Starfile / Pennsylvania

IMMACULATEMARYCENTER FOR REHABILITATION&HEALTHCARE

2990 HOLME AVENUE, PHILADELPHIA, PA 19136 · CCN 395338

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

CENTER MANAGEMENT GROUP

Facilities in chain

17

Chain avg overall

3.40 / 5

Inspection citations (47)1 immediate jeopardy

1. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-03 · Health · corrected 2025-10-23

   Immediate jeopardy

2. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-10-03 · Health · corrected 2025-10-23

   Potential for more than minimal harm

3. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-10-03 · Health · corrected 2025-10-23

   Potential for more than minimal harm

4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-15 · Health · corrected 2025-10-22

   Potential for more than minimal harm

5. DF0685Assist a resident in gaining access to vision and hearing services.2025-09-15 · Health · corrected 2025-10-22

   Potential for more than minimal harm

6. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2025-09-15 · Health · corrected 2025-10-22

   Potential for more than minimal harm

7. DF0880Provide and implement an infection prevention and control program.2025-09-15 · Health · corrected 2025-10-22

   Potential for more than minimal harm

8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-08 · Health · corrected 2025-09-03

   Potential for more than minimal harm

9. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-17 · Health · corrected 2025-05-14

   Potential for more than minimal harm

10. EF0584Honor 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.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

11. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

12. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

13. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

14. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

15. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

16. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

17. EF0814Dispose of garbage and refuse properly.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

18. EF0880Provide and implement an infection prevention and control program.2025-04-17 · Health · corrected 2025-05-14

    Potential for more than minimal harm

19. EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-02-03 · Health · corrected 2025-02-20

    Potential for more than minimal harm

20. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

21. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

24. DF0692Provide enough food/fluids to maintain a resident's health.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

25. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

26. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

27. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

28. DF0760Ensure that residents are free from significant medication errors.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

29. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

30. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

31. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-06-17 · Health · corrected 2024-07-09

    Potential for more than minimal harm

32. DF0584Honor 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.2024-05-16 · Health · corrected 2024-06-17

    Potential for more than minimal harm

33. DF0585Honor 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.2024-04-18 · Health · corrected 2024-06-17

    Potential for more than minimal harm

34. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-18 · Health · corrected 2024-06-17

    Potential for more than minimal harm

35. DF0610Respond appropriately to all alleged violations.2024-04-18 · Health · corrected 2024-06-17

    Potential for more than minimal harm

36. DF0583Keep residents' personal and medical records private and confidential.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

37. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

38. DF0610Respond appropriately to all alleged violations.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

39. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

40. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

41. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

42. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

43. DF0761Ensure 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.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

44. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

45. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

46. DF0880Provide and implement an infection prevention and control program.2023-08-28 · Health · corrected 2023-09-21

    Potential for more than minimal harm

47. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-07-12 · Health · corrected 2023-07-21

    Potential for more than minimal harm

Ownership

Other facilities in PHILADELPHIA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.