Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Centennial Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A resident with multiple chronic conditions reported two incidents of alleged verbal abuse by a staff member. The facility did not complete a thorough investigation as required by policy, omitting key witness statements and failing to document all relevant information, resulting in an unsubstantiated finding.
A deficiency was cited when a resident's care plan did not address all identified needs and lacked measurable timetables and specific actions, resulting in incomplete planning and documentation.
A resident with Peripheral Vascular Disease was repeatedly administered oxygen therapy per physician order, but there was no documented assessment of the need for oxygen in the clinical record, despite facility policy requiring such documentation.
A resident experienced a significant weight loss over a short period, but the facility did not perform a timely reweigh as required by its policy. This lapse was confirmed by the registered dietician and identified through staff interviews and record review.
A resident with COPD was not administered oxygen therapy according to the physician's order, receiving 2.5L/min instead of the prescribed 3L/min via nasal cannula. The discrepancy was discovered during observation, and the nurse confirmed the error after rechecking the flow meter at eye level.
A resident with a history of cerebral amyloid angiopathy and prior brain hemorrhages experienced a fall and was later diagnosed with an acute intraparenchymal hemorrhage and hydrocephalus. Facility staff did not conduct a thorough investigation, consult the medical director, or develop an individualized care plan addressing toileting, supervision, or transfer assistance, as required by facility policy.
A resident with Peripheral Vascular Disease was observed receiving oxygen therapy as ordered, but the facility failed to document the administration of oxygen in the medical record, as required by policy. Staff confirmed the resident was on oxygen, but the Treatment Administration Record lacked documentation of this care.
A licensed nurse placed two Gabapentin tablets directly on top of the medication cart while preparing to crush and administer them to a resident with a PEG tube, contrary to the facility's infection control policy requiring proper prevention and control methods.
Licensed nurses did not administer scheduled morning medications within the required timeframe, instead giving them significantly later than ordered for three residents with complex medical needs. This occurred due to late starts and ongoing delays in the medication pass, resulting in noncompliance with physician orders and facility policy.
The facility did not update PASRR forms to include mental health diagnoses for four residents, despite policy requirements. These residents developed conditions such as delusional disorder, anxiety disorder, and major depressive disorder during their stay, which were not reflected in their PASRR assessments. The facility administrator confirmed the documentation was incomplete.
The facility did not accurately post daily nurse staffing information, omitting total hours required, actual hours worked for each shift, and details on call outs and unit assignments. This issue was observed on multiple occasions, indicating a pattern of non-compliance.
A deficiency was identified involving the incomplete PASRR form for a resident diagnosed with Psychosis. The PASRR Level 1 form, crucial for identifying mental disorders and ensuring appropriate care, was not properly filled out, leaving sections unmarked that should have indicated the resident's mental disorder and potential chronic disability. This oversight was confirmed by the DON.
A facility failed to adhere to physician orders for a resident with a below-knee amputation, who was required to wear bilateral shrinkers on both lower extremities at all times, except during self-care or skin checks. An observation confirmed that the resident was not wearing the shrinkers as ordered, which was verified by an LPN.
A significant medication error occurred when a nurse administered only one tablet of Keppra instead of the prescribed two tablets for a resident's seizure management. This was confirmed through observation, physician order review, and nurse interview.
The facility failed to notify the State Long-Term Care Ombudsman of emergency transfers and discharges for July and August 2024. Although lists were sent to the local ombudsman, an email revealed that notices should have been sent to the state ombudsman, who could only record notices from September and October 2024. This was confirmed by the facility's social worker, indicating non-compliance with state regulations.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Thoroughly Investigate Alleged Verbal and Mental Abuse
Penalty
Summary
The facility failed to conduct a thorough investigation into allegations of verbal and mental abuse involving a resident with multiple chronic conditions, including Multiple Sclerosis, Fibromyalgia, and bipolar disorder, who was alert, oriented, and able to make autonomous choices. Two separate incidents were reported in which a staff member allegedly used derogatory language toward the resident. The facility's policy requires a comprehensive investigation, including interviews with all relevant witnesses and staff, but this was not completed as required. The Director of Nursing (DON) acknowledged knowing the identities of both the alleged perpetrator and the supervisor involved in disciplining the staff member, yet failed to include their witness statements in the investigation. Additionally, the investigation was deemed unsubstantiated primarily because the accused staff member had resigned and no other staff or residents reported hearing the incident. The omission of key witness statements and incomplete documentation led to the deficiency in the facility's response to the alleged abuse.
