About Wyndmoor Hills Rehabilitation and Nursing Center
Wyndmoor Hills Rehabilitation And Nursing Center, located in WYNDMOOR, PA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Wyndmoor Hills Rehabilitation and Nursing Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.20 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the LME FAMILY HOLDINGS network. This chain operates 15 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Wyndmoor Hills Rehabilitation and Nursing Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 180 | Jan 10, 2025 |
| Weighted Average | 294 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 24.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 10.6% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.1% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.1% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 3.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 15.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 27.2% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 86.9% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 46.0% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.8% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 1.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 29.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 93.1% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 63.7% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 10.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 19.2% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 7.8% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 4 complaints
- 2024: 33 complaints
- 2025: 9 complaints
- 2026: 9 complaints
- Total: 55 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 10, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 10, 2026 | Provide safe, appropriate pain management for a resident who requires such services. |
| Jan 06, 2026 | Observe each nurse aide's job performance and give regular training. |
| Jan 06, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jan 06, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jan 06, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jan 06, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Jan 06, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jan 06, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 18, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Jul 29, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Jun 24, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 24, 2025 | Provide or get specialized rehabilitative services as required for a resident. |
| Mar 18, 2025 | 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. |
| Mar 18, 2025 | Provide safe, appropriate pain management for a resident who requires such services. |
| Mar 18, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Feb 20, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| Feb 20, 2025 | 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. |
| Oct 10, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Oct 10, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 10, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Aug 29, 2024 | 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. |
| Aug 14, 2024 | Keep all essential equipment working safely. |
| Aug 14, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| Mar 15, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 15, 2024 | 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. |
| Mar 15, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. |
| Mar 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 15, 2024 | Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. |
| Mar 15, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Mar 15, 2024 | Respond appropriately to all alleged violations. |
| Mar 15, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Mar 15, 2024 | 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. |
| Mar 15, 2024 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. |
| Mar 15, 2024 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. |
| Mar 15, 2024 | Honor the resident's right to organize and participate in resident/family groups in the facility. |
| Mar 15, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Mar 15, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| Mar 15, 2024 | Have a plan that describes the process for conducting QAPI and QAA activities. |
| Mar 15, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly |
| Mar 15, 2024 | Provide and implement an infection prevention and control program. |
| Mar 15, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| Mar 15, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| Mar 15, 2024 | Keep all essential equipment working safely. |
| Mar 15, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| Feb 27, 2024 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. |
| Feb 27, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. |
| Feb 27, 2024 | 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. |
| Feb 27, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Feb 27, 2024 | Dispose of garbage and refuse properly. |
| Feb 13, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. |
| Nov 17, 2023 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Nov 17, 2023 | Keep all essential equipment working safely. |
| Nov 17, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Oct 25, 2023 | 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. |
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Owner & Operator Information
Business Entity
WYNDMOOR SNF OPERATING COMPANY LLC
Ownership Structure
- BE SMARTS TR Indirect
- BELLS HEALTHCARE MANAGEMENT LLC Direct: 100%
- WYNDMOOR EL LLC Indirect
- WYNDMOOR MANAGING MEMBER LLC Indirect
- WYNDMOOR MEMBER LLC Indirect
Management & Direction
- BARRY BRAUNSTEIN OPERATIONAL/MANAGERIAL CONTROL
- SAMUEL FEUER CORPORATE DIRECTOR
- TYNISHA HERDER W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Willowbrooke Court Skd Care Center at Lima Estates | N/A | 5 |
| Willowbrooke Court-Southampton | N/A | 5 |
| Meadowood | N/A | 5 |
| Dock Terrace | N/A | 5 |
| Willowbrooke Court-Granite | N/A | 5 |
| The Community at Rockhill | N/A | 5 |
| Frederick Living - Cedarwood | N/A | 5 |
| Willowbrooke Ctskdcarectr at Fortwashingtonestates | N/A | 5 |
| Willowbrooke Court-Spring Hous | N/A | 5 |
| Beaumont at Bryn Mawr | N/A | 5 |
Related Analysis
Best Nursing Homes in WYNDMOOR, PA
Compare Wyndmoor Hills Rehabilitation and Nursing Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Wyndmoor Hills Rehabilitation and Nursing Center directly at 2152336200. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.