial Control · Individual
Beam, James
Corporate Director · Individual
Beam, James
Corporate Officer · Individual
Beatrice, Barbara
Operational/Managerial Control · Individual
Bevington, Todd
Corporate Director · Individual
Bickel, Nancy
Corporate Director · Individual
Brenn, Jeremy
Corporate Director · Individual
Brenn, Jeremy
Corporate Officer · Individual
Dessen, Lawrence
Corporate Director · Individual
Dolloff, Eugene
Corporate Director · Individual
Farrell, Regina
Operational/Managerial Control · Individual
Irons, Robert
Corporate Director · Individual
Kotsatos, John
Operational/Managerial Control · Individual
Mckenney, Bruce
Corporate Director · Individual
Mckenney, Bruce
Corporate Officer · Individual
Morgan, Thomas
Corporate Director · Individual
Nordeman, Paul
Corporate Director · Individual
Ost, Barbara
Corporate Director · Individual
Rieder, Jeffrey
Corporate Director · Individual
Rose, Victor
Corporate Director · Individual
Strasburg, Mark
Corporate Director · Individual
Warner-Maron, Ilene
Corporate Director · Individual
Wisniewski, Steven
Operational/Managerial Control · Individual
Wisniewski, Steven
Corporate Officer · Individual
Yarmark, Scott
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Willowbrooke Court Skilled Care Center At Brittany
Lansdale, PA
5-star overall rating with 5-star inspections with 2 recent health deficiencies
#2
Gwynedd Healthcare And Rehabilitation Center
Lansdale, PA
5-star overall rating with 4-star inspections with $24,065 in total fines with 2 recent health deficiencies
#3
Dock Terrace
Lansdale, PA
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
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