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Wyndmoor Hills Rehabilitation and Nursing CenterCMS ratings, inspections and fines

Address
8601 Stenton Avenue, Wyndmoor, PA 19038
CCN
396115
Ownership type
For-profit, limited liability company
Certified beds
77
Chain
Chain name not shown
Residents per day
73
CMS flags
  • Special Focus Facility candidate
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating3 of 5
Care 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 Wyndmoor Hills Rehabilitation and Nursing Center an overall rating of 1 of 5 stars. The last standard survey was on 10 Jan 2025. The latest survey cycle has 32 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 3 fines with a total of $102,309 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.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Wyndmoor Hills Rehabilitation and Nursing Center, with medians
Rating (1 to 5 stars)This homeMontgomery County medianPennsylvania medianUS average (CMS)
Overall rating13.03.03.0
Health inspection rating13.03.02.8
Staffing rating13.03.02.9
Quality measure rating34.04.03.6

A median is the middle value of the homes in the group: 58 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.

Health citations of Wyndmoor Hills Rehabilitation and Nursing Center in the last three survey cycles
Survey cycleStandard surveyCitationsPennsylvania median
Cycle 1 (latest)10 Jan 2025328
Cycle 223 Feb 2024328
Cycle 3No date228

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.

Scope and severity of the 86 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 32 citations

Standard survey of this cycle: .

Health citations of Wyndmoor Hills Rehabilitation and Nursing Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Jun 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigationDeficient, Provider has no plan of correction
12 Jun 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigationDeficient, Provider has no plan of correction
12 Jun 2026F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.DComplaint investigationDeficient, Provider has no plan of correction
12 Jun 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigationDeficient, Provider has no plan of correction
4 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Mar 2026
4 Feb 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation10 Mar 2026
11 Dec 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint investigation6 Jan 2026
11 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Jan 2026
11 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Jan 2026
11 Dec 2025F0730Observe each nurse aide's job performance and give regular training.DComplaint investigation6 Jan 2026
11 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation6 Jan 2026
3 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Jan 2026
3 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation6 Jan 2026
25 Aug 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation18 Sep 2025
10 Jan 2025F0584Honor 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.DStandard survey3 Mar 2025
10 Jan 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey3 Mar 2025
10 Jan 2025F0610Respond appropriately to all alleged violations.EStandard survey3 Mar 2025
10 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Mar 2025
10 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey3 Mar 2025
10 Jan 2025F0685Assist a resident in gaining access to vision and hearing services.DStandard survey3 Mar 2025
10 Jan 2025F0688Provide 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.DStandard survey3 Mar 2025
10 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey3 Mar 2025
10 Jan 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey3 Mar 2025
10 Jan 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey3 Mar 2025
10 Jan 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Mar 2025
10 Jan 2025F0743Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.DStandard survey3 Mar 2025
10 Jan 2025F0791Provide or obtain dental services for each resident.DStandard survey3 Mar 2025
10 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey3 Mar 2025
10 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey3 Mar 2025
10 Jan 2025F0908Keep all essential equipment working safely.FStandard survey3 Mar 2025
10 Jan 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey3 Mar 2025
10 Jan 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard survey3 Mar 2025

Survey cycle 2: 32 citations

Standard survey of this cycle: .

Health citations of Wyndmoor Hills Rehabilitation and Nursing Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
7 Jul 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation29 Jul 2025
29 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation24 Jun 2025
29 May 2025F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation24 Jun 2025
26 Feb 2025F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation18 Mar 2025
26 Feb 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation18 Mar 2025
26 Feb 2025F0761Ensure 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.DComplaint investigation18 Mar 2025
8 Feb 2025F0584Honor 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.KComplaint investigation20 Feb 2025
8 Feb 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint investigation20 Feb 2025
17 Sep 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation10 Oct 2024
17 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Oct 2024
17 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation10 Oct 2024
23 Feb 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation15 Mar 2024
23 Feb 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DComplaint investigation15 Mar 2024
23 Feb 2024F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.DComplaint investigation15 Mar 2024
23 Feb 2024F0584Honor 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.EComplaint investigation15 Mar 2024
23 Feb 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation15 Mar 2024
23 Feb 2024F0610Respond appropriately to all alleged violations.DComplaint investigation15 Mar 2024
23 Feb 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation15 Mar 2024
23 Feb 2024F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint investigation15 Mar 2024
23 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Mar 2024
23 Feb 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation15 Mar 2024
23 Feb 2024F0761Ensure 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.DComplaint investigation15 Mar 2024
23 Feb 2024F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DComplaint investigation15 Mar 2024
23 Feb 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation15 Mar 2024
23 Feb 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint investigation15 Mar 2024
23 Feb 2024F0865Have a plan that describes the process for conducting QAPI and QAA activities.DComplaint investigation15 Mar 2024
23 Feb 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDComplaint investigation15 Mar 2024
23 Feb 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation15 Mar 2024
23 Feb 2024F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DComplaint investigation15 Mar 2024
23 Feb 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint investigation15 Mar 2024
23 Feb 2024F0908Keep all essential equipment working safely.DComplaint investigation15 Mar 2024
23 Feb 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DComplaint investigation15 Mar 2024

