Wynnewood, PA

Saunders Nursing And Rehabilitation Center

1-star overall rating with 1-star inspections with $14,433 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

100 Lancaster Avenue, Wynnewood, PA

(610) 658-5100

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

172

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.33

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.97

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.93

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

3.66

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

20%

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

12,259

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

Performance score

13.14

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.28

Baseline 23.72% · Performance 22.53% · Measure score 1.28 · Achievement 0 · Improvement 1.28

Healthcare-associated infections

Baseline 7.54% · Performance 8.55% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.83

Baseline 56.73% · Performance 52.11% · Measure score 2.83 · Achievement 2.83 · Improvement 0.95

Adjusted total nurse staffing

1.15

Baseline 3.78 hours · Performance 3.40 hours · Measure score 1.15 · Achievement 1.15 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.53%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 245 · Observed rate 10.2% · Lower 95% interval 7.54%
Discharge to community	50.91%	50.57% 0.3 pts better	No Different than the National Rate · Eligible stays 237 · Observed rate 43.46% · Lower 95% interval 45.13%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 192 · Denominator 192
Falls with major injury	0.52%	0.77% 0.2 pts better	Numerator 1 · Denominator 192
Discharge self-care score	37.24%	53.69% 16.4 pts worse	Numerator 54 · Denominator 145
Discharge mobility score	47.59%	50.94% 3.3 pts worse	Numerator 69 · Denominator 145
Pressure ulcers or injuries, new or worsened	2.6%	2.29% 0.3 pts worse	Numerator 5 · Denominator 192 · Adjusted rate 2.12%
Healthcare-associated infections requiring hospitalization	8.55%	7.12% 1.4 pts worse	No Different than the National Rate · Eligible stays 137 · Observed rate 10.95% · Lower 95% interval 5.56%
Staff COVID-19 vaccination coverage	17.56%	8.2% 9.4 pts better	Numerator 36 · Denominator 205
Staff flu vaccination coverage	40%	42% 2 pts worse	Numerator 82 · Denominator 205
Discharge function score	41.38%	56.45% 15.1 pts worse	Numerator 60 · Denominator 145
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 37 · Denominator 37
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 63 · Denominator 63
Resident COVID-19 vaccinations up to date	14.61%	25.2% 10.6 pts worse	Numerator 13 · Denominator 89

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 1.8 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.2 0.1 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	80.3%	86.9% 6.6 pts worse	93.4% 13.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.4% · Q2 81.0% · Q3 76.3% · Q4 73.5% · 4Q avg 80.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.7%	93.5% 6.8 pts worse	95.5% 8.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.7%
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 2.6% · Q2 3.9% · Q3 3.8% · Q4 3.2% · 4Q avg 3.4% · 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	5.6%	6.5% 0.9 pts better	5.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.9% · Q3 2.3% · Q4 7.2% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.9%	19.9% 3 pts better	19.6% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 15.8% · Q3 13.6% · Q4 14.9% · 4Q avg 16.9%
Percentage of long-stay residents who received an antipsychotic medication	11.4%	18.7% 7.3 pts better	16.7% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 8.5% · Q3 12.3% · Q4 12.8% · 4Q avg 11.4% · 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	10.5%	19.6% 9.1 pts better	16.3% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 8.0% · Q3 8.4% · Q4 14.0% · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.1%	18.3% 12.2 pts better	14.9% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 5.3% · Q3 5.3% · Q4 6.0% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.9% 0.5 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.0%	26.4% 13.4 pts better	19.8% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 16.4% · Q3 8.2% · Q4 17.2% · 4Q avg 13.0%
Percentage of long-stay residents with pressure ulcers	4.6%	5.3% 0.7 pts better	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.0% · Q3 6.8% · Q4 4.3% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	41.2%	68.9% 27.7 pts worse	81.7% 40.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 56.9% · Q2 45.8% · Q3 36.6% · Q4 24.8% · 4Q avg 41.2%
Percentage of short-stay residents who had an outpatient emergency department visit	11.3%	9.8% 1.5 pts worse	12.0% 0.7 pts better	Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 10.9% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.5% 0.7 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.1% · Q4 1.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	53.7%	68.7% 15 pts worse	79.7% 26 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 53.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.3%	23.1% 1.8 pts better	23.9% 2.6 pts better	Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 20.3% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-09 · Fire 2025-05-09

15 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-07-19 · Fire 2024-07-19

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-09-21 · Fire 2023-09-21

18 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

C · Minimal harm 2025-05-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-07-09

C · Minimal harm 2025-05-09

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-07-09

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-18

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-12-18

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 2026-01-15

D · Potential for more than minimal harm 2025-12-18

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 2026-01-15

D · Potential for more than minimal harm 2025-09-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-18

D · Potential for more than minimal harm 2025-06-17

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 2025-06-17

G · Actual harm 2025-05-09

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 2025-06-03

E · Potential for more than minimal harm 2025-05-09

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-06-12

D · Potential for more than minimal harm 2025-05-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-05-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-05-09

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-05-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-05-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-05-09

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-05-09

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-06-03

D · Potential for more than minimal harm 2025-05-09

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-06-03

F · Potential for more than minimal harm 2024-12-03

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-02-01

E · Potential for more than minimal harm 2024-12-03

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-03

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-03

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 2025-02-01

D · Potential for more than minimal harm 2024-12-03

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 2025-02-01

J · Immediate jeopardy 2024-07-19

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 2024-08-09

E · Potential for more than minimal harm 2024-07-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-19

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 2024-08-09

D · Potential for more than minimal harm 2024-07-19

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-19

F835 · Administration Deficiencies

Health

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

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-02-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-06

D · Potential for more than minimal harm 2023-11-08

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-11-08

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-11-08

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 2023-11-24