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Ann's Choice

16000 Ann's Choice Way, Warminster, PA 18974 · Bucks County · (215) 443-3900

66 certified beds, about 63 residents a day · Non profit - Corporation · Medicare and Medicaid since 2007

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 396107 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 7, 2026, inspectors cited 1 health deficiency (the Pennsylvania average is 10, the national average 9.2).

None of its 10 health citations since October 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.62 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.34 of those hours.

26.7% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Erickson Senior Living, an affiliated group of 17 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
0E
0F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 1 citation
  1. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2026
    Inspectors wroteBased on review of clinical records, facility policy, and interview with staff, it was determined the facility failed to ensure appropriate assessment of PRN (as needed) pain medication administration for one of two residents reviewed for pain management (Resident 6).
August 15, 2025Standard inspection · 4 citations
  1. D
    Give residents a notice of rights, rules, services and charges.
    F572 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on review of clinical record, facility documentation, and interviews with staff, it was determined that the facility failed to ensure that residents/resident representatives were provided facility rules in writing related to private companions unable to provide direct care for residents while in the facility, one of two resident reviewed for falls (Resident R6). Findings incldue: Review of facility policy Resident Rights, dated 2023, revealed the facility will promote and protect the rights of each resident and places a strong emphasis on individual dignity and self-determination. A written description of a Resident's Rights will be provided to the resident upon admission to the facility and upon request. The facility will adhere to state and federal regulatory requirements pertaining to Resident Rights. [...]
  2. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on review of the Resident Assessment Instrument Manual and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that quarterly Minimum Data Set assessments were completed within the required timeframe for one of 16 residents reviewed (Residents 47).
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on clinical record review and interviews with staff, it was determined that the facility failed to accurately complete a resident assessment for one of 16 residents reviewed (Resident R33).
  4. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on review of facility documents and staff interview, it was determined that the facility failed to provide training on QAPI (Quality Assurance and Performance Improvement) for three of three employees reviewed (Employees E4, E5 and E6).
October 10, 2024Standard inspection · 5 citations
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on review of clinical record, review of policy and procedure and interview with staff, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman of initiated emergency transfers and dischargers for three of four residents reviewed (Residents R59, R111, R60)
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on review of facility policy, review of facility documentation, and review of clinical records, it was determined that the facility failed to develop a person-center, comprehensive care plan related to respiratory care for one of 16 residents reviewed (Resident R1). Findings Include: Review of facility policy Care/Service Plans, undated 9/2012, revealed each guest/resident will have an individualized Care/Service plan developed. Care/Service Plans will included guest/resident preferences, strengths, routines, personal and cultural preferences and choices as well as clinical needs. [...]
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on review of facility documentation, review of closed clinical record, and staff interviews, it was determined that the facility failed to provide adequate supervision which resulting in an elopement for one of 4 residents reviewed (Resident R161). Findings Include: Review of facility policy Elopement Risk Assessment , undated June 2012, revealed The Elopement Risk Assessment assists in the identification of residents with a potential risk of elopement from the facility. The assessment is completed at the time of admission, re-admission, and every six-months and/or with any significant change in a resident's condition potentially impacting their risk of elopement. [...]
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on clinical record review and interviews with staff, it was determined that the facility failed to obtain orders for urinary catherization for one of 16 residents reviewed (Resident R45).
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on review of facility policy, observations, interviews, and clinical record review, it was determined that the facility failed to provide oxygen level in accordance with physician's orders for one of two residents (Residents R1).

Fire safety inspections

7 fire safety citations on file: 3 on May 7, 2026, 4 on October 10, 2024.

Every fire safety citation7 citations
  1. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 7, 2026 · Corrected (the home has a date of correction)
  2. E
    Have properly located and lighted "Exit" signs.
    K 293 · May 7, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 7, 2026 · Corrected (the home has a date of correction)
  4. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 10, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 10, 2024 · Corrected (the home has a date of correction)
  6. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · October 10, 2024 · Corrected (the home has a date of correction)
  7. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 10, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)4.623.893.86
Registered nurses1.340.790.69
All nursing staff on weekends4.293.533.42
Nurse aides2.77
Licensed practical nurses0.52
Nursing staff turnover (share who left in a year)26.7%44.5%45.8%
Registered nurse turnover33.3%39.9%42.9%
Administrators who left0

