Phoenix Center for Rehabilitation and Nursing,the
833 South Main Street · Phoenixville, PA · 19460 · 6105800100
138 certified beds For profit - Limited Liability company Chain: Lme Family Holdings
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).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
71% 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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $40,095 |
Inspection citations (30 in the current record)
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Potential for harm · E April 22, 2026 · found via complaint
Ensure resident rooms meet each resident's needs.
Deficient, Provider has no plan of correction · Environmental
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Potential for harm · D September 2, 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 September 25, 2025 · Resident Rights
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Potential for harm · D August 1, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 1, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 15, 2025 · Resident Rights
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Potential for harm · D August 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 15, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2025 · Quality of Life and Care
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Immediate jeopardy · L June 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D June 2, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 2, 2025 · Administration
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Potential for harm · D March 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 4, 2025 · Infection Control
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Potential for harm · D February 20, 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 March 20, 2025 · Resident Rights
-
Potential for harm · D December 31, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 31, 2025 · Resident Rights
-
Potential for harm · D November 21, 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 December 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2024
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 September 30, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 30, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Respond appropriately to all alleged violations.
Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 22, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 30, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 30, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 30, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected September 30, 2024 · Quality of Life and Care
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Potential for harm · F August 22, 2024
Provide and implement an infection prevention and control program.
Corrected September 30, 2024 · Infection Control
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Potential for harm · D March 20, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · E September 22, 2023
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 October 6, 2023 · Resident Rights
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Potential for harm · D September 22, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 22, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 15, 2023 · Quality of Life and Care
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Potential for harm · D September 22, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 15, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 2, 2025 | Fine | $40,095 |
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 395284 · certified since July 20, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.