B87

LUTHER WOODS NURSING AND REHABILITATION CENTER

Grade B 87/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

140

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

313 COUNTY LINE ROAD, HATBORO, PA 19040
2156755005

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.67h
LPN
0.66h
CNA
2.12h
Total
3.46h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LUTHER WOODS HEALTH HOLDCO LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2018

100%

BIRNBAUM, ISRAEL

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2018

33%

KOHN, AVROHOM

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2018

33%

NETZER, MICHELE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2018

33%

VITA HEALTHCARE GROUP LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2016

NETZER, MICHELE

IndividualCORPORATE DIRECTORSince May 2018

MCLAUGHLIN, LYNN

IndividualW-2 MANAGING EMPLOYEESince Feb 2016

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (16)

December 12, 2024Health2 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 3, 2025
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Dec 31, 2024
August 21, 2024Health1 deficiency
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Sep 13, 2024
March 22, 2024Health4 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 10, 2024
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Apr 11, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Apr 10, 2024
0847DMinimal harm, Isolated

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Administration Deficiencies

Corrected Apr 11, 2024
May 18, 2023Health8 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jun 1, 2023
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jun 1, 2023
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jun 1, 2023
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 1, 2023
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 1, 2023
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 1, 2023
0710DMinimal harm, Isolated

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Nursing and Physician Services Deficiencies

Corrected Jun 1, 2023
0814EMinimal harm, Pattern

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jun 1, 2023
March 2, 2023Health1 deficiency
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Mar 20, 2023

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Frequently Asked Questions

What is the CareGrader rating for LUTHER WOODS NURSING AND REHABILITATION CENTER?

LUTHER WOODS NURSING AND REHABILITATION CENTER in HATBORO, Pennsylvania has a CareGrader grade of B (Good), with a composite score of 87.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LUTHER WOODS NURSING AND REHABILITATION CENTER?

LUTHER WOODS NURSING AND REHABILITATION CENTER has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LUTHER WOODS NURSING AND REHABILITATION CENTER have?

LUTHER WOODS NURSING AND REHABILITATION CENTER has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does LUTHER WOODS NURSING AND REHABILITATION CENTER have?

LUTHER WOODS NURSING AND REHABILITATION CENTER has 140 certified beds with approximately 127 current residents (91% occupancy). The facility is located at 313 COUNTY LINE ROAD, HATBORO, Pennsylvania 19040. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.