Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens 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 Tucker House Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a history of breast cancer and cellulitis had a critical BNP lab value reported, but staff did not notify the ordering physician as required by facility policy. Documentation showed unsuccessful attempts to reach the physician, and there was no evidence that the prescriber was ever informed of the result.
The facility did not properly label or manage two residents' personal clothing, resulting in significant delays in returning laundry, mixing of personal items with bed linens, and multiple grievances about missing or delayed laundry. Laundry aides reported ongoing issues due to lack of labeling by nurse aides, and one family received a deceased resident's belongings in a wet condition.
The facility failed to maintain an effective pest control program, resulting in roach and mice infestations across three nursing floors. Observations revealed live and dead roaches in resident rooms, along with clutter and food waste. Residents reported frequent sightings of pests, and pest control reports recommended improved sanitation and decluttering, which were not adequately addressed.
The facility did not maintain the means of egress on one floor, as a designated exit door from the ground floor dining room was padlocked on the corridor side, despite being marked with an illuminated exit sign. This was confirmed by the administrator and other representatives during an interview.
The facility failed to maintain stairways according to NFPA 101 standards. The 3rd floor South stairtower door did not latch properly, and environmental services supplies were stored in the East stairtower on the ground floor. These issues were confirmed by facility representatives during an interview.
The facility failed to maintain proper safety measures for hazardous area doors on two of five floors. Observations revealed that doors to the basement level medical waste room and elevator equipment room did not latch properly, and the Business office on the ground floor had excess combustible storage without a self or automatic closing door. These issues were confirmed during an exit conference with facility representatives.
The facility failed to monitor the installation of alcohol-based hand rub dispensers, with one found directly over a light switch in the 3rd floor dining room, placing it too close to an ignition source. This was confirmed during an exit conference with the facility's administration and maintenance representatives.
The facility failed to maintain corridor doors on three floors, with several doors either not smoke tight or lacking proper latching. This was confirmed during an exit conference with facility representatives.
The facility failed to maintain smoke barrier doors on one of its floors. Observations revealed that the East corridor smoke barrier doors did not close smoke tight, as required for proper smoke containment. This issue was confirmed during an exit conference with the facility's administrator and representatives.
The facility did not maintain electrical outlets as required, with a missing outlet cover observed in the Nurse lounge on the 4th floor. This was confirmed during an exit conference with the administrator and other representatives.
The facility failed to develop comprehensive care plans for residents, including one with a contracted hand and another with vision issues, leading to unaddressed health needs. A resident with heel protectors ordered did not have this intervention documented in their care plan, highlighting a lack of person-centered planning.
The facility failed to update care plans for two residents. One resident with significant weight loss had an outdated care plan that did not reflect the current order for two house shakes daily. Another resident requiring two-person assistance for mobility had a care plan indicating only one person was needed. These discrepancies were confirmed by staff.
A facility failed to provide adequate nail care for a resident who was cognitively impaired and had hemiplegia and muscle weakness. The resident was dependent on staff for personal hygiene, as noted in their care plan, which included checking and trimming nails on bath day and as necessary. Despite receiving a bed bath, observations revealed that the resident's fingernails were significantly long and required trimming. The resident's left hand was contracted, making regular nail care essential.
The facility failed to address the nutritional needs of two residents, leading to significant weight loss that was not promptly managed. One resident with cognitive impairment and diagnoses of failure to thrive and dementia lost 7.9% of their weight in one week without timely intervention. Another resident, who was physically active and cognitively impaired, lost 5.19% of their weight over a month, with no prompt action taken by the Registered Dietitian. Both cases lacked timely documentation and intervention adjustments.
A facility failed to provide appropriate pain management for a resident with myalgia, as staff did not document the administration of Tylenol or conduct a required pain assessment. The resident was observed tearful and requesting pain medication, but the necessary documentation and evaluation of non-pharmacological interventions were missing, as confirmed by staff interviews.
