Philadelphia, PA

The Pines At Philadelphia Rehab And Healthcare Ctr

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

8410 Roosevelt Blvd, Philadelphia, PA

(215) 708-1200

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

49

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Paramount Care Centers

Operator or chain grouping

Approved since

2000-05-18

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

9 facilities

Chain averages 3 overall / 3 health / 3 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

1.21

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.71

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.58

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

5.50

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

2.92

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.69

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.75

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.38

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.90

CMS adjusted RN staffing hours

Adjusted total hours

4.09

CMS adjusted total nurse staffing hours

Case-mix index

1.84

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,436

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

Performance score

44.33

Composite VBP score used to determine payment impact.

Payment multiplier

0.9974

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.60

Baseline 22.68% · Performance 18.11% · Measure score 7.60 · Achievement 7.18 · Improvement 7.60

Healthcare-associated infections

0

Baseline 8.02% · Performance 8.33% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.72

Baseline 46.15% · Performance 36.23% · Measure score 6.72 · Achievement 6.72 · Improvement 4.16

Adjusted total nurse staffing

3.42

Baseline 4.23 hours · Performance 4.05 hours · Measure score 3.42 · Achievement 3.42 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.48%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 295 · Observed rate 12.2% · Lower 95% interval 8.04%
Discharge to community 64.14%
50.57%
13.6 pts better
Better than the National Rate · Eligible stays 337 · Observed rate 54.3% · Lower 95% interval 58.79%
Medicare spending per beneficiary 1.26
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 256 · Denominator 256
Falls with major injury 0.78%
0.77%
About the same
Numerator 2 · Denominator 256
Discharge self-care score 48.91%
53.69%
4.8 pts worse
Numerator 90 · Denominator 184
Discharge mobility score 58.7%
50.94%
7.8 pts better
Numerator 108 · Denominator 184
Pressure ulcers or injuries, new or worsened 1.17%
2.29%
1.1 pts better
Numerator 3 · Denominator 256 · Adjusted rate 1.31%
Healthcare-associated infections requiring hospitalization 8.33%
7.12%
1.2 pts worse
No Different than the National Rate · Eligible stays 191 · Observed rate 9.95% · Lower 95% interval 5.22%
Staff COVID-19 vaccination coverage 0.61%
8.2%
7.6 pts worse
Numerator 1 · Denominator 163
Staff flu vaccination coverage 24.24%
42%
17.8 pts worse
Numerator 40 · Denominator 165
Discharge function score 55.98%
56.45%
0.5 pts worse
Numerator 103 · Denominator 184
Transfer of health information to provider 97.33%
95.95%
1.4 pts better
Numerator 73 · Denominator 75
Transfer of health information to patient 92.49%
96.28%
3.8 pts worse
Numerator 160 · Denominator 173
Resident COVID-19 vaccinations up to date 42.55%
25.2%
17.3 pts better
Numerator 60 · Denominator 141

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.6%
68.9%
28.7 pts better
81.7%
15.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 98.5% · Q3 98.0% · Q4 96.2% · 4Q avg 97.6%
Percentage of short-stay residents who had an outpatient emergency department visit 10.0%
9.8%
0.2 pts worse
12.0%
2 pts better
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 9.0% · Expected 10.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.5%
1.1 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 1.1% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.7%
68.7%
26 pts better
79.7%
15 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.7%
23.1%
0.4 pts better
23.9%
1.2 pts better
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 24.5% · Expected 25.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-17 · Fire 2025-07-17

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2024-09-12 · Fire 2024-09-12

6 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-11-17 · Fire 2023-11-17

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.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-17

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-07-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-07-17

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-07-17

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-07-17

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-10-17

C · Minimal harm 2025-07-17

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-10-17

E · Potential for more than minimal harm 2024-09-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-12

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-10-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-17

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 2025-08-01

D · Potential for more than minimal harm 2025-07-17

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 2025-08-01

E · Potential for more than minimal harm 2024-09-12

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 2024-10-11

E · Potential for more than minimal harm 2024-09-12

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-10-11

E · Potential for more than minimal harm 2024-09-12

F847 · Administration Deficiencies

Health

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

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-12

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-12

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 2024-10-11

D · Potential for more than minimal harm 2024-09-12

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 2024-10-11

D · Potential for more than minimal harm 2023-12-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-11-17

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 2023-12-15

D · Potential for more than minimal harm 2023-11-17

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-17

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-17

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-17

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-17

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-17

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 2023-12-15

D · Potential for more than minimal harm 2023-11-17

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-11-17

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 2023-12-15

D · Potential for more than minimal harm 2023-11-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-15

Penalties and ownership

What sits behind the stars

Ownership

Kraus, Abraham

5% Or Greater Direct Ownership Interest · Individual

75% 12 facilities 2019-05-31
Paneth, Morton

5% Or Greater Direct Ownership Interest · Individual

8% 4 facilities 2019-05-31
Mimna, Shawne

W-2 Managing Employee · Individual

0% 1 facilities 2019-05-31

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