Cliveden Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 6400 Greene Street, Philadelphia, PA 19119
- CCN
- 395852
- Ownership type
- For-profit, limited liability company
- Certified beds
- 180
- Chain
- None in the CMS record
- Residents per day
- 166
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Cliveden Nursing and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 13 Jun 2025. The latest survey cycle has 24 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Philadelphia County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 46 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Jun 2025 | 24 | 8 |
| Cycle 2 | 30 Aug 2024 | 23 | 8 |
| Cycle 3 | No date | 14 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 5 May 2026 |
| 5 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 May 2026 |
| 5 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 May 2026 |
| 2 Sep 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 1 Oct 2025 |
| 2 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 Oct 2025 |
| 14 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 Oct 2025 |
| 14 Aug 2025 | F0726 | 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. | D | Complaint investigation | 1 Oct 2025 |
| 13 Jun 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0584 | 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 | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0688 | 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. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0726 | 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. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0761 | 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 | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 1 Aug 2025 |
| 13 Jun 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 Aug 2025 |
Survey cycle 2: 23 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 31 Jan 2025 | F0584 | 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. | E | Complaint investigation | 27 Feb 2025 |
| 31 Jan 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 27 Feb 2025 |
| 30 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0584 | 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. | E | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0585 | 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. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0726 | 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. | E | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0801 | 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 | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 14 Oct 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 May 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 6 Jun 2024 |
| 26 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Jan 2024 |
| 26 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 16 Jan 2024 |
| 17 Nov 2023 | F0584 | 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 | Complaint investigation | 16 Jan 2024 |
| 17 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Jan 2024 |
| 17 Nov 2023 | F0688 | 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. | D | Complaint investigation | 16 Jan 2024 |
| 17 Nov 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 Jan 2024 |
| 17 Nov 2023 | F0726 | 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. | D | Standard survey | 16 Jan 2024 |
| 17 Nov 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 16 Jan 2024 |
| 17 Nov 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Jan 2024 |
| 17 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jan 2024 |
| 17 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 16 Jan 2024 |
| 17 Nov 2023 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 16 Jan 2024 |
| 27 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 24 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.41 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.22 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 1.01 | 0.91 | |
| Nurse aides | 2.18 | 2.19 | |
| All nurse staff, weekends | 3.26 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 51.4%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 72.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.5% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.5% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- CL Operating, LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pa8 Master Tenant LLC | Direct ownership interest | 1 Jun 2025 | |
| PA Ops Holdings, LLC | Indirect ownership interest | 1 Jun 2025 | |
| Beija PA 8 LLC | Adp of the snf | 1 Jun 2025 | |
| Focus Health Network LLC | Adp of the snf | 4 Jun 2025 | |
| Pa8 Master Tenant LLC | Adp of the snf | 24 Oct 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Philadelphia County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Wesley Enhanced Living at Stapeley | Philadelphia | 3 of 5 | 4 | $8,824 | 7 May 2026 | |
| Caring Heart Rehabilitation and Nursing Center | Philadelphia | 2 of 5 | 16 | $24,675 | 12 Jun 2025 | |
| Maplewood Nursing and Rehab Center | Philadelphia | 3 of 5 | 9 | $76,483 | 28 Aug 2025 | |
| Willow Terrace | Philadelphia | 1 of 5 | 30 | $9,113 | 31 Jan 2025 | |
| Germantown Home | Philadelphia | 3 of 5 | 7 | $0 | 1 Aug 2025 | |
| Liberty Center for Rehabilitation and Nursing | Philadelphia | 2 of 5 | 12 | $8,827 | 14 May 2026 | |
| Aristacare at East Falls | Philadelphia | 1 of 5 | 30 | $57,568 | 31 Jul 2025 | |
| Willowcrest | Philadelphia | 5 of 5 | 6 | $0 | 5 Jan 2026 | |
| Philadelphia Protestant Home | Philadelphia | 5 of 5 | 0 | $0 | 13 May 2026 | |
| Ivy Hill Post Acute Nursing & Rehabilitation LLC | Philadelphia | 3 of 5 | 12 | $0 | 12 Mar 2026 | |
| Monumentalpostacutecare at Woodside Park | Philadelphia | 1 of 5 | 17 | $30,752 | 11 Dec 2025 | |
| Fairview Rehab and Care Center | Philadelphia | 1 of 5 | 20 | $37,431 | 9 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Cliveden Nursing and Rehabilitation Center (CCN 395852). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/cliveden-nursing-and-rehabilitation-center-philadelphia-pa-395852/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Cliveden Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 14 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 30 Aug 2024.
- Who operates Cliveden Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Cliveden Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.