Home / Pennsylvania / Norristown
2004 Old Arch Road, Norristown, PA 19401 · Montgomery County · (610) 277-0380
120 certified beds, about 113 residents a day · For profit - Individual · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395446 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 3, 2025, inspectors cited 11 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 67 health citations since October 2023, 5 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $25,324 in the last three years; the largest was $25,324, and the latest is dated January 22, 2024.
Nurses and nurse aides worked 3.62 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
36.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Paramount Care Centers, an affiliated group of 10 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 67 health citations on file.
Inspectors wroteBased on observations, interview with residents and staff and clinical record review, revealed that residents were not offered a scheduled rest period in their bed per resident's preference while their rooms were being remodel for four of five residents reviewed. (Residents R1, R2, R3 and R4)
Inspectors wroteBased on observations, review of clinical documentation, review of facility policies, resident interview, and staff interview it was determined that the facility did not ensure a resident was treated with respect and dignity related to searches and drug use policy for one of seven residents reviewed. (Resident R1)Findings Include:Review of facility policy titled, Drug Screening/Searches for Residents with a created date of February 24, 2025. The policy states, Policy: It is a policy of Ivory Wellness Center to maintain a drug free environment to ensure the safety and well-being of all the residents living in the facility. Definition: Illegal Use of Drugs- The use of drugs, the possession or distribution of which is unlawful under the Controlled Substances Act. [...]
Inspectors wroteBased on observations and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety.
Inspectors wroteBased on observations and resident interviews, it was determined that the facility failed to maintain the facility in a clean, safe, comfortable and homelike condition on both nursing floors.
Inspectors wroteBased upon interviews with residents and staff and review of facility resident council minutes determined the facility failed to serve meals that were palatable, and at an appetizing temperature for nine of nine residents attending residents' group meeting (Resident R38, R39, R52, R68, R71, R77, R78, and R79), and one of 23 resident records reviewed (Resident R6).
Inspectors wroteBased on clinical record review, a review of facility policy and documentation and interviews with staff, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman of facility-initiated emergency transfers and discharges for four of 26 clinical records reviewed (Residents R41, R115, R1 and R3).
Inspectors wroteBased on observations, review of clinical records, and review of facility policy, it was determined that the facility did not ensure to develop a care plan related to resident's right-hand contracture for one of six residents reviewed (Resident R3)
Inspectors wroteBased on review of resident council minutes and facility policy, interviews with the resident council, and the preferences of the residents, determined that the facility failed to provide an ongoing program to support residents choice of daily fresh air activities, and failed to facilitate a facility-sponsored trip as a group activities, to support the residents' interests in interacting with the outside community for nine of nine residents interviewed (Resident R18, R38, R39, R52, R68, R71, R77, R78, and R79). Review of facility policy 'Activity Evaluation,' revised February 2023, indicates that in order to promote the physical, mental and psychosocial well-being of residents, an activity evaluation is conducted and maintained for each resident at least quarterly and with any change of condition that could affect his/her participation in planned activities. [...]
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to ensure all drugs and biologicals used in the facility were labeled in accordance with professional standards, and to discard expired medications in accordance with professional standards, for one of one medication storage room. (Second Floor).
Inspectors wroteBased on review of clinical records, observations, and resident and staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for one of 32 residents reviewed (Resident R83).
Inspectors wroteBased on review of clinical records and interview with staff, it was determined that facility did not ensure to provide pertinent information regarding the immunizations to the resident or the resident's representative such as the benefits and potential side effects of the influenza and, as applicable, the pneumococcal immunization for 18 out of 100 residents reviewed ( Resident R66, R105, R32, R15, R118, R54, R102, R55, R51, R100, R93, R109, R62, R83, R69, R94, R99, R76)
Inspectors wroteBased on review of clinical records and interview with staff, it was determined that facility did not ensure to provide pertinent information regarding the immunizations to the resident or the resident's representative such as the benefits and potential side effects of the covid-19 immunizations for two out of 100 residents reviewed (Resident R116 and R29)
Inspectors wroteBased on observation and employee interviews, it was determined that the facility failed to maintain the dish washing machine in the main kitchen and the med storage refrigerator on the second-floor medication room in an operating condition.
