ST MARTHA CENTER FOR REHABILITATION & HEALTHCARE

πŸ“ 470 MANOR AVE, downingtown, PA 19335 πŸ“ž 6108738490 πŸ›οΈ 120 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

58
Total Violations
9 years of data
$2,949
Total Fines
3 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 2 violations

Tag 0684 D Feb 21, 2025

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

βœ“ Corrected: Mar 21, 2025
Tag 0758 D Feb 21, 2025

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Mar 21, 2025

2024 6 violations

Tag 0656 D Jan 12, 2024

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

βœ“ Corrected: Feb 23, 2024
Tag 0661 D Jan 12, 2024

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Feb 23, 2024
Tag 0684 D Jan 12, 2024

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

βœ“ Corrected: Feb 23, 2024
Tag 0692 E Jan 12, 2024

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

βœ“ Corrected: Feb 23, 2024
Tag 0755 D Jan 12, 2024

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

βœ“ Corrected: Feb 23, 2024
Tag 0770 D Jan 12, 2024

Provide timely, quality laboratory services/tests to meet the needs of residents.

βœ“ Corrected: Feb 23, 2024

2023 7 violations

Tag 0802 F Aug 29, 2023

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

βœ“ Corrected: Oct 1, 2023
Tag 0609 D Apr 27, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0842 D Apr 27, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag 0657 D Mar 10, 2023

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

Tag 0684 D Mar 10, 2023

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

βœ“ Corrected: Apr 24, 2023
Tag 0756 D Mar 10, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Apr 24, 2023
Tag 0804 E Mar 10, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Apr 24, 2023

2022 1 violations

Tag 0758 D Mar 31, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: May 23, 2022

2021 15 violations

Tag 0656 D Aug 4, 2021

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

βœ“ Corrected: Sep 14, 2021
Tag 0684 D Aug 4, 2021

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

βœ“ Corrected: Sep 14, 2021
Tag 0550 D Mar 18, 2021

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

βœ“ Corrected: May 4, 2021
Tag 0580 D Mar 18, 2021

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

βœ“ Corrected: May 4, 2021
Tag 0582 D Mar 18, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: May 4, 2021
Tag 0609 D Mar 18, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: May 4, 2021
Tag 0635 D Mar 18, 2021

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

βœ“ Corrected: May 4, 2021
Tag 0684 D Mar 18, 2021

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

βœ“ Corrected: May 4, 2021
Tag 0690 D Mar 18, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 4, 2021
Tag 0694 D Mar 18, 2021

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

βœ“ Corrected: May 4, 2021
Tag 0730 E Mar 18, 2021

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: May 4, 2021
Tag 0757 D Mar 18, 2021

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: May 4, 2021
Tag 0761 D Mar 18, 2021

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.

βœ“ Corrected: May 4, 2021
Tag 0812 F Mar 18, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 4, 2021
Tag 0908 D Mar 18, 2021

Keep all essential equipment working safely.

βœ“ Corrected: May 4, 2021

2020 1 violations

Tag 0755 D Nov 9, 2020

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

βœ“ Corrected: Dec 14, 2020

2019 2 violations

Tag 0698 D Apr 5, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: May 17, 2019
Tag 0880 E Apr 5, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 17, 2019

2018 16 violations

Tag 0600 G Dec 24, 2018

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

βœ“ Corrected: Dec 24, 2018
Tag 0759 D Dec 24, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Feb 5, 2019
Tag 0807 D Dec 24, 2018

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

βœ“ Corrected: Feb 5, 2019
Tag 0842 D Dec 24, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Feb 5, 2019
Tag 0921 F Dec 24, 2018

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

βœ“ Corrected: Feb 5, 2019
Tag 0550 D Mar 26, 2018

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

βœ“ Corrected: May 3, 2018
Tag 0607 D Mar 26, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: May 3, 2018
Tag 0641 D Mar 26, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: May 3, 2018
Tag 0655 D Mar 26, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: May 3, 2018
Tag 0656 D Mar 26, 2018

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

βœ“ Corrected: May 3, 2018
Tag 0689 D Mar 26, 2018

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

βœ“ Corrected: May 3, 2018
Tag 0690 D Mar 26, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 3, 2018
Tag 0756 E Mar 26, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: May 3, 2018
Tag 0808 D Mar 26, 2018

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

βœ“ Corrected: May 3, 2018
Tag 0812 F Mar 26, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 3, 2018
Tag 0921 D Mar 26, 2018

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

βœ“ Corrected: May 3, 2018

2017 8 violations

Tag 0157 D Sep 5, 2017

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

βœ“ Corrected: Oct 23, 2017
Tag 0314 D Sep 5, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Oct 23, 2017
Tag 0514 D Sep 5, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Oct 23, 2017
Tag 0225 D Jun 9, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Jul 19, 2017
Tag 0241 E Jun 9, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Jul 19, 2017
Tag 0279 D Jun 9, 2017

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

βœ“ Corrected: Jul 19, 2017
Tag 0323 D Jun 9, 2017

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

βœ“ Corrected: Jul 19, 2017
Tag 0364 E Jun 9, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

βœ“ Corrected: Jul 19, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $1,316

$1,316
Fine
January 17, 2022
Average: $1,316 | Range: $1,316 - $1,316

2021 2 penalties totaling $1,633

$983
Fine
July 26, 2021
$650
Fine
July 19, 2021
Average: $817 | Range: $650 - $983

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

January 12, 2024
0.00

Health

August 29, 2023
0.00

Health

April 27, 2023
0.00

Health

March 10, 2023
0.00

Health

March 31, 2022
0.00

Health

August 4, 2021
0.00

Health

March 18, 2021
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
395815
395815
6108738490
Chester

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual