Philadelphia, PA

Oakwood Healthcare & Rehabilitation Center

3-star overall rating with 3-star inspections with $5,269 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

2109 Red Lion Road, Philadelphia, PA

(215) 673-7000

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

148

Certified beds

Average residents

131

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Colev Gestetner

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

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

0.55

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.39

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.92

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.53

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.79

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,298

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

Performance score

17.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.24% · Performance 23.38% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 8.55% · Performance 9.91% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.85

Baseline 63.19% · Performance 39.77% · Measure score 5.85 · Achievement 5.85 · Improvement 5.61

Adjusted total nurse staffing

1.09

Baseline 3.59 hours · Performance 3.39 hours · Measure score 1.09 · Achievement 1.09 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.91%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 186 · Observed rate 15.59% · Lower 95% interval 8.6%
Discharge to community	39.18%	50.57% 11.4 pts worse	Worse than the National Rate · Eligible stays 165 · Observed rate 29.09% · Lower 95% interval 31.16%
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 192 · Denominator 192
Falls with major injury	1.56%	0.77% 0.8 pts worse	Numerator 3 · Denominator 192
Discharge self-care score	51.85%	53.69% 1.8 pts worse	Numerator 56 · Denominator 108
Discharge mobility score	46.3%	50.94% 4.6 pts worse	Numerator 50 · Denominator 108
Pressure ulcers or injuries, new or worsened	4.17%	2.29% 1.9 pts worse	Numerator 8 · Denominator 192 · Adjusted rate 3.08%
Healthcare-associated infections requiring hospitalization	9.91%	7.12% 2.8 pts worse	No Different than the National Rate · Eligible stays 144 · Observed rate 15.28% · Lower 95% interval 6.74%
Staff COVID-19 vaccination coverage	6.21%	8.2% 2 pts worse	Numerator 10 · Denominator 161
Staff flu vaccination coverage	68.95%	42% 27 pts better	Numerator 171 · Denominator 248
Discharge function score	50.93%	56.45% 5.5 pts worse	Numerator 55 · Denominator 108
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 72 · Denominator 72
Transfer of health information to patient	95.65%	96.28% 0.6 pts worse	Numerator 44 · Denominator 46
Resident COVID-19 vaccinations up to date	47%	25.2% 21.8 pts better	Numerator 47 · Denominator 100

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	1.7 1.3 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.8 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.2 0.2 pts worse	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	86.9% 12.4 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 99.0% · Q4 99.1% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.2%	93.5% 5.7 pts better	95.5% 3.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
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 2.6% · Q2 0.9% · Q3 1.0% · Q4 2.7% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	52.3%	6.5% 45.8 pts worse	11.4% 40.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.8% · Q2 48.5% · Q3 50.0% · Q4 63.8% · 4Q avg 52.3%
Percentage of long-stay residents who lose too much weight	5.7%	6.5% 0.8 pts better	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.6% · Q3 11.9% · Q4 3.0% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.6%	19.9% 6.3 pts better	19.6% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 15.2% · Q3 11.8% · Q4 12.5% · 4Q avg 13.6%
Percentage of long-stay residents who received an antipsychotic medication	16.9%	18.7% 1.8 pts better	16.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 16.9% · Q3 15.9% · Q4 13.9% · 4Q avg 16.9% · 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	4.8%	19.6% 14.8 pts better	16.3% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.2% · Q3 5.9% · Q4 4.6% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.9%	18.3% 11.4 pts better	14.9% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.3% · Q3 7.7% · Q4 3.0% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.9% 0.7 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.2% · 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 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.4%	26.4% 14 pts better	19.8% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 15.4% · Q3 9.9% · Q4 9.8% · 4Q avg 12.4%
Percentage of long-stay residents with pressure ulcers	6.8%	5.3% 1.5 pts worse	5.1% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.2% · Q3 6.5% · Q4 7.2% · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.2%	68.9% 20.3 pts better	81.7% 7.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 89.3% · Q3 88.3% · Q4 91.3% · 4Q avg 89.2%
Percentage of short-stay residents who had an outpatient emergency department visit	8.7%	9.8% 1.1 pts better	12.0% 3.3 pts better	Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 9.3% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.5% 0.9 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.9%	68.7% 18.2 pts better	79.7% 7.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.9%	23.1% 8.8 pts worse	23.9% 8 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 33.3% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-08-29 · Fire 2024-08-29

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-11-09 · Fire 2023-11-09

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-05

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-07-05

F · Potential for more than minimal harm 2024-08-29

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 2024-10-22

F · Potential for more than minimal harm 2024-08-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-22

E · Potential for more than minimal harm 2024-08-29

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-10-22

E · Potential for more than minimal harm 2024-08-29

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-10-22

E · Potential for more than minimal harm 2023-11-09

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-11-09

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-12-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-05

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 2025-07-08

D · Potential for more than minimal harm 2025-06-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-05

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-03-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-09

E · Potential for more than minimal harm 2024-08-29

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-10-22