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Home / Pennsylvania / Philadelphia

St. John Neumann Ctr for Rehab & Healthcare

10400 Roosevelt Avenue, Philadelphia, PA 19116 · Philadelphia County · (215) 698-5600

226 certified beds, about 218 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395182 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 20, 2025, inspectors cited 8 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 37 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $26,043 in the last three years; the largest was $26,043, and the latest is dated January 24, 2025.

Nurses and nurse aides worked 3.48 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.

38.1% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to The Rosenberg Family, an affiliated group of 16 nursing homes.

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.

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 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
26D
10E
0F
Potential for minimal harm
0A
0B
0C
March 12, 2026Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on review of facility policy, and review of clinical record, it was determined that facility did not ensure to develop and implement a care plan related to incontinence care and bed side rails for one of seven residents reviewed. (Resident R2)
January 21, 2026Complaint inspection · 1 citation
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observations and interviews with staff and residents, it was determined that the facility failed to maintain a safe, clean home-like environment in resident-use and service areas for two of three nursing units observed. (600 and 700 nursing units)Findings Include: Review of facility policy titled, Soiled Linen, revied August 11, 2014, revealed that soiled linen is considered potentially contaminated and must be always covered with a lid. Observations conducted on January 21, 2026, at approximately 11:45 a.m. on the 600 nursing unit shower rooms revealed both shower floors were visibly soiled with dirt and muddy footprints smeared across the surfaces. The shower room bathroom trashcan was observed to be overflowing and had no hand clothes or paper towels were available for hand hygiene. [...]
November 20, 2025Standard inspection · 8 citations
  1. E
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure Minimum Data Set (MDS) assessments were completed within 14 days after the Assessment Reference Date (ARD) for four of seven sampled residents (Residents R32, R109, R16 and R164).
  2. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on review of clinical records, and staff interviews, it was determined that the facility failed to provide evidence of a Level 1 pre-screening for mental disorders/intellectual disabilities for one of 35 residents reviewed (Resident R52). Findings Include: Review of Resident R52's clinical record revealed resident admitted to the facility on [DATE], with diagnosis of Schizophrenia, Depression. Review of Resident R52's quarterly Minimum Data Set (MDS- federally mandated resident assessment and care screening) dated September 4, 2025, revealed a BIMS (Brief Interview for Mental Status) score of 09, indicating resident cognitively impaired. [...]
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on review of clinical records, interview with residents and review of facility provided documentation, it was determined that facility did not ensure to develop and implement a comprehensive resident centered care plan for two of 35 residents reviewed related to wound care and bedside rails (Resident R24, R29)
  4. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on review of clinical records, observations and interviews with staff, it was determined that the facility did not ensure that resident was appropriately assessed for risk of entrapment and did not obtain informed consent related to bedrails for one of 35 residents reviewed (Resident R24).
  5. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain a medication error rate of less than 5% during a medication administration pass. Three medication errors out of 26 medication administration opportunities observed during medication administration (Medication Error Rate of 11.54%).
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on clinical record review, review of drug information reports, observations, and interviews with staff, it was determined that the facility failed to ensure that a resident was free of a significant medication error related to the administration of Nitroglycerin tablets, which are used to treat and prevent episodes of angina (chest pain) in individuals with coronary artery disease. The medication was administered via the wrong route for one of five residents reviewed (Resident R183).
  7. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on review of clinical records, review of facility policy, observation, and staff and resident interview, it was determined that the facility failed to ensure that all drugs and biologicals were stored in accordance with professional standards for 2 of 6 medication carts reviewed. (400 cart 2 and 400 split cart)
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on observation, staff interviews, and policy review, it was determined that the facility failed to ensure staff followed proper infection control practices by not cleaning and disinfecting a blood glucose monitor after the use for one of one observation (Employee E9)
May 20, 2025Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2025
    Inspectors wroteBased on observations, review facility policies and staff interview, it was determined that the facility failed to maintain a clean and homelike environment in resident care areas and dining experience for one of five nursing units observed ([NAME] dementia Unit). Findings Include: Review of facility policy Housekeeping Safe and Sanitary Living Arrangements dated on June 1, 1996, revealed, St. [NAME] Nursing Home shall provide a safe and hygienic living arrangement for residents as designated by governmental agencies for licensure and certification purposes. In order to comply with this mandate, we require that employee within the Housekeeping Department clean resident rooms including bathrooms daily. On May 20, 2025, at 11:12 a.m. an observation was conducted on the nursing unit [NAME] in room [ROOM NUMBER] revealed Resident's R1, R2 and R3 bathroom was dirty. [...]
