SAUNDERS NURSING AND REHABILITATION CENTER
CCN: 395380 · WYNNEWOOD, PA 19096 · Montgomery County
Overview
- Address
- 100 LANCASTER AVENUE, WYNNEWOOD, PA 19096
- Phone
- 6106585100
- Certified beds
- 180
- Avg daily residents
- 172 (95% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1977-04-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.34 | 3.52 | 3.66 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.33 | 0.62 | 0.36 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.04 | 0.78 | 1.14 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.97 | 2.13 | 2.16 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.37 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-05-09 | 15 | 10 | 14 | 84 | 2 | 126 |
| Cycle 2/3 (prior) | 2024-07-19 | 20 | 5 | 15 | 179 | 1 | 179 |
Deficiencies (44)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-18 | 2026-01-15 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-18 | 2026-01-15 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-12-18 | 2026-01-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-17 | 2025-09-18 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-17 | 2025-06-17 |
| 0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2025-05-09 | 2025-06-12 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-09 | 2025-06-03 |
| 0610 | Respond appropriately to all alleged violations. | D | 2025-05-09 | 2025-06-03 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-05-09 | 2025-06-03 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | 2025-05-09 | 2025-06-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-09 | 2025-06-03 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-09 | 2025-06-03 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-09 | 2025-06-03 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-05-09 | 2025-06-03 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-05-09 | 2025-06-03 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2024-12-03 | 2025-02-01 |
| 0585 | 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. | E | 2024-12-03 | 2025-02-01 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-12-03 | 2025-02-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-03 | 2025-02-01 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-12-03 | 2025-02-01 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-07-19 | 2024-08-09 |
| 0610 | Respond appropriately to all alleged violations. | D | 2024-07-19 | 2024-08-09 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-19 | 2024-08-09 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-07-19 | 2024-08-09 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-07-19 | 2024-08-09 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2024-07-19 | 2024-08-09 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-02-01 | 2024-03-06 |
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-11-08 | 2023-11-24 |
| 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-11-08 | 2023-11-24 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-08 | 2023-11-24 |
| 0610 | Respond appropriately to all alleged violations. | D | 2023-09-21 | 2023-11-08 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-09-21 | 2023-11-08 |
| 0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-09-21 | 2023-11-08 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-09-21 | 2023-11-08 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-21 | 2023-11-08 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-09-21 | 2023-11-08 |
| 0732 | Post nurse staffing information every day. | C | 2023-09-21 | 2023-11-08 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-09-21 | 2023-11-08 |
| 0926 | Have policies on smoking. | D | 2023-09-21 | 2023-11-08 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-07-05 | 2023-08-01 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-05 | 2023-08-01 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2023-05-19 | 2023-06-14 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-05-19 | 2023-06-14 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-04-25 | 2023-05-30 |
Penalties (1)
| Date | Type | Fine amount |
|---|---|---|
| 2024-07-19 | Fine | $14,433 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| LANCASTER OPERATING, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/03/2022 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| BLEIER, SORAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/03/2022 |
| SCHWARTZ, JOEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/03/2022 |
| SOD, LEAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/03/2022 |
| SOFIA, LISA | CORPORATE OFFICER | since 10/03/2022 |
| CHAPMAN, JOHN | W-2 MANAGING EMPLOYEE | since 11/06/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $36 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.89 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 67.3% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 11.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-256,574 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $13,669,254 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 86.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -2.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,876,907 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,500,010 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-256,574 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $5,133,481 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -1.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.14093 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.15654 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.36272 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.66019 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.20520 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 171.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.78200 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.12530 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.61639 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.52369 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.10576 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | WYNNEWOOD | City/Town |
| Provider Information | CMS Certification Number (CCN) | 395380 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Montgomery | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1977-04-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.9903 | Latitude |
| Provider Information | Legal Business Name | LANCASTER OPERATING, LLC | Legal Business Name |
| Provider Information | Location | 100 LANCASTER AVENUE,WYNNEWOOD,PA,19096 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -75.258 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 180 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.24829 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.90610 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 100 LANCASTER AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SAUNDERS NURSING AND REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 560 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 84 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 42 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 14 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 2 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 10 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-09 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 126 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 15 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-07-19 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 179 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 15 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 179 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 20 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.23489 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 20.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.37231 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.04127 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.96817 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04487 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.33104 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.34049 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | PA | State |
| Provider Information | Telephone Number | 6106585100 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 14433.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.92524 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 50.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 139.250 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 19096 | ZIP Code |