Philadelphia, PA

St Monica Center For Rehabilitation & Healthcare

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

2509 South Fourth Street, Philadelphia, PA

(215) 271-1080

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

174

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Rosenberg Family

Operator or chain grouping

Approved since

1982-11-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 2 health / 4 staffing / 4 quality stars

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

0.59

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.61

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.49

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.32

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.42

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.97

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

39%

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

12,453

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

Performance score

12.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9811

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.37% · Performance 22.32% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.79% · Performance 10.06% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.72

Baseline 48.52% · Performance 52.57% · Measure score 2.72 · Achievement 2.72 · Improvement 0

Adjusted total nurse staffing

2.15

Baseline 3.33 hours · Performance 3.69 hours · Measure score 2.15 · Achievement 2.15 · Improvement 0.98

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.5%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 305 · Observed rate 9.84% · Lower 95% interval 7.57%
Discharge to community	49.44%	50.57% 1.1 pts worse	No Different than the National Rate · Eligible stays 255 · Observed rate 41.57% · Lower 95% interval 43.39%
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	99.59%	95.27% 4.3 pts better	Numerator 244 · Denominator 245
Falls with major injury	0.41%	0.77% 0.4 pts better	Numerator 1 · Denominator 245
Discharge self-care score	45.68%	53.69% 8 pts worse	Numerator 74 · Denominator 162
Discharge mobility score	57.41%	50.94% 6.5 pts better	Numerator 93 · Denominator 162
Pressure ulcers or injuries, new or worsened	3.27%	2.29% 1 pts worse	Numerator 8 · Denominator 245 · Adjusted rate 2.98%
Healthcare-associated infections requiring hospitalization	10.06%	7.12% 2.9 pts worse	No Different than the National Rate · Eligible stays 221 · Observed rate 12.67% · Lower 95% interval 6.55%
Staff COVID-19 vaccination coverage	3.14%	8.2% 5.1 pts worse	Numerator 5 · Denominator 159
Staff flu vaccination coverage	7.47%	42% 34.5 pts worse	Numerator 18 · Denominator 241
Discharge function score	48.77%	56.45% 7.7 pts worse	Numerator 79 · Denominator 162
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 67 · Denominator 67
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 93 · Denominator 93
Resident COVID-19 vaccinations up to date	15.7%	25.2% 9.5 pts worse	Numerator 19 · Denominator 121

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	1.7 0.8 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.2 0.1 pts worse	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	73.1%	86.9% 13.8 pts worse	93.4% 20.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 72.0% · Q2 72.7% · Q3 75.9% · Q4 71.7% · 4Q avg 73.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.4%	93.5% 6.1 pts worse	95.5% 8.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.4%
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	3.2% 0.4 pts better	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 3.2% · Q4 3.8% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.2%	6.5% 2.3 pts better	11.4% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.1% · Q3 4.1% · Q4 4.9% · 4Q avg 4.2%
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 8.0% · Q2 0.0% · Q3 3.5% · Q4 5.0% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.3%	19.9% 6.6 pts better	19.6% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 12.9% · Q3 15.4% · Q4 11.0% · 4Q avg 13.3%
Percentage of long-stay residents who received an antipsychotic medication	10.5%	18.7% 8.2 pts better	16.7% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 13.2% · Q3 9.1% · Q4 8.3% · 4Q avg 10.5% · 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	10.0%	19.6% 9.6 pts better	16.3% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 9.1% · Q3 8.3% · Q4 7.0% · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.3%	18.3% 3 pts better	14.9% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.9% · Q3 12.2% · Q4 17.4% · 4Q avg 15.3% · 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 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.7%	1.7% About the same	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 2.0% · Q4 2.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.0%	26.4% 0.6 pts worse	19.8% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 25.8% · Q3 22.7% · Q4 33.4% · 4Q avg 27.0%
Percentage of long-stay residents with pressure ulcers	4.2%	5.3% 1.1 pts better	5.1% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.4% · Q3 2.9% · Q4 2.9% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	47.9%	68.9% 21 pts worse	81.7% 33.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 55.1% · Q3 54.3% · Q4 50.4% · 4Q avg 47.9%
Percentage of short-stay residents who had an outpatient emergency department visit	9.3%	9.8% 0.5 pts better	12.0% 2.7 pts better	Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.8% · Expected 11.8% · 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 0.9% · Q3 1.2% · Q4 1.2% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	57.9%	68.7% 10.8 pts worse	79.7% 21.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 57.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.8%	23.1% 2.7 pts worse	23.9% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 29.4% · Expected 27.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2025-07-24

14 health deficiencies

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

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-09-27 · Fire 2024-09-27

12 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2023-12-07 · Fire 2023-12-07

17 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-12

F · Potential for more than minimal harm 2025-07-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-09-12

C · Minimal harm 2025-07-24

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-09-12

E · Potential for more than minimal harm 2024-09-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-09-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-09-27

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-09-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-09-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-09-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-13

F · Potential for more than minimal harm 2023-12-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-30

E · Potential for more than minimal harm 2023-12-07

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 2024-01-30

E · Potential for more than minimal harm 2023-12-07

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-01-30

E · Potential for more than minimal harm 2023-12-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-30

E · Potential for more than minimal harm 2023-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-30

E · Potential for more than minimal harm 2023-12-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-30

C · Minimal harm 2023-12-07

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-01-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-24

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 2025-09-12

E · Potential for more than minimal harm 2025-07-24

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 2025-09-12

D · Potential for more than minimal harm 2025-07-24

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 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

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 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F801 · Nutrition and Dietary Deficiencies

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 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

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 2025-09-12

F · Potential for more than minimal harm 2024-09-27

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-09-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-27

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-27

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 2024-11-06

D · Potential for more than minimal harm 2024-09-27

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-27

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 2024-11-06

D · Potential for more than minimal harm 2024-09-27

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 2024-11-06

D · Potential for more than minimal harm 2024-09-27

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 2024-11-06

D · Potential for more than minimal harm 2024-09-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-27

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-27

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-27