January 24, 2025Standard inspection · 9 citations
  1. K
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on observation, reviews of the electronic maintenance communication logs, interviews with staff and residents, policy and procedure reviews, and clinical record review, it was determined the facility failed to ensure comfortable air temperature levels were provided on the 300 nursing unit placing residents at risk for developing hypothermia (condition of having a lower body temperature than normal body temperature). The cold air temperatures placed 19 of 32 cognitively impaired residents on the 300 nursing unit in an Immediate Jeopardy situation. (Residents R118, R149, R142, R85, R163, R103, R61, R145, R91, R113, R15, R164, R51, R179, R146, R27, R66, R264 and R9).
  2. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on observations and interviews with residents and staff, it was determined that the facility failed to maintain resident care equipment in safe, operating conditions for three of seven nursing units toured (300, 400, and 700 nursing unit).
  3. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on clinical record review and interviews with staff, it was determined that the facility failed to ensure that a resident with a facility-initiated transfer to the hospital was necessary and document the basis for the transfer in the residence medical record for one of three residents reviewed related to transfers.
  4. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on clinical record review, it was determined that the facility failed to ensure that a baseline care plan was developed for a one of 35 residents reviewed. (Resident R212.
  5. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on observations of care and services, clinical record reviews and interviews with responsible family members and staff, it was determined that the facility failed to ensure that a consultation with an optometrist or ophthalmologist was obtained for one of 35 residents reviewed (Resident R201)
  6. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on review of clinical records, staff and resident interviews, it was determined that the facility failed to provide culturally competent, trauma informed care accounting for the resident's past experiences and preferences in order to eliminate and/or mitigate triggers that may cause re-traumatization of the resident for one of seven residents sampled (Resident R 191)
  7. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address a resident's dementia care needs for one of 35 residents reviewed (Resident R 88). Findings Include: Review of the admission sheet of Resident R88, revealed that Resident R88 was admitted to the facility on [DATE]. Review of the admission sheet of Resident R88 indicated that, on January 30, 2023, Resident R88 was diagnosed with Dementia (Dementia is not a specific disease but is rather a general term for the impaired ability to remember, think, or make decisions that interferes with doing everyday activities). [...]
  8. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2025
    Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to obtain and report laboratory results to meet resident needs for three of 35 residents reviewed (Resident R72, R204, and R169). Findings Include: Review of Resident R72's Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated October 21, 2024, revealed the resident had a diagnosis of hyperkalemia (elevated levels of potassium in the blood because the kidneys are unable to excrete the excess potassium - severe symptoms can include muscle weakness or affect the heart). [...]
  9. D
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 24, 2025
    Inspectors wroteBased on review of clinical records, facility documentation and interviews with residents and staff, it was determined that the Nursing Home Administrator failed to effectively manage the facility related to air temperatures between 71 degrees Fahrenheit and 81 degrees Fahrenheit in resident rooms and common areas for 19 cognitively impaired residents. This failure to maintain comfortable and safe air temperatures for residents residing in rooms 310, 311, 312, 313, 314, 315, 316 and 317 resulted in an Immediate Jeopardy situation.
December 3, 2024Complaint inspection · 1 citation
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2024
    Inspectors wroteBased on review of facility policy, review of clinical records, and staff interviews it was determined that the facility failed to review and revise behavior health care plan for one of nine residents reviewed (Resident R1). Findings Include: Review of facility policy Interdisciplinary Care Planning Protocol reviewed February 2023 revealed problems established by the team with the resident/family must be specific and individualized. [...]
October 23, 2024Complaint inspection · 1 citation
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on review of clinical records, review of facility provided documentation and interview with staff, it was determined that facility failed to ensure that a thorough investigation was conducted related to a injury sustained by a resident for one of five residents reviewed (Resident R1)
April 15, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on review of facility policies, clinical record review and interviews with residents and staff, it was determined that the facility failed to provide written notice, including reason for the change, before a resident's room change for one of 11 residents reviewed (Resident R2). Findings Include: Review of facility policy titled, Room Change, revised November 27, 2023, revealed that the facility may change a resident's room when it is medically necessary or if the resident requires a different level of care. Review of clinical records for Resident R2 revealed a progress note which stated that the resident was notified that he will be changed to a semiprivate room and that the family member was also informed. Interview with the Administrator, Employee E1, and Director of Nursing, Employee E2, on April 15, 2024, at 12:54 p.m. [...]
