Home / Pennsylvania / Langhorne
262 Toll Gate Road, Langhorne, PA 19047 · Bucks County · (215) 968-4650
180 certified beds, about 164 residents a day · For profit - Partnership · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395459 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 3, 2025, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 34 health citations since November 2023, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.41 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
45.3% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
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.
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 34 health citations on file.
Inspectors wroteBased on review of clinical records, facility policy, facility documentation, and interviews with residents and staff, it was determined the facility failed to ensure one of four residents reviewed was free from sexual abuse, resulting in psychosocial harm including being diagnosed with Post Traumatic Stress Disorder (Resident R1). This deficiency was identified as past noncompliance.
Inspectors wroteBased on review of clinical records an interview with staff it was determined that the facility failed to ensure that residents who have a change in clinical status were evaluated by a provider. For one of ten residents observed (Resident R1)
Inspectors wroteBased on review of clinical records an interview with staff, it was determined that the facility failed to ensure that a physician's order was in place before administering oxygen for one of ten residents observed (Resident R1).
Inspectors wroteBased on review of clinical records, facility policy, and staff interview, it was determined the facility failed to timely identify and implement interventions to ensure that Resident R1 did not develop pressure ulcers. This failure resulted in actual harm to Resident R1 who developed an unstageable sacral pressure ulcer requiring hospitalization for one of two residents reviewed (Resident R1).
Inspectors wroteBased on clinical record reviews, review of facility documentation and interviews with staff, it was determined the facility failed to ensure Resident R1 was free from neglect related to failing to provide wound treatment in accordance with physician orders. This failure resulted in actual harm for Resident R1 who developed an infection of the left foot surgical site, for one of nine residents reviewed. This deficiency was cited as past non-compliance. (Resident R1).
Inspectors wroteBased on clinical record reviews, review of facility documentation and interviews with staff, it was determined that the facility failed to ensure that Resident R1 was providing wound treatment in accordance with physician orders. This failure resulted in actual harm for Resident R1 who developed a wound infection of the left foot surgical site for one of nine residents reviewed. This deficiency was cited as past non-compliance. (Resident R1).
Inspectors wroteBased on review of clinical records, observation, and staff and resident interviews, it was determined that the facility failed to ensure timely assessment, identification, and documentation of a change in condition related to skin integrity for one of four residents reviewed (Resident R1). Review of facility policy Skin Integrity and Wound Management, revised 2025, revealed the nursing assistant will observe skin daily and report any changes or concerns to the nurse. The licensed nurse will:- Evaluate any reported or suspected skin changes or wounds;- Document newly identified skin/wound impairments as a change in condition; -Document skin/wound findings on the 24-hour Report;-Perform and document skin inspection on all newly admitted /readmitted patients weekly thereafter and with any significant change of condition. [...]
Inspectors wroteBased on observation, review of facility policy, clinical record review and staff interviews, it was determined that the facility failed to ensure that resident assessments accurately reflected resident diagnoses for one of nine residents reviewed. (Resident R148)
Inspectors wroteBased on observations, review of facility policy, review of clinical records, and staff interview, it was determined that the facility failed to develop and implement a person center care plan related to elopement for one out of 33 residents reviewed. (Resident R77)
Inspectors wroteBased on review of facility documentation, review of clinical record, observation and staff interviews, it was determined that the facility failed to provide adequate supervision for two of 33 residents reviewed. (Resident R90 and Resident 136).
Inspectors wroteBased on review of clinical record, facility policy, observations, and interviews with staff, it was determined that the facility failed to exercise proper infection control techniques for one of three nursing units observed (East wing).
Inspectors wroteBased on a tour of resident care areas, review of facility documentation, review of clinical records, and staff and resident interviews it was determined that the facility failed to ensure dependent residents received the necessary services to maintain persona hygiene for two of four residents reviewed (Resident R1 and Resident R2). Findings Include: Review of documentation submitted by the facility on January 20, 2025, to the State Survey Agency via the Event Reporting System (electronic database that collects reports of resident events from healthcare facilities), revealed on January 18, 2025, it was reported that there was no hot water available on the nursing units. Maintenance was contacted and was able to successfully restore one of two hot water heaters. [...]
