Cycle 1
Health 2025-03-12 · Fire 2025-03-12
10 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Yardley, PA
Yardley Rehabilitation And Healthcare Center
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1480 Oxford Valley Road, Yardley, PA
(215) 321-3921
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
170
Certified beds
Average residents
166
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1990-01-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 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
0.68
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.40
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.26
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,409
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.47
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.99% · Performance 24.66% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.44% · Performance 11.41% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.19
Baseline 43.57% · Performance 30.22% · Measure score 8.19 · Achievement 8.19 · Improvement 6.63
Adjusted total nurse staffing
0
Baseline 3.72 hours · Performance 3.12 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.71% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 479 · Observed rate 13.36% · Lower 95% interval 9.29% |
| Discharge to community | 50.1% |
50.57%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 513 · Observed rate 44.25% · Lower 95% interval 44.06% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 387 · Denominator 387 |
| Falls with major injury | 0.52% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 387 |
| Discharge self-care score | 61.72% |
53.69%
8 pts better
|
Numerator 129 · Denominator 209 |
| Discharge mobility score | 66.03% |
50.94%
15.1 pts better
|
Numerator 138 · Denominator 209 |
| Pressure ulcers or injuries, new or worsened | 3.1% |
2.29%
0.8 pts worse
|
Numerator 12 · Denominator 387 · Adjusted rate 2.09% |
| Healthcare-associated infections requiring hospitalization | 11.41% |
7.12%
4.3 pts worse
|
Worse than the National Rate · Eligible stays 298 · Observed rate 13.42% · Lower 95% interval 8.78% |
| Staff COVID-19 vaccination coverage | 2.14% |
8.2%
6.1 pts worse
|
Numerator 4 · Denominator 187 |
| Staff flu vaccination coverage | 21.16% |
42%
20.8 pts worse
|
Numerator 51 · Denominator 241 |
| Discharge function score | 72.73% |
56.45%
16.3 pts better
|
Numerator 152 · Denominator 209 |
| Transfer of health information to provider | 67.8% |
95.95%
28.2 pts worse
|
Numerator 80 · Denominator 118 |
| Transfer of health information to patient | 97.37% |
96.28%
1.1 pts better
|
Numerator 185 · Denominator 190 |
| Resident COVID-19 vaccinations up to date | 8.74% |
25.2%
16.5 pts worse
|
Numerator 18 · Denominator 206 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.7
0.6 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 3.2 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.2
0.5 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.9 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.3% |
86.9%
22.6 pts worse
|
93.4%
29.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 57.7% · Q3 74.1% · Q4 76.3% · 4Q avg 64.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.7% |
93.5%
0.2 pts better
|
95.5%
1.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.2%
0.1 pts worse
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 3.6% · Q4 2.6% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 42.5% |
6.5%
36 pts worse
|
11.4%
31.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 48.5% · Q3 49.0% · Q4 50.5% · 4Q avg 42.5% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
6.5%
0.8 pts better
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.3% · Q3 5.3% · Q4 7.1% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.0% |
19.9%
6.1 pts worse
|
19.6%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 26.5% · Q3 26.7% · Q4 25.5% · 4Q avg 26.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
18.7%
3.7 pts better
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 13.6% · Q3 16.9% · Q4 14.1% · 4Q avg 15.0% · 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 | 9.3% |
19.6%
10.3 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 5.5% · Q3 6.9% · Q4 16.2% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
18.3%
5.7 pts better
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 14.0% · Q3 10.5% · Q4 13.7% · 4Q avg 12.6% · 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 0.7% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.9% · Q3 0.9% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.4% |
26.4%
3 pts better
|
19.8%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 23.1% · Q3 23.1% · Q4 26.3% · 4Q avg 23.4% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.3%
0.2 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.6% · Q3 5.3% · Q4 5.5% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 33.4% |
68.9%
35.5 pts worse
|
81.7%
48.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 23.4% · Q3 41.7% · Q4 54.7% · 4Q avg 33.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
9.8%
2.4 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 7.1% · Expected 10.7% · 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 0.4% · Q2 0.4% · Q3 1.1% · 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 | 30.3% |
68.7%
38.4 pts worse
|
79.7%
49.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
23.1%
0.8 pts better
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 24.1% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-22 · Fire 2024-02-22
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-10 · Fire 2023-03-10
5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-03-12
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-05-06
F · Potential for more than minimal harm
2023-03-10
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-05-11
F · Potential for more than minimal harm
2023-03-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-11
F · Potential for more than minimal harm
2023-03-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-11
F · Potential for more than minimal harm
2023-03-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-11
F · Potential for more than minimal harm
2023-03-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-11
E · Potential for more than minimal harm
2023-03-10
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 2023-05-11
D · Potential for more than minimal harm
2023-03-10
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-05-11
D · Potential for more than minimal harm
2023-03-10
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-05-11
C · Minimal harm
2023-03-10
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2023-05-11
C · Minimal harm
2023-03-10
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-05-11
C · Minimal harm
2023-03-10
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-05-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-21
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 2026-02-11
D · Potential for more than minimal harm
2026-01-21
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-02-11
E · Potential for more than minimal harm
2025-03-12
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 2025-04-15
D · Potential for more than minimal harm
2025-03-12
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-15
D · Potential for more than minimal harm
2025-03-12
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-04-15
D · Potential for more than minimal harm
2025-03-12
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-04-15
D · Potential for more than minimal harm
2025-03-12
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 2025-04-15
D · Potential for more than minimal harm
2025-03-12
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 2025-04-15
D · Potential for more than minimal harm
2025-03-12
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-04-15
C · Minimal harm
2025-03-12
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-04-15
C · Minimal harm
2025-01-28
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 2025-01-31
D · Potential for more than minimal harm
2024-02-22
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 2024-03-13
D · Potential for more than minimal harm
2024-02-22
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 2024-03-13
D · Potential for more than minimal harm
2024-02-22
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 2024-03-13
D · Potential for more than minimal harm
2024-02-22
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-13
D · Potential for more than minimal harm
2024-02-22
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-03-13
C · Minimal harm
2024-02-22
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-03-13
D · Potential for more than minimal harm
2023-03-10
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-10
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 2023-04-11
D · Potential for more than minimal harm
2023-03-10
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-10
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-04-11
Penalties and ownership
What sits behind the stars
Ownership
Yardley Operator Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Grimaldi, Kelly
Operational/Managerial Control · Individual
Grimaldi, Kelly
Corporate Director · Individual
Israel Discount Bank Of New York - Idb Bank Of York
5% Or Greater Security Interest · Organization
Lineage Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Marquis Limited LLC
Operational/Managerial Control · Organization
Nfr 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Nutraco LLC
Operational/Managerial Control · Organization
Posen, Mindee
Corporate Officer · Individual
Quinto Lineage LLC
5% Or Greater Indirect Ownership Interest · Organization
Reliant Pro Rehab LLC
Operational/Managerial Control · Organization
Rsbrmk Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sitapara, Ashish
Operational/Managerial Control · Individual
Sk Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Tryko Nexgen Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Uak 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Ukr Nexgen LLC
5% Or Greater Indirect Ownership Interest · Organization
Yk Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Yr Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Crestview Center
Langhorne, PA
3-star overall rating with 2-star inspections with $43,638 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Statesman Health & Rehabilitation Center
Levittown, PA
4-star overall rating with 3-star inspections with 6 recent health deficiencies
#3
Oxford Rehabilitation And Healthcare Center
Langhorne, PA
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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