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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D77 | E34 | F8 |
| Minimal | A· | B1 | C3 |
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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 17, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 10, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 5, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 5, 2026 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Aug 14, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 21, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 28, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Apr 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 27, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Complaint, Health Standard | 21 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jan 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 24, 2024 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Aug 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 2, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 13, 2024 | Fire safety | Fire Safety Complaint, Fire Safety Standard | 10 | Potential harm | — | Open → |
| May 13, 2024 | Health | Health Complaint, Health Standard | 36 | Immediate jeopardy | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 13, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 17, 2024 | Civil money penalty (fine) | $30,245 | — | 395545|Fine|13954 |
| Dec 11, 2023 | Civil money penalty (fine) | $11,538 | — | 395545|Fine|13470 |
| Nov 13, 2023 | Civil money penalty (fine) | $7,797 | — | 395545|Fine|13446 |
| Nov 13, 2023 | Civil money penalty (fine) | $7,796 | — | 395545|Fine|13447 |
| Nov 6, 2023 | Civil money penalty (fine) | $3,208 | — | 395545|Fine|13377 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D77 | E34 | F8 |
| Minimal | A· | B1 | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 20, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2026 | Complaint |
| Jun 17, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 24, 2026 | 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.
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.
CMS legal business name of the certified provider. Operates this facility only.
4 facilities in 2 states. CMS chain ID 733.
Chain average overall rating (CMS): 2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sam Berkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | Feb 22, 2022 |
| Cheskel Berkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Feb 22, 2022 |
| Joel Leifer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Feb 22, 2022 |
| Joel Zupnick | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Feb 22, 2022 |
| Marton Ornstein | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | Feb 22, 2022 |
| Papermill Realty LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Feb 22, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sam Berkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | Feb 22, 2022 |
| Cheskel Berkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Feb 22, 2022 |
| Joel Leifer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Feb 22, 2022 |
| Joel Zupnick | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Feb 22, 2022 |
| Marton Ornstein | Individual | Direct owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Accela Rehab and Care Center at Somerton 650 Edison Avenue, Philadelphia, PA 19116 CCN 395084 | 225 | Aug 6, 2026 | 651 IJ | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Chestnut Hill Lodge Health and Rehab Ctr 8833 Stenton Avenue, Wyndmoor, PA 19038 CCN 395334Abuse icon | 1 km | 181 | Apr 30, 2026 | 543 harm | $14k | |
| Fairview Rehab and Care Center 184 Bethlehem Pike, Philadelphia, PA 19118 CCN 395782 | 1.2 km | 176 | Apr 6, 2026 | 1361 IJ | $37k | |
| Complete Care at Harston Hall LLC 350 Haws Lane, Flourtown, PA 19031 CCN 395791 | 1.2 km | 120 | Aug 28, 2026 | 702 IJ2 open | $17k | |
| Wyndmoor Hills Rehabilitation and Nursing Center 8601 Stenton Avenue, Wyndmoor, PA 19038 CCN 396115 | 1.3 km | 77 | Aug 25, 2026 | 1213 IJ1 harm | $102k | |
| Saint Joseph Villa 110 West Wissahickon Ave, Flourtown, PA 19031 CCN 395278 | 1.3 km | 106 | Jan 30, 2026 | 121 harm | $8,278 | |
| Ivy Hill Post Acute Nursing & Rehabilitation LLC 1401 Ivy Hill Road, Philadelphia, PA 19150 CCN 395525 | 2.6 km | 145 | Mar 25, 2026 | 64 | — | |
| The Health Center at the Hill at Whitemarsh 4000 Fox Hound Drive, Lafayette Hill, PA 19444 CCN 396113 | 2.8 km | 60 | Dec 19, 2025 | 12 | — | |
| Liberty Center for Rehabilitation and Nursing 7310 Stenton Avenue, Philadelphia, PA 19150 CCN 395764 | 3.1 km | 94 | May 14, 2026 | 661 IJ | $8,827 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 395545 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 395545 | 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 | 580502 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Oct 30, 2023 | Civil money penalty (fine) | $2,858 | — | 395545|Fine|13351 |
| Jun 17, 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 | E · Potential harm Pattern | Corrected Jul 24, 2026 | Complaint |
| Apr 16, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2026 | Complaint |
| Mar 10, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2026 | Complaint |
| Mar 10, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2026 | Complaint |
| Feb 5, 2026 | 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 Apr 6, 2026 |
| Feb 5, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 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 Apr 6, 2026 |
| Feb 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 | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Feb 5, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Aug 14, 2025 | 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 30, 2025 | Complaint |
| Aug 14, 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 | E · Potential harm Pattern | Corrected Sep 30, 2025 | Complaint |
