Deficiency Index

Wyncote Care Center

Wyncote, Pennsylvania · CCN 396120

24 surveys since 2011. The first finding at harm level was recorded in 2019.

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

Citations on record
60
Surveys
24
Harm or worse
4
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file14/24

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

The facility

Certified beds
58
Ownership
For profit - Limited Liability company
Chain
Independent
County
Montgomery
Medicare-certified since
2008

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
3

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 51 for-profit facilities with fewer than 66 beds in Pennsylvania.

Last survey on record

Apr 14, 2026

209 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 day4.223.69
Registered-nurse hours per resident day0.90—

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

Enforcement

Fines
$4,194 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 harmG—H—I—
No harm, potential for more than minimalD1669.6%E730.4%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 60 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5832×

    Keep residents' personal and medical records private and confidential.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6892×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at Wyncote Care Center, in the surveyor’s own words.

  • Actual harm, isolatedF600Apr 24, 2023

    Based on clinical record review, staff interview, review of facility policies, and review of facility documentation, it was determined that the facility failed to ensure that Resident R29 was free from neglect related to a Registered Nurse failing to immediately assess the resident after being notified of a fall sustained by the resident. Facility staff transferred the resident off the ground to the bed without an assessment from a Registered Nurse for possible injuries, causing the resident to scream with pain. The facility ' s failure to complete a timely assessment for Resident R29, resulted in harm, when the resident experienced pain and a delay in treatment for one of 17 residents reviewed. […]

  • Actual harm, isolatedF658Apr 24, 2023

    Based on clinical record review, review of personnel files, review of facility documentation and interviews with staff, it was determined that the facility failed to ensure that a Licensed Practical Nurse and a Registered Nurse, maintained professional standards of quality care in the implementation and evaluation of nursing care using focused assessment and communication with the health care team members as set forth in the Pennsylvania Code Title 49, Professional and Vocational Standards. This failure resulted in actual harm to a resident related to a lack of a timely nursing assessment and a delay of medical care to a resident who sustained a fall which resulted in fracture of left hip which required medical intervention for one of 17 residents reviewed (Resident R29). […]

  • Actual harm, isolatedF684Apr 24, 2023

    Based on clinical record review, staff interview and review of facility documentation, it was determined that the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice by not having a Registered Nurse assess Resident R29 following an unwitnessed fall causing undue pain and a delay in care and treatment. Resident R29 did not have an x-ray report read until 23 hours and 10 minutes from the initial fall for one of 20 residents reviewed. The lack of assessment caused actual harm, undue pain and delay in care to Resident R29 who was diagnosed with a left femoral neck fracture, for one of 17 residents reviewed. […]

  • No harm, potential for more than minimal, patternF880Apr 1, 2026

    Based on a review of facility policies, observations, and staff interviews, it was determined that the facility failed to implement enhanced barrier precautions for three of the six residents reviewed. (Resident R2, Resident R3, and Resident R4).Findings include: Review of the facility policy titled Enhanced Barrier Precautions, August 2022, revealed: Enhanced barrier precautions are utilized to prevent the spread of multi -drug resistant organisms (MDRO's to residents. Under policy Implementation: EBP's (Enhanced Barrier Precautions) employ targeted gown and glove use during high contact resident care activities when contact precautions do not otherwise apply. […]

  • No harm, potential for more than minimal, patternF881Apr 1, 2026

    Based on review of the facility's infection control policies and procedures and staff interview, it was determined that the facility failed to implement an antibiotic stewardship program for 10 of 10 months (May 2025 -March 2026).Findings include: Review of the Facility policy titled Antibiotic Stewardship revised December 2016, revealed Antibiotic will be prescribed and administered to resident under guidance of the facility's antibiotic stewardship program. The purpose of our antibiotic stewardship program is to monitor the use of antibiotics in our residents. […]

Read 24 findings in full →The most serious and the most recent: 24 of 60 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 14, 2026Complaint2 findings
  • Apr 1, 2026Complaint4 findings
  • Jan 5, 2026Standard and complaint5 findings
  • Sep 2, 2025Complaint1 finding
  • Jun 25, 2025Complaint1 finding
  • Jun 4, 2025Complaint1 finding
  • Apr 22, 2025Complaint1 finding
  • Dec 19, 2024Standard2 findings
Show the 16 earlier surveys
  • Mar 1, 2024Standard5 findings
  • Sep 26, 2023Complaint1 finding
  • Apr 24, 2023Standard9 findings · 3 harm
  • May 20, 2022Standard1 finding
  • Mar 1, 2021Standard3 findings
  • Apr 30, 2019Standard10 findings · 1 harm
  • Mar 12, 2018Standard4 findings
  • Aug 30, 2017Complaint1 finding
  • Jul 25, 2017Complaint1 finding
  • Apr 13, 2017Standard1 finding
  • Feb 11, 2016Standard2 findings
  • Mar 4, 2015Standard1 finding
  • Apr 3, 2014Standard1 finding
  • Feb 1, 2013—1 finding
  • Mar 22, 2012—1 finding
  • May 23, 2011—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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