Spring City, PA

Southeastern Pennsylvania Veteran's Center

4-star overall rating with 2-star inspections with abuse icon flag with $25,044 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

One Veterans Drive, Spring City, PA

(610) 948-2400

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

238

Certified beds

Average residents

190

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2009-01-01

CMS approved date

Coverage

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

Hours and turnover

RN hours / resident day

1.28

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.04

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

5.18

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

2.14

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.49

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.86

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.60

CMS adjusted RN staffing hours

Adjusted total hours

6.47

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 47% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary Not Available
1.02
This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.7
0.4 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.2
0.6 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.6%
86.9%
6.7 pts better
93.4%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 94.4% · Q3 91.8% · Q4 93.5% · 4Q avg 93.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82.8%
93.5%
10.7 pts worse
95.5%
12.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.8%
Percentage of long-stay residents experiencing one or more falls with major injury 6.1%
3.2%
2.9 pts worse
3.3%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.7% · Q3 5.5% · Q4 5.9% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.2%
6.5%
3.3 pts better
11.4%
8.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.7% · Q3 3.7% · Q4 3.8% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight 5.1%
6.5%
1.4 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 6.4% · Q3 5.5% · Q4 3.4% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.2%
19.9%
7.3 pts worse
19.6%
7.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 26.2% · Q3 29.3% · Q4 30.1% · 4Q avg 27.2%
Percentage of long-stay residents who received an antipsychotic medication 15.1%
18.7%
3.6 pts better
16.7%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 14.9% · Q3 13.2% · Q4 14.3% · 4Q avg 15.1% · 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 15.3%
19.6%
4.3 pts better
16.3%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 17.1% · Q3 22.8% · Q4 9.8% · 4Q avg 15.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.8%
18.3%
3.5 pts better
14.9%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 13.0% · Q3 17.8% · Q4 8.7% · 4Q avg 14.8% · 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 0.6% · Q2 0.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.2%
1.7%
0.5 pts worse
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.2% · Q3 2.2% · Q4 1.1% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.3%
26.4%
2.9 pts worse
19.8%
9.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 38.4% · Q2 25.5% · Q3 32.6% · Q4 21.1% · 4Q avg 29.3%
Percentage of long-stay residents with pressure ulcers 4.9%
5.3%
0.4 pts better
5.1%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.7% · Q3 4.0% · Q4 2.7% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.4%
68.9%
0.5 pts worse
81.7%
13.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 51.9% · Q3 80.0% · Q4 84.6% · 4Q avg 68.4%
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85.2%
68.7%
16.5 pts better
79.7%
5.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.2%

Survey summary

Recent inspection cycles

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

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-06-14 · Fire 2024-06-14

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-08-24 · Fire 2023-08-24

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

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

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-07-20

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

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-07-20

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

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-07-20

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

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2025-07-20

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-20

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

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-20

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

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-07-20

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

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-07-20

F · Potential for more than minimal harm 2024-06-14

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-09-09

E · Potential for more than minimal harm 2024-06-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-14

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-09

E · Potential for more than minimal harm 2024-06-14

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-06-14

K321 · Smoke Deficiencies

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 2024-09-09

E · Potential for more than minimal harm 2023-08-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-08-24

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-08-24

K321 · Smoke Deficiencies

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 2023-09-08

E · Potential for more than minimal harm 2023-08-24

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-08-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-08-24

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-08-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-08

C · Minimal harm 2023-08-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-09-08

Inspection history

Recent health citations

G · Actual harm 2025-10-07

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Not marked corrected

G · Actual harm 2025-07-01

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 2025-06-26

K · Immediate jeopardy 2025-05-09

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 2025-04-26

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

F835 · Administration Deficiencies

Health

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

Corrected 2025-06-25

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

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-25

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 2025-06-25

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

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-06-25

D · Potential for more than minimal harm 2024-06-14

F690 · Quality of Life and Care Deficiencies

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 2024-08-09

D · Potential for more than minimal harm 2024-03-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-07

F · Potential for more than minimal harm 2023-08-24

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-10-18

D · Potential for more than minimal harm 2023-08-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-10-18

D · Potential for more than minimal harm 2023-08-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-18

D · Potential for more than minimal harm 2023-08-24

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-18

D · Potential for more than minimal harm 2023-08-24

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 2023-10-18

G · Actual harm 2023-03-22

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-04-26

Penalties and ownership

What sits behind the stars

$15,733 2025-05-09

Fine

Fine · fine $15,733

Fine

$9,311 2023-03-22

Fine

Fine · fine $9,311

Fine

Ownership

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2-star overall rating with 2-star inspections with $8,190 in total fines with 10 recent health deficiencies

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Health
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Staffing
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Fines
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#2

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4-star overall rating with 4-star inspections with 4 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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4-star overall rating with 4-star inspections with $44,985 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
3 / 5
Fines
$44,985

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