CMS expects 3.48 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.76 on weekdays and 4.29 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.75 in April to June 2025 to 4.62 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.621.344.764.29 0.0%0 of 9063
Oct to Dec 20254.651.244.804.26 0.0%0 of 9264
Jul to Sep 20254.711.294.914.18 0.0%0 of 9263
Apr to Jun 20254.751.234.944.27 0.0%0 of 9162
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.516.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.83.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.717.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.34.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.217.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.422.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.69.512.0

Owners and operators

Legal business name: ANN'S CHOICE, INC.. CMS links this home to Erickson Senior Living, a group of 17 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
National Senior Communities, Inc5% or greater direct ownership interestOrganization100%01/14/2021
Brown, IanCorporate directorIndividual04/01/2023
Brown, PatriciaCorporate directorIndividual04/01/2022
Clupper, KatherineCorporate directorIndividual04/01/2024
Colins, MaryCorporate directorIndividual10/01/2010
Erstad, EileenCorporate directorIndividual04/01/2018
Jacque, ZinaCorporate directorIndividual04/01/2018
Leonard, MontyCorporate directorIndividual04/01/2022
Moscato, MaryCorporate directorIndividual04/01/2024
Paulk, PamelaCorporate directorIndividual04/01/2022
Pomeranz, WilliamCorporate directorIndividual04/01/2025
Reel, StephanieCorporate directorIndividual04/01/2018
Roskiewicz, MichaelCorporate directorIndividual04/01/2019
Sharp, RusselCorporate directorIndividual04/01/2023
Wallick, DanielCorporate directorIndividual04/01/2025
Clupper, KatherineCorporate officerIndividual04/01/2025
Colins, MaryCorporate officerIndividual04/01/2025
Embley, MarkCorporate officerIndividual10/27/2021
Erstad, EileenCorporate officerIndividual04/01/2018
Hall, JohnCorporate officerIndividual04/30/2010
Merkert, RobertCorporate officerIndividual03/26/2026
Sawicki, ScottCorporate officerIndividual04/01/2024
Stiner, PamelaCorporate officerIndividual04/01/2024
Tyler, DanielCorporate officerIndividual04/01/2025
Erickson Senior Living LLCOperational/managerial controlOrganization11/23/2020
National Senior Communities, IncOperational/managerial controlOrganization01/14/2021
Butler, RichardOperational/managerial controlIndividual01/01/2014
Embley, MarkOperational/managerial controlIndividual10/27/2021
Hall, JohnOperational/managerial controlIndividual04/30/2010
Marcelis, JohnOperational/managerial controlIndividual03/27/2007
Merkert, RobertOperational/managerial controlIndividual03/26/2026
Smith, LaraOperational/managerial controlIndividual06/14/2023
Stiner, PamelaOperational/managerial controlIndividual04/01/2024
Sweetser, ChristianOperational/managerial controlIndividual03/01/2022
Bison, MichaelIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/20/2025
Ridley, FredIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/20/2025
Sones, RandallIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/20/2025
Erickson Senior Living LLCAdp of the SNFOrganization03/12/2025
National Senior Communities, IncAdp of the SNFOrganization01/14/2021
Embley, MarkAdp of the SNFIndividual10/27/2021
Hall, JohnAdp of the SNFIndividual04/30/2010
Marcelis, JohnAdp of the SNFIndividual03/13/2025
Merkert, RobertAdp of the SNFIndividual03/26/2026
Smith, LaraAdp of the SNFIndividual06/14/2023
Stiner, PamelaAdp of the SNFIndividual04/01/2024
Sweetser, ChristianAdp of the SNFIndividual03/01/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 7, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 15, 2025: "Assure that each resident’s assessment is updated at least once every 3 months."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 15, 2025: "Give residents a notice of rights, rules, services and charges."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on August 15, 2025: "Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention."

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Ann's Choice's Medicare star rating?
CMS rates Ann's Choice 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ann's Choice get at its last inspection?
1 health deficiency at the standard inspection on May 7, 2026. The Pennsylvania average is 10.
Has Ann's Choice been fined?
CMS lists no fines in the last three years.
Does Ann's Choice accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Ann's Choice?
CMS lists 46 owners and managers, and links the home to Erickson Senior Living. Legal business name: ANN'S CHOICE, INC..

Sources

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