10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Philadelphia, PA
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Penn Med Rittenhouse Campus 1800 Lombard St 5th Fl, Philadelphia, PA
(215) 893-2250
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
38
Certified beds
Average residents
18
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1988-02-01
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.31
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
2.28
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.44
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.03
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
3.59
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.28
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.92
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.94
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
1,166
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.26
Composite VBP score used to determine payment impact.
Payment multiplier
1.0145
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.17
Baseline 23.27% · Performance 20.36% · Measure score 4.17 · Achievement 2.32 · Improvement 4.17
Healthcare-associated infections
7.69
Baseline 5.47% · Performance 5.54% · Measure score 7.69 · Achievement 7.69 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.63% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 339 · Observed rate 3.83% · Lower 95% interval 6.13% |
| Discharge to community | 66.25% |
50.57%
15.7 pts better
|
Better than the National Rate · Eligible stays 351 · Observed rate 82.62% · Lower 95% interval 63.04% |
| 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 215 · Denominator 215 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 215 |
| Discharge self-care score | 84.02% |
53.69%
30.3 pts better
|
Numerator 142 · Denominator 169 |
| Discharge mobility score | 85.8% |
50.94%
34.9 pts better
|
Numerator 145 · Denominator 169 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 215 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.54% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 190 · Observed rate 1.58% · Lower 95% interval 3.09% |
| Staff COVID-19 vaccination coverage | 15.38% |
8.2%
7.2 pts better
|
Numerator 6 · Denominator 39 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 51 |
| Discharge function score | 89.35% |
56.45%
32.9 pts better
|
Numerator 151 · Denominator 169 |
| Transfer of health information to provider | 67.02% |
95.95%
28.9 pts worse
|
Numerator 126 · Denominator 188 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 5.04% |
25.2%
20.2 pts worse
|
Numerator 6 · Denominator 119 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.3% |
68.9%
19.6 pts worse
|
81.7%
32.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 40.6% · Q2 27.7% · Q3 52.3% · Q4 76.8% · 4Q avg 49.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
9.8%
2.2 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.4% · Expected 9.5% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 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 | 31.8% |
68.7%
36.9 pts worse
|
79.7%
47.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 31.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.4% |
23.1%
1.3 pts worse
|
23.9%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.4% · Observed 19.8% · Expected 19.4% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-07
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-07-07
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-07-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-16
Fire Safety
Install noncombustible or limited-combustible interior walls.
Corrected 2024-01-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-16
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-16
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-01-16
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-01-16
Fire Safety
Meet other general requirements.
Corrected 2024-01-16
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-13
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-06-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-13
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-06-13
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-13
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 2025-06-13
Health
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.
Corrected 2025-06-13
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2024-10-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-09
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-10-09
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-09
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-09
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-09
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-10-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-04
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-12-04
Health
Dispose of garbage and refuse properly.
Corrected 2023-12-04
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2023-12-04
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-12-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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