Deficiency Index

Lafayette-Redeemer, The

Philadelphia, Pennsylvania · CCN 395704

15 surveys since 2013. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
54
Surveys
15
Harm or worse
1
Immediate jeopardy
0
The record, 2013–2026
’13’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
Non profit - Corporation
Chain
Independent
County
Philadelphia
Medicare-certified since
1985

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=10, floor 20).

Last survey on record

Apr 11, 2024

942 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.144.12
Registered-nurse hours per resident day0.80—
Annual nurse turnover40.6%40.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD375.0%E125.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 4 of the 54 citations on record.

In the surveyor’s words

From the most serious findings on record at Lafayette-Redeemer, The, in the surveyor’s own words.

  • Actual harm, isolatedF689Aug 11, 2022

    Based on review of clinical record, review of facility documentation, review of facility policy and interviews with staff, it was determined that the facility failed to test the temperature of a hot water beverage provided to one of 13 residents reviewed (Resident R4). This failure resulted in actual harm to Resident R4 who spilled the hot water beverage on his thigh resulting in a first-degree burn. This deficiency was identified as past non-compliance. Findings include: Review of facility policy Hot Beverage Service in Senior Dining revealed hot beverages will be served at a temperature no greater than 170 degrees Fahrenheit (F). Upon completion of brewing hot beverages, allow to cool to a temperature of 170 degrees Fahrenheit. […]

  • No harm, potential for more than minimal, patternF550Apr 11, 2024

    Based on observations and interviews with staff, it was determined that the facility failed to promote care for residents that maintains or enhances dignity and respect related to dining for one of two dining rooms observed (Second floor dining room). Findings include: Observations of the Seceond floor dining room revealed that Resident R2 was falling asleep at the dining table. Licensed Practical Nurse, Employee E4, shouted across tables, R2, you better wake up or I'll have to come over there and feed you like a baby! Follow-up observations of lunch dining in the second-floor dining room, on April 10, 2024, at 12:00 p.m. […]

  • No harm, potential for more than minimal, isolatedF755Jan 30, 2026

    Based on observations, review of clinical record and interview with staff, it was determined that facility did not ensure to administer medication according to physician's order for one of 18 residents reviewed (Resident R98)Review of facility policy 'Pharmacy - Medication Administration,' effective date April 9, 2024, indicates its purpose is to ensure safe administration of medication in accordance with regulatory requirements.Review of Resident R98 clinical record revealed medical diagnosis of high blood pressure.Review of R98's physician's orders revealed an active order placed on January 27, 2026 for metoprolol succinate extended release (ER) oral tablet 24 hour 25 mg, to give one tablet by mouth every 12 hours for hypertension (HTN) DO NOT CRUSH.Further review of R98's clinical… […]

  • No harm, potential for more than minimal, isolatedF880Jan 30, 2026

    Based on observations, review of policy, and review of clinical record, it was determined that facility did not ensure to implement enhanced barrier precautions (EBP) for one of 18 residents reviewed. (Resident R98)Review of facility policy 'Isolation Precautions Guidelines,' effective date June 29, 2022, indicates that high contact residents care activities requiring gown and glove use for EBP include: providing hygiene, changing linens, device care or use: central line, urinary catheter, feeding tube, tracheostomy.Review of Resident R98's clinical record revealed an order placed on January 29, 2026, for foley catheter reason: place 16 Fr Foley in for urinary retention.Observation of Resident R98 in room [ROOM NUMBER]-A on Thursday, January 29, 2026, at 9:30 am revealed a nurse aide,… […]

  • No harm, potential for more than minimal, isolatedF689Apr 11, 2024

    Based on review of clinical records, review of facility documentation and interviews with staff, it was determined that the facility failed to ensure that one of 19 was free of accidents related to a transfer into a shower chair. (Resident CL209). Findings include: A review of clinical record for Resident R209 revealed that the resident was admitted to the facility on [DATE], with diagnoses including abnormalities of gait and mobility (deviation from normal walking), muscle weakness, need for assistance with personal care, and history of falling. Review of facility investigation dated, September 29, 2023, revealed that Resident CL209 bumped her leg on the shower chair and sustained a tear to the right lower leg during transfer from bed to shower chair which resulted in 14 stitches. […]

Read 20 findings in full →The most serious and the most recent: 20 of 54 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 30, 2026Standard2 findings
  • Apr 11, 2024Standard3 findings
  • Jun 22, 2023Standard1 finding
  • Aug 11, 2022Standard2 findings · 1 harm
  • Aug 4, 2021Standard2 findings
  • Dec 18, 2020Complaint1 finding
  • May 7, 2019Standard15 findings
  • Dec 18, 2018Complaint1 finding
Show the 7 earlier surveys
  • Aug 8, 2018Standard5 findings
  • Jan 3, 2018Complaint1 finding
  • Jul 13, 2017Standard8 findings
  • May 2, 2016Standard1 finding
  • Jun 12, 2015Standard3 findings
  • May 9, 2014Standard2 findings
  • Aug 22, 2013—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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