Overview

Address
2509 SOUTH FOURTH STREET, PHILADELPHIA, PA 19148
Phone
2152711080
Certified beds
180
Avg daily residents
174 (97% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1982-11-29
Setting
Urban
2 /5
CMS Overall Rating

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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 3/5

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
3.61 3.51 3.97 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.59 0.61 0.65 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.90 0.78 0.99
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.13 2.12 2.34
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.49
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.13

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

Total nurse (weekend)
3.32
hrs / resident / day
RN (weekend)
0.42
hrs / resident / day
Total nurse (adjusted, weekend)
3.65
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
50.0%
annual
RN turnover
38.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.24
higher acuity than avg
Case-Mix Index Ratio
0.90
facility / state ratio

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) 2025-07-24 14 14 0 64 1 64
Cycle 2/3 (prior) 2024-09-27 17 12 5 88 1 88
Total weighted health score
70.0
lower is better

Deficiencies (43)

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).

43 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-07-24 2025-09-12
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-07-24 2025-09-12
0641 Ensure each resident receives an accurate assessment. D 2025-07-24 2025-09-12
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-07-24 2025-09-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-07-24 2025-09-12
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-07-24 2025-09-12
0692 Provide enough food/fluids to maintain a resident's health. D 2025-07-24 2025-09-12
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-07-24 2025-09-12
0761 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. D 2025-07-24 2025-09-12
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. D 2025-07-24 2025-09-12
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2025-07-24 2025-09-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-07-24 2025-09-12
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. D 2025-07-24 2025-09-12
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. D 2025-07-24 2025-09-12
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-09-27 2024-11-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-09-27 2024-11-06
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-09-27 2024-11-06
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-09-27 2024-11-06
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 2024-09-27 2024-11-06
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-09-27 2024-11-06
0759 Ensure medication error rates are not 5 percent or greater. D 2024-09-27 2024-11-06
0760 Ensure that residents are free from significant medication errors. E 2024-09-27 2024-11-06
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2024-09-27 2024-11-06
0791 Provide or obtain dental services for each resident. D 2024-09-27 2024-11-06
0814 Dispose of garbage and refuse properly. F 2024-09-27 2024-11-06
0880 Provide and implement an infection prevention and control program. D 2024-09-27 2024-11-06
0610 Respond appropriately to all alleged violations. D 2023-12-07 2023-12-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-12-07 2023-12-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-12-07 2023-12-28
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-12-07 2023-12-28
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2023-12-07 2023-12-28
0700 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. D 2023-12-07 2023-12-28
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2023-12-07 2023-12-28
0809 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. D 2023-12-07 2023-12-28
0814 Dispose of garbage and refuse properly. D 2023-12-07 2023-12-28
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. D 2023-12-07 2023-12-28
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2023-12-07 2023-12-28
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2023-12-07 2023-12-28
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2023-12-07 2023-12-28
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2023-10-05 2023-10-26
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2023-09-11 2023-10-17
0584 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. D 2023-07-24 2023-08-22
0687 Provide appropriate foot care. D 2023-07-24 2023-08-22

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 12.9% Medicaid 72.3% Other 14.8%

Operating performance

Operating Margin
5.6%
Total Margin
-1.9%
Occupancy Rate
95.2%
Cost per Resident Day
$40

Revenue & costs

Net Patient Revenue
$21.4M
Total Costs
$2.5M
Net Income
-$397K

Balance sheet

Total Assets
$15.6M
Total Liabilities
$11.7M
Fund Balance
$3.9M
Current Ratio
1.45

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: THE ROSENBERG FAMILY

Chain ID
685
Facilities in chain
10
Legal business name
2509 SOUTH FOURTH OPERATING LLC
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.1
Staffing
3.9
QM
4.0

Owner / manager organizations (2)

Organization Role Association
2509 SOUTH FOURTH REALTY LLC 5% OR GREATER SECURITY INTEREST since 11/28/2023
2509 SOUTH FOURTH REALTY LLC 5% OR GREATER MORTGAGE INTEREST since 11/28/2023

Owner / manager individuals (11)

Name Role Association
BASCH, JOEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
BASCH, JOSHUA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
BASCH, MOSHE 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
BASCH, YITZI 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
ROSENBERG, AVRAHAM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
ROSENBERG, ESTHER 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
ROSENBERG, MOSHE 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
ROSENBERG, ZVI 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/28/2023
COX, JEFFREY OPERATIONAL/MANAGERIAL CONTROL since 04/26/2004
HONIG, PETER OPERATIONAL/MANAGERIAL CONTROL since 11/28/2023
STERN, SAMUEL CORPORATE OFFICER since 08/01/2022

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
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $40 metrics.cost_per_resident_day
Cost Report Current Ratio 1.45 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 72.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 12.9% metrics.medicare_day_share
Cost Report Net Income ($) $-396,624 metrics.net_income
Cost Report Net Patient Revenue ($) $21,441,004 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 95.2% metrics.occupancy_rate
Cost Report Operating Margin (%) 5.6% metrics.operating_margin
Cost Report Total Assets ($) $15,593,744 metrics.total_assets
Cost Report Total Costs ($) $2,487,209 metrics.total_costs
Cost Report Total Fund Balances ($) $3,886,415 metrics.fund_balance
Cost Report Total Liabilities ($) $11,707,329 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 0.98794 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.33876 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.64628 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.97298 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.64819 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 174.3 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 0.77937 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.11815 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61431 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.51183 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.09530 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.9 Chain Average Staffing Rating
Provider Information Chain ID 685 Chain ID
Provider Information Chain Name THE ROSENBERG FAMILY Chain Name
Provider Information City/Town PHILADELPHIA City/Town
Provider Information CMS Certification Number (CCN) 395558 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Philadelphia County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1982-11-29 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 39.9172 Latitude
Provider Information Legal Business Name 2509 SOUTH FOURTH OPERATING LLC Legal Business Name
Provider Information Location 2509 SOUTH FOURTH STREET,PHILADELPHIA,PA,19148 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -75.154 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 10 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.24408 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.90305 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Individual 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 2509 SOUTH FOURTH STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ST MONICA CENTER FOR REHABILITATION & HEALTHCARE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 620 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 64 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 14 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-07-24 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 64 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-09-27 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 88 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 5 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 88 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.42212 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 38.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.48646 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.89861 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.12729 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.12987 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.58784 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 3.61375 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 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State PA State
Provider Information Telephone Number 2152711080 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.31832 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 50.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 70.000 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 19148 ZIP Code