Inspectors wroteBased on review of facility policy, observations in the food and nutrition department, and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, and served in accordance with professional standards for food service safety. Findings Include: Review of facility policy Food Storage dated August 2024, revealed food items will be stored, thawed, and prepared in accordance with good sanitary practice. All products shall be dated upon receipt or when they are prepared. Further review of facility policy revealed meat should be dated when taken out of the freezer. Dented cans should be placed on damaged good shelf and returned for credit. Any opened products shall be placed in containers with tight-fitting lids or Ziploc bags. All foods shall be stored off the floor. [...]
Inspectors wroteBased on observations, and staff and resident interviews it was determined that the facility failed to maintain a clean, comfortable, and home-like environment for one of two nursing units observed (room [ROOM NUMBER]-B). Findings Include: Observations on October 29, 2024, at 10:28 a.m., revealed in the closet for Resident R15, room [ROOM NUMBER]-B, clothes were thrown in a messy pile in the closet. Observations revealed the rod in the closet had fallen, so staff were unable to hang the resident's clothes as intended. Interview on October 29, 2024, at 10:30 a.m. with alert and oriented Resident's R17 and R69 revealed the closet rod had been broken for a while. Observations on October 29, 2024, at 10:35 a.m. with the Director of Nursing, Employee E2, confirmed the closet rod in room [ROOM NUMBER]-B was broken and the resident's clothes were thrown in a pile. [...]
Inspectors wroteBased on review of facility policy, review of facility documentation, review of clinical records, and staff interview, it was determined that the facility failed to ensure medication regimen reviews were completed monthly by a licensed pharmacist and failed to ensure recommendations were reviewed timely by the physician for 4 of 5 residents reviewed (Resident R88, R28, R6, and R40). Findings Include: Review of facility policy, Medication Regimen Review dated September 2023, revealed The Medication Regimen Review is a thorough evaluation of the medication regimen of a resident with the goal of promoting positive outcomes and minimizing consequences associated with medication. The review includes preventing, identifying, reporting, and resolving medication-related problems, medication errors, or other irregularities, and collaborating with other members of the interdisciplinary team. [...]
Inspectors wroteBased on observations, review of facility documentation, and staff and resident interviews, it was determined that the facility failed to ensure menus were followed and provided variety for two of two nursing units observed (1st and 2nd floor nursing units). Findings Include: Review of the facility Spring/Summer Menu 2024 Week 1 (menu for the week of survey) revealed on Monday October 28, 2024, apple cinnamon oatmeal and French toast was on the menu for breakfast. Observations in the main kitchen on October 28, 2024, at 8:45 a.m. revealed dietary staff preparing breakfast meal trays for the residents via a tray line system. Further observations revealed no apple cinnamon oatmeal was available. Interview on October 28, 2024, at 8:45 a.m. with the Food Service Director, Employee E21, confirmed Apple Cinnamon Oatmeal was on the menu for breakfast but was unavailable. [...]
Inspectors wroteBased on observations and interviews with residents and staff, it was determined that the facility failed to ensure that food was palatable and served at appetizing tempertaures.
Inspectors wroteBased on review of facility documentation and interviews with staff, it was determined that the facility failed to maintain an effective, comprehensive, data-driven quality assurance and performance improvement program (QAPI) that focuses on indicators of the outcomes of care and quality of life as required.
Inspectors wroteBased or observation, interview with staff and review of facility policy and documents, it was determine that the facility failed to develop and implement a Water Management Program for the prevention, detection, and control of water borne contaminants, such as legionella (a bacteria that causes Legionnaire's Disease).
Inspectors wroteBased on clinical record reviews and interviews with staff, it was determined that the facility failed to ensure that a resident's transfer to the hospital was necessary and document the basis for the transfer in the resident's medical record for one of four residents reviewed related to transfers (Resident R55).
Inspectors wroteBased on clinical record reviews and interviews with staff, it was determined that the facility failed provide appropriate bed hold notice to a resident's representative of a facility-initiated transfer to the hospital for one of four residents reviewed related to transfers (Resident R55).
Inspectors wroteBased on review of facility policy, review of clinical records, and staff interview, it was determined that the facility failed to develop a person-centered comprehensive care plan related to behaviors for one of 23 residents reviewed (Resident R63). Findings Include: Review of facility policy Care Plan - Interdisciplinary Plan of Care from Interim to Meeting dated February 2024 revealed the care plan describes or includes adequate information provided to make informed choices regarding treatment. Review of Resident R63's clinical record revealed a physician order dated March 17, 2024, for 1:1 supervision every shift. Interview on October 29, 2024, at 3:35 p.m. with the Director of Nursing, Employee E2, revealed Resident R63 required indefinite 1:1 supervision due to history of sexually inappropriate behaviors. [...]