A facility failed to identify possible triggers for re-traumatization in a resident's PTSD care plan. The resident, with a history of childhood abuse and diagnoses including PTSD, had a care plan that lacked identification of potential triggers. This deficiency was confirmed by interviews with the DON and a Regional nurse.
A facility failed to maintain effective infection control during a medication administration and a peg tube dressing change. A nurse handled medication without disinfecting hands, and another nurse did not use PPE or change gloves during a dressing change for a resident on Enhanced Barrier Precautions.
A facility failed to provide proper incontinence management for a resident with Neuromuscular Dysfunction of the Bladder. The resident was ordered a 16FR/10ML Foley catheter but was observed with an 18FR/10ML catheter instead. This error was confirmed by a Registered Nurse.
A facility failed to provide a resident with timely access to their personal funds after discharge, as required by policy. The resident's account was closed late, and a refund request was delayed and never received by the corporate office, resulting in a refund of $3,418.20 not being sent to the resident.
A facility failed to ensure ongoing collaboration with a dialysis center, resulting in a resident not receiving prescribed medications before and after hemodialysis sessions. The resident, with end-stage kidney disease, missed multiple doses of Lispro insulin, Phos lo, apixaban, and isosorbide mononitrate ER in March 2024, as confirmed by the DON.
Failure to Notify Physician of Critical Lab Result
Penalty
Summary
Facility staff failed to notify the ordering physician of a critical laboratory result for one resident. According to facility policy, staff are required to inform the prescriber of results that are outside clinical reference ranges and document this notification. In this case, a resident with diagnoses including breast cancer and cellulitis of the left lower limb had a critical BNP laboratory value reported. The clinical record showed that the critical result was received by a registered nurse, who documented unsuccessful attempts to reach the physician for review and indicated that further attempts would be made. Despite these efforts, there was no documented evidence that the physician was ever informed of the critical laboratory result. Interviews with facility leadership and the medical director confirmed a lack of clarity regarding why the nurse was unable to notify the physician. The clinical record review did not show any follow-up or confirmation that the prescriber was made aware of the critical value, as required by facility policy.
Failure to Properly Identify and Manage Residents' Personal Clothing
Penalty
Summary
The facility failed to ensure that residents' clothing was properly identified and managed, as required by facility policy. Specifically, two residents' personal clothing was not labeled with their names, resulting in delays and confusion in returning laundry. One resident and their relative reported waiting approximately two weeks for personal laundry to be returned. Interviews with laundry aides revealed that the lack of labeling by nurse aides led to ongoing delays, with personal items left unclaimed until complaints were made. Observations in the laundry room showed residents' clothing mixed with bed linens and a pile of unidentified clothing. Additionally, review of facility grievances over two months showed ten complaints related to laundry delays and missing items, and one report documented that a deceased resident's belongings were returned to family in a wet condition.
Pest Control Deficiency in Resident Care Areas
Penalty
Summary
The facility failed to maintain an effective pest control program across three nursing floors, as evidenced by multiple observations and interviews. In one resident room, live and dead roaches were found inside a nightstand drawer, along with what appeared to be pest droppings. The room was also noted to have trash and food particles on the floor. A resident reported seeing a mouse emerge from a hole in the baseboard and frequently observed roaches in his room. Another resident demonstrated a roach infestation problem by showing live roaches inside a dresser drawer. The room was cluttered, and food waste was present on the floor. Additionally, a resident had placed traps under the dresser, which caught numerous dead and live roaches. The pest control reports reviewed indicated ongoing issues with roach activity and recommended improvements in sanitation and decluttering in specific rooms and the kitchen area. The reports highlighted positive roach acceptance on monitors placed under the dishwasher area and recommended fixing leaks and improving sanitation practices. Despite these recommendations, the facility continued to experience pest issues, as evidenced by the observations and resident reports. The facility's failure to address these recommendations and maintain cleanliness contributed to the persistent pest problem.