| Jul 21, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 6, 2025 | Complaint |
| Jul 21, 2025 | F-0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 6, 2025 | Complaint |
| Jul 21, 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 | Corrected Aug 6, 2025 | Complaint |
| Jun 23, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2025 | Complaint |
| Jun 12, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 31, 2025 | Complaint |
| Jun 12, 2025 | 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 Jul 31, 2025 | Complaint |
| May 28, 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 | Corrected Jul 23, 2025 | Complaint |
| May 28, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 23, 2025 | Complaint |
| May 28, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 23, 2025 | Complaint |
| May 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 23, 2025 | Complaint |
| May 28, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 23, 2025 | Complaint |
| May 8, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 7, 2025 | Complaint |
| May 8, 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 | D · Potential harm Isolated | Corrected Jul 7, 2025 | Complaint |
| May 8, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 7, 2025 | Complaint |
| May 8, 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 | D · Potential harm Isolated | Corrected Jul 7, 2025 | Complaint |
| May 8, 2025 | F-0809 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 7, 2025 | Complaint |
| Apr 7, 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 | E · Potential harm Pattern | Corrected Apr 20, 2025 | Complaint |
| Mar 27, 2025 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 27, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 29, 2025 |
| Mar 6, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 29, 2025 |
| Mar 6, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 20, 2025 |
| Mar 6, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 29, 2025 |
| Mar 6, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 29, 2025 |
| Mar 6, 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 | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | 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 | D · Potential harm Isolated | Corrected Apr 20, 2025 |
| Mar 6, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 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 Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | 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 Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 20, 2025 |
| Mar 6, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 20, 2025 |
| Mar 6, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 20, 2025 | Complaint |
| Mar 6, 2025 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 20, 2025 |
| Mar 6, 2025 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 20, 2025 |
| Jan 30, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 18, 2025 | Complaint |
| Jan 30, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 18, 2025 | Complaint |
| Jan 30, 2025 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 18, 2025 | Complaint |
| Jan 30, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2025 | Complaint |
| Jan 21, 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 | Corrected Feb 28, 2025 | Complaint |
| Sep 24, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Oct 24, 2024 | Complaint |
| Aug 12, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Aug 2, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 2, 2024 | Complaint |
| Aug 2, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 2, 2024 | Complaint |
| Jul 16, 2024 | 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 Aug 2, 2024 | Complaint |
| Jun 6, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 13, 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 May 31, 2024 | Complaint |
| May 13, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 31, 2024 | Complaint |
| May 13, 2024 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 4, 2024 | Complaint |
| May 13, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2024 |
| May 13, 2024 | 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 | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | 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 Jun 7, 2024 | Complaint |
| May 13, 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 | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | 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 Jun 7, 2024 | Complaint |
| May 13, 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 | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | 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 | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 7, 2024 | Complaint |
| May 13, 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 Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jun 7, 2024 | Complaint |
| May 13, 2024 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jul 4, 2024 |
| Apr 17, 2024 | 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 | D · Potential harm Isolated | Corrected May 20, 2024 | Complaint |
| Nov 13, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 7, 2023 | Complaint |
| Nov 13, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 7, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.56 (case-mix index 1.34).
| 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| 10% |
| Feb 22, 2022 |
| Papermill Realty LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Feb 22, 2022 |
| Sam Berkowitz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 22, 2022 |
| Sam Berkowitz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 22, 2022 |
| Samuel Stern | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 22, 2022 |
| Papermill Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 22, 2022 |
| Stephen Quindlen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 4, 2026 |