Survey cycle 3: 22 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Wyndmoor Hills Rehabilitation and Nursing Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jul 2024F0584Honor 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.KComplaint investigation29 Aug 2024
11 Jul 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint investigation14 Aug 2024
11 Jul 2024F0908Keep all essential equipment working safely.LComplaint investigation14 Aug 2024
4 Jan 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint investigation13 Feb 2024
3 Jan 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation27 Feb 2024
3 Jan 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation27 Feb 2024
3 Jan 2024F0809Ensure 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.EComplaint investigation27 Feb 2024
3 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation27 Feb 2024
3 Jan 2024F0814Dispose of garbage and refuse properly.EComplaint investigation27 Feb 2024
26 Oct 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation17 Nov 2023
26 Oct 2023F0908Keep all essential equipment working safely.DComplaint investigation17 Nov 2023
26 Oct 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation17 Nov 2023
30 Aug 2023F0584Honor 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.EComplaint investigation25 Oct 2023
11 May 2023F0585Honor 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.DStandard survey10 Jul 2023
11 May 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey10 Jul 2023
11 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Jul 2023
11 May 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Jul 2023
11 May 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey10 Jul 2023
11 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Jul 2023
11 May 2023F0880Provide and implement an infection prevention and control program.EStandard survey10 Jul 2023
11 May 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey10 Jul 2023
11 May 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey10 Jul 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.

Penalties of Wyndmoor Hills Rehabilitation and Nursing Center in the CMS penalties file
DateTypeFineDays without payment
10 Jan 2025Fine$17,614
11 Jul 2024Fine$33,871
3 Jan 2024Fine$50,824

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.

Nurse staffing hours per resident per day at Wyndmoor Hills Rehabilitation and Nursing Center
StaffThis homePennsylvania medianPennsylvania average (CMS)
All nurse staff3.103.603.89
Registered nurses (RN)0.640.700.79
Licensed practical nurses (LPN)0.690.91
Nurse aides1.772.19
All nurse staff, weekends2.953.303.53
Nurse staff turnover in a year
47.7%
Nurse staff turnover, Pennsylvania median
44.3%
RN turnover in a year
50.0%
Administrators who left in a year
0

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.

Quality measures of Wyndmoor Hills Rehabilitation and Nursing Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homePennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay2.9%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay0.0%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay11.3%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.2%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
Wyndmoor SNF Operating Company LLC
Chain
Chain name not shown
Organisations in the CMS ownership record of Wyndmoor Hills Rehabilitation and Nursing Center
OrganisationRole in the CMS recordInterestSince
Bells Healthcare Management LLC5% or greater direct ownership interest100%15 Nov 2019
Wyndmoor El LLC5% or greater indirect ownership interest15 Nov 2019
Wyndmoor Managing Member LLC5% or greater indirect ownership interest15 Nov 2019
Wyndmoor Member LLC5% or greater indirect ownership interest15 Nov 2019

The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.

Other homes in Montgomery County

The 12 nearest other nursing homes in Montgomery County, Pennsylvania
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Chestnut Hill Lodge Health and Rehab CtrWyndmoor1 of 513$14,0155 Jan 2026
Accela Rehab and Care Center at SpringfieldGlenside1 of 519$69,7355 Feb 2026
Saint Joseph VillaFlourtown5 of 54$8,2783 Mar 2025
Complete Care at Harston Hall LLCFlourtown1 of 513$17,11323 Apr 2026
Health Center at the Hill at Whitemarsh, TheLafayette Hill5 of 50$019 Dec 2025
Masonic Village at Lafayette HillLafayette Hill4 of 510$017 Jul 2025
Edgehill Nursing and Rehab CenGlenside2 of 58$014 Aug 2025
Hillcrest CenterWyncote2 of 512$016 Apr 2026
Wyncote Care CenterWyncote3 of 512$4,1945 Jan 2026
Hopkins CenterWyncote2 of 510$155,1557 Aug 2025
Montgomery Subacute and Respiratory CenterPlymouth Meeting4 of 52$020 May 2026
York Nursing and Rehabilitation CenterPhiladelphia1 of 517$63,87219 Dec 2025

All 58 nursing homes in Montgomery County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Wyndmoor Hills Rehabilitation and Nursing Center (CCN 396115). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/wyndmoor-hills-rehabilitation-and-nursing-center-wyndmoor-pa-396115/

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 Wyndmoor Hills Rehabilitation and Nursing Center last inspected?
The latest inspection with a citation in the CMS record was on 12 Jun 2026. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 23 Feb 2024.
Who operates Wyndmoor Hills Rehabilitation and Nursing Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
What does the Special Focus status mean for Wyndmoor Hills Rehabilitation and Nursing Center?
CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. 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.