| St Francis Center for Rehabilitation & Healthcare | |
| 1412 Lansdowne Avenue, Darby, Pennsylvania 19023 | |
| (610) 461-6510 | |
| Name | St Francis Center for Rehabilitation & Healthcare |
|---|---|
| Location | 1412 Lansdowne Avenue, Darby, Pennsylvania |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 273 |
| Occupancy Rate | 92.45% |
| Medicare ID (CCN) | 395282 |
| Legal Business Name | 1412 Lansdowne Operating LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Center Management Group (16 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1922416270 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | 1412 Lansdowne Operating, LLC |
| Doing Business As | St. Francis Center for Rehabilitation & Healthcare |
| Address | 1412 Lansdowne Ave, Darby, PA 19023 |
| Phone Number | 610-461-6510 |
| NPI Number | 1619951993 |
| Match | Possible same name, address or phone number |
| Organization Name | St Francis Country House |
| Doing Business As | St Francis Country House |
| Address | 1412 Lansdowne Ave, Darby, PA 19023 |
| Phone Number | 610-461-6510 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.39 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.37 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.11 | 0.86 |
| Nurse aide hours per resident per day | 1.91 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.12 | 3.42 |
| RN hours per resident per day on the weekend | 0.28 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 58.4% | 45.8% |
| Registered nurse turnover | 32% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 5, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. F0559, Resident Rights, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | No plan of correction |
| Jun 5, 2026 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Minimal harm potential, widespread | No plan of correction |
| Jul 18, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 4, 2025 |
| Jul 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2025 |
| Jul 18, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, isolated | Corrected by Sep 4, 2025 |
| Sep 26, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Sep 26, 2024 | Put firmly secured handrails on each side of hallways. F0924, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Nov 20, 2024 |
| Apr 24, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Jun 12, 2024 |
| Jan 9, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Jan 30, 2024 |
| Dec 1, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Complaint inspection | Potential for harm, pattern | Corrected by Jan 9, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.56 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.97 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.31 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.27 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 35.1 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.05 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.49 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.58 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.63 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.85 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.45 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.35 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.16 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.42 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | Not Available | 15.38 |