Onyx Nursing & Rehabilitation — nursing home in Norristown, PA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 119 CMS-certified beds (not state-licensed beds)
Licensed beds: State license not yet ingested for this state
State license: 124302 active
Average residents per day: 110.8 CMS, MDS-derived
CMS Certification Number: 395346
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 1, 1976
Ownership type: For profit - Limited Liability company
Operator (legal business name): Onyx Wellness Center LLC
CMS chain: Paramount Care Centers 10 facilities
Phone: (610) 275-6410
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Mar 5, 2026

Citations

26

25 health · 1 fire

Harm or worse

4

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G2	H·	I·
Potential harm	D15	E4	F1
Minimal	A·	B·	C2

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$109,841

Payment denials

0

Latest

Dec 9, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 395346
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 119
First approved: Nov 1, 1976
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

Authority: Pennsylvania Department of Health
License number: 124302
State facility ID: 124302
License type: Nursing home (PA Department of Health)
License status: active
Link to CMS record: Linked by exact street address + ZIP Inferred
As of: Sep 17, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 5, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 5, 2026	Health	Health Standard	7	Immediate jeopardy	—	Open →
May 22, 2025	Fire safety	Fire Safety Standard	1	Minimal	—	Open →
May 22, 2025	Health	Health Complaint, Health Standard	8	Potential harm	8	Open →
Apr 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jan 21, 2025	Health	Health Complaint	1	Actual harm	—	Open →
Dec 9, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 1, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 1, 2024	Health	Health Complaint, Health Standard	5	Potential harm	—	Open →
Jan 31, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 9, 2024	Civil money penalty (fine)	$10,363	—	395346\|Fine\|14236
Jan 31, 2024	Civil money penalty (fine)	$99,478	—	395346\|Fine\|13721

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G2	H·	I·
Potential harm	D15	E4	F1
Minimal	A·	B·	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 5, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	J · Immediate jeopardy Isolated	Corrected Mar 19, 2026
Mar 5, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance Feb 7, 2026
Mar 5, 2026	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 19, 2026
Mar 5, 2026	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 19, 2026
Mar 5, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 19, 2026
Mar 5, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 19, 2026
Mar 5, 2026	F-0835	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 19, 2026
May 22, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Plan of correction, not yet verified Jun 18, 2025	Complaint
May 22, 2025	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Plan of correction, not yet verified Jun 18, 2025
May 22, 2025	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Plan of correction, not yet verified Jun 18, 2025	Complaint
May 22, 2025	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Plan of correction, not yet verified Jun 18, 2025
May 22, 2025	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Plan of correction, not yet verified Jun 18, 2025
May 22, 2025	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Plan of correction, not yet verified Jun 18, 2025
May 22, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Plan of correction, not yet verified Jun 18, 2025
May 22, 2025	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Jul 1, 2025
May 22, 2025	F-0574	The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Plan of correction, not yet verified Jun 18, 2025
Apr 16, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 5, 2025	Complaint
Jan 21, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 3, 2025	Complaint
Dec 9, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 7, 2025	Complaint
Aug 1, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	F-0801	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 1, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 20, 2024	Complaint
Jan 31, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Mar 1, 2024	Complaint
Jan 31, 2024	F-0835	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 1, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.1

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.53

State avg 3.90US avg 3.90

Registered nurse (RN)0.53

State avg 0.78US avg 0.69

Licensed practical nurse0.78

State avg 0.90US avg 0.86

Nurse aide2.23

State avg 2.22US avg 2.35

Weekend total nurse3.19

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.23 (case-mix index 1.53).

Staff turnover

Total nursing staff turnover64.4%

State avg 44.6%US avg 45.3%

Registered nurse turnover41.7%

State avg 39.4%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 5, 2026
Cycle 1 health score: 115
Total weighted score: 128

Operating entity

Onyx Wellness Center LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Paramount Care Centers

10 facilities in 2 states. CMS chain ID 774.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.4

Ownership disclosures

Disclosures

10

Organizations

2

Individuals

7

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Abraham Kraus	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	67%	May 1, 2025
Michael Czermek	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	May 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Abraham Kraus	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	67%	May 1, 2025
Michael Czermek	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	May 1, 2025
Paramount Care Centers LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Meir Friedlander	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Lauri Marlow	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Onyx Ivory Propco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 5, 2026
Paramount Care Centers LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Meir Friedlander	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Andrew Graf	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Lauri Marlow	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025

Same chain in Pennsylvania

All 9 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Ivory Nursing & Rehabilitation 2004 Old Arch Road, Norristown, PA 19401 CCN 395446	120	Aug 14, 2026	522 harm4 open	$25k
River's Edge Rehabilitation & Healthcare Center 9501 State Road, Philadelphia, PA 19114 CCN 395843	120	Aug 18, 2026	561 open	—
The Pines at Philadelphia Rehab and Healthcare Ctr 8410 Roosevelt Blvd, Philadelphia, PA 19152 CCN 396070	49	May 28, 2026	22	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 205 East Johnson Highway, Norristown, PA 19401
ZIP: 19401
County: Montgomery County FIPS 42091
State: Pennsylvania
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Ivory Nursing & Rehabilitation 2004 Old Arch Road, Norristown, PA 19401 CCN 395446	0.3 km	120	Aug 14, 2026	522 harm4 open	$25k
Norriton Square Nursing and Rehabilitation Center 1700 Pine Street, Norristown, PA 19401 CCN 396009	0.6 km	99	Aug 27, 2026	511 open	—
Markley Rehabilitation and Healthcare Center 550 East Fornance Street, Norristown, PA 19401 CCN 395483	1.2 km	121	Jul 10, 2026	50	—
Suburban Woods Health & Reha 2751 Dekalb Pike, Norristown, PA 19401 CCN 395912	1.5 km	119	Mar 19, 2026	51	—
Aristacare at Meadow Springs 845 Germantown Pike, Plymouth Meeting, PA 19462 CCN 395019Abuse icon	2.7 km	153	May 27, 2026	403 IJ	$18k
King of Prussia Skilled Nursing and Rehabilitation 600 West Valley Forge Road, King of Prussia, PA 19406 CCN 395834	6.6 km	170	Aug 14, 2026	782 harm14 open	$3,145
Montgomery Subacute and Respiratory Center 251 Stenton Avenue, Plymouth Meeting, PA 19462 CCN 395847	6.6 km	60	Aug 11, 2026	363 open	—
Rehab at Shannondell 5000 Shannondell Drive, Audubon, PA 19403 CCN 396101	7.1 km	120	Apr 28, 2026	41	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	395346	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	395346	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Pennsylvania DOH Nursing Homes PA	124302	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Sep 17, 2026	Nov 7, 2026

Record-level source links for CCN 395346

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction