Deficiency Index

Pottstown Skilled Nursing and Rehabilitation Cente

Pottstown, Pennsylvania · CCN 395402

38 surveys since 2011, and no finding has been recorded at harm level.

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

Citations on record
110
Surveys
38
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file29/38

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

The facility

Certified beds
150
Ownership
For profit - Corporation
Chain
GENESIS HEALTHCARE
County
Montgomery
Medicare-certified since
1978

CMS ratings

Overall
1
Health inspection
3
Staffing
1
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 173 for-profit facilities with 128 or more beds in Pennsylvania.

Last survey on record

Jul 13, 2026

119 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 day3.333.39
Registered-nurse hours per resident day0.53—
Annual nurse turnover49.6%49.6%

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 minimalD2369.7%E515.2%F—
No harm, potential for minimalA—B—C515.2%
CMS’s current file: 33 of the 110 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5843×

    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.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Pottstown Skilled Nursing and Rehabilitation Cente, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 23, 2021

    Based on observation and interview, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observation of the dry storage area on [DATE], at 10:30 a.m., revealed an open and undated bag of cookies wrapped in plastic, two open bags open of hotdog rolls; two open bags of noodles wrapped in plastic, one open and undated box of croutons, two bags of cornbread stuffing mix and three bags seasoning mix with no expiration date and a box of oatmeal raisin cookies received February 24, 2021. […]

  • No harm, potential for more than minimal, patternF584Jul 13, 2026

    Based on observation and staff interview, it was determined that the facility failed to provide a safe, clean, and comfortable environment on three of four nursing units. (First, Second, and Fourth Floor) Findings include: Observations on July 13, 2026, from 10:30 a.m. through 12:00 p.m., revealed the following environmental issues: There was one chipped floor tile in the front center of the floor that created a rough, uneven surface in the left elevator car across from the first-floor nurses' station. In the central bathroom on the first floor, there was a hole in the wall to the right of the sink and there were black dried spots on the wall to the left of the sink. […]

  • No harm, potential for more than minimal, patternF880May 29, 2026

    Based on facility policy review, observation, and staff interview, it was determined that the facility failed to follow policies and procedures to prevent the spread of infection for four of 28 sampled residents. (Residents 84, 97, 112, 119) Findings include: Review of the facility policy entitled, Medication Administration, last reviewed on May 11, 2026, revealed that staff was to practice hand hygiene prior to administering medication and was to remove medication from source, taking care not to touch medication with bare hands. […]

  • No harm, potential for more than minimal, patternF684Feb 24, 2026

    Based on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for one of six sampled residents. (Resident 1)Findings include: Clinical record review revealed that Resident 1 had diagnoses that included congestive heart failure, presence of a heart assist device, and atherosclerosis of coronary artery bypass graft(s). A review of physician's orders dated January 23 through 29, 2026, and the Treatment Administration Record for January 2026, revealed the following: Staff were to perform a self-test to ensure proper function of the left ventricular assist device (LVAD) every shift. There was no documented evidence that staff performed the self-test on two occasions. […]

  • No harm, potential for more than minimal, patternF584Jan 21, 2026

    Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on three of four nursing units and the beauty salon. (Second, Third, and Fourth Floors) Findings include:Observations on January 21, 2026, from 10:00 a.m. through 12:00 p.m., revealed the following environmental issues:In resident room [ROOM NUMBER] (bed A) there were areas of missing and peeling wallpaper above the resident's bed.In the hallway next to resident room [ROOM NUMBER], the wallpaper below the air conditioner unit had separated from the wall and bubbled along the length of the wall. There was some drywall exposed in this area. In the hallway next to the door to room [ROOM NUMBER] there is a dark mark on the wall. […]

Read 20 findings in full →The most serious and the most recent: 20 of 110 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 13, 2026Complaint1 finding
  • May 29, 2026Standard6 findings
  • Feb 24, 2026Complaint1 finding
  • Jan 21, 2026Complaint2 findings
  • Sep 12, 2025Complaint1 finding
  • Aug 12, 2025Complaint1 finding
  • Apr 10, 2025Standard7 findings
  • Jun 27, 2024Standard5 findings
Show the 30 earlier surveys
  • May 15, 2023Complaint1 finding
  • May 5, 2023Standard9 findings
  • Nov 16, 2022Complaint2 findings
  • Oct 19, 2022Complaint1 finding
  • Jun 16, 2022Standard10 findings
  • Dec 21, 2021Complaint1 finding
  • Oct 23, 2021Complaint1 finding
  • Jul 30, 2021Complaint1 finding
  • Jul 23, 2021Standard8 findings
  • Jan 31, 2020Standard3 findings
  • Jul 8, 2019Complaint2 findings
  • Feb 7, 2019Standard3 findings
  • Mar 30, 2018Standard8 findings
  • Oct 26, 2017Complaint1 finding
  • Feb 3, 2017Standard4 findings
  • Jun 24, 2016Complaint1 finding
  • Mar 4, 2016Standard4 findings
  • May 19, 2015Complaint2 findings
  • Feb 11, 2015Standard3 findings
  • Mar 28, 2014Standard2 findings
  • Nov 19, 2013—1 finding
  • Aug 22, 2013—1 finding
  • Jul 3, 2013—1 finding
  • Apr 19, 2013—4 findings
  • Oct 25, 2012—2 findings
  • Aug 16, 2012—1 finding
  • Mar 30, 2012—3 findings
  • Oct 5, 2011—2 findings
  • Apr 5, 2011—2 findings
  • Feb 4, 2011—2 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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