Cycle 1
Health 2025-06-18 · Fire 2025-06-18
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Media, PA
Monticello House
5-star overall rating with 5-star inspections with 5 fire-safety deficiencies in the latest cycle
1048 W Baltimore Avenue, Media, PA
(610) 857-6358
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
86
Certified beds
Average residents
84
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-11-13
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
0.78
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.82
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.69
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.87
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.06
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.91
CMS adjusted RN staffing hours
Adjusted total hours
5.46
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,045
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.59
Composite VBP score used to determine payment impact.
Payment multiplier
1.0157
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.22
Baseline 20.57% · Performance 19.48% · Measure score 4.22 · Achievement 4.22 · Improvement 2.59
Healthcare-associated infections
8.82
Baseline 6.98% · Performance 5.20% · Measure score 8.82 · Achievement 8.82 · Improvement 8.47
Total nurse turnover
5.06
Baseline 38.64% · Performance 42.99% · Measure score 5.06 · Achievement 5.06 · Improvement 0
Adjusted total nurse staffing
6.13
Baseline 4.22 hours · Performance 4.82 hours · Measure score 6.13 · Achievement 6.13 · Improvement 3.34
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.47% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 341 · Observed rate 6.16% · Lower 95% interval 6.49% |
| Discharge to community | 49.97% |
50.57%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 334 · Observed rate 47.31% · Lower 95% interval 44.18% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.66% |
95.27%
3.4 pts better
|
Numerator 147 · Denominator 149 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 149 |
| Discharge self-care score | 48.84% |
53.69%
4.8 pts worse
|
Numerator 63 · Denominator 129 |
| Discharge mobility score | 37.98% |
50.94%
13 pts worse
|
Numerator 49 · Denominator 129 |
| Pressure ulcers or injuries, new or worsened | 2.68% |
2.29%
0.4 pts worse
|
Numerator 4 · Denominator 149 · Adjusted rate 3.9% |
| Healthcare-associated infections requiring hospitalization | 5.2% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 187 · Observed rate 2.67% · Lower 95% interval 3.2% |
| Staff COVID-19 vaccination coverage | 5.44% |
8.2%
2.8 pts worse
|
Numerator 8 · Denominator 147 |
| Staff flu vaccination coverage | 10.93% |
42%
31.1 pts worse
|
Numerator 40 · Denominator 366 |
| Discharge function score | 58.14% |
56.45%
1.7 pts better
|
Numerator 75 · Denominator 129 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 74 · Denominator 74 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 32 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 57.97% |
25.2%
32.8 pts better
|
Numerator 40 · Denominator 69 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.4 · Expected 1.3 · 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 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.7% |
86.9%
6.8 pts better
|
93.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.4% · Q2 98.4% · Q3 92.2% · Q4 91.0% · 4Q avg 93.7% |
| 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 | 3.1% |
3.2%
0.1 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.2% · Q3 3.1% · Q4 4.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 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 who lose too much weight | 7.8% |
6.5%
1.3 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 12.8% · Q3 3.7% · Q4 5.2% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
19.9%
1.1 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.2% · Q3 16.4% · Q4 16.9% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
18.7%
1.7 pts better
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 17.5% · Q3 18.4% · Q4 16.3% · 4Q avg 17.0% · 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 | 6.9% |
19.6%
12.7 pts better
|
16.3%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.2% · Q3 5.2% · Q4 9.0% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.2% |
18.3%
4.1 pts better
|
14.9%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 16.3% · Q3 13.0% · Q4 7.0% · 4Q avg 14.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.9%
0.1 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.7% |
26.4%
16.7 pts better
|
19.8%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 7.1% · Q3 11.0% · Q4 10.3% · 4Q avg 9.7% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
5.3%
1.8 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 6.9% · Q3 3.8% · Q4 8.2% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.9% |
68.9%
16 pts better
|
81.7%
3.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.6% · Q2 82.8% · Q3 86.3% · Q4 91.1% · 4Q avg 84.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.1% |
9.8%
4.7 pts better
|
12.0%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.1% · Observed 4.3% · Expected 9.4% · 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 | 95.9% |
68.7%
27.2 pts better
|
79.7%
16.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.8% |
23.1%
5.3 pts better
|
23.9%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 13.9% · Expected 18.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-10 · Fire 2024-05-10
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2023-07-13 · Fire 2023-07-13
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-11
E · Potential for more than minimal harm
2025-06-18
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-11
E · Potential for more than minimal harm
2025-06-18
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-11
E · Potential for more than minimal harm
2025-06-18
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-11
E · Potential for more than minimal harm
2025-06-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-11
F · Potential for more than minimal harm
2024-05-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-09
E · Potential for more than minimal harm
2024-05-10
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-07-09
E · Potential for more than minimal harm
2024-05-10
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-07-09
E · Potential for more than minimal harm
2024-05-10
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-09
E · Potential for more than minimal harm
2023-07-13
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-14
E · Potential for more than minimal harm
2023-07-13
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-08-14
E · Potential for more than minimal harm
2023-07-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-14
E · Potential for more than minimal harm
2023-07-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-08-14
E · Potential for more than minimal harm
2023-07-13
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-08-14
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-05-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-17
E · Potential for more than minimal harm
2023-07-13
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 2023-08-14
D · Potential for more than minimal harm
2023-07-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-14
D · Potential for more than minimal harm
2023-07-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-14
D · Potential for more than minimal harm
2023-07-13
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-08-14
Penalties and ownership
What sits behind the stars
Ownership
Allen, Amanda
Corporate Director · Individual
Bailey, Richard
Operational/Managerial Control · Individual
Bailey, Richard
Corporate Director · Individual
Bannister, Sirena
Corporate Director · Individual
Bates, Lawrence
Corporate Director · Individual
Gadson, Benita
Corporate Director · Individual
Hope, Joseph
Corporate Director · Individual
Lamanna, Kristen
Corporate Director · Individual
Lester-Dennis, Kisha
Corporate Director · Individual
Mccullough, Kelly
Corporate Director · Individual
Philips, Robert
Corporate Director · Individual
Rice, Kimberlyn
Corporate Director · Individual
Roguszewski, Kimberly
Operational/Managerial Control · Individual
Roguszewski, Kimberly
Corporate Director · Individual
Roguszewski, Kimberly
Corporate Officer · Individual
Waterman, Ronald
Operational/Managerial Control · Individual
Waterman, Ronald
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Sterling Health Care and Rehab Center
Media, PA
2-star overall rating with 2-star inspections with abuse icon flag with $25,625 in total fines with 10 recent health deficiencies
#2
Wallingford Skilled Nursing And Rehabilitation Cen
Wallingford, PA
1-star overall rating with 1-star inspections with $282,733 in total fines with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Springfield Rehabilitation And Healthcare Center
Springfield, PA
1-star overall rating with 2-star inspections with $20,010 in total fines with 15 recent health deficiencies
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