Deficiency Index

Providence Rehab and Hlthcare Ctratmercyfitzgerald

Yeadon, Pennsylvania · CCN 395989

37 surveys since 2012, 6 of them producing a finding at harm level or worse.

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

Citations on record
118
Surveys
37
Harm or worse
6
Immediate jeopardy
0
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse6

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file26/37

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

The facility

Certified beds
129
Ownership
For profit - Limited Liability company
Chain
MARQUIS HEALTH SERVICES
County
Delaware
Medicare-certified since
1996

CMS ratings

Overall
3
Health inspection
2
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

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

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

Last survey on record

Jan 14, 2026

299 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 day3.573.39
Registered-nurse hours per resident day0.73—
Annual nurse turnover43.4%49.6%

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

Enforcement

Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 minimalD2592.6%E13.7%F—
No harm, potential for minimalA—B13.7%C—
CMS’s current file: 27 of the 118 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5842×

    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.

  • F6022×

    Protect each resident from the wrongful use of the resident's belongings or money.

  • F6842×

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

In the surveyor’s words

From the most serious findings on record at Providence Rehab and Hlthcare Ctratmercyfitzgerald, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812May 22, 2023

    Based on observations, interviews with staff, and a review of facility policies and documentation, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. Findings include: Review of the facility policy titled, Food Storage, dated September 2021, revealed, All food requiring refrigeration will be stored at or below 40 degrees F, food requiring freezing will be kept at or below 0 degrees F so that it is frozen solid. A tour of the Food Service Department was conducted on May 22, 2023, at 9:45 a.m. […]

  • No harm, potential for more than minimal, widespreadF812Mar 27, 2023

    Based on review of facility policy, observations, and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, and served in accordance with professional standards for food service safety. Findings Include: Review of facility policy Food Preparation and Service, revised November 2022, revealed the food and nutrition department should prepare and serve food in a manner that complies with safe food handling practices. The Danger Zone is described as foods held at temperatures above 41 degrees Fahrenheit (F) and below 135 degrees F. This temperature range promotes the rapid growth of pathogenic microorganisms that cause foodborne illness. […]

  • No harm, potential for more than minimal, patternF880Feb 7, 2024

    Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to follow acceptable infection control practices related to hand washing during medication administration and cleaning and disinfection of resident care equipment for one 2 of 2 staff observations. (Employee E4 and Employee E5) Findings include: Review of facility policy on Administering Medication dated April 2019 revealed that Staff follows established infection control procedures (eg., hand washing, antiseptic technique, gloves, isolation precautions, etc) for the administration of medications, as applicable. […]

  • No harm, potential for more than minimal, patternF804May 22, 2023

    Based on review of facility documentation, observations, and resident and staff interviews, it was determined that the facility failed to provide food and drink that was palatable and served at the proper temperature for three of eight residents interviewed (Residents R2, R4 and R6). Findings include: A review of Test Tray form revealed that the standard temperature range for Entree, Starch and Vegetable was greater than or equal to 135 Fahrenheit (F) , and milk and cold beverage were less than or equal to 41 F. Interview on the First floor with Resident R2 on May 22, 2023, at 10:45 a.m. […]

  • No harm, potential for more than minimal, patternF804Mar 27, 2023

    Based on observations and interviews with residents and staff, it was determined that the facility failed to provide food and drink that was palatable, attractive, and served at appetizing temperatures on one of two nursing units (First Floor Nursing Unit). Findings include: Interivew on March 22, 2023, at 11:38 a.m. with Resident 17 revealed the food was not appetizing. Interview on March 22, 2023, at 11:41 a.m. with Resident R27 revealed the food was not good. Interview on March 22, 2023, at 12:46 p.m. Resident R76 stated that the food was not good and that she does not received foods that she likes. Interview on March 22, 2023, at 2:34 p.m. Resident R211 stated that the food was served cold and tasted bad. Interview on March 22, 2023, at 2:41 p.m. […]

Read 26 findings in full →The most serious and the most recent: 26 of 118 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 14, 2026Standard and complaint3 findings
  • Jan 2, 2026Complaint1 finding
  • May 6, 2025Complaint1 finding
  • Apr 23, 2025Complaint3 findings
  • Apr 1, 2025Complaint1 finding
  • Jan 15, 2025Standard10 findings
  • Sep 23, 2024Complaint1 finding
  • May 29, 2024Complaint1 finding
Show the 29 earlier surveys
  • Mar 18, 2024Complaint1 finding
  • Feb 15, 2024Complaint1 finding
  • Feb 7, 2024Standard4 findings
  • May 22, 2023Complaint2 findings
  • Mar 27, 2023Standard13 findings
  • Dec 29, 2022Infection control1 finding
  • Nov 11, 2022Complaint1 finding
  • May 6, 2022Standard8 findings
  • Nov 12, 2021Complaint1 finding
  • Jun 21, 2021Complaint1 finding
  • Oct 23, 2020Standard3 findings
  • Aug 25, 2020Complaint2 findings · 2 harm
  • May 16, 2019Complaint1 finding
  • Jan 29, 2019Standard8 findings
  • Oct 17, 2018Complaint1 finding
  • Aug 27, 2018Complaint1 finding
  • Feb 15, 2018Standard7 findings
  • Jan 2, 2018Complaint1 finding
  • Sep 14, 2017Complaint1 finding
  • Jan 13, 2017Standard2 findings
  • Mar 31, 2016Standard6 findings · 1 harm
  • Aug 26, 2015Complaint1 finding · 1 harm
  • Jan 23, 2015Standard8 findings
  • Aug 29, 2014Complaint1 finding · 1 harm
  • Feb 27, 2014Standard3 findings · 1 harm
  • Oct 29, 2013—1 finding
  • Mar 28, 2013—3 findings
  • Sep 27, 2012—4 findings
  • Mar 27, 2012—10 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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