B+
81/100

SUBURBAN WOODS HEALTH & REHA Inspection Report, Violations & Safety Grade (NORRISTOWN, Pennsylvania)

2751 DEKALB PIKE, NORRISTOWN, Pennsylvania 19401

Phone: 6102782700

CMS Overall:5/5

Overview & Bed Count

Certified Beds
119
Avg Residents/Day
111
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Montgomery
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.410.78-0.37
Total Nurse Hours per Resident per Day3.343.90-0.56
CMS Staffing Rating2/53.1/5-
Nursing Staff Turnover40.4%44.6%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2026-03-19Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-03-19Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-03-19Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-03-19Administration DeficienciesProvide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.D – Moderate Harm Potential
2026-01-22Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.D – Moderate Harm Potential
2025-12-04Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-04-03Nutrition 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
2025-04-03Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2025-04-03Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-04-03Administration DeficienciesEmploy 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.D – Moderate Harm Potential
2025-04-03Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-04-03Infection Control DeficienciesImplement a program that monitors antibiotic use.D – Moderate Harm Potential
2025-04-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.C – Minimal Harm Potential
2024-05-17Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with residentโ€™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.E – Moderate Harm Potential
2024-05-17Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-05-17Resident 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
2024-05-17Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-05-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-05-17Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2024-05-17Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential

Fire Safety Citation History

31 fire safety citations on record

DateCategoryDescriptionSeverity
2026-03-19Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2026-03-19Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2026-03-19Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2026-03-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-04-03Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-04-03Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-04-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-04-03Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2025-04-03Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-04-03Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2025-04-03Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.E – Moderate Harm Potential
2025-04-03Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-04-03Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2025-04-03Emergency Preparedness DeficienciesList the names and contact information of those in the facility.C – Minimal Harm Potential
2024-05-17Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2024-05-17Egress DeficienciesInstall proper backup exit lighting.F – Moderate Harm Potential
2024-05-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-05-17Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2024-05-17Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-05-17Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2024-05-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-05-17Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2024-05-17Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-05-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-05-17Smoke DeficienciesHave properly sized and located compartments to protect residents from smoke.E – Moderate Harm Potential
2024-05-17Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2024-05-17Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.C – Minimal Harm Potential
2024-05-17Emergency Preparedness DeficienciesEstablish roles under a Waiver declared by secretary.C – Minimal Harm Potential
2024-05-17Emergency Preparedness DeficienciesProvide family notifications of emergency plan.C – Minimal Harm Potential
2024-05-17Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2024-05-17Construction DeficienciesMeet other general 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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