Newtown, PA

Pennswood Village

3-star overall rating with 2-star inspections with abuse icon flag with $40,721 in total fines with 3 recent health deficiencies

Route 413, Newtown, PA

(215) 968-9110

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

53

Certified beds

Average residents

36

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1980-06-04

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

1.72

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.54

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

5.32

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

2.79

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.80

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

1.55

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.86

CMS adjusted RN staffing hours

Adjusted total hours

5.75

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

22%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,000

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

Performance score

61.19

Composite VBP score used to determine payment impact.

Payment multiplier

1.0163

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.49

Performance 20.28% · Measure score 2.49 · Achievement 2.49 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

1.98

Performance 7.24% · Measure score 1.98 · Achievement 1.98 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

10

Baseline 26.00% · Performance 18.75% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

10

Baseline 5.89 hours · Performance 5.85 hours · Measure score 10 · Achievement 10 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.18%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 11.36% · Lower 95% interval 6.94%
Discharge to community	47.98%	50.57% 2.6 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 44.44% · Lower 95% interval 35.54%
Medicare spending per beneficiary	0.53	1.02 0.5 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 30 · Denominator 30
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 30
Discharge self-care score	38.1%	53.69% 15.6 pts worse	Numerator 8 · Denominator 21
Discharge mobility score	23.81%	50.94% 27.1 pts worse	Numerator 5 · Denominator 21
Pressure ulcers or injuries, new or worsened	6.67%	2.29% 4.4 pts worse	Numerator 2 · Denominator 30 · Adjusted rate 6.08%
Healthcare-associated infections requiring hospitalization	7.24%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 6.25% · Lower 95% interval 3.98%
Staff COVID-19 vaccination coverage	8.16%	8.2% About the same	Numerator 8 · Denominator 98
Staff flu vaccination coverage	98.8%	42% 56.8 pts better	Numerator 82 · Denominator 83
Discharge function score	38.1%	56.45% 18.4 pts worse	Numerator 8 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
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	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.7 1 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.2	1.2 1 pts better	1.8 1.6 pts better	Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.1 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.9% 13.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	4.3%	3.2% 1.1 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.7% · Q3 3.7% · Q4 3.1% · 4Q avg 4.3% · 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	6.7%	6.5% 0.2 pts worse	5.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 9.5% · Q3 9.5% · Q4 4.5% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.7%	19.9% 4.2 pts better	19.6% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 19.0% · Q3 14.3% · Q4 13.6% · 4Q avg 15.7%
Percentage of long-stay residents who received an antipsychotic medication	14.5%	18.7% 4.2 pts better	16.7% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q4 5.0% · 4Q avg 14.5% · 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	27.3%	19.6% 7.7 pts worse	16.3% 11 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 27.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	33.3%	18.3% 15 pts worse	14.9% 18.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q4 30.0% · 4Q avg 33.3% · 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	0.0%	1.7% 1.7 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	37.4%	26.4% 11 pts worse	19.8% 17.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.1% · Q2 45.2% · Q3 24.9% · Q4 36.4% · 4Q avg 37.4%
Percentage of long-stay residents with pressure ulcers	0.8%	5.3% 4.5 pts better	5.1% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.3% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.9%	68.9% 21 pts better	81.7% 8.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 93.8% · Q3 85.3% · Q4 90.5% · 4Q avg 89.9%
Percentage of short-stay residents who had an outpatient emergency department visit	17.6%	9.8% 7.8 pts worse	12.0% 5.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 14.7% · Expected 9.3% · 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 · Q3 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	90.6%	68.7% 21.9 pts better	79.7% 10.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	37.3%	23.1% 14.2 pts worse	23.9% 13.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 37.3% · Observed 26.5% · Expected 16.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-03 · Fire 2025-12-03

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-12-05 · Fire 2024-12-05

2 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-02-15 · Fire 2024-02-15

0 health deficiencies

No concentrated health issue counts in this cycle.

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 2025-12-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-04

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

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2025-12-04

G · Actual harm 2025-04-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-16

J · Immediate jeopardy 2024-12-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-12-05

F835 · Administration Deficiencies

Health

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

Corrected 2024-12-06

Penalties and ownership

What sits behind the stars

$23,920 2025-04-03

Fine

Fine · fine $23,920

Fine

$16,801 2024-12-05

Fine

Fine · fine $16,801

Fine