Deficiency Index

Saint Joseph Villa

Flourtown, Pennsylvania · CCN 395278

13 surveys since 2012. The first finding at harm level was recorded in 2016.

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

Citations on record
47
Surveys
13
Harm or worse
5
Immediate jeopardy
1
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file10/13

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

The facility

Certified beds
106
Ownership
Non profit - Church related
Chain
Independent
County
Montgomery
Medicare-certified since
1970

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Mar 3, 2025

616 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 day4.794.12
Registered-nurse hours per resident day1.40—
Annual nurse turnover16.4%40.9%

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

Enforcement

Fines
$8,278 across 1 penalty

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 harmG111.1%H—I—
No harm, potential for more than minimalD666.7%E222.2%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 9 of the 47 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6561×

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

  • F6841×

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

  • F8091×

    Ensure 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.

  • F8121×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Saint Joseph Villa, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF678Aug 29, 2022

    Based on review of established guidelines for cardiopulmonary resuscitation (CPR), the facility's policies, review of residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that CPR was provided in accordance with facility policy, physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficiency was identified as Immediate Jeopardy past non-compliance. Findings Include: Review of the facility's policy titled Cardiopulmonary Resuscitation (CPR - Cardiopulmonary Resuscitation is defined as an emergency lifesaving procedure performed when the heart stops beating. […]

  • Actual harm, isolatedF689Mar 3, 2025

    Based on staff interviews, review of the clinical record and facility documentation, it was determined the facility failed to ensure a resident was properly monitored and assessed during a hot pack treatment. This failure resulted in actual harm to Resident R302 who sustained a burn on the right shoulder (Resident R302). Findings include: Review of the facility's undated policy, Commercial Hot Packs/Thermal Agent Treatment, indicated the rehabilitation therapist will follow established techniques when applying commercial hot packs as a treatment modality. Further review of the policy indicated the packs are stored in a thermostatically controlled cabinet in water at a temperature of 150-170 degrees Fahrenheit. […]

  • Actual harm, isolatedF689Aug 29, 2022

    Based on the review of clinical records, facility policies, facility documentation and interviews with staff it was determined that the facility failed to provide appropriate supervision and assistance to one resident who required assistance during meals. This failure resulted in actual harm to Resident R26 who spilled oatmeal on her thigh on two separate incidents and sustained [CONDITION(S)]. Finding Include: Review of facility policy, Assistance with Meals revised on August 2022 revealed, Residents who cannot feed themselves will be fed with attention to safety, comfort and dignity. The staff shall read resident Kardex prior to providing care to the residents. Residents who required feeding assistance will have trays brought to them. […]

  • No harm, potential for more than minimal, patternF732Jan 30, 2026

    Based on observation and staff interview, it was determined that the facility failed to accurately display facility daily nurse staff hours as required.Findings include:On January 30, 2026, at 10:07 a.m., an observational tour was conducted with the Social Worker, Employee E9, on the second floor nursing unit. The tour of the facility revealed that staffing information was not posted in the lobby or on the nursing units.In an interview on January 30, 2026, at 10:15 a.m., the Administrator confirmed that accurate nurse staffing information had not been posted in the lobby or on the nursing units.28 Pa. Code 201.18(b)(3) Management.

  • No harm, potential for more than minimal, patternF812Apr 26, 2024

    Based on observation, review of facility policy and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food related to labeling and staorage of foods in the main kitchen. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. You cannot always see, smell, or taste harmful bacteria that may cause illness according to the USDA (The United States Department of Agriculture, also known as the Agriculture Department, is the U.S. […]

Read 22 findings in full →The most serious and the most recent: 22 of 47 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 30, 2026Standard4 findings
  • Mar 3, 2025Standard4 findings · 1 harm
  • Apr 26, 2024Standard2 findings
  • Jul 17, 2023Standard3 findings
  • Aug 29, 2022Standard6 findings · 2 harm
  • May 9, 2019Standard12 findings
  • Jul 19, 2018Standard2 findings
  • Sep 21, 2017Standard7 findings
Show the 5 earlier surveys
  • Nov 1, 2016Standard and complaint2 findings · 1 harm
  • Sep 16, 2016Complaint1 finding
  • Jun 1, 2016Complaint2 findings · 1 harm
  • Sep 9, 2014Complaint1 finding
  • Oct 12, 2012—1 finding

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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