Wyncote, PA

Wyncote Care Center

4-star overall rating with 4-star inspections with $28,850 in total fines with 7 recent health deficiencies

208 Fernbrook Avenue, Wyncote, PA

(215) 885-2620

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2008-07-25

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

1.06

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.49

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.41

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.93

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.24

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

1.00

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.15

CMS adjusted RN staffing hours

Adjusted total hours

4.80

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

7,502

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

Performance score

29.58

Composite VBP score used to determine payment impact.

Payment multiplier

0.9855

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 22.66% · Performance 22.97% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.07

Baseline 7.61% · Performance 6.62% · Measure score 4.07 · Achievement 4.07 · Improvement 3.30

Total nurse turnover

3.93

Baseline 38.64% · Performance 47.62% · Measure score 3.93 · Achievement 3.93 · Improvement 0

Adjusted total nurse staffing

3.83

Baseline 4.29 hours · Performance 4.17 hours · Measure score 3.83 · Achievement 3.83 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 86 · Observed rate 8.14% · Lower 95% interval 6.36%
Discharge to community	58.39%	50.57% 7.8 pts better	No Different than the National Rate · Eligible stays 89 · Observed rate 53.93% · Lower 95% interval 46.57%
Medicare spending per beneficiary	0.76	1.02 0.3 pts better
Drug regimen review with follow-up	98.31%	95.27% 3 pts better	Numerator 58 · Denominator 59
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 59
Discharge self-care score	58.33%	53.69% 4.6 pts better	Numerator 21 · Denominator 36
Discharge mobility score	52.78%	50.94% 1.8 pts better	Numerator 19 · Denominator 36
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 59 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.62%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 4.76% · Lower 95% interval 3.22%
Staff COVID-19 vaccination coverage	6.31%	8.2% 1.9 pts worse	Numerator 7 · Denominator 111
Staff flu vaccination coverage	47.58%	42% 5.6 pts better	Numerator 59 · Denominator 124
Discharge function score	55.56%	56.45% 0.9 pts worse	Numerator 20 · Denominator 36
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 21 · Denominator 21
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 28 · Denominator 28
Resident COVID-19 vaccinations up to date	32.35%	25.2% 7.2 pts better	Numerator 11 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.5	1.7 1.8 pts worse	1.9 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.4 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.2 0.3 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	82.3%	86.9% 4.6 pts worse	93.4% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 87.2% · Q2 83.3% · Q3 81.6% · Q4 76.5% · 4Q avg 82.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.5%	93.5% 1 pts worse	95.5% 3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.5%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	3.2% 1.8 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.9% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.2%	6.5% 4.3 pts better	11.4% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.9% · Q4 3.7% · 4Q avg 2.2%
Percentage of long-stay residents who lose too much weight	3.3%	6.5% 3.2 pts better	5.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.5% · Q3 3.2% · Q4 3.8% · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.8%	19.9% 5.9 pts worse	19.6% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 25.8% · Q3 25.0% · Q4 21.4% · 4Q avg 25.8%
Percentage of long-stay residents who received an antipsychotic medication	26.7%	18.7% 8 pts worse	16.7% 10 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 30.8% · Q3 26.9% · Q4 17.4% · 4Q avg 26.7% · 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	29.1%	19.6% 9.5 pts worse	16.3% 12.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.9%	18.3% 5.6 pts worse	14.9% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 26.1% · Q3 17.4% · Q4 21.7% · 4Q avg 23.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.9%	0.9% 1 pts worse	1.0% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 2.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.4%	1.7% 0.3 pts better	1.7% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.1%	26.4% 0.7 pts worse	19.8% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q2 23.6% · Q3 26.0% · Q4 16.5% · 4Q avg 27.1%
Percentage of long-stay residents with pressure ulcers	8.4%	5.3% 3.1 pts worse	5.1% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 11.2% · Q3 13.3% · Q4 9.5% · 4Q avg 8.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	28.9%	68.9% 40 pts worse	81.7% 52.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 40.5% · Q3 27.9% · Q4 8.8% · 4Q avg 28.9%
Percentage of short-stay residents who had an outpatient emergency department visit	7.0%	9.8% 2.8 pts better	12.0% 5 pts better	Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.7% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.7%	1.5% 3.2 pts worse	1.6% 3.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 7.8% · Q4 6.5% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	55.8%	68.7% 12.9 pts worse	79.7% 23.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 55.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.0%	23.1% 7.9 pts worse	23.9% 7.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 31.7% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-19 · Fire 2024-12-19

7 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 2 Health 2024-03-01 · Fire 2024-03-01

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-04-24 · Fire 2023-04-24

10 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-05

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 2026-01-08

D · Potential for more than minimal harm 2025-09-02

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Not marked corrected

D · Potential for more than minimal harm 2025-06-25

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-06-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-12

D · Potential for more than minimal harm 2025-04-22

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 2025-05-14

D · Potential for more than minimal harm 2024-12-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-02-17

D · Potential for more than minimal harm 2024-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-17

E · Potential for more than minimal harm 2024-03-01

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-03-01

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-01

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 2024-04-30

D · Potential for more than minimal harm 2024-03-01

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 2024-04-30

D · Potential for more than minimal harm 2024-03-01

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 2024-04-30

D · Potential for more than minimal harm 2023-09-26

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-10-27

G · Actual harm 2023-04-24

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 2023-06-23

G · Actual harm 2023-04-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-06-23

G · Actual harm 2023-04-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-23

E · Potential for more than minimal harm 2023-04-24

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 2023-06-23