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Health Inspection Summary

Deer Meadows Rehabilitation Center

8301 Roosevelt Boulevard

Philadelphia, PA 19152

(215) 624-7575

Deficiency Category	Inspection Date: 11/22/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 2/16/24 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 4/13/23 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	1	0	0
Quality of Life and Care Deficiencies	6	3	6
Infection Control Deficiencies	1	1	0
Resident Assessment and Care Planning Deficiencies	0	3	4
Nursing and Physician Services Deficiencies	0	0	0
Resident Rights Deficiencies	2	3	2
Nutrition and Dietary Deficiencies	1	2	3
Pharmacy Service Deficiencies	2	0	0
Environmental Deficiencies	2	1	1
Administration Deficiencies	0	0	2

Detailed result for inspection on 11/22/24

Date of last standard health inspection:	11/22/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	12/30/24Read the full report (PDF) 7/25/24Read the full report (PDF) 7/2/24Read the full report (PDF) 5/31/24Read the full report (PDF) 4/17/24Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	15
Average number of Health Deficiencies in Pennsylvania:	10.3
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	5/31/24	7/1/24	2 - Minimal harm or potential for actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide care or services that was trauma informed and/or culturally competent.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few
Provide safe and appropriate respiratory care for a resident when needed.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few
Provide enough food/fluids to maintain a resident's health.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few
Provide care and assistance to perform activities of daily living for any resident who is unable.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Some

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few
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.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	4/17/24	5/13/24	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that residents are free from significant medication errors.	7/2/24	8/1/24	2 - Minimal harm or potential for actual harm	Few
Ensure that residents are free from significant medication errors.	12/30/24	1/26/25	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Keep all essential equipment working safely.	7/25/24	8/12/24	2 - Minimal harm or potential for actual harm	Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	11/22/24	1/13/25	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 2/16/24

Date of last standard health inspection:	2/16/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	No complaint inspections
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	13
Average number of Health Deficiencies in Pennsylvania:	10.3
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few
Provide safe and appropriate respiratory care for a resident when needed.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure each resident receives an accurate assessment.	2/16/24	4/12/24	1 - Potential for minimal harm	Some
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few
Reasonably accommodate the needs and preferences of each resident.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few
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.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	2/16/24	4/12/24	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 4/13/23

Date of last standard health inspection:	4/13/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	3/8/23Read the full report (PDF) 2/8/23Read the full report (PDF) 1/18/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	18
Average number of Health Deficiencies in Pennsylvania:	9.6
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	2/8/23	3/13/23	2 - Minimal harm or potential for actual harm	Few
Provide safe and appropriate respiratory care for a resident when needed.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Some
Provide safe, appropriate pain management for a resident who requires such services.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few
Provide safe, appropriate pain management for a resident who requires such services.	1/18/23	2/27/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/8/23	3/27/23	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	3/8/23	3/27/23	4 - Immediate jeopardy to resident health or safety	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few
Ensure each resident receives an accurate assessment.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Some
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
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.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few
Reasonably accommodate the needs and preferences of each resident.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
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.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few
Provide special eating equipment and utensils for residents who need them and appropriate assistance.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Keep all essential equipment working safely.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	4/13/23	6/5/23	2 - Minimal harm or potential for actual harm	Few
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	3/8/23	3/27/23	2 - Minimal harm or potential for actual harm	Few

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	5/31/24	7/1/24	2 - Minimal harm or potential for actual harm	Few
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	4/17/24	5/13/24	2 - Minimal harm or potential for actual harm	Few
Ensure that residents are free from significant medication errors.	7/2/24	8/1/24	2 - Minimal harm or potential for actual harm	Few
Ensure that residents are free from significant medication errors.	12/30/24	1/26/25	2 - Minimal harm or potential for actual harm	Few
Keep all essential equipment working safely.	7/25/24	8/12/24	2 - Minimal harm or potential for actual harm	Some
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	2/8/23	3/13/23	2 - Minimal harm or potential for actual harm	Few
Provide safe, appropriate pain management for a resident who requires such services.	1/18/23	2/27/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/8/23	3/27/23	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	3/8/23	3/27/23	4 - Immediate jeopardy to resident health or safety	Few
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	3/8/23	3/27/23	2 - Minimal harm or potential for actual harm	Few

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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