Inspectors wroteBased on review of facility policy, facility documentation, review of clinical records, observation, Pennsylvania code title 49 professional and vocational standards and staff and resident interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards of practice related to safe and timely medication administration for two of eight residents observed. (Residents R99, and R57)
Inspectors wroteBased on review of clinical records, review of facility documentation, and staff and resident interviews, it was determined that the facility failed to provide adequate staff supervision and failed to maintain a resident environment free of potential accident hazards relating to a resident gaining access to an exit door. (Resident R 306)
Inspectors wroteBased on observations, review of clinical records, review of facility policy and interview with staff, it was determined that the facility failed to administer oxygen as ordered by the physician for one of one resident receiving oxygen therapy. (Resident R61)
Inspectors wroteBased on review of facility documentation, personnel records and interviews with staff, it was determined that the facility failed to complete annual performance reviews for nurse aide staff as required for three of five nurse aide personnel files reviewed (Employees E14, E16 and E18).
Inspectors wroteBased on clinical record reviews and interviews with staff, it was determined that the facility failed to ensure proper monitoring and documentation of behaviors for two of 23 residents reviewed (Residents R40, and R6 ).
Inspectors wroteBased on observations, clinical record reviews and interviews with residents and staff, it was determined that the facility failed to serve foods that accommodate residents' allergies, intolerances and preferences for one of 23 reviewed (Residents R11).
Inspectors wroteBased on observations, and staff interview, it was determined that the facility failed to maintain the kitchen in a sanitary environment to be free of pests. Findings Include: A tour of the main kitchen was conducted with the Food Service Director, Employee E21, on October 28, 2024, at 8:45 a.m. Observations in dry storage revealed a box of bananas stored on top of a plastic milk crate. Further observations revealed the bananas were extremely overripe and deteriorating (to the point that the bananas were beginning to liquify as evidenced by drippings beneath the box). The food service director picked up the box of bananas to remove from the dry storage room and a swarm of fruit flies scattered throughout the dry storage room. Interview with the Food Service Director, Employee E21, confirmed the bananas were the source of the fruit flies and should have been discarded. [...]
Inspectors wroteBased on review of facility documentation, review of clinical records, and interviews with staff, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman of facility-initiated emergency transfers to the hospital and that a resident's representative was made aware of a facility-initiated transfer, for four of four residents reviewed related to transfers (Residents R65, R54, R94 and R55). Findings Include: Review of progress notes for Resident R65 revealed a note, dated September 9, 2024, at 8:00 p.m. which indicated that the resident had a fall and was transferred to a local hospital for evaluation. Review of progress notes for Resident R54 revealed a note, dated September 16, 2024, at 5:13 p.m., which indicated that the resident had a fall and was transferred to a local hospital for evaluation. [...]
Inspectors wroteBased on review of standards of professional practice, review of facility policy, observations in the food and nutrition department, and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, and served in accordance with professional standards for food service safety. Findings Include: Review of the 2022 Food Code (a uniform system of provisions that address the safety and protection of food offered at retail and in food service), January 18, 2023 Version by the United States [U.S.] Food and Drug Administration [FDA] revealed epidemiological outbreak data repeatedly identified five major risk factors related to employee behaviors and preparation practices in retail and food service establishments as contributing to foodborne illness which included improper holding temperatures. [...]
Inspectors wroteBased on observations of the food and nutrition department, and interviews with staff it was determined that the facility failed to ensure that essential mechanical dietary equipment was in safe operating condition.
Inspectors wroteBased on observations, and resident and staff interviews it was determined that the facility failed to provide food and drink that was served palatable temperatures for three of four residents interviewed (Resident R2, R3, and R4). Findings Include: Interview on September 10, 2024, at 1:40 p.m. with alert and oriented Resident R2 revealed the coffee and food is served cold. Interview with September 10, 2024, at 1:42 p.m. with alert and oriented Resident R3 revealed the food is served cold and on September 9, 2024, Resident R3 did not eat lunch because the food was so cold and not palatable. Interview on September 10, 2024, at 1:45 p.m. with alert and oriented Resident R4 revealed the food is always served cold. A test tray was completed during the lunch time meal on September 10, 2024, at approximately 1:25 p.m. [...]