Plan Of Correction
Rooms 218, 311, and 421 were cleaned and treated by pest control. Rooms 226, 232, 410, and 425 were cleaned, decluttered, and treated by pest control. The elevator and tracks were cleaned. The kitchen and dishwasher area were cleaned, leaks were fixed, and treated by pest control. Current residents' rooms were audited; targeted rooms were identified. Current staff were re-educated on the homelike environment and the process for pest management and control. The NHA or designee will conduct 5 random room audits per week to ensure rooms are cleaned, orderly, and free of debris and bugs per policy. Results will be reviewed during the facility's monthly QAPI meeting. The NHA or designee will conduct a weekly review of pest management reports to ensure recommendations are followed through. Results will be reviewed during the facility's monthly QAPI meeting.
Failure to Maintain Means of Egress
Penalty
Summary
The facility failed to maintain the means of egress on one of its five floors, as observed during a survey. Specifically, on December 12, 2024, at 11:22 a.m., it was noted that the right side exit door from the ground floor dining room was secured with a padlock on the corridor side. This door is designated as an exit and is marked with an illuminated exit sign within the dining room. During an interview at the exit conference on the same day, the administrator, maintenance representative, and regional facility representative confirmed that the exit was locked, preventing egress.
Plan Of Correction
Padlocks removed to ensure means of egress. NHA will educate the Maintenance Director on maintaining means of egress. An initial audit was completed to ensure means of egress throughout the facility. NHA/designee will audit weekly x 4, then monthly x 3. Findings will be reviewed in the monthly QAPI.
Stairway Maintenance Deficiencies
Penalty
Summary
The facility failed to maintain stairways in compliance with NFPA 101 standards, as evidenced by two specific deficiencies observed during a survey. Firstly, on the 3rd floor, the South stairtower door was found to not latch properly in its frame when tested. This issue was confirmed during an interview with the administrator, maintenance representative, and regional facility representative. Secondly, environmental services supplies, including wet floor signs and various other items, were improperly stored in the East stairtower on the ground floor. This storage issue was also confirmed during the exit conference interview with the same facility representatives.
Plan Of Correction
Stair tower door fixed to ensure positive latch. Environmental supplies removed from stair tower. NHA educated the Maintenance Director on maintaining stair towers. An initial audit was completed to ensure maintenance of the stair towers. NHA/designee will audit weekly x 4, then monthly x 3. Findings will be reviewed in the monthly QAPI.
Deficient Hazardous Area Door Maintenance
Penalty
Summary
The facility failed to maintain proper safety measures for hazardous area doors on two of five floors. During an observation on December 12, 2024, it was noted that several doors to hazardous areas did not latch properly or lacked self-closing capabilities. Specifically, the basement level medical waste room and the basement level elevator equipment room had doors that failed to latch in their frames. Additionally, the Business office on the ground floor contained excess combustible storage and did not have a self or automatic closing door. These deficiencies were confirmed during an exit conference with the facility's administrator, maintenance representative, and regional facility representative.
Plan Of Correction
The doors observed were fixed to ensure self-closing and positive latching. NHA educated the Maintenance Director on maintaining doors to hazardous areas. An initial audit was completed to ensure self-closing and positive latching of doors to hazardous areas. NHA/designee will audit weekly x 4, then monthly X 3. Findings will be reviewed in the monthly QAPI.
Improper Installation of ABHR Dispenser
Penalty
Summary
The facility failed to properly monitor the installation of alcohol-based hand rub dispensers (ABHR) on one of its five floors. During an observation on December 12, 2024, at 10:18 a.m., it was noted that an ABHR dispenser was installed directly over a light switch in the 3rd floor dining room. This placement is non-compliant with safety regulations, as it positions the dispenser too close to an ignition source. The issue was confirmed during an exit conference on the same day at 11:45 a.m. with the facility's administrator, maintenance representative, and regional facility representative.