Inspectors wroteBased on staff interviews, review of facility policy and the review of clinical records, it was determined that the facility failed to assess, monitor and notify the physician regarding an injury of unknown origin for one of two residents reviewed. (Resident R1)
Inspectors wroteBased on review of resident council minutes, resident and group interviews and interviews with staff, and facility policy, it was determined the facility failed to ensure the residents were offered a private group meeting during resident council for 6 of 6 residents interviewed (Resident R9, R47, R82, R120, R133, and R145)
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to ensure a comfortable and homelike environment in one of eight resident's rooms observed (Resident 114 and Resident 124).
Inspectors wroteBased on interviews with residents and staff, and facility policy, it was determined that the facility failed to provide activities that enhanced the resident's interactions in the community based on the identified preferences/interests for six of six residents attending resident council (Resident R9, R47, R82, R120, R133, and R145)
Inspectors wroteBased on observations, review of facility policy, review of clinical records, and staff and resident interviews, it was determined that the facility failed to ensure that a resident who is dependent on oxygen therapy consistent with physician orders for three of three residents with oxygen reviewed (Resident R25, R118, and R127). Findings Include: Review of Resident R25's quarterly Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated July 5, 2024, revealed the resident was cognitively intact and had a diagnosis of respiratory failure and chronic obstructive pulmonary disease (COPD - progressive lung disease characterized by persistent respiratory symptoms such as breathlessness and cough). Review of Resident R25's physician orders revealed an order dated June 9, 2024, for continuous oxygen every shift. [...]
Inspectors wroteBased on observations, interviews with resident and staff and review of facility documentation, revealed the facility failed to provide a safe functional, sanitary, and comfortable environment for residents for one of three main shower rooms. (100-unit Main Shower)
Inspectors wroteBased on observations of the physical environment interviews with staff and reviews of the pest control operators reports, it was determined that the facility was not maintaining an effective pest control program. Fndings include: Observations of the main kitchen of the food and nutrition department were completed with the director od dietary services, Employee E8 at 9:30 a.m., on September 3, 2024. Common household pests (flies) were observed throughout the dish room area, food preparation areas and the hallway located outside the food and nutrition department. The doorway leading from the hallway into the main kitchen was open allowing easy access to the main kitchen. [...]
Inspectors wroteBased on observations, review of clinical records, and staff and resident interviews, it was determined that the facility failed to determine if residents were safe to self-administer medications for two of two residents observed (Resident R25 and R61). Findings Include: Review facility policy on Self Administration of Medication with a most recent review date of March 1, 2022, revealed that under section Policy, patients who request to self-administer medications will be evaluated for safe and clinically appropriate capability based on the patients. functionality and health condition. If it is determined that the patient is able to self-administer, a physician / advanced practice provider order is required. Self-administration and medication self-storage must be planned. When applicable, patient must be provided with a secure, locked area to maintain medications. [...]
Inspectors wroteBased on review of facility policies, clinical record review, observations and staff interviews, it was determined the facility failed to identify the placement of a bed against the wall as a restraint and failed to assess the functional status of an individual resident to determine the use of the restraint for one of nine residents reviewed. (Residents R44). Findings Include: Review of facility policy titled, Restraints: [...]
Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined at the facility failed to develop a baseline care plan that includes the instructions needed to provide effective and person-centered care within 48 hours of admission for respiratory care, communication, and total parenteral nutrition for three of 31 residents reviewed. (Resident R369, R143, Resident R150)
Inspectors wroteBased on review of clinical record was determined that the facility failed to develop a person-centered care plan related to antibiotic use via Midline intravenous catheter for one of 31 residents reviewed. (Resident R61)
Inspectors wroteBased on observations,staff interviews, review of clinical records and facility documentation, it was determined that the facility failed to provide care and services in accordance with professional standards of practice to prevent accident and falls for one of 31 resident records reviewed (Resident R6).
Inspectors wroteBased on review of facility policies, review of facility documentation, clinical record review and interviews with staff, it was determined that the facility failed to ensure that a resident received adequate supervision for one of seven residents reviewed for falls (Resident R157). This deficiency was identified as past non-compliance. Findings Include: Review of facility policy Safe Resident Handling/Transfer Equipment revised March 1, 2024, revealed patients will be assessed upon admission and on an ongoing basis to determine the patient's ability to transfer and reposition and the need for safe resident handling equipment. [...]
Inspectors wroteBased on review of facility policy, observation and staff and resident interviews, it was determined the facility failed to ensure that a resident's call bell was within reach for one of 14 residents reviewed. (Resident R2)
Inspectors wroteBased on review of facility policy, review of clinical record, review of manufacture directions and staff interview, it was determined that the facility failed to ensure that an opened container of enteral feeding formula was label and dated for one of one resident review on enteral feeding. (Resident R1)
Inspectors wroteBased on observation, review of clinical record and staff and resident interviews, it was determined that the facility failed to ensure that residents were provided with showers for one of eight residents reviewed (Resident R1).
Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to incorporate individualized medical approaches into the comprehensive care plans for three of three residents with Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body). (Resident R357, R138 and R358).
Inspectors wroteBased on review of professional literature, clinical records, facility documentation, resident and staff interviews, it was determined that the facility failed to provide care and services to meet the accepted standards of practice for three of three residents reviewed for care and management of Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body) (Resident R357, R138 and R358). Findings Include: Review of journal from American Nurses Today (Facility provided document) volume 12, Number 5, Caring for Patients with a left ventricular assist device dated May 2017, revealed the following information: [...]
Inspectors wroteBased on clinical record review, facility procedures and interview with staff, it was determined that the facility failed to ensure that Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body) care and services were provided by a qualified person (Registered Nurses), in accordance with facility protocol and acceptable standards for three of three residents reviewed. (Resident R138, R357 and R358). Findings Include: Review of an undated facility education document Post acute care of patient with VAD-Principles and Practices revealed that Prior to admission: Prepare a VAD treatment plan specific to your patient and center. Include patient history. [...]
Inspectors wroteBased on observations, interview with staff and residents it was determined that the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice related to skin assessments and not following physician orders for two out of 33 residents reviewed (Resident R5 and R138)
Inspectors wroteBased on the review of facility documentation and staff interview, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care and assessment of Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body) for 16 of 16 staff reviewed (Employee 13, 14, 15. 16. 17, 18, 19, 20. 21, 22, 23, 24, 25, 26, 27 and 28)
Inspectors wroteBased on observations, reviews of clinical records and review of facility policies and procedures, it was determined that the facility failed to provide adequate treatment for midline catheter (a long, thin, flexible tube that is inserted into a large vein in the upper arm. It is used to safely administer medication into the bloodstream) line in accordance with professional standards of practice for one of 30 residents reviewed (Resident R356).
1 fire safety citation on file: 1 on July 3, 2025.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.41 | 3.89 | 3.86 |
| Registered nurses | 0.72 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.53 | 3.42 |
| Nurse aides | 1.92 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 45.3% | 44.5% | 45.8% |
| Registered nurse turnover | 46.2% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.49 on weekdays and 3.19 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.41 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.41 | 0.72 | 3.49 | 3.19 | 16.5% | 0 of 90 | 164 |
| Oct to Dec 2025 | 3.57 | 0.71 | 3.68 | 3.29 | 16.0% | 0 of 92 | 160 |
| Jul to Sep 2025 | 3.39 | 0.57 | 3.48 | 3.15 | 8.5% | 0 of 92 | 165 |
| Apr to Jun 2025 | 3.16 | 0.59 | 3.24 | 2.95 | 11.2% | 0 of 91 | 169 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.5 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.1 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.2 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Crestview Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.9% this home
No different from the national rate
US median of homes 51.5% · Pennsylvania: 100 better, 108 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 149 eligible stays.
9.5% this home
No different from the national rate
US median of homes 10.7% · Pennsylvania: 3 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 160 eligible stays.
7.5% this home
No different from the national rate
US median of homes 7.1% · Pennsylvania: 7 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 115 eligible stays.
43.8% this home
Median of homes: Pennsylvania54.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 105 residents counted.
0.7% this home
Median of homes: Pennsylvania0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 148 residents counted.
4.5% this home
Median of homes: Pennsylvania2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 148 residents counted.
96.7% this home
Median of homes: Pennsylvania100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 30 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 262 TOLL GATE ROAD OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis Pa Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 06/20/2007 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Operations LLC | 5% or greater indirect ownership interest | Organization | 06/01/2018 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 06/01/2018 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 02/22/2015 | |
| Berg, Michael | Corporate officer | Individual | 03/02/2015 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Griffies-Edwards, Kimberly | Operational/managerial control | Individual | 01/11/2022 | |
| Majmundar, Sapan | Operational/managerial control | Individual | 05/01/2020 | |
| Genesis Administrative Services LLC | Adp of the SNF | Organization | 01/01/2019 | |
| Genesis Operations LLC | Adp of the SNF | Organization | 02/19/2025 | |
| Griffies-Edwards, Kimberly | Adp of the SNF | Individual | 02/04/2025 | |
| Majmundar, Sapan | Adp of the SNF | Individual | 02/04/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.