Onyx Wellness Center
205 East Johnson Highway · Norristown, PA · 19401 · 6102756410
119 certified beds For profit - Limited Liability company Chain: Paramount Care Centers
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $37,371 in fines in the last 24 months.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 3 · $136,849 |
Inspection citations (25 in the current record)
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Immediate jeopardy · J March 5, 2026
Ensure that residents are free from significant medication errors.
Corrected March 19, 2026 · Pharmacy Service
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Actual harm · G March 5, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 7, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
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.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D March 5, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 19, 2026 · Nutrition and Dietary
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Potential for harm · D March 5, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 19, 2026 · Administration
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Potential for harm · D May 22, 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.
Corrected June 18, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Provide appropriate foot care.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 18, 2025 · Nursing and Physician Services
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Potential for harm · D May 22, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected June 18, 2025 · Quality of Life and Care
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Potential for harm · F May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 18, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 18, 2025 · Resident Rights
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Potential for harm · E May 22, 2025 · found via complaint
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.
Corrected June 18, 2025 · Resident Rights
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No harm found · C May 22, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected June 18, 2025 · Resident Rights
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Potential for harm · D April 16, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 5, 2025 · Resident Assessment and Care Planning
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Actual harm · G January 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 3, 2025 · Quality of Life and Care
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Potential for harm · E December 9, 2024 · found via complaint
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.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D August 1, 2024
Ensure each resident receives an accurate assessment.
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
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.
Corrected September 20, 2024 · Nutrition and Dietary
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Potential for harm · E August 1, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 20, 2024 · Nutrition and Dietary
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Immediate jeopardy · J January 31, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 31, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 1, 2024 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 5, 2026 | Fine | $27,195 |
| December 9, 2024 | Fine | $10,176 |
| January 31, 2024 | Fine | $99,478 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395346 · certified since November 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.