Plan Of Correction
The hand sanitizer dispenser was removed. NHA educated the Maintenance Director on monitoring the location and installation of alcohol-based hand rub dispensers. An initial audit was completed to ensure location and installation of all alcohol-based hand rub dispensers. NHA/designee will audit weekly x 4, then monthly X 3. Findings will be reviewed in the monthly QAPI.
Deficiencies in Corridor Door Maintenance
Penalty
Summary
The facility failed to maintain corridor doors on three of its five floors, as observed during a survey conducted on December 12, 2024. The survey revealed that several corridor doors were either not smoke tight when latched or failed to positively latch in the frame. Specifically, the door to room 419 on the 4th floor was not smoke tight, the 3rd floor nurse lounge door had no latch, and doors to rooms 203, 217, and 227 on the 2nd floor were either not smoke tight or lacked a latch. During an exit conference on the same day, the administrator, maintenance representative, and regional facility representative confirmed these deficiencies. The report highlights that the facility did not meet the requirements for corridor doors as outlined by the NFPA 101 standards, which are crucial for ensuring the safety and containment of smoke in the event of a fire.
Plan Of Correction
All the observed doors were fixed to ensure positive latch and smoke tightness. NHA educated the Maintenance Director on maintaining corridor doors. An initial audit was completed to ensure positive latch and smoke tightness of corridor doors. NHA/designee will audit weekly x 4, then monthly X 3. Findings will be reviewed in the monthly QAPI.
Smoke Barrier Doors Not Closing Smoke Tight
Penalty
Summary
The facility failed to maintain smoke barrier doors on one of its five floors, as observed during a survey. On December 12, 2024, at 10:12 a.m., it was noted that the smoke barrier doors in the East corridor did not close smoke tight, which is a requirement for ensuring proper smoke containment. This deficiency was confirmed during an exit conference on the same day at 11:45 a.m. with the facility's administrator, maintenance representative, and regional facility representative, who acknowledged that the doors did not fit together smoke tight.
Plan Of Correction
The east corridor smoke barrier doors were fixed to close smoke tight. NHA educated the Maintenance Director on maintaining smoke barrier doors. An initial audit was completed to ensure smoke tightness of all smoke barrier doors. NHA/designee will audit weekly x 4, then monthly x 3.
Missing Outlet Cover in Nurse Lounge
Penalty
Summary
The facility failed to maintain electrical outlets in compliance with NFPA 101 standards in one of its smoke compartments. During an observation on December 12, 2024, at 9:56 a.m., it was noted that an outlet cover was missing in the Nurse lounge on the 4th floor. This deficiency was confirmed during an exit conference on the same day at 11:45 a.m. with the administrator, maintenance representative, and regional facility representative.
Plan Of Correction
An outlet cover was installed in the Nurse lounge on the 4th floor. NHA educated the Maintenance Director on maintaining electrical outlets. An initial audit was completed to ensure compliance of electrical outlets. NHA/designee will audit weekly x 4, then monthly X 3. Findings will be reviewed in the monthly QAPI.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for several residents, leading to deficiencies in addressing their specific health needs. Resident R65, who was cognitively impaired and diagnosed with hemiplegia and muscle weakness, had a contracted left hand that was not addressed in their care plan. Despite being dependent on staff for feeding assistance due to limited mobility, there was no documented evidence of a care plan to maintain or improve the resident's range of motion and mobility. Resident R1, diagnosed with glaucoma and cataracts, had a care plan that only addressed vision problems in the context of fall risk, without specific interventions for the new diagnoses. Additionally, Resident R102, who had chronic respiratory failure and other conditions, had an order for heel protectors that was not included in their care plan. The resident sometimes refused to wear the protectors, but this refusal was not documented in the care plan. These omissions indicate a failure to provide person-centered care plans as required by facility policy.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to ensure that the care plans for two residents were updated to reflect their specific care needs. Resident R85, who was admitted with conditions including diabetes mellitus, anxiety disorder, and dementia, experienced significant weight loss from June 2024 through November 2024. Despite an order dated October 8, 2024, for two house shakes a day to address the weight loss, the care plan only included one house shake daily. Additionally, the care plan's goal for weight stability was not revised to reflect the resident's current weight of 107.6 lbs, which was below the goal of maintaining within 3% of 115.8 lbs. The dietician confirmed the resident's current weight and the order for two shakes daily. Resident R89, admitted with diagnoses including thrombotic pulmonary embolism, muscle wasting, and lack of coordination, required two or more persons for physical assistance with bed mobility and transfer, as per the Minimum Data Set assessment dated October 14, 2024. However, the care plan inaccurately indicated that only one person was needed for assistance. A licensed nurse confirmed that the resident required two persons for assistance with repositioning in bed and transferring.
