Home / Pennsylvania / Boothwyn
Naamans Creek Country Manor
1194 Naamans Creek Road, Boothwyn, PA 19061 · Delaware County · (610) 558-7840
90 certified beds, about 73 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395952 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2026, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 15 health citations since December 2023 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 3.94 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
49.5% 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.
112/23
405/24
109/24
505/25
104/26
306/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
4E
1F
Potential for minimal harm
0A
0B
0C
June 26, 2026Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased upon observation and interview, it was determined that the facility failed to ensure appropriate storage, labeling, and dating was completed for pre-prepared food items in the refrigerator. Observation of the facility refrigerator located in the kitchen on June 24, 2026, at 12:48 p.m. revealed a clear plastic container filled with prepared chicken salad sandwiches. The container was covered with a loose sheet of parchment paper, held in place with a plastic bucket of chicken salad. Interview with the kitchen manager on June 24, 2026, at 12:50 p.m. confirmed that the prepared sandwiches were not properly labeled, dated, or covered. The facility failed to ensure that food was stored properly, labeled, and dated according to professional standards. 28 Pa. Code 201.18(b)(1)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on the review of facility policy, clinical records, observation, and interviews with staff, it was determined that the facility failed to make certain that residents received the necessary services to prevent/treat pressure ulcers (injuries to the skin and underlying tissue resulting from prolonged pressure to the skin) for one of one resident (Residents R27). Review of the clinical record indicated Resident R27 was admitted to the facility on [DATE]. [...]
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on facility policy, clinical record review, and staff interview, it was determined that the facility failed to obtain and monitor weights for one of eight residents reviewed for nutrition (Resident R9). Review of facility policy Weighing of Residents .If the resident exhibits a weight change of 5 lbs. from the previous weight (weights over 100#) in the monthly weight report, the resident shall be re-weighed within 24 hours and the re-weight shall be recorded, The licensed nurse or designee should then strike out the previous weight to identify that a re-weight was obtained and verified. Review of Resident R9's clinical record revealed recorded weights of:February 4, 2026: 191.2 lbsFebruary 5, 2026: 191.2 lbsMarch 13, 2026: 168.2 lbsApril 2, 2026: 240.0 lbsApril 4, 2026: [...]
April 13, 2026Complaint inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to ensure that food stored in the walk-in freezer was properly stored to prevent contamination and ensure safe storage in accordance with professional standards for food service safety. (Main Kitchen)
May 2, 2025Standard inspection · 5 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 observations, review of facility policies, and interviews with staff, it was determined that the facility failed to store food in accordance with professional standards for food service safety for two of two nursing units (First Floor and Second Floor nursing units).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interview, it was determined the facility failed to ensure physician's orders were followed for three of the 18 residents reviewed (Residents 13, 14, and 66).
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility's policy, clinical records review and staff interviews, it was determine that the facility failed to appropriately monitor the weights and timely address identified significant weight changes for three of 18 Residents reviewed (Resident 63, 66 and 175).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on review of clinical records and staff interview it was determined that the facility failed to ensure that one resident out of 24 sampled was free of chemical restraints (Resident 63).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record review and staff interviews, it was determined that the pharmacy failed to ensure medication for wound care was available for one of the four residents reviewed (Resident 175).
September 24, 2024Complaint inspection · 1 citation
- D 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 policies, as well as observations and staff interviews, it was determined that the facility failed to ensure that food was served under sanitary conditions and failed to prevent cross-contamination for one of 12 resident observed during lunch (Resident R7).
May 17, 2024Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on a review of facility policies, observations, and staff interviews, it was determined that the facility failed to maintain dish machine water temperatures by manufacturer recommendations for food service safety in the main kitchen.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased upon observation, it was determined the facility failed to ensure residents were treated with dignity and failed to ensure private health information was secure for one of 24 residents observed (Resident 56).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to monitor a fluid restriction order for one of the 18 residents reviewed (Resident 235).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to ensure skin impairment identified upon admission was comprehensively assessed for two of the six residents reviewed (Resident 57 and 235).
