B+
81/100

EDGEHILL NURSING AND REHAB CEN Inspection Report, Violations & Safety Grade (GLENSIDE, Pennsylvania)

146 EDGEHILL ROAD, GLENSIDE, Pennsylvania 19038

Phone: 2158861043

CMS Overall:4/5

Overview & Bed Count

Certified Beds
60
Avg Residents/Day
54.9
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Montgomery
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.690.78-0.08
Total Nurse Hours per Resident per Day3.643.90-0.26
CMS Staffing Rating2/53.1/5-
Nursing Staff TurnoverN/A44.6%-

Health Citation History

25 health citations on record

DateCategoryDescriptionSeverity
2026-07-24Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2026-07-24Administration DeficienciesConduct 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.C – Minimal Harm Potential
2025-08-14Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2025-08-14Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-08-14Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-08-14Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-08-14Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-08-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-08-14Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-08-14Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-10-09Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-10-09Infection Control DeficienciesImplement a program that monitors antibiotic use.E – Moderate Harm Potential
2024-10-09Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E – Moderate Harm Potential
2024-10-09Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-10-09Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2024-10-09Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2024-10-09Nursing and Physician Services DeficienciesObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D – Moderate Harm Potential
2024-10-09Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.D – Moderate Harm Potential
2024-10-09Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2024-10-09Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D – Moderate Harm Potential
2024-10-09Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D – Moderate Harm Potential
2024-10-09Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D – Moderate Harm Potential
2024-07-25Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-07-25Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-07-25Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-07-24Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2026-07-24Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2025-08-14Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2025-08-14Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2024-10-09Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2024-10-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-10-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-10-09Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-10-09Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-10-09Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-10-09Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.C – Minimal Harm Potential
2024-10-09Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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