4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Montgomeryville, PA
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
640 Bethlehem Pike, Montgomeryville, PA
(215) 368-4350
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
155
Certified beds
Average residents
39
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1989-06-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
193 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
1.79
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.42
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.47
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.72
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
0.17
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.83
CMS adjusted RN staffing hours
Adjusted total hours
4.52
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
93%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,551
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9871
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.38
Baseline 16.39% · Performance 20.33% · Measure score 2.38 · Achievement 2.38 · Improvement 0
Healthcare-associated infections
8.22
Baseline 5.78% · Performance 5.38% · Measure score 8.22 · Achievement 8.22 · Improvement 4.64
Total nurse turnover
0.94
Baseline 32.00% · Performance 59.83% · Measure score 0.94 · Achievement 0.94 · Improvement 0
Adjusted total nurse staffing
1.46
Baseline 3.23 hours · Performance 3.49 hours · Measure score 1.46 · Achievement 1.46 · Improvement 0.54
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.1% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 10.65% · Lower 95% interval 7.85% |
| Discharge to community | 48.67% |
50.57%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 166 · Observed rate 39.16% · Lower 95% interval 39.56% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 85 · Denominator 85 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 85 |
| Discharge self-care score | 31.91% |
53.69%
21.8 pts worse
|
Numerator 15 · Denominator 47 |
| Discharge mobility score | 27.66% |
50.94%
23.3 pts worse
|
Numerator 13 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 1.18% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 85 · Adjusted rate 1.06% |
| Healthcare-associated infections requiring hospitalization | 5.38% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 2.91% · Lower 95% interval 2.83% |
| Staff COVID-19 vaccination coverage | 13.16% |
8.2%
5 pts better
|
Numerator 5 · Denominator 38 |
| Staff flu vaccination coverage | 31.25% |
42%
10.8 pts worse
|
Numerator 35 · Denominator 112 |
| Discharge function score | 23.4% |
56.45%
33.1 pts worse
|
Numerator 11 · Denominator 47 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 23 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 41 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 3.9 · Expected 4.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.2
0.2 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.7 · Expected 2.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 48.2% |
86.9%
38.7 pts worse
|
93.4%
45.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.5% · Q2 47.3% · Q4 75.0% · 4Q avg 48.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.4% |
93.5%
4.1 pts worse
|
95.5%
6.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
3.2%
2.8 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q4 5.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 50.4% |
6.5%
43.9 pts worse
|
11.4%
39 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 59.3% · 4Q avg 50.4% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.5%
1.1 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.7% · Q4 5.0% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
19.9%
2.7 pts worse
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 22.6% · Q4 30.0% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.1% |
18.7%
1.4 pts worse
|
16.7%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 19.8% · 4Q avg 20.1% · 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% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 43.7% |
19.6%
24.1 pts worse
|
16.3%
27.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.2% · Q2 32.0% · 4Q avg 43.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.5% |
18.3%
10.2 pts worse
|
14.9%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.9% · Q2 23.5% · 4Q avg 28.5% · 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.7%
0.3 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.9% · Q4 5.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.7% |
26.4%
3.7 pts better
|
19.8%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 21.4% · 4Q avg 22.7% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
5.3%
2.2 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.7% · Q4 16.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 28.4% |
68.9%
40.5 pts worse
|
81.7%
53.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 20.4% · Q3 34.2% · Q4 55.3% · 4Q avg 28.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.4% |
9.8%
3.4 pts better
|
12.0%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 7.0% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.5%
0.9 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.9% |
68.7%
41.8 pts worse
|
79.7%
52.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.2% |
23.1%
12.1 pts worse
|
23.9%
11.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.2% · Observed 42.1% · Expected 28.5% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (7 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-08-12
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-08-12
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-08-12
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-08-07
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-08-07
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-08-07
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-29
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 2025-07-29
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-07-29
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
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-10-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-10
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 2024-07-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-10
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-07-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-10
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 2024-07-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-10
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-07-10
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 2024-07-10
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-07-10
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-07-10
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 2024-07-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-24
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-04-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-12
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-19
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 2023-07-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-21
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-07-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-21
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 2023-07-21
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-07-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-21
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-21
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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3-star overall rating with 3-star inspections with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Lansdale, PA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Lansdale, PA
1-star overall rating with 1-star inspections with $191,228 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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