Christiana, PA

Newport Meadows Health And Rehabilitation Center

2-star overall rating with 3-star inspections with $42,912 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

41 Newport Avenue, Christiana, PA

(610) 593-6901

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

139

Certified beds

Average residents

127

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Imperial Healthcare Group

Operator or chain grouping

Approved since

1978-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 2 overall / 2 health / 2 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

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.31

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.12

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

3.26

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,718

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9889

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.10

Baseline 19.51% · Performance 19.07% · Measure score 5.10 · Achievement 5.10 · Improvement 1.28

Healthcare-associated infections

8.42

Baseline 6.23% · Performance 5.32% · Measure score 8.42 · Achievement 8.42 · Improvement 6.89

Total nurse turnover

0

Baseline 58.27% · Performance 64.14% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0.56

Baseline 3.97 hours · Performance 3.24 hours · Measure score 0.56 · Achievement 0.56 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 8.99%
10.72%
1.7 pts better
No Different than the National Rate · Eligible stays 136 · Observed rate 6.62% · Lower 95% interval 6.43%
Discharge to community 41.19%
50.57%
9.4 pts worse
No Different than the National Rate · Eligible stays 95 · Observed rate 32.63% · Lower 95% interval 31.36%
Medicare spending per beneficiary 0.94
1.02
0.1 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 91 · Denominator 91
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 91
Discharge self-care score 63.64%
53.69%
10 pts better
Numerator 42 · Denominator 66
Discharge mobility score 48.48%
50.94%
2.5 pts worse
Numerator 32 · Denominator 66
Pressure ulcers or injuries, new or worsened 2.2%
2.29%
0.1 pts better
Numerator 2 · Denominator 91 · Adjusted rate 1.72%
Healthcare-associated infections requiring hospitalization 5.32%
7.12%
1.8 pts better
No Different than the National Rate · Eligible stays 83 · Observed rate 2.41% · Lower 95% interval 2.99%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 146
Staff flu vaccination coverage 9.5%
42%
32.5 pts worse
Numerator 19 · Denominator 200
Discharge function score 57.58%
56.45%
1.1 pts better
Numerator 38 · Denominator 66
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 28 · Denominator 28
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 35.85%
25.2%
10.7 pts better
Numerator 19 · Denominator 53

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
1.7
0.6 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.2
1.2
1 pts worse
1.8
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.5%
86.9%
2.6 pts better
93.4%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 95.0% · Q3 83.2% · Q4 83.9% · 4Q avg 89.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.2%
93.5%
4.3 pts worse
95.5%
6.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.2%
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
3.2%
1.2 pts worse
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.1% · Q3 4.4% · Q4 5.9% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 9.6%
6.5%
3.1 pts worse
11.4%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 17.9% · Q3 5.6% · Q4 9.0% · 4Q avg 9.6%
Percentage of long-stay residents who lose too much weight 2.3%
6.5%
4.2 pts better
5.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 1.0% · Q4 4.2% · 4Q avg 2.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.6%
19.9%
4.3 pts better
19.6%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 14.0% · Q3 15.4% · Q4 17.8% · 4Q avg 15.6%
Percentage of long-stay residents who received an antipsychotic medication 22.2%
18.7%
3.5 pts worse
16.7%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 20.3% · Q3 23.0% · Q4 25.3% · 4Q avg 22.2% · 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 13.3%
19.6%
6.3 pts better
16.3%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 18.4% · Q3 9.6% · Q4 8.0% · 4Q avg 13.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.3%
18.3%
7 pts better
14.9%
3.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 12.0% · Q3 10.4% · Q4 5.2% · 4Q avg 11.3% · 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 0.7%
1.7%
1 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.4%
26.4%
5 pts better
19.8%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 22.4% · Q3 18.8% · Q4 13.0% · 4Q avg 21.4%
Percentage of long-stay residents with pressure ulcers 3.9%
5.3%
1.4 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.1% · Q3 3.6% · Q4 5.7% · 4Q avg 3.9% · 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 88.1% · Q2 86.6% · Q3 83.6% · Q4 81.4% · 4Q avg 84.9%
Percentage of short-stay residents who had an outpatient emergency department visit 15.1%
9.8%
5.3 pts worse
12.0%
3.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 15.5% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.9%
1.5%
0.6 pts better
1.6%
0.7 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64.9%
68.7%
3.8 pts worse
79.7%
14.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.1%
23.1%
About the same
23.9%
0.8 pts better
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 25.4% · Expected 26.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-10 · Fire 2025-09-10

7 health deficiencies

Top issue: Resident Rights (4 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-09-25 · Fire 2024-09-25

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-10-20 · Fire 2023-10-20

7 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-09-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-12-15

D · Potential for more than minimal harm 2025-09-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-12-15

C · Minimal harm 2025-09-10

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-12-15

E · Potential for more than minimal harm 2024-09-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-28

C · Minimal harm 2024-09-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-28

E · Potential for more than minimal harm 2023-10-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-03

F690 · Quality of Life and Care Deficiencies

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 2025-12-04

E · Potential for more than minimal harm 2025-09-10

F761 · Pharmacy Service Deficiencies

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 2025-10-10

D · Potential for more than minimal harm 2025-09-10

F559 · Resident Rights Deficiencies

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 2025-10-08

D · Potential for more than minimal harm 2025-09-10

F584 · Resident Rights Deficiencies

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 2025-10-10

D · Potential for more than minimal harm 2025-09-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-10

C · Minimal harm 2025-09-10

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-07-22

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-12

G · Actual harm 2024-11-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-21

G · Actual harm 2024-09-25

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-20

E · Potential for more than minimal harm 2024-09-25

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-11-20

E · Potential for more than minimal harm 2024-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-09-25

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 2024-11-20

D · Potential for more than minimal harm 2024-09-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-09-25

F756 · Pharmacy Service Deficiencies

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 2024-11-20

D · Potential for more than minimal harm 2024-09-25

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-06-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-03-05

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Not marked corrected

F · Potential for more than minimal harm 2023-10-20

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-10-20

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-10-20

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 2023-11-29

D · Potential for more than minimal harm 2023-10-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-10-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-09-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-10-18

D · Potential for more than minimal harm 2023-09-07

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-10-18

Penalties and ownership

What sits behind the stars

$13,575 2024-09-25

Fine

Fine · fine $13,575

Fine

$13,575 2024-09-25

Fine

Fine · fine $13,575

Fine

$3,418 2024-02-20

Fine

Fine · fine $3,418

Fine

$7,976 2024-01-30

Fine

Fine · fine $7,976

Fine

$4,368 2023-12-26

Fine

Fine · fine $4,368

Fine

Ownership

Imperial Hh SNF Operations Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2020-01-03
Beech Iii, Frank

W-2 Managing Employee · Individual

0% 1 facilities 2020-01-03
Ch Hh SNF Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2021-07-22
Chrh Equities LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 11 facilities 2021-07-22
Ens Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2021-07-22
Herzka, Yisroel

5% Or Greater Indirect Ownership Interest · Individual

0% 82 facilities 2021-07-22
Herzka, Yisroel

Corporate Officer · Individual

0% 82 facilities 2021-07-22
Kopelowitz, Shaul

5% Or Greater Indirect Ownership Interest · Individual

0% 24 facilities 2020-01-03
The Ens Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2021-07-22
Ymcs Equities LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 11 facilities 2021-07-22

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