Inspectors wroteBased on review of facility documentation, clinical record reviews, and interviews with staff, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman of facility-initiated emergency transfers as required for six of six records reviewed related to hospital transfers (Residents R4, R7, R8, R9, R10, and R11)
Inspectors wroteBased on review of clinical records, staff and resident interviews, and review of facility documentation, it was determined that the facility failed to ensure that a resident was free of neglect resulting in actual harm to Resident R1 who fell out of bed, required transfer to the hospital via emergency medical services and sustained five sutures to the forehead for one of four resident reviewed. (Resident R1).
Inspectors wroteBased on review of clinical records, resident and staff interviews, and review of facility documentation, it was determined that the facility failed to ensure that Resident R1 received adequate assistance during bed mobility which resulted in actual harm to Resident R1 who fell out of bed, required transfer to the hospital via emergency medical services and sustained five sutures on the forehead. (Resident R1)
Inspectors wroteBased on interviews with resident and staff, review of facility policy and grievances, it was determined that the facility failed to make prompt efforts to resolve resident's grievances for one of four resident records reviewed (Resident R2).
Inspectors wroteBased on review of clinical records and interview with staff, it was determined that the facility failed to report a serious injury sustained by a resident for one of four clinical records reviewed (Resident R1).
Inspectors wroteBased on a review of clinical records, and interviews with staff, it was determined that the facility failed to develop and implement comprehensive person-centered plans of care in a timely manner for one of four resident records reviewed (Resident R1).
Inspectors wroteBased on the observations, review of clinical records, facility policies, and interview with staff, it was determined that the facility failed to ensure that a resident received necessary equipment to aide with mobility for one of 4 residents reviewed. (Resident R1).
Inspectors wroteBased on review of facility security camera footage, clinical record reviews, review facility policy, review of facility documents and staff interviews, it was determined that the facility failed to ensure that one of one resident reviewed was free from physical restraints (Resident R1)
Inspectors wroteBased on observation, review of facility documents and interview with staff, it was determined that the facility failed to ensure that a resident who exhibited behavior problems was provided with appropriate behavioral management to de-escalate the inappropriate behavior (Resident R1).
Inspectors wroteBased on the review of clinical records, observations, facility policies and interview with staff, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for Resident R27 with documented history of behavioral issues and suicidal ideation to prevent resident access to potentially hazardous materials. This failure resulted in Resident R27 with documented history of behavioral issues and suicidal ideation obtained a twin blade disposable razor and was observed swinging the razor in the dining room while residents were within 2-3 feet close to the resident which placed Resident R27 and the other residents at risk for serious harm and resulted in immediate jeopardy situation. One of 25 residents reviewed. (Resident R27). Findings Include: [...]
Inspectors wroteBased on the review of clinical records, observations, facility policies and interview with staff, it was determined that the facility failed to ensure that resident's environments were free of accident hazards, and failed to ensure that hazardous materials were not accessible to residents in one nursing unit. This failure resulted in Resident R27 with documented history of behavioral issues and suicidal ideation obtained a twin blade disposable razor and was observed swinging the razor in the dining room while residents were within 2-3 feet close to the resident. The facility's failure placed Resident R27 who had a history of suicidal ideation and behavioral issues as well as other residents on the second floor at risk for serious injury and resulted in immediate jeopardy situation for one of 25 residents reviewed. (Resident R27). Findings Include: [...]
Inspectors wroteBased on the review of clinical records, facility documentations, interviews with staff and resident, it was determined that the facility failed to ensure that patient care equipment was in a safe and operating condition related to shower chairs. This failure resulted in actual harm to Resident R87, who fell from the a shower chair which collapsed while the resident was taking a shower and sustaining an avulsion fracture of medial malleolus (the small prominent bone on the inner side of the ankle at the end of the tibia) and severe sprain of left ankle for one of 25 residents reviewed. (Resident R87) Findings Include: Review of a facility policy Physical Environment, dated September 2023, revealed that A safe, clean, comfortable, and home-life environment is provided for each resident/patient, allowing the use of personal belongings to the greatest extent possible. [...]
Inspectors wroteBased on review of facility policies, observations, and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety.
