14 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Broomall, PA
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
50 North Malin Road, Broomall, PA
(610) 356-0800
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
Beds
298
Certified beds
Average residents
199
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
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
RN hours / resident day
0.30
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
9,186
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.13% · Performance 23.34% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.77
Baseline 7.42% · Performance 7.01% · Measure score 2.77 · Achievement 2.77 · Improvement 1.21
Total nurse turnover
1.76
Performance 56.48% · Measure score 1.76 · Achievement 1.76 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.29
Baseline 3.45 hours · Performance 4.58 hours · Measure score 5.29 · Achievement 5.29 · Improvement 4.35
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.8% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 149 · Observed rate 14.09% · Lower 95% interval 8.47% |
| Discharge to community | 37.62% |
50.57%
13 pts worse
|
Worse than the National Rate · Eligible stays 105 · Observed rate 28.57% · Lower 95% interval 29.39% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 96% |
95.27%
0.7 pts better
|
Numerator 168 · Denominator 175 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 175 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 68 · Denominator 119 |
| Discharge mobility score | 55.46% |
50.94%
4.5 pts better
|
Numerator 66 · Denominator 119 |
| Pressure ulcers or injuries, new or worsened | 5.71% |
2.29%
3.4 pts worse
|
Numerator 10 · Denominator 175 · Adjusted rate 4.49% |
| Healthcare-associated infections requiring hospitalization | 7.01% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 7.77% · Lower 95% interval 3.79% |
| Staff COVID-19 vaccination coverage | 32.96% |
8.2%
24.8 pts better
|
Numerator 59 · Denominator 179 |
| Staff flu vaccination coverage | 70.43% |
42%
28.4 pts better
|
Numerator 162 · Denominator 230 |
| Discharge function score | 65.55% |
56.45%
9.1 pts better
|
Numerator 78 · Denominator 119 |
| Transfer of health information to provider | 97.87% |
95.95%
1.9 pts better
|
Numerator 46 · Denominator 47 |
| Transfer of health information to patient | 94.34% |
96.28%
1.9 pts worse
|
Numerator 50 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 19.61% |
25.2%
5.6 pts worse
|
Numerator 20 · Denominator 102 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.7
0.4 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.2
0.5 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.1% |
86.9%
3.2 pts better
|
93.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 86.7% · Q3 88.6% · Q4 90.4% · 4Q avg 90.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.0% |
93.5%
6.5 pts worse
|
95.5%
8.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.2%
About the same
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.3% · Q3 3.0% · Q4 3.9% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
6.5%
0.4 pts better
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.1% · Q3 5.6% · Q4 8.4% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.5%
2.3 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 4.5% · Q3 2.1% · Q4 3.2% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
19.9%
2.7 pts worse
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 22.9% · Q3 24.2% · Q4 23.9% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.1% |
18.7%
2.4 pts worse
|
16.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 15.2% · Q3 22.6% · Q4 23.4% · 4Q avg 21.1% · 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 | 12.7% |
19.6%
6.9 pts better
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 11.8% · Q3 18.0% · Q4 7.7% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.3% |
18.3%
6 pts better
|
14.9%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 5.3% · Q3 16.9% · Q4 8.7% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.9%
About the same
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.5% · Q3 0.9% · Q4 0.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.7%
0.7 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.7% · Q3 1.2% · Q4 1.2% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.5% |
26.4%
1.9 pts better
|
19.8%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 20.9% · Q3 21.3% · Q4 28.4% · 4Q avg 24.5% |
| Percentage of long-stay residents with pressure ulcers | 7.2% |
5.3%
1.9 pts worse
|
5.1%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 9.3% · Q3 8.4% · Q4 5.1% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.8% |
68.9%
16.1 pts worse
|
81.7%
28.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.0% · Q2 47.9% · Q3 52.2% · Q4 54.2% · 4Q avg 52.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
9.8%
1.2 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 8.5% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.5%
0.4 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.9% · Q3 1.8% · Q4 2.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 32.8% |
68.7%
35.9 pts worse
|
79.7%
46.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 32.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
23.1%
1.2 pts worse
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 24.5% · Expected 24.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-10-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-17
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 2025-10-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-10-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-17
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-10-17
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-10-17
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-10-17
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-17
Fire Safety
Meet other general requirements.
Corrected 2025-10-17
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-10-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-22
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 2023-11-27
Inspection history
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-10-21
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-10-21
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-10-21
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-10-21
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-10-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-21
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 2025-10-21
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 2025-10-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-21
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 2025-10-21
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-10-08
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-08
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 2024-10-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-03
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-01-30
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-11-14
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-11-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-14
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 2023-11-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-14
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-14
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-11-14
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-14
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-11-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-14
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 2023-11-14
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-14
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-11-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-14
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-11-14
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
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