Cycle 1
Health 2025-05-30 · Fire 2025-05-30
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Royersford, PA
Parkhouse Rehabilitation And Nursing Center
2-star overall rating with 2-star inspections with $8,190 in total fines with 10 recent health deficiencies
1600 Black Rock Road, Royersford, PA
(610) 948-8800
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
467
Certified beds
Average residents
285
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bedrock Care
Operator or chain grouping
Approved since
1979-10-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 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
Hours and turnover
RN hours / resident day
0.34
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.12
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.39
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.08
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.78
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
35%
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
7,500
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9855
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.42
Baseline 19.71% · Performance 17.99% · Measure score 7.42 · Achievement 7.42 · Improvement 5.91
Healthcare-associated infections
1.99
Baseline 8.40% · Performance 7.56% · Measure score 1.99 · Achievement 0.94 · Improvement 1.99
Total nurse turnover
0.93
Performance 59.86% · Measure score 0.93 · Achievement 0.93 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.48
Baseline 3.55 hours · Performance 3.5 hours · Measure score 1.48 · Achievement 1.48 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 11.79% · Lower 95% interval 7.96% |
| Discharge to community | 48.08% |
50.57%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 159 · Observed rate 35.85% · Lower 95% interval 39.08% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 137 · Denominator 137 |
| Falls with major injury | 2.92% |
0.77%
2.1 pts worse
|
Numerator 4 · Denominator 137 |
| Discharge self-care score | 58.42% |
53.69%
4.7 pts better
|
Numerator 59 · Denominator 101 |
| Discharge mobility score | 52.48% |
50.94%
1.5 pts better
|
Numerator 53 · Denominator 101 |
| Pressure ulcers or injuries, new or worsened | 3.65% |
2.29%
1.4 pts worse
|
Numerator 5 · Denominator 137 · Adjusted rate 3.15% |
| Healthcare-associated infections requiring hospitalization | 7.56% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 122 · Observed rate 9.02% · Lower 95% interval 4.94% |
| Staff COVID-19 vaccination coverage | 7.2% |
8.2%
1 pts worse
|
Numerator 18 · Denominator 250 |
| Staff flu vaccination coverage | 35.16% |
42%
6.8 pts worse
|
Numerator 90 · Denominator 256 |
| Discharge function score | 63.37% |
56.45%
6.9 pts better
|
Numerator 64 · Denominator 101 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 32 · Denominator 32 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 52 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 28.99% |
25.2%
3.8 pts better
|
Numerator 20 · Denominator 69 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · 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 1.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
86.9%
7.2 pts better
|
93.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 97.2% · Q3 96.2% · Q4 90.5% · 4Q avg 94.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.3% |
93.5%
5.8 pts better
|
95.5%
3.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.2%
0.5 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.9% · Q3 3.8% · Q4 3.3% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.5% |
6.5%
4 pts worse
|
11.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 13.4% · Q3 7.3% · Q4 11.3% · 4Q avg 10.5% |
| Percentage of long-stay residents who lose too much weight | 9.4% |
6.5%
2.9 pts worse
|
5.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 9.0% · Q3 10.2% · Q4 7.6% · 4Q avg 9.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.5% |
19.9%
2.4 pts better
|
19.6%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 17.6% · Q3 17.8% · Q4 16.4% · 4Q avg 17.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.2% |
18.7%
8.5 pts worse
|
16.7%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 27.8% · Q3 27.9% · Q4 25.9% · 4Q avg 27.2% · 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 | 18.7% |
19.6%
0.9 pts better
|
16.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 14.6% · Q3 13.5% · Q4 21.9% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.4% |
18.3%
9.1 pts worse
|
14.9%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 27.0% · Q3 21.5% · Q4 28.3% · 4Q avg 27.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
1.7%
2.2 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.9% · Q3 6.2% · Q4 3.7% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.5% |
26.4%
0.9 pts better
|
19.8%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 27.5% · Q3 24.8% · Q4 24.7% · 4Q avg 25.5% |
| 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 3.4% · Q3 2.5% · Q4 4.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 43.3% |
68.9%
25.6 pts worse
|
81.7%
38.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 46.7% · Q3 49.4% · Q4 49.6% · 4Q avg 43.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.7% |
9.8%
4.1 pts better
|
12.0%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 6.8% · Expected 13.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.7% |
68.7%
19 pts worse
|
79.7%
30 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 49.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
23.1%
1.4 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 25.7% · Expected 28.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-07 · Fire 2024-06-07
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-08-17 · Fire 2023-08-17
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-30
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.
Not marked corrected
D · Potential for more than minimal harm
2026-01-30
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.
Not marked corrected
E · Potential for more than minimal harm
2025-07-28
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 2025-08-22
E · Potential for more than minimal harm
2025-07-28
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 2025-08-22
E · Potential for more than minimal harm
2025-07-28
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-08-22
E · Potential for more than minimal harm
2025-07-28
F807 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2025-08-22
G · Actual harm
2025-05-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-17
E · Potential for more than minimal harm
2025-05-30
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-17
E · Potential for more than minimal harm
2025-05-30
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 2025-06-17
D · Potential for more than minimal harm
2025-05-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-17
D · Potential for more than minimal harm
2024-06-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-06-07
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-06-18
D · Potential for more than minimal harm
2024-06-07
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-18
F · Potential for more than minimal harm
2023-08-17
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-09-28
E · Potential for more than minimal harm
2023-08-17
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-08-17
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 2023-09-28
D · Potential for more than minimal harm
2023-08-17
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-28
G · Actual harm
2023-03-22
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-25
D · Potential for more than minimal harm
2023-03-22
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 2023-04-25
Penalties and ownership
What sits behind the stars
$8,190
2023-03-22
Fine
Fine · fine $8,190
Fine
Ownership
Nearby options
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