Starfile / Pennsylvania

WYNDMOOR HILLS REHABILITATION AND NURSING CENTER

8601 STENTON AVENUE, WYNDMOOR, PA 19038 · CCN 396115

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

$102,309

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

LME FAMILY HOLDINGS

Facilities in chain

15

Chain avg overall

2.20 / 5

Inspection citations (81)3 immediate jeopardy1 actual harm

1. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-12-11 · Health · corrected 2026-01-06

   Potential for more than minimal harm

2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-11 · Health · corrected 2026-01-06

   Potential for more than minimal harm

3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-11 · Health · corrected 2026-01-06

   Potential for more than minimal harm

4. DF0730Observe each nurse aide's job performance and give regular training.2025-12-11 · Health · corrected 2026-01-06

   Potential for more than minimal harm

5. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-11 · Health · corrected 2026-01-06

   Potential for more than minimal harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-03 · Health · corrected 2026-01-06

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-03 · Health · corrected 2026-01-06

   Potential for more than minimal harm

8. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-25 · Health · corrected 2025-09-18

   Potential for more than minimal harm

9. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-07-07 · Health · corrected 2025-07-29

   Potential for more than minimal harm

10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-29 · Health · corrected 2025-06-24

    Potential for more than minimal harm

11. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-05-29 · Health · corrected 2025-06-24

    Potential for more than minimal harm

12. EF0558Reasonably accommodate the needs and preferences of each resident.2025-02-26 · Health · corrected 2025-03-18

    Potential for more than minimal harm

13. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-02-26 · Health · corrected 2025-03-18

    Potential for more than minimal harm

14. 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.2025-02-26 · Health · corrected 2025-03-18

    Potential for more than minimal harm

15. KF0584Honor 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.2025-02-08 · Health · corrected 2025-02-20

    Immediate jeopardy

16. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-02-08 · Health · corrected 2025-02-20

    Potential for more than minimal harm

17. 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.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

18. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

19. EF0610Respond appropriately to all alleged violations.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

20. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

21. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

22. DF0685Assist a resident in gaining access to vision and hearing services.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

23. DF0688Provide 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.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

24. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

25. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

26. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

27. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

28. DF0743Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

29. DF0791Provide or obtain dental services for each resident.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

30. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

31. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

32. FF0908Keep all essential equipment working safely.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

33. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

34. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-01-10 · Health · corrected 2025-03-03

    Potential for more than minimal harm

35. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

36. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-17 · Health · corrected 2024-10-10

    Potential for more than minimal harm

38. KF0584Honor 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.2024-07-11 · Health · corrected 2024-08-29

    Immediate jeopardy

39. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-07-11 · Health · corrected 2024-08-14

    Potential for more than minimal harm

40. LF0908Keep all essential equipment working safely.2024-07-11 · Health · corrected 2024-08-14

    Immediate jeopardy

41. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

42. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

43. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

44. 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.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

45. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-23 · Health · corrected 2024-03-15

    Actual harm

46. DF0610Respond appropriately to all alleged violations.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

47. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

48. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

49. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

50. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

51. 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.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

52. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

53. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

54. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

55. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

56. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

57. FF0880Provide and implement an infection prevention and control program.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

58. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

59. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

60. DF0908Keep all essential equipment working safely.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

61. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-02-23 · Health · corrected 2024-03-15

    Potential for more than minimal harm

62. EF0803Ensure 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.2024-01-04 · Health · corrected 2024-02-13

    Potential for more than minimal harm

63. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-01-03 · Health · corrected 2024-02-27

    Potential for more than minimal harm

64. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-01-03 · Health · corrected 2024-02-27

    Potential for more than minimal harm

65. EF0809Ensure 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.2024-01-03 · Health · corrected 2024-02-27

    Potential for more than minimal harm

66. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-03 · Health · corrected 2024-02-27

    Potential for more than minimal harm

67. EF0814Dispose of garbage and refuse properly.2024-01-03 · Health · corrected 2024-02-27

    Potential for more than minimal harm

68. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-10-26 · Health · corrected 2023-11-17

    Potential for more than minimal harm

69. DF0908Keep all essential equipment working safely.2023-10-26 · Health · corrected 2023-11-17

    Potential for more than minimal harm

70. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-10-26 · Health · corrected 2023-11-17

    Potential for more than minimal harm

71. 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.2023-08-30 · Health · corrected 2023-10-25

    Potential for more than minimal harm

72. 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.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

73. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

74. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

75. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

76. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

77. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

78. EF0880Provide and implement an infection prevention and control program.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

79. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

80. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-05-11 · Health · corrected 2023-07-10

    Potential for more than minimal harm

81. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-06 · Health · corrected 2023-03-16

    Potential for more than minimal harm

Ownership

Other facilities in WYNDMOOR

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