Wyndmoor Hills Rehabilitation And Nursing Center - 1-Star Tracheostomy Rehab Facility in Wyndmoor, PA | PlacetTRACHWound VacIV AntibioticsCardiac Rehab ProgramStroke ProgramOrthopedic Program
Clinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 6.06%Falls causing major injury 3.18%Pressure ulcers (high-risk) 11.42%Source: CMS MDS Quality Measures. Updated quarterly.
Admissions Contacts
CMS Star Ratings
Last inspected: Aug 2025 (284 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
4/5
★★★★☆
32 min
State avg: 47 min · US avg: 41 min
Total Nurse / Resident / Day
3h 19m
State avg: 3h 54m · US avg: 3h 53m
11 min
State avg: 6 min · US avg: 4 min
55 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
98%above avg
US avg: 64%
Total Nurse Weekend
3h 56m
Federal Penalties
27 penalties · $920,781 total
| Date | Type | Fine | Denial Days |
|---|
| 1/10/2025 | Fine | $17,614 | - |
| 1/10/2025 | Fine | $17,614 | - |
| 1/10/2025 | Fine | $17,614 | - |
| 1/10/2025 | Fine | $17,614 | - |
| 1/10/2025 | Fine | $17,614 |
31.1 per 100
State avg: 23.1 · US avg: 23.9
8.8 per 100
State avg: 9.8 · US avg: 12.0
VBP Performance Score
25/100
Incentive Payment
-1.65% penalty
Healthcare-Assoc. Infections
6.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
25.1 days
Avg Payment / Stay
$13,392.65
Patient Complexity
2.87 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Inspection Citations
Survey: August 25, 2025(3 citations)
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
Survey: July 7, 2025(3 citations)
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Survey: May 29, 2025(6 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: February 8, 2025(6 citations)
🔴 Immediate JeopardyResident Rights DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🔴 Immediate JeopardyResident Rights DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🔴 Immediate JeopardyResident Rights DeficienciesComplaint
🟡 Potential for Harm
Survey: January 10, 2025(54 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
+ 9 more survey(s) not shown in snapshot
State avg: 3.2 · US avg: 3.3
11.4 per 100
State avg: 5.3 · US avg: 5.1
0.8 per 100
State avg: 1.5 · US avg: 1.6
63.7 per 100
State avg: 68.7 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
🟡 Potential for Harm
Quality of Life and Care Deficiencies
Complaint
Administration Deficiencies
Complaint
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
What people share about this facility
No comments yet. Be the first.
Add a comment
Families and case managers: share what working with this facility was actually like. Posts go live after a quick review for safety and accuracy.