Cycle 1
Health 2025-03-06 · Fire 2025-03-06
9 health deficiencies
Top issue: Resident Rights (4 deficiencies)
2 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Rydal, PA
Rydal Park Of Philadelphia Presbytery Homes, Inc
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1515 The Fairway, Rydal, PA
(215) 885-6800
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
114
Certified beds
Average residents
97
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Humangood
Operator or chain grouping
Approved since
1974-10-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 4 health / 5 staffing / 4 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
1.10
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.73
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.89
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.16
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.29
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.79
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
5.10
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
993
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.29
Composite VBP score used to determine payment impact.
Payment multiplier
1.0164
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.89
Baseline 21.72% · Performance 21.07% · Measure score 0.89 · Achievement 0.78 · Improvement 0.89
Healthcare-associated infections
5.86
Baseline 4.93% · Performance 6.08% · Measure score 5.86 · Achievement 5.86 · Improvement 0
Total nurse turnover
10
Performance 22.31% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.77
Baseline 4.80 hours · Performance 5.29 hours · Measure score 7.77 · Achievement 7.77 · Improvement 4.49
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.33% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 454 · Observed rate 9.03% · Lower 95% interval 8.11% |
| Discharge to community | 65.63% |
50.57%
15.1 pts better
|
Better than the National Rate · Eligible stays 486 · Observed rate 60.91% · Lower 95% interval 61.24% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 312 · Denominator 312 |
| Falls with major injury | 0.32% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 312 |
| Discharge self-care score | 45.91% |
53.69%
7.8 pts worse
|
Numerator 118 · Denominator 257 |
| Discharge mobility score | 33.46% |
50.94%
17.5 pts worse
|
Numerator 86 · Denominator 257 |
| Pressure ulcers or injuries, new or worsened | 1.28% |
2.29%
1 pts better
|
Numerator 4 · Denominator 312 · Adjusted rate 1.28% |
| Healthcare-associated infections requiring hospitalization | 6.08% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 321 · Observed rate 4.67% · Lower 95% interval 3.69% |
| Staff COVID-19 vaccination coverage | 1.28% |
8.2%
6.9 pts worse
|
Numerator 3 · Denominator 235 |
| Staff flu vaccination coverage | 3.5% |
42%
38.5 pts worse
|
Numerator 9 · Denominator 257 |
| Discharge function score | 46.69% |
56.45%
9.8 pts worse
|
Numerator 120 · Denominator 257 |
| Transfer of health information to provider | 98.76% |
95.95%
2.8 pts better
|
Numerator 238 · Denominator 241 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 27.45% |
25.2%
2.2 pts better
|
Numerator 42 · Denominator 153 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.7
1 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.8 · 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 0.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.3% |
86.9%
5.6 pts worse
|
93.4%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 56.9% · Q2 88.4% · Q3 92.2% · Q4 90.5% · 4Q avg 81.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% |
93.5%
About the same
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.2%
0.2 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.9% · Q3 3.1% · Q4 1.6% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
6.5%
0.3 pts better
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.3% · Q3 8.6% · Q4 6.9% · 4Q avg 6.2% |
| 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 6.0% · Q2 11.5% · Q3 4.3% · Q4 4.3% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.4% |
19.9%
2.5 pts worse
|
19.6%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 24.1% · Q3 19.1% · Q4 20.0% · 4Q avg 22.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.4% |
18.7%
4.7 pts worse
|
16.7%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 26.1% · Q3 24.4% · Q4 24.4% · 4Q avg 23.4% · 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 | 17.8% |
19.6%
1.8 pts better
|
16.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.0% |
18.3%
5.7 pts worse
|
14.9%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 17.4% · Q3 18.6% · Q4 25.0% · 4Q avg 24.0% · 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 | 1.9% |
1.7%
0.2 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 4.7% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.6% |
26.4%
7.2 pts worse
|
19.8%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 44.2% · Q3 33.4% · Q4 19.7% · 4Q avg 33.6% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
5.3%
0.6 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 8.7% · Q3 5.2% · Q4 2.3% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.6% |
68.9%
0.7 pts better
|
81.7%
12.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.3% · Q2 65.2% · Q3 67.8% · Q4 70.1% · 4Q avg 69.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
9.8%
3.9 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 4.8% · Expected 9.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 2.5% · Q4 1.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.8% |
68.7%
10.9 pts worse
|
79.7%
21.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
23.1%
0.7 pts worse
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 19.9% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-06 · Fire 2024-05-06
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-07-13 · Fire 2023-07-13
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-03-06
