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Transitional Care Unit at Nazareth Hospital

2601 Holme Avenue, Philadelphia, PA 19152 · Philadelphia County · (215) 335-6367

28 certified beds, about 15 residents a day · Non profit - Corporation · Medicare since 1996

CMS high performing icon Inside a hospital Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 396002 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 20, 2025, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 10 health citations since July 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 5.96 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 3.48 of those hours.

19.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Trinity Health, an affiliated group of 19 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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
0F
Potential for minimal harm
0A
0B
0C
March 20, 2025Standard inspection · 4 citations
  1. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on review of clinical record, review of facility policy and interviews with staff, it was determined that the facility failed to ensure that advanced directives/code status were in place for two of 11 clinical records reviewed (Resident R110 and Resident R111).
  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 · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on staff interviews and the review of clinical records, it was determined that the facility failed to clarify a physician's order related to daily weights for one out of 11 residents reviewed (Resident R61).
  3. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 16, 2025
    Inspectors wroteBased on observation, interviews with resident and staff, review of clinical records and facility policy, it was determined that the facility failed to maintain a peripheral inserted central catheter (PICC) consistent with professional standards of practice for one of one resident with a PICC line. (Resident R4)
  4. 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) May 16, 2025
    Inspectors wroteBased on observation, review of facility policy and procedure, it was determined that the facility failed to maintain an effective infection control program related to the hand hygiene during medication administration, and wound treatment for two of two residents observed. (Resident R61 and Resident R108)
May 16, 2024Standard inspection · 0 citations
July 27, 2023Standard inspection · 6 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on review of facility policy, clinical records review, it was determined the facility did not develop a person centered baseline care plan for two of five resident clinical records reviewed. (Residents R3 and R116)
  2. 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) September 25, 2023
    Inspectors wroteBased on clinical record review, interviews with staff and policy and procedure review, it was determined for one of two closed resident records, the facility failed to ensure a comprehensive, orderly, systematic and coordinated discharge to the community. (Resident R9)
  3. 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 · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on clinical record reviews, and staff interview, it was determined that the facility failed to ensure that physician orders were follow related to medications for diabetes mellitus and hypotension for two of six residents reviewed. (Residents R61 and R70)
  4. D
    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, isolated · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on observation, clinical record review and interviews with staff, it was determined that the facility did not maintain respiratory equipment according to professional standards of practice for two of two residents reviewed in oxygen therapy (Resident R3 and Resident R112).
  5. 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) September 25, 2023
    Inspectors wroteBased on observation, facility policy review, and interview with staff, it was determined that the facility failed to ensure the security of a medication cart for one of one cart observed.
  6. D
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    F836 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on a review of facility documents and interviews with staff, it was determined that the facility failed to provide completed documentation and information as required within the appropriate time frames.

Fire safety inspections

6 fire safety citations on file: 1 on March 20, 2025, 4 on May 16, 2024, 1 on July 27, 2023.

Every fire safety citation6 citations
  1. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 20, 2025 · Corrected (the home has a date of correction)
  2. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 16, 2024 · Corrected (the home has a date of correction)
  3. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 16, 2024 · Corrected (the home has a date of correction)
  4. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 16, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure medical gas and vacuum systems have documented maintenance programs.
    K 907 · May 16, 2024 · Corrected (the home has a date of correction)
  6. C
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 27, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)5.963.893.86
Registered nurses3.480.790.69
All nursing staff on weekends5.323.533.42
Nurse aides2.48
Licensed practical nurses0.00
Nursing staff turnover (share who left in a year)19.0%44.5%45.8%
Registered nurse turnover7.7%39.9%42.9%
Administrators who left0

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 6.23 on weekdays and 5.32 on weekends, 15% 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 6.87 in April to June 2025 to 5.96 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.963.486.235.32 0.0%0 of 9015
Oct to Dec 20255.673.355.895.13 0.0%0 of 9215
Jul to Sep 20257.344.517.516.89 0.0%0 of 9210
Apr to Jun 20256.874.407.176.09 0.0%0 of 9112
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.

Quality measures

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

MeasureThis homePennsylvaniaUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.41.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.222.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.39.512.0

Owners and operators

Legal business name: NAZARETH HOSPITAL. CMS links this home to Trinity Health, a group of 19 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Trinity Health of the Mid-Atlantic Region5% or greater indirect ownership interestOrganization100%05/01/2013
Wajda, DavidW-2 managing employeeIndividual01/01/2022
Bromberg, TalyanaCorporate directorIndividual07/01/2019
Brucker, MarkCorporate directorIndividual01/01/2022
Buckley, BarbaraCorporate directorIndividual01/01/2022
Calope, MichelleCorporate directorIndividual01/01/2023
Deignan, MartinaCorporate directorIndividual01/01/2022
Fontanilla, HiralCorporate directorIndividual01/01/2022
Gordon, VincentCorporate directorIndividual08/01/2022
Grace, MarianneCorporate directorIndividual08/01/2022
Johnson, RebeccaCorporate directorIndividual01/01/2022
Kapur, ShailaCorporate directorIndividual01/01/2022
Keegan, JuliaCorporate directorIndividual01/01/2023
Monihan, JamesCorporate directorIndividual01/01/2022
Washington, JulieCorporate directorIndividual01/01/2022
Woodward, JamesCorporate directorIndividual07/01/2019
Cummings, KimberlyCorporate officerIndividual01/01/2023
Gordon, VincentCorporate officerIndividual01/01/2024
Kapur, ShailaCorporate officerIndividual01/01/2024
Magro, MichaelCorporate officerIndividual06/24/2021
Mikus, CatherineCorporate officerIndividual07/01/2021
Woodward, JamesCorporate officerIndividual07/01/2019
Kilpinen, StuartOperational/managerial controlIndividual06/10/2023

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 4 problems in this area, most recently on March 20, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. 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 March 20, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  3. 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 March 20, 2025: "Provide and implement an infection prevention and control program."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 27, 2023: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"

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Common questions

What is Transitional Care Unit at Nazareth Hospital's Medicare star rating?
CMS rates Transitional Care Unit at Nazareth Hospital 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Transitional Care Unit at Nazareth Hospital get at its last inspection?
4 health deficiencies at the standard inspection on March 20, 2025. The Pennsylvania average is 10.
Has Transitional Care Unit at Nazareth Hospital been fined?
CMS lists no fines in the last three years.
Does Transitional Care Unit at Nazareth Hospital accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Transitional Care Unit at Nazareth Hospital?
CMS lists 23 owners and managers, and links the home to Trinity Health. Legal business name: NAZARETH HOSPITAL.

Sources

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