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Monticello House
1048 W Baltimore Avenue, Media, PA 19063 · Delaware County · (610) 857-6358
86 certified beds, about 82 residents a day · Non profit - Corporation · Medicare since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395974 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2026, inspectors cited 1 health deficiency (the Pennsylvania average is 10, the national average 9.2).
None of its 2 health citations since May 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 4.45 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
92.7% 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 2 health citations on file.
June 18, 2026Standard inspection · 1 citation
- 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 interviews, it was determined the facility failed to ensure that expired food items stored in the walk-in fridge were properly discarded and a resealed food item was not labeled in the main kitchen.
June 18, 2025Standard inspection · 0 citations
May 10, 2024Standard inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, and staff interviews, it was determined the facility failed to ensure Enhanced Barrier Precautions (EBP-infection control prevention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities) were in place for residents requiring enhanced barrier precautions for five of five reviewed (Residents 10, 21, 50, 56, and 58).
Fire safety inspections
12 fire safety citations on file: 3 on June 18, 2026, 5 on June 18, 2025, 4 on May 10, 2024.
Every fire safety citation12 citations
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly located and lighted "Exit" signs.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install a two-hour-resistant firewall separation.
- E Install properly constructed and protected linen or trash chutes.
- E Ensure proper usage of power strips and extension cords.
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) | 4.45 | 3.89 | 3.86 |
| Registered nurses | 0.71 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.97 | 3.53 | 3.42 |
| Nurse aides | 2.61 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 92.7% | 44.5% | 45.8% |
| Registered nurse turnover | 77.8% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.31 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 4.64 on weekdays and 3.97 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.65 in April to June 2025 to 4.45 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 | 4.45 | 0.71 | 4.64 | 3.97 | 5.7% | 0 of 90 | 82 |
| Oct to Dec 2025 | 2.08 | 0.65 | 2.33 | 1.43 | 7.1% | 15 of 92 | 84 |
| Jul to Sep 2025 | 4.69 | 0.78 | 4.94 | 4.06 | 7.0% | 0 of 92 | 84 |
| Apr to Jun 2025 | 4.65 | 0.79 | 4.88 | 4.07 | 9.7% | 0 of 91 | 84 |
| 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
Staff pay at this home
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.
Official wage estimates for Pennsylvania
| 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.
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 | 9.4 | 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 | 0.4 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 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 | 11.2 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.5 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.3 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.6 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.2 | 1.8 |
Owners and operators
Legal business name: RIDDLE VILLAGE.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bucco, Maria | Managing control - governing body | Individual | 04/01/2024 | |
| Fischer, Robert | Managing control - governing body | Individual | 01/08/2023 | |
| Goldsmith, Thomas | Managing control - governing body | Individual | 04/01/2023 | |
| Kenworthy, Robert | Managing control - governing body | Individual | 04/01/2023 | |
| McKillip, Edward | Managing control - governing body | Individual | 04/05/2022 | |
| Rizzo, Barbara | Managing control - governing body | Individual | 04/01/2023 | |
| Allen, Amanda | Corporate director | Individual | 07/01/2020 | |
| Bailey, Richard | Corporate director | Individual | 08/01/2021 | |
| Bannister, Sirena | Corporate director | Individual | 06/25/2000 | |
| Bates, Lawrence | Corporate director | Individual | 02/28/2010 | |
| Gadson, Benita | Corporate director | Individual | 01/15/2005 | |
| Hope, Joseph | Corporate director | Individual | 04/15/2009 | |
| Lamanna, Kristen | Corporate director | Individual | 03/16/2006 | |
| Lester-Dennis, Kisha | Corporate director | Individual | 08/02/2008 | |
| McCullough, Kelly | Corporate director | Individual | 02/17/2025 | |
| Philips, Robert | Corporate director | Individual | 07/21/1995 | |
| Rice, Kimberlyn | Corporate director | Individual | 04/05/2015 | |
| Roguszewski, Kimberly | Corporate director | Individual | 01/01/2023 | |
| Roguszewski, Kimberly | Corporate officer | Individual | 10/13/2000 | |
| Waterman, Ronald | Corporate officer | Individual | 01/30/2008 | |
| Bailey, Richard | Operational/managerial control | Individual | 08/01/2021 | |
| Roguszewski, Kimberly | Operational/managerial control | Individual | 01/01/2023 | |
| Waterman, Ronald | Operational/managerial control | Individual | 01/30/2008 | |
| Bailey, Richard | Adp of the SNF | Individual | 01/27/2025 | |
| Hope, Joseph | Adp of the SNF | Individual | 01/27/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- 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 June 18, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 10, 2024: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Sterling Health Care and Rehab Center Media, 0.8 mi · 2 of 5 stars · 34 citations
- Wallingford Skilled Nursing and Rehabilitation Cen Wallingford, 1.2 mi · 1 of 5 stars · 50 citations
- Springfield Rehabilitation and Healthcare Center Springfield, 1.8 mi · 2 of 5 stars · 49 citations
- Wesley Enhanced Living Main Line Rehab and Skd Nsg Media, 3 mi · 4 of 5 stars · 4 citations
- Belvedere Center, Genesis Healthcare, the Chester, 3.2 mi · 3 of 5 stars · 22 citations
- Willowbrooke Court Skd Care Center at Lima Estates Lima, 3.5 mi · 5 of 5 stars · 0 citations
- Fair Acres Geriatric Center Lima, 3.5 mi · 1 of 5 stars · 8 citations
- Willowbrooke Court-Granite Media, 3.6 mi · 5 of 5 stars · 0 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 Monticello House's Medicare star rating?
- CMS rates Monticello House 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Monticello House get at its last inspection?
- 1 health deficiency at the standard inspection on June 18, 2026. The Pennsylvania average is 10.
- Has Monticello House been fined?
- CMS lists no fines in the last three years.
- Does Monticello House accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Monticello House?
- CMS lists 25 owners and managers. Legal business name: RIDDLE VILLAGE.
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.