Incomplete Care Plan Development and Implementation
Penalty
Summary
A deficiency was identified due to the facility's failure to develop and implement a complete care plan that addresses all of a resident's needs. The care plan lacked measurable timetables and specific actions, resulting in incomplete documentation and planning for the resident's care requirements. This deficiency was observed through review of the care plan documentation, which did not include all necessary elements to ensure comprehensive care for the resident.
Failure to Assess Need for Oxygen Therapy
Penalty
Summary
A deficiency was identified when a resident with a diagnosis of Peripheral Vascular Disease was observed to be receiving oxygen therapy via nasal cannula at 2 liters per minute on multiple occasions. The physician's order specified oxygen at 2 liters per nasal cannula as needed every shift, with instructions to notify the physician if oxygen saturation was less than 94% or as needed for shortness of breath. Despite these orders and ongoing administration of oxygen, there was no documented evidence in the clinical record that the resident had been assessed for the need for oxygen therapy. Staff interviews confirmed the resident was on oxygen, and facility policy required documentation of the procedure in the medical record, which was not present.
Failure to Timely Reweigh After Substantial Weight Loss
Penalty
Summary
The facility failed to reweigh a resident in a timely manner after a substantial weight loss was identified. According to the facility's policy, residents with suspected weight changes are to be reweighed promptly. Review of the resident's records showed a weight drop from 140.6 lbs. to 133.6 lbs. over six days, amounting to a 4.98% loss, which meets the criteria for substantial weight loss per MDS guidelines. Despite this, the resident was not reweighed as required, a fact confirmed by the registered dietician. This deficiency was identified through staff interviews, record reviews, and examination of facility policy.
Oxygen Therapy Not Administered per Physician Order
Penalty
Summary
A deficiency was identified when a resident with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) was not administered oxygen therapy in accordance with the physician's order. The physician's order specified that oxygen should be administered at 3 liters per minute via nasal cannula continuously every shift. However, during an observation, the resident was found to be receiving oxygen at 2.5 liters per minute, as confirmed by both the resident and a licensed nurse. The nurse initially read the oxygen concentrator flow meter as 3 liters per minute while standing, but upon rechecking at eye level, confirmed it was actually set at 2.5 liters per minute and then adjusted it to the correct level. The resident's care plan indicated the need for oxygen therapy to maintain oxygen saturation at or above 92%, with an intervention to administer oxygen at 2 liters per minute via nasal cannula. The discrepancy between the physician's order, the care plan, and the actual administration of oxygen was noted during the survey. The Director of Nursing confirmed that the oxygen gauge should be read at eye level, highlighting a lapse in proper procedure that led to the resident not receiving oxygen as ordered.
Failure to Investigate and Care Plan After Resident Fall
Penalty
Summary
The facility failed to administer and use its resources effectively and efficiently for one resident, as evidenced by the lack of a thorough investigation and care planning following a significant incident. Staff interviews, clinical record reviews, and policy examination revealed that after a resident was found lying on the floor in their bedroom/adjoining bathroom, no individualized care plan was developed or implemented to address bowel incontinence, toileting needs, staff supervision, or assistance with transfers. The facility's policy required a comprehensive investigation of all incidents and accidents, including consultation with the medical director and development of a care plan by the interdisciplinary team to ensure a safe environment. However, administrative staff confirmed that these steps were not taken for this resident. Further, the medical director reported that the resident was sent to the emergency room and diagnosed with an acute large intraparenchymal hemorrhage and hydrocephalus, with a history of cerebral amyloid angiopathy and prior intracranial hemorrhages. Despite the facility's policy mandating a completed investigation and review by the DON, and consultation with the medical director, staff interviews confirmed that a complete and thorough investigation was not conducted or recorded. The administrative staff did not utilize available resources, including medical director consultation, to identify the root cause of the fall and ensure a safe environment, resulting in a deficiency.