Inspectors wroteBased on the review of facility records, observations and interviews with resident and staff, it was determined that the facility failed to ensure a safe and comfortable environment for resident and staff for two of two floors (Second floor dining room and First Floor Rehab). Finding Include: Review of facility policy Physical Environment dated January 1, 2020, revealed that A safe, clean, comfortable, and home-life environment is provided for each resident/patient, allowing the use of personal belongings to the greatest extent possible. Sufficient space and equipment in dining, health services, recreation, and program areas are provided to enable staff to provide resident/patients with needed services. [...]
Inspectors wroteBased on the review of clinical records, facility investigation, review of facility policy and interviews with resident and staff, it was determined that the facility failed to treat residents with respect and dignity for one of 20 residents reviewed. (Resident R22) Findings Include: Review of an updated facility policy Resident Rights-Resident [NAME] of Rights revealed that No resident of a facility shall be deprived of any civil or legal rights, benefits, or privileges guaranteed by law . Every resident of a facility shall have the right to: Be treated with consideration and respect and with due recognition of personal dignity, individuality, and the need for privacy. [...]
Inspectors wroteBased on review of facility policies, clinical record review and interviews with staff, it was determined that the facility failed to provide written notice, including reason for transfer before a resident's room was changed for one of 20 residents reviewed (Residents R77). Findings Include: A review of facility policy titled, Room Change Notification dated February 2021, indicated that the facility must contact the resident/ resident representative when a room change is being considered and must document the reason for room change. Review of Resident R77's Quarterly Minimum Data Set (MDS - federally mandated assessment of a resident's abilities and care needs) dated November 13, 2023, revealed Resident R77 was admitted to the facility on [DATE]. Continued review of Resident's MDS revealed a BIMS (Brief Interview for Mental Status) score of 11, indicating moderate cognitive impairment; [...]
Inspectors wroteBased on review of personnel records, interviews with staff and reviews of facility policies and procedures, it was determined that the facility failed to initiate and complete a federal criminal background check four of six employee records reviewed (Employees E14, E16, E21, and E22) and failed to initiate and complete abuse training for one of six employee records (Employee E22).
Inspectors wroteBased on the review of clinical records and interview with staff, it was determined that the facility failed to notify the resident and the resident's representative(s) of the transfer to the hospital and the reasons for the transfer in a timely manner for two of 20 residents reviewed (Resident R77 and R30).
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident and resident representative receive written notice of the facility bed-hold policy at the time of a facility-initiated transfer to a hospital for two of 20 residents reviewed. (Resident R77 and R30)
Inspectors wroteBased on interviews and the review of clinical records, it was determined that the facility failed to ensure that the State mental health authority and/or the State intellectual disability authority was notified of a significant change in resident's mental health status which required admission into a psychiatric facility for 2 out of 22 residents reviewed (Resident R197 and Resident R85).
Inspectors wroteBased on clinical record reviews and interviews with staff, it was determined that the facility failed to ensure that a care plan was updated related to nutrition for one of two residents reviewed (Resident R30).
Inspectors wroteBased on the review of facility immediate jeopardy action plan, clinical records, facility policies, observations and interview with staff and residents, it was revealed that the facility failed to ensure that a resident received a care and services in accordance with the comprehensive person-centered care plan and facility immediate jeopardy action plan. (Resident R27) Findings Include: Review of an undated facility policy Suicidal Ideation Identification and Guidance revealed that Evaluate resident environment for safety; remove and store objects which could be used for self-harm. Objects to consider for removal may include but not be limited to: a. Ligatures - belts, neckties, call light cords, shower hose, oxygen tubing, tube feeding tubing, IV tubing, cables to the TV or other electronics, wire coat hangers etc. b. [...]
Inspectors wroteBased on observations, clinical record, and staff interview, it was determined that the facility failed to ensure the one of one resident ordered enteral feeding was properly position during care to prevent potential complications associated with tube feedings (Resident 47).
Inspectors wroteBased on observation, review of clinical record and staff interviews, it was determined that the facility failed to provide appropriate respiratory care and services for one of 22 residents reviewed (Residents R61).
Inspectors wroteThe facility failed to ensure that performance reviews for nursing assistants were completed annually to ensure that in-service education was based on the outcomes of the performance reviews for 1 out of 3 nursing assistants reviewed (Employee E30) and failed to ensure the completion of 12 hours of inservice for 3 out of 3 nurse aides reviewed (Employee E30, E31 and E32).