December 19, 2023Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify hospice services and the resident's responsible party of a change in condition for one of three residents reviewed (Resident CL1). Findings Include: Review of facility policy titled Change in Resident Condition/Notification with a review date of March 2022 indicated it is the policy of this facility to notify the resident's responsible party/family when there is a significant change in the resident's condition. Additional review of facility policy indicated the licensed nurse or administrator will notify the designated person for notification as soon as possible following a significant change in a resident's condition. Documentation of the time and person notified, or message left, will be noted in the resident's record. [...]
Fire safety inspections
9 fire safety citations on file: 1 on June 26, 2026, 3 on May 2, 2025, 5 on May 17, 2024.
Every fire safety citation9 citations
- E Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have properly installed electrical wiring and gas equipment.
- C Meet other general requirements.
- C Inspect, test, and maintain automatic sprinkler systems.
- C Have generator or other power source capable of supplying service within 10 seconds.
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) | 3.94 | 3.89 | 3.86 |
| Registered nurses | 0.76 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.53 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 1.08 | ||
| Nursing staff turnover (share who left in a year) | 49.5% | 44.5% | 45.8% |
| Registered nurse turnover | 21.4% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 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 4.05 on weekdays and 3.66 on weekends, 10% 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 4.05 in April to June 2025 to 3.94 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 | 3.94 | 0.76 | 4.05 | 3.66 | 5.7% | 0 of 90 | 73 |
| Oct to Dec 2025 | 4.21 | 0.90 | 4.41 | 3.72 | 6.4% | 0 of 92 | 73 |
| Jul to Sep 2025 | 4.02 | 0.82 | 4.15 | 3.69 | 6.9% | 0 of 92 | 76 |
| Apr to Jun 2025 | 4.05 | 0.83 | 4.17 | 3.75 | 13.6% | 0 of 91 | 73 |
| 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 | 19.6 | 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 | 2.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.9 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.7 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.2 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.2 | 1.8 |
Owners and operators
Legal business name: NAAMANS CREEK CARE, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Naamans Creek Care, Inc | 5% or greater direct ownership interest | Organization | 01/01/2022 | |
| Duggan, Timothy | Corporate director | Individual | 05/16/2022 | |
| Lake, Blair | Corporate director | Individual | 01/29/2025 | |
| Waldrop, Mark | Corporate director | Individual | 05/16/2022 | |
| Waldrop, Mark | Corporate officer | Individual | 05/16/2022 | |
| Chr Consulting Services Inc | Operational/managerial control | Organization | 01/01/2022 | |
| Naamans Creek Care, Inc | Operational/managerial control | Organization | 03/04/2016 | |
| Evans, Angela | Operational/managerial control | Individual | 05/16/2022 | |
| Leff, Alison | Operational/managerial control | Individual | 01/01/2022 | |
| Chr Consulting Services Inc | Adp of the SNF | Organization | 07/14/2025 | |
| Evans, Angela | Adp of the SNF | Individual | 07/14/2025 | |
| Leff, Alison | Adp of the SNF | Individual | 07/14/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on June 26, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on June 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 17, 2024: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 2, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
Other nursing homes nearby
- Encore at Foulk Wilmington, 4.6 mi · 5 of 5 stars · 12 citations
- Encore at Wilmington Wilmington, 4.6 mi · 3 of 5 stars · 65 citations
- Kutz Rehabilitation and Nursing Wilmington, 4.8 mi · 2 of 5 stars · 46 citations
- Cadia Rehabilitation Silverside Wilmington, 4.9 mi · 5 of 5 stars · 29 citations
- Wilmington Nursing & Rehabilitation Center Wilmington, 5.2 mi · not rated · 105 citations
- Willowbrooke Court Skd Care Center at Lima Estates Lima, 5.5 mi · 5 of 5 stars · 0 citations
- Fair Acres Geriatric Center Lima, 5.5 mi · 1 of 5 stars · 8 citations
- Belvedere Center, Genesis Healthcare, the Chester, 5.6 mi · 3 of 5 stars · 22 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 Naamans Creek Country Manor's Medicare star rating?
- CMS rates Naamans Creek Country Manor 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Naamans Creek Country Manor get at its last inspection?
- 3 health deficiencies at the standard inspection on June 26, 2026. The Pennsylvania average is 10.
- Has Naamans Creek Country Manor been fined?
- CMS lists no fines in the last three years.
- Does Naamans Creek Country 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 Naamans Creek Country Manor?
- CMS lists 12 owners and managers. Legal business name: NAAMANS CREEK CARE, 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.