Failure to Document Oxygen Therapy Administration
Penalty
Summary
The facility failed to ensure that clinical records for a resident receiving oxygen therapy were properly completed in accordance with accepted professional standards and facility policy. The facility's policy requires that oxygen therapy be administered per physician's order and that the procedure be documented in the medical record. A resident with a diagnosis of Peripheral Vascular Disease was observed on multiple occasions to be receiving oxygen at 2 liters per minute via nasal cannula, as ordered by the physician. However, review of the Treatment Administration Record for the relevant month showed no initials or documentation indicating that oxygen was administered to the resident, despite direct observations and staff confirmation that the therapy was being provided.
Failure to Follow Infection Control Procedures During Medication Administration
Penalty
Summary
A deficiency was identified when a licensed nurse failed to follow infection control procedures during medication administration to a resident. During a medication pass, two white tablets of Gabapentin were observed placed directly on top of the medication cart by the nurse, who stated she was preparing to crush them for administration via the resident's PEG tube. The nurse then proceeded to crush and administer the medication to the resident. The facility's infection control policy requires methods of prevention and control to be implemented to protect residents, visitors, and personnel from pathogenic microorganisms and infectious diseases. The observed practice of placing medication directly on the medication cart surface did not align with these infection control procedures.
Failure to Administer Medications on Time per Physician Orders
Penalty
Summary
The facility failed to ensure that medications were administered on time as ordered by physicians for three residents. Facility policy required medications to be given within one hour of the prescribed time unless otherwise specified. Observations on March 12, 2025, revealed that two licensed nurses were still administering morning medications well after the scheduled 9:00 a.m. administration time. One nurse reported a late start to her medication pass due to arriving late for work, and both nurses confirmed that they were still in the process of administering medications to multiple residents past the scheduled time. For the three residents reviewed, each had complex medical conditions requiring timely medication administration, including diagnoses such as respiratory failure, atrial fibrillation, heart failure, COPD, diabetes, epilepsy, chronic kidney disease, hypertension, and convulsions. Medications such as Eliquis, Buspirone, Symbicort, Levetiracetam, Lidocaine cream, Docusate Sodium, Metformin, and Lacosamide were all administered significantly later than the ordered 9:00 a.m. time, as observed between 11:10 a.m. and 11:29 a.m. These actions were not in accordance with physician orders or facility policy.
Failure to Update PASRR Forms for Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that revisions were made to the Pre-Admission Screening and Resident Review (PASRR) applications to include mental health diagnoses for four residents. The facility's policy required that all residents, regardless of payer source, have a PASRR form completed, and any resident with a mental health disorder should have a complete and accurate PASRR done with a referral for a Level II PASRR if necessary. However, the PASRR forms for Residents R62, R88, R26, and R23 did not reflect their current mental health conditions, which included diagnoses such as delusional disorder, anxiety disorder, major depressive disorder, and bipolar disorder, developed during their stay at the facility. The clinical records for these residents indicated that they developed significant mental health conditions after their initial PASRR assessments, which were not updated to reflect these changes. For instance, Resident R62 developed delusional disorder, anxiety disorder, and major depressive disorder, while Resident R88 developed delusional disorder. Similarly, Resident R26 was diagnosed with bipolar disorder, mood disturbance, major depressive disorder, and anxiety disorder, and Resident R23 developed anxiety disorder, delusional disorder, and major depressive disorder. The facility administrator confirmed that the PASRR forms lacked complete documentation and were not reflective of the residents' current mental health conditions.