Failure to Provide Adequate Nail Care for a Dependent Resident
Penalty
Summary
The facility failed to provide adequate nail care for a dependent resident, identified as Resident R65, who was cognitively impaired and had diagnoses of hemiplegia affecting the left side and muscle weakness. The resident was dependent on staff for personal hygiene, as noted in the quarterly Minimum Data Set (MDS) dated August 21, 2024. The comprehensive care plan, revised on August 25, 2021, indicated that the resident had a self-care performance deficit related to decreased mobility, with an intervention to check nail length and trim and clean on bath day and as necessary. Despite receiving a bed bath on November 14, 2024, observations on November 12 and November 15, 2024, revealed that Resident R65's fingernails on both hands were significantly long and required trimming. The resident's left hand was contracted, and they made a fist due to the contracture, which further emphasized the need for regular nail care. This deficiency was identified during an observation with Licensed Nurse, Employee E10.
Failure to Address Significant Weight Loss in Residents
Penalty
Summary
The facility failed to evaluate and address the nutritional needs of two residents, leading to significant weight loss that was not promptly addressed. Resident R84, who had moderate cognitive impairment and diagnoses of adult failure to thrive, muscle wasting, and dementia, experienced a 7.9% weight loss in one week. Despite this significant weight loss, there was no documented evidence that the Registered Dietitian was informed or that any interventions were reviewed or modified to address the resident's needs until a nutrition assessment was conducted months later. Similarly, Resident R107, who was cognitively impaired and had diagnoses of alcohol dependence and cognitive communication deficit, experienced a 5.19% weight loss over one month. The resident was noted to be physically active, often wandering and not sitting for full meals, which contributed to the weight loss. Despite these observations, there was no documented evidence that the Registered Dietitian was made aware of the weight loss or that any interventions were promptly reviewed or modified. The Registered Dietitian did not address the significant weight loss until a nutrition assessment was conducted two months later.
Failure in Pain Management Documentation and Assessment
Penalty
Summary
The facility failed to provide appropriate pain management for a resident, identified as R70, who was cognitively impaired and diagnosed with myalgia of the head and neck. The facility's policy on administering pain medication required staff to assess the resident's level of pain, including location and intensity, before administering medication, and to document these assessments in the resident's electronic health record. However, on November 12, 2024, Resident R70 was observed tearful and requesting pain medication, but the Registered Nurse, Employee E11, did not document the administration of the as-needed Tylenol or conduct a pain assessment as required by the facility's policy. Further review of Resident R70's clinical record revealed no evidence that non-pharmacological interventions were implemented prior to administering pain medication, nor was there any documented follow-up to evaluate the effectiveness of the medication given. Interviews with Registered Nurse, Employee E11, and Regional Registered Nurse, Employee E3, confirmed the lack of documentation for the administration of Tylenol and the absence of a pain assessment. This deficiency was identified under 28 Pa. Code 211.9 (a)(1) Pharmacy services and 28 Pa. Code 211.12 (d)(5) Nursing services.