Inspectors wroteBased on review of facility policy, observation, review of clinical records, interview with staff and residents it was determined that the facility failed to ensure that medications were administered in accordance with professional standards for one of 25 residents reviewed. (Resident R56)
Inspectors wroteBased on observation, staff interviews, and review of facility policy, it was determined that the facility failed to ensure that all drugs and biologicals used in the facility were stored in accordance with professional standards for one of two medication carts and two of one medication storage rooms observed (first floor cart A and second floor medication storage room).
Inspectors wroteBased on review of facility records, job descriptions, and staff interviews, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to make certain that proper procedures were followed in the facility related to ensuring that hazardous materials were not accessible to residents in one nursing unit. This failure resulted in Resident R27 with documented history of behavioral issues and suicidal ideation obtained a twin blade disposable razor and was observed swinging the razor in the dining room while residents were within 2-3 feet close to the resident. The facility's failure placed Resident R27 who had a history of suicidal ideation and behavioral issues as well as other residents on the second floor at risk for serious injury and resulted in immediate jeopardy situation.
Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to follow acceptable infection control practices related to hand washing during medication administration for one 1 of 2 staff observations reviewed. (Resident R72)
Inspectors wroteBased on observations, interviews with staff and residents and review of facility policy, it was determined that the facility failed to ensure that call bells were within reach for one of 25 residents reviewed. (Resident R36).
Inspectors wroteBased on observation and interviews with staff, it was determined that the facility failed to maintain a clean and safe environment for residents on two of two floors. (1st and 2nd floor).
Inspectors wroteBased on observations of the resident communication system on the first and second floor nursing units, interviews with staff and residents, it was determined that the facility was not adequately equipped to relay a call directly to a centralized staff work area from each resident's bedside on two of two nursing units. (First and Second Floor)
Inspectors wroteBased on a meal tray evaluation, observations of the food and nutrition department and interviews with staff and residents, it was determined that each resident was not receiving flavorful, palatable, attractive foods and beverages, served at safe and appetizing temperatures. for one of two nursing floors. (Second Floor nursing unit)
3 fire safety citations on file: 2 on December 3, 2025, 1 on January 22, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| January 22, 2024 | Fine | $25,324 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.62 | 3.89 | 3.86 |
| Registered nurses | 0.54 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.33 | 3.53 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 36.9% | 44.5% | 45.8% |
| Registered nurse turnover | 27.3% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.12 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 3.73 on weekdays and 3.33 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.62 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 | 3.62 | 0.54 | 3.73 | 3.33 | 16.8% | 0 of 90 | 113 |
| Oct to Dec 2025 | 3.27 | 0.49 | 3.44 | 2.83 | 7.4% | 2 of 92 | 113 |
| Jul to Sep 2025 | 3.44 | 0.51 | 3.57 | 3.11 | 14.4% | 0 of 92 | 111 |
| Apr to Jun 2025 | 3.62 | 0.56 | 3.77 | 3.24 | 10.9% | 0 of 91 | 110 |
| 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. If you work here, your report helps start one.
| 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 | 15.3 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.3 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.2 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Ivory Wellness Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 17 eligible stays.
12.3% 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. 40 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 14 eligible stays.
76.9% 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. 26 residents counted.
0.0% 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. 46 residents counted.
0.0% 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. 46 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 4 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: IVORY WELLNESS CENTER LLC. CMS links this home to Paramount Care Centers, a group of 10 nursing homes averaging 3.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Czermek, Michael | 5% or greater direct ownership interest | Individual | 25% | 05/01/2025 |
| Kraus, Abraham | 5% or greater direct ownership interest | Individual | 67% | 05/01/2025 |
| Paramount Care Centers LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Peake, Lorena | Operational/managerial control | Individual | 05/01/2025 | |
| Reich, Sam | Operational/managerial control | Individual | 05/01/2025 | |
| Bankwell | Adp of the SNF | Organization | 05/01/2025 | |
| Onyx Ivory Propco LLC | Adp of the SNF | Organization | 05/01/2025 | |
| Czermek, Michael | Adp of the SNF | Individual | 05/01/2025 | |
| Graf, Andrew | Adp of the SNF | Individual | 05/01/2025 | |
| Kraus, Abraham | Adp of the SNF | Individual | 05/01/2025 | |
| Peake, Lorena | Adp of the SNF | Individual | 05/01/2025 | |
| Reich, Sam | Adp of the SNF | Individual | 05/01/2025 |
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.
Licensed assisted living residences and personal care homes in the same town or within 5 miles, each with its Pennsylvania licence record.
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.