Inaccurate Posting of Daily Nurse Staffing Information
Penalty
Summary
The facility failed to accurately post daily nurse staffing information as required by regulations. Observations and reviews of the posted staffing data on multiple occasions, including specific dates in October 2024 and earlier months, revealed that the facility did not include essential details such as total hours required, actual hours worked for each shift, and information on call outs and unit assignments. This deficiency was noted on the 2nd floor unit and was consistent across several weeks, indicating a pattern of non-compliance with the requirement to provide complete and accurate staffing information.
Incomplete PASRR Form for Resident with Psychosis
Penalty
Summary
The deficiency identified in the report pertains to the improper completion of the PASRR-ID for a resident diagnosed with Psychosis. The PASRR, established under the Omnibus Budget Reconciliation Act (OBRA) of 1987, aims to identify individuals with mental illness or intellectual disabilities, ensure appropriate placement, and guarantee necessary services. In this case, the PASRR Level 1 form for the resident, who was admitted with a diagnosis of Psychosis, was not correctly filled out. Specifically, the section that should have indicated the presence of a mental disorder was left unmarked, despite the resident's diagnosis. Additionally, the section of the PASRR form that should have addressed the screening outcome related to potential chronic disability was also incomplete. This oversight was confirmed during an interview with the Director of Nursing. The failure to accurately complete the PASRR form for the resident with a known mental disorder represents a significant lapse in the facility's compliance with regulatory requirements, as outlined in the Pennsylvania Code.
Failure to Follow Physician Orders for Resident Care
Penalty
Summary
The facility failed to follow physician orders for one resident, identified as Resident R122. The resident was admitted with a diagnosis of Acquired Absence of Left Leg Below Knee and was undergoing orthopedic aftercare following a surgical amputation. A physician's order dated January 22, 2024, required the resident to wear bilateral shrinkers on both lower extremities at all times, except during self-care or skin checks. However, on October 30, 2024, at 10:07 a.m., it was observed that Resident R122 was not wearing the bilateral shrinkers as ordered. This observation was confirmed by a Licensed Nurse, identified as Employee E12, at the time of the findings.
Medication Administration Error
Penalty
Summary
The facility failed to administer medications in accordance with physician orders, resulting in a significant medication error for one resident. During an observation, a Licensed Nurse, identified as Employee E3, administered only one tablet of Keppra Oral Tablet 1000 MG (Levetiracetam) to a resident in the morning, despite the physician's order specifying two tablets for seizure management. This discrepancy was confirmed through a review of the physician's order and an interview with the nurse involved. The facility's policy on Medication Administration and Disposition, revised in June 2023, mandates that medications must be administered as per the written physician orders, which was not adhered to in this instance.
Failure to Notify State Ombudsman of Transfers and Discharges
Penalty
Summary
The facility failed to notify the Office of the State Long-Term Care Ombudsman of initiated emergency transfers and discharges for two out of three months reviewed, specifically July and August 2024. The facility provided a list of involuntary discharges and transfer notices for July, August, and September 2024, indicating that these lists were sent via fax to the local ombudsman. However, a review of the facility's documentation revealed an email communication dated October 17, 2024, between the facility's social worker, the local ombudsman, and the state ombudsman. This communication clarified that discharge notices should be sent to the State Long-Term Care Ombudsman and that the state ombudsman could only record notices from September and October 2024, indicating a failure to properly notify for the earlier months. An interview with the facility's social worker confirmed these findings, highlighting the facility's non-compliance with the requirement to notify the state ombudsman of emergency transfers and discharges. This deficiency is in violation of 28 Pa Code 201.14(a) and 28 Pa Code 201.18(b)(2), which pertain to the responsibility of the licensee and management, respectively.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,388 citations issued within 25 miles in the last 12 months — including the 19 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Philadelphia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| West Park Rehabilitation And Nursing Center | 0.7 mi | — | 17 | 0 |
| Rittenhouse Post Acute | 1 mi | — | 0 | 0 |
| Kearsley Rehabilitation And Nursing Center | 1.4 mi | — | 0 | 0 |
| Simpson House Inc | 1.5 mi | — | 0 | 0 |
| University City Rehabilitation And Healthcare Ctr | 1.5 mi | — | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Centennial Healthcare And Rehabilitation Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.