Failure to Identify PTSD Triggers in Resident Care Plan
Penalty
Summary
The facility failed to identify possible triggers that may cause re-traumatization for a resident diagnosed with post-traumatic stress disorder (PTSD). The resident, who was admitted with diagnoses including suicidal ideations, major depressive disorder, and PTSD, had a history of sexual and physical abuse by his father during childhood. Despite having a care plan for PTSD, the plan did not include identification of potential triggers for re-traumatization. This deficiency was confirmed through interviews with the Director of Nursing and a Regional nurse, who acknowledged the omission in the resident's care plan.
Infection Control Deficiencies in Medication Administration and Dressing Change
Penalty
Summary
The facility failed to maintain an effective infection control program during a medication administration review and a peg tube dressing change. During the medication administration to Resident R85, a licensed nurse, Employee E5, was observed touching the medication cart drawer, computer mouse, and medication-blister-pack with bare hands. Without disinfecting her hands, Employee E5 then picked up medication tablets and placed them in a dispensing cup. This action was confirmed by Employee E5 at the time of the observation. In another instance, during a peg-site dressing change for Resident R98, who was on Enhanced Barrier Precautions due to tube feeding, a licensed nurse, Employee E6, did not wear the necessary Personal Protective Equipment (PPE) as required by the Enhanced Barrier Precautions. Additionally, Employee E6 failed to remove soiled gloves and did not put on clean gloves before placing a new dressing around the peg site. This lapse in protocol was also confirmed by Employee E6 at the time of the observation.
Incontinence Management Deficiency Due to Incorrect Catheter Size
Penalty
Summary
The facility failed to implement appropriate treatment and services for incontinence management for a resident with incontinence concerns. The resident, identified as having Neuromuscular Dysfunction of the Bladder, was admitted with a physician's order for a urinary Foley catheter size 16FR/10ML. However, during an observation, it was found that the resident had a Foley catheter of 18FR/10ML instead. This discrepancy was confirmed by a Registered Nurse at the facility.
Failure to Provide Timely Access to Resident's Personal Funds
Penalty
Summary
The facility failed to ensure that a resident had reasonable access to their personal funds, as required by their policy. The policy stated that upon discharge, eviction, or death, the facility must convey the resident's funds and a final accounting within 90 days. Resident CL1 was discharged and transferred to another facility on November 30, 2023. However, the resident's account was not closed until February 1, 2024, and the refund request was sent to corporate on February 20, 2024. An interview with the business office confirmed the delay, and the Nursing Home Administrator revealed that the corporate office never received the refund request, resulting in the refund check not being sent to the resident. The facility still owed the resident $3,418.20.
Failure to Administer Prescribed Medications for Dialysis Resident
Penalty
Summary
The facility failed to ensure ongoing collaboration with the dialysis facility for the provision of medications as ordered by the physician for a resident requiring hemodialysis. The clinical record review revealed that the resident, who had a diagnosis of end-stage kidney disease, was scheduled for hemodialysis three times a week. However, the nursing staff did not administer the prescribed medications, including Lispro insulin, Phos lo, apixaban, and isosorbide mononitrate ER, at the required times before and after dialysis sessions on multiple occasions in March 2024. This failure was confirmed by the director of nursing during an interview. The facility's policies on administering medications and dialysis care emphasized the responsibility of the licensed nurse to administer and document medications according to physician orders and the need for effective communication and collaboration with the dialysis center. Despite these policies, the resident did not receive the necessary medications as ordered, leading to a deficiency in the provision of safe and appropriate dialysis care. The facility's contract with the dialysis center also required ongoing communication and collaboration, which was not adequately maintained in this case.
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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.
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Nursing homes near Philadelphia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Logan Square Rehabilitation And Healthcare Center | 0.8 mi | — | 25 | 0 |
| Graduate Post Acute | 1.5 mi | — | 33 | 0 |
| University City Rehabilitation And Healthcare Ctr | 2.3 mi | — | 11 | 0 |
| Rittenhouse Post Acute | 2.3 mi | — | 0 | 0 |
| Abigail House For Nursing & Rehabilitation | 2.5 mi | — | 0 | 0 |
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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.