Home / Pennsylvania / Darby
Little Flower Manor
1201 Springfield Road, Darby, PA 19023 · Delaware County · (610) 534-6000
127 certified beds, about 91 residents a day · Non profit - Corporation · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395821 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2025, inspectors cited 1 health deficiency (the Pennsylvania average is 10, the national average 9.2).
None of its 5 health citations since March 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 4.17 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.
30.8% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
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.
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 5 health citations on file.
December 11, 2025Standard inspection · 1 citation
- C Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on review of policy, review of facility provided documentation and interview with staff, it was determined that facility did not ensure to notify state long-term care ombudsman of facility-initiated transfers and discharges for six of six months reviewed (June 2025 through November 2025)Review of facility policy 'Admission, Discharge, and Transfer,' reviewed in October 2025, indicates that a list of discharges and transfers will be sent to the Long-Term Care Ombudsman monthly. Review of facility provided discharge and transfer notifications for month of June 2025 indicated that a total of 20 discharges were sent to county ombudsman. Further review of facility provided discharge and transfer notifications for month of July 2025 indicated that a total of 22 discharges were sent to county ombudsman. [...]
January 9, 2025Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of clinical records, facility policy, and staff interviews, it was determined that the facility failed to develop a person-centered comprehensive care plan for one of 18 residents reviewed (Resident R70).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on review of clinical records and staff interview, it was determined that the facility failed to ensure that a resident's drug regimen was free of unnecessary drugs for one of 18 residents reviewed (Resident R30).
March 12, 2024Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of facility policy, observations, and staff interview it was determined that the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Findings Include: Review of facility policy revealed products transferred from the manufacturers ' original packaging or opened must be stored and labelled in accordance with the manufacturers after opening instructions. Perishable foods must have limited shelf life and must be refrigerated. This is normally 72 hours for in-unit produced foods. An initial tour of the Food Service Department was conducted on March 8, 2024, at 9:30 a.m. with Employee E4, Assistant Food Service Director. Observations of the reach in refrigerator revealed the following food items stored in facility containers: [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policy, review of clinical records, observations, and staff interviews, it was determined that the facility did not complete a comprehensive care plan for four of eighteen residents reviewed. (Residents R1, R11, R12, R24)
Fire safety inspections
1 fire safety citation on file: 1 on March 12, 2024.
Every fire safety citation1 citation
- E Install an approved automatic sprinkler system.
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.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.17 | 3.89 | 3.86 |
| Registered nurses | 0.82 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.84 | 3.53 | 3.42 |
| Nurse aides | 2.65 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 30.8% | 44.5% | 45.8% |
| Registered nurse turnover | 31.6% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.55 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 4.30 on weekdays and 3.84 on weekends, 11% 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 4.45 in April to June 2025 to 4.17 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 | 4.17 | 0.82 | 4.30 | 3.84 | 0.0% | 0 of 90 | 91 |
| Oct to Dec 2025 | 4.53 | 0.82 | 4.68 | 4.16 | 0.0% | 0 of 92 | 86 |
| Jul to Sep 2025 | 4.23 | 0.83 | 4.37 | 3.88 | 0.0% | 0 of 92 | 92 |
| Apr to Jun 2025 | 4.45 | 0.87 | 4.59 | 4.09 | 0.0% | 0 of 91 | 89 |
| 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.
Quality measures
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 | 15.8 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.8 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.3 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.8 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.6 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.2 | 1.8 |
Owners and operators
Legal business name: LITTLE FLOWER MANOR INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Holy Redeemer Health System | Direct ownership interest | Organization | 12/15/2017 | |
| Fox, Donald | Corporate director | Individual | 12/15/2017 | |
| Graham, Rosanne | Corporate director | Individual | 12/17/2018 | |
| Marvel, Ellen | Corporate director | Individual | 12/15/2017 | |
| Mullen, Mark | Corporate director | Individual | 12/15/2017 | |
| Friel, Donald | Corporate officer | Individual | 12/15/2017 | |
| Port, Rosemary | Corporate officer | Individual | 12/17/2017 | |
| Buchanan, Brianna | Operational/managerial control | Individual | 04/12/2022 | |
| Friel, Donald | Operational/managerial control | Individual | 12/15/2017 | |
| Port, Rosemary | Operational/managerial control | Individual | 12/15/2017 | |
| Holy Redeemer Health System | Adp of the SNF | Organization | 12/15/2017 | |
| Buchanan, Brianna | Adp of the SNF | Individual | 04/12/2022 | |
| Friel, Donald | Adp of the SNF | Individual | 12/15/2017 | |
| Minnella, James | Adp of the SNF | Individual | 03/20/2025 | |
| Port, Rosemary | Adp of the SNF | Individual | 12/15/2017 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 9, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on December 11, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on January 9, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 12, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- St. Francis Center for Rehabilitation & Healthcare Darby, 0.4 mi · 1 of 5 stars · 26 citations
- Providence Rehab and Hlthcare Ctratmercyfitzgerald Yeadon, 0.8 mi · 3 of 5 stars · 27 citations
- Edenbrook of Yeadon Yeadon, 1.3 mi · 2 of 5 stars · 61 citations
- Holy Family Home Philadelphia, 2.8 mi · 5 of 5 stars · 4 citations
- Care Pavilion Nursing and Rehabilitation Center Philadelphia, 3.1 mi · 1 of 5 stars · 98 citations
- Aventura at Prospect Prospect Park, 3.3 mi · 1 of 5 stars · 63 citations
- Renaissance Healthcare & Rehabilitation Center Philadelphia, 3.4 mi · 3 of 5 stars · 35 citations
- West Park Rehabilitation and Nursing Center Philadelphia, 4.3 mi · 3 of 5 stars · 33 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Little Flower Manor's Medicare star rating?
- CMS rates Little Flower Manor 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 Little Flower Manor get at its last inspection?
- 1 health deficiency at the standard inspection on December 11, 2025. The Pennsylvania average is 10.
- Has Little Flower Manor been fined?
- CMS lists no fines in the last three years.
- Does Little Flower Manor 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 Little Flower Manor?
- CMS lists 15 owners and managers. Legal business name: LITTLE FLOWER MANOR INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.