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-05
E · Potential for more than minimal harm
2025-03-06
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-05-05
E · Potential for more than minimal harm
2024-05-06
K222 · Egress Deficiencies
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 2024-06-12
E · Potential for more than minimal harm
2024-05-06
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-12
E · Potential for more than minimal harm
2023-07-13
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-29
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-03-06
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 2025-05-05
E · Potential for more than minimal harm
2025-03-06
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-05-05
E · Potential for more than minimal harm
2025-03-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-05
D · Potential for more than minimal harm
2025-03-06
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-05
D · Potential for more than minimal harm
2025-03-06
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-05
D · Potential for more than minimal harm
2025-03-06
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-05
D · Potential for more than minimal harm
2025-03-06
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-05-05
D · Potential for more than minimal harm
2025-03-06
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 2025-05-05
C · Minimal harm
2025-03-06
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-05
B · Minimal harm
2024-09-24
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-05-06
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-12
D · Potential for more than minimal harm
2024-05-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-12
D · Potential for more than minimal harm
2024-05-06
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-12
D · Potential for more than minimal harm
2024-05-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-24
D · Potential for more than minimal harm
2024-05-06
F758 · Pharmacy Service Deficiencies
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 2024-06-24
D · Potential for more than minimal harm
2024-05-06
F761 · Pharmacy Service Deficiencies
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 2024-06-12
D · Potential for more than minimal harm
2024-05-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-12
E · Potential for more than minimal harm
2023-07-13
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-08-29
D · Potential for more than minimal harm
2023-07-13
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-29
D · Potential for more than minimal harm
2023-07-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-29
D · Potential for more than minimal harm
2023-07-13
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2023-08-29
D · Potential for more than minimal harm
2023-07-13
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 2023-08-29
D · Potential for more than minimal harm
2023-07-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-29
D · Potential for more than minimal harm
2023-07-13
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-08-29
Penalties and ownership
What sits behind the stars
Ownership
Humangood Pennsylvania
5% Or Greater Direct Ownership Interest · Organization
Baker, Judith
Operational/Managerial Control · Individual
Baker, Judith
Corporate Director · Individual
Barge, Randy
Operational/Managerial Control · Individual
Barge, Randy
Corporate Director · Individual
Battison, William
Operational/Managerial Control · Individual
Battison, William
Corporate Director · Individual
Brown, Herman
Operational/Managerial Control · Individual
Brown, Herman
Corporate Director · Individual
Brown, Herman
Corporate Officer · Individual
Cochrane, John
Operational/Managerial Control · Individual
Cochrane, John
Corporate Officer · Individual
Dittman, Harry
Operational/Managerial Control · Individual
Dittman, Harry
Corporate Director · Individual
Ghassemi, Bethany
Operational/Managerial Control · Individual
Ghassemi, Bethany
Corporate Officer · Individual
Griffith, Alan
Operational/Managerial Control · Individual
Griffith, Alan
Corporate Director · Individual
Hockfield, Hal
Operational/Managerial Control · Individual
Holmes, Michelle
Operational/Managerial Control · Individual
Holmes, Michelle
Corporate Director · Individual
Humangood
5% Or Greater Indirect Ownership Interest · Organization
Humangood Cornerstone
5% Or Greater Indirect Ownership Interest · Organization
Humangood East
5% Or Greater Indirect Ownership Interest · Organization
Humangood Norcal
Operational/Managerial Control · Organization
Humangood Pennsylvania
Operational/Managerial Control · Organization
Kelley, Albert
Operational/Managerial Control · Individual
Kelley, Albert
Corporate Director · Individual
Livingston, Carisa
Operational/Managerial Control · Individual
Mcdonald, Andrew
Operational/Managerial Control · Individual
Mcdonald, Andrew
Corporate Officer · Individual
Mckeown, Kenneth
Operational/Managerial Control · Individual
Mckeown, Kenneth
Corporate Director · Individual
Muth, Nancy
Operational/Managerial Control · Individual
Muth, Nancy
Corporate Director · Individual
Ogus, Daniel
Operational/Managerial Control · Individual
Ogus, Daniel
Corporate Officer · Individual
Overhiser, George
Operational/Managerial Control · Individual
Overhiser, George
Corporate Director · Individual
The Bank Of New York Mellon Corporation
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
St Joseph's Manor
Meadowbrook, PA
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Hrh Transitional Care Unit(A D/B/A Entity Of Hrhs)
Meadowbrook, PA
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Wyncote Care Center
Wyncote, PA
4-star overall rating with 4-star inspections with $28,850 in total fines with 7 recent health deficiencies
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