Federal inspection record · CMS data as of October 1, 2026
ONYX Nursing & Rehabilitation
205 East Johnson Highway, Norristown, PA · (610) 275-6410
- Certified beds
- 119
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- Paramount Care Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1976
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
ONYX Nursing & Rehabilitation carries 128 inspection points. That is fewer than 20% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
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J
Ensure that residents are free from significant medication errors.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights6E
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- C
The resident has the right to receive notices in a format and a language he or she understands.
- E
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.
Resident Assessment and Care Planning4D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate foot care.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
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.
Nutrition and Dietary4F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
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.
Administration2D
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2026-03-05
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-05-22
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-08-01
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 32 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 42% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$109,841 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-09 | Fine | $10,363 |
| 2024-01-31 | Fine | $99,478 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.3 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts worse | 81.0% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms51.2 pts worse | 65.0% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 3.1% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better | 19.4% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts worse | 21.7% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.6 pts better | 7.8% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better | 14.3% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts better | 21.7% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts worse | 6.0% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts worse | 60.3% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visitAbout the same | 9.5% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.4 pts worse | 4.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.7 pts better | 88.6% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission15.4 pts worse | 37.4% | 22.0% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kraus, Abraham | 5% Or Greater Direct Ownership Interest · Individual | 67% | 13 facilities |
| Czermek, Michael | 5% Or Greater Direct Ownership Interest · Individual | 25% | 3 facilities |
| Friedlander, Meir | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Friedlander, Meir | Adp Of The SNF · Individual | 0% | 1 facilities |
| Graf, Andrew | Adp Of The SNF · Individual | 0% | 9 facilities |
| Marlow, Lauri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Marlow, Lauri | Adp Of The SNF · Individual | 0% | 1 facilities |
| Onyx Ivory Propco LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Paramount Care Centers LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Paramount Care Centers LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1C
- C
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
IVORY Nursing & Rehabilitation
Norristown, PA · Paramount Care Centers
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 41 min
- Fines
- $25,324
-
Norriton Square Nursing And Rehabilitation Center
Norristown, PA · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Markley Rehabilitation And Healthcare Center
Norristown, PA · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0