March 8, 2024Standard inspection · 9 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on observation, review of facility policy and interview with facility staff, it was determined that the facility failed to provide care and services to enhance residents' dignity related to feeding residents, serving meals on disposable paperware and providing incontinent care for four of 36 Residents reviewed. (Residents R79, R4, R21, and R18).
  2. E
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on observations, review of documentation and interviews with residents and staff, it was determined that the facility failed to ensure that residents had access to grievance forms and access to the contact information of the grievance official on five out of five nursing units. (300-700 nursing units).
  3. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on the review of clinical records, observations, and interview with staff, it was determined that the facility failed to ensure that the resident environment was free of accident hazards related to medication administration for two out of 36 residents reviewed (Resident R147 and Resident R69) , and failed to ensure that hazardous materials were not accessible to residents on one of five nursing units. (700 unit)
  4. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on observation, review of clinical record, review of facility policy and staff interviews, it was determined that the facility failed to provide appropriate respiratory care and services for 3 of 36 residents reviewed (Residents R29, R60, and 195).
  5. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on observations, review of clinical records, and interviews with facility staff, it was determined that the facility failed to ensure that it was free of medication error rate of five percent or greater two of two residents observed for medication administration. (Resident R127, and Resident R13)
  6. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on facility policy, observations, and interviews with staff, it was determined that the facility failed to ensure that all drugs and biologicals used in the facility are labeled in accordance with professional standards, including expiration dates and with appropriate accessory and cautionary instructions on three of five nursing units. (700 unit, 300 unit and All Saints unit)
  7. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on review of facility documentation, observations, and resident and staff interviews, it was determined that the facility failed to provide food that was palatable and served at the proper temperature for nine of 36 residents reviewed (Residents R119, R75, R31, R182, R34, R81, R85, R10, R71).
  8. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on observation, review of clinical records, and staff interviews, it was determined that the facility failed to provide a communication device to maintain optimal communication for one of 36 residents reviewed. (Residents R189)
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 29, 2024
    Inspectors wroteBased on review of clinical records, observations, and resident and staff interviews, it was determined that the facility failed to ensure the appropriate size of an indwelling urinary catheter was used for one of 36 residents reviewed (Resident R2).
January 9, 2024Complaint inspection · 3 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on the review of facility policy, facility wound care tracking, hospital records, clinical records, national pressure ulcer guidelines and interview with facility staff, it was revealed that the facility failed to conduct a thorough skin assessment of a resident with pressure ulcers and documented history of skin impairment, consistent with professional standards of practice for one of three residents reviewed. (Resident R1) Findings Include: Review of National Pressure Injury Advisory Panel, Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guidelines, 2019, revealed that Assessment of Pressure Injuries and Monitoring of Healing: Conduct a comprehensive initial assessment of the individual with a pressure injury. [...]
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on the review of clinical records, facility policies, hospital records and interviews with staff and resident representative, it was determined that the facility failed to ensure that a podiatry (a branch of medicine devoted to the study, diagnosis, and treatment of disorders of the foot and ankle) wound care recommendations from hospital was administered as recommended for one of three residents reviewed. Findings Include: Review of hospital record for Resident R1 dated December 27, 2023, revealed that the resident had anterior ankle and lateral foot wounds, pressure ulcer (Injury to skin and underlying tissue resulting from prolonged pressure on the skin.) to the left heel, which was unstageable, right heel pressure ulcer which was a Stage 1 and a sacral pressure ulcer which was a deep tissue injury (DTI- a serious form of pressure injury). [...]
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on the review of clinical records, facility policy, hospital records and interview with staff and resident representative, it was revealed that the facility failed to provide necessary treatment and services to promote healing of pressure ulcer consistent with professional standards of practice for one of three residents reviewed. (Resident R1) Findings Include: Review of hospital record for Resident R1 dated December 27, 2023, revealed that the resident had anterior ankle and lateral foot wounds, pressure ulcer (Injury to skin and underlying tissue resulting from prolonged pressure on the skin.) to the left heel, which was unstageable, right heel pressure ulcer which was a Stage 1 and a sacral pressure ulcer which was a deep tissue injury (DTI- a serious form of pressure injury). [...]
October 26, 2023Complaint inspection · 2 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to develop comprehensive care plans to meet care needs for one of nine residents reviewed. (Resident R6)
  2. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on review of facility documentation, observations, and resident and staff interviews, it was determined that the facility failed to provide food that was palatable and served at the proper temperature for five of eleven residents reviewed (Residents R5, R1, R3, R2 and R6).

Fire safety inspections

3 fire safety citations on file: 2 on January 24, 2025, 1 on March 8, 2024.

Every fire safety citation3 citations
  1. B
    Address patient/client population and determine types of services needed.
    E 7 · January 24, 2025 · Corrected (the home has a date of correction)
  2. B
    Provide a means of sharing information on occupancy/needs.
    E 34 · January 24, 2025 · Corrected (the home has a date of correction)
  3. C
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · March 8, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 24, 2025Fine $26,043

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.483.893.86
Registered nurses0.600.790.69
All nursing staff on weekends3.253.533.42
Nurse aides2.11
Licensed practical nurses0.77
Nursing staff turnover (share who left in a year)38.1%44.5%45.8%
Registered nurse turnover18.9%39.9%42.9%
Administrators who left0

CMS expects 3.56 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 3.58 on weekdays and 3.25 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.48 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.480.603.583.25 7.2%0 of 90218
Oct to Dec 20253.510.633.613.24 5.5%0 of 92219
Jul to Sep 20253.480.653.603.15 5.5%0 of 92214
Apr to Jun 20253.550.713.693.21 10.6%0 of 91215
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%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. If you work here, your report helps start one.

Official wage estimates for Pennsylvania

JobMedianMiddle halfEmployed
Pennsylvania, all employers
CNAs (nursing assistants)$21.44$18.88 to $22.5267,740
LPNs and LVNs$30.74$29.02 to $35.0138,260
Registered nurses$46.36$38.75 to $50.35146,520
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For St. John Neumann Ctr for Rehab & Healthcare. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.116.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.717.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.54.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.817.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.022.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.29.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for St. John Neumann Ctr for Rehab & Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

50.8% this home

No different from the national rate

US median of homes 51.5% · Pennsylvania: 100 better, 108 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 100 eligible stays.

Potentially preventable readmissions

9.9% 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. 191 eligible stays.

Infections that led to a hospital stay

7.7% this home

No different from the national rate

US median of homes 7.1% · Pennsylvania: 7 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 97 eligible stays.

Self-care and mobility at discharge

70.6% 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. 85 residents counted.

Falls with major injury

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. 125 residents counted.

New or worsened pressure ulcers

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. 125 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Pennsylvania100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 25 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.

Owners and operators

Legal business name: 10400 ROOSEVELT OPERATING LLC. CMS links this home to The Rosenberg Family, a group of 16 nursing homes averaging 2.8 stars overall.

NameRoleTypeShareSince
Basch, Joel5% or greater direct ownership interestIndividual8%11/28/2023
Basch, Joshua5% or greater direct ownership interestIndividual8%11/28/2023
Basch, Moshe5% or greater direct ownership interestIndividual8%11/28/2023
Basch, Yitzi5% or greater direct ownership interestIndividual8%11/28/2023
Rosenberg, Avraham5% or greater direct ownership interestIndividual10%11/28/2023
Rosenberg, Esther5% or greater direct ownership interestIndividual16%11/28/2023
Rosenberg, Moshe5% or greater direct ownership interestIndividual27%09/01/2014
Rosenberg, Zvi5% or greater direct ownership interestIndividual10%11/28/2023
10400 Roosevelt Realty5% or greater mortgage interestOrganization11/28/2023
Stern, SamuelCorporate officerIndividual01/01/2023
Spector, LarryOperational/managerial controlIndividual01/01/2023
Varughese, AnnieOperational/managerial controlIndividual04/17/2023
10400 Roosevelt RealtyAdp of the SNFOrganization11/28/2023
Rosenberg, EstherAdp of the SNFIndividual11/28/2023
Spector, LarryAdp of the SNFIndividual03/20/2025
Stern, SamuelAdp of the SNFIndividual11/28/2023
Varughese, AnnieAdp of the SNFIndividual11/27/1966

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on November 20, 2025: "Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on March 12, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on January 21, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on November 20, 2025: "Ensure medication error rates are not 5 percent or greater."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 hours per resident per day, below the Pennsylvania average of 3.53.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is St. John Neumann Ctr for Rehab & Healthcare's Medicare star rating?
CMS rates St. John Neumann Ctr for Rehab & Healthcare 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did St. John Neumann Ctr for Rehab & Healthcare get at its last inspection?
8 health deficiencies at the standard inspection on November 20, 2025. The Pennsylvania average is 10.
Has St. John Neumann Ctr for Rehab & Healthcare been fined?
Yes. CMS lists 1 fine totaling $26,043 in the last three years.
Does St. John Neumann Ctr for Rehab & Healthcare 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 St. John Neumann Ctr for Rehab & Healthcare?
CMS lists 17 owners and managers, and links the home to The Rosenberg Family. Legal business name: 10400 ROOSEVELT OPERATING LLC.

Sources

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