Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Richboro Rehabilitation & Nursing Center during CMS and state inspections, most recent first.
Improper Food Storage and Sanitation in Dietary Department: Surveyors found dirt, debris, and dead insects in the dry storeroom, food items stored on the floor, an undated bag of biscuit mix, and a chipped utensil. In the cooler, egg salad and sliced ham were past the facility’s date-marking expectations, while the freezer had ice buildup and an unsealed bag of chicken. Additional concerns included a dust-covered fan near the meal tray line, leaked caramel sauce on the dish machine, and stained ceiling tiles; the Dietary Manager confirmed the undated and expired items should have been removed.
The facility failed to develop comprehensive care plans for two residents based on assessed needs. One resident had malnutrition, no natural teeth, dentures, and needed help with oral hygiene, but the care plan did not address dental care. Another resident had cataracts, R eye blindness, L-sided hemiplegia, needed help with toileting, hygiene, and showering, and had a fall, but the care plan did not address visual function. The DON confirmed the missing interventions.
Failure to provide personal hygiene assistance: A resident with a hx of stroke, dementia, and legal blindness was dependent on staff for all ADLs, including personal hygiene. Staff were directed to assist with self-care, but the resident was observed in bed with long, dirty fingernails and dirt beneath the nails on repeated occasions, with no documented refusals of care. The DON confirmed nail care was to be done on shower days.
A resident with HTN had orders for daily metoprolol and losartan, with instructions to hold either medication if SBP was below 120 mm Hg. Review of the MAR showed staff gave metoprolol 15 times and losartan 2 times when the SBP was below the ordered parameter, and the DON confirmed the orders were not followed.
The facility failed to send written discharge notices to the Office of the State LTC Ombudsman for two residents who were discharged. Clinical record review showed no documentation that the notices were provided, and the Social Services Director confirmed the notices were not sent.
The facility did not employ a full-time qualified dietitian or a qualified dietary services manager, as confirmed by both the dietary manager and the Administrator during staff interviews.
Staff did not consistently follow physician orders for two residents requiring blood pressure medication, either failing to document heart rate assessments prior to administration or administering the medication when the heart rate was below the prescribed threshold. Nursing leadership confirmed these lapses during interviews.
The facility did not ensure that meals were served at scheduled times in one dining room, as documented by repeated resident complaints and direct observation of meal carts arriving 20 to 23 minutes late on multiple days. The Administrator confirmed the late meal service.
The facility failed to maintain proper food storage and sanitary conditions in the kitchen. Observations included flies around the hand sink, undated and improperly stored food items, peeling paint, and dust accumulation. Expired yogurt and cottage cheese were found, and various areas had food debris and structural issues. The Dining Services Director confirmed the lack of proper dating and removal of expired items.
The facility did not follow pre-approved menus and failed to notify residents of changes, leading to dissatisfaction. Residents received meals that differed from their selections, such as a resident who ordered a chef salad but received a tuna sandwich. Staff confirmed they were not informed of menu changes.
Improper Food Storage and Sanitation in Dietary Department
Penalty
Summary
The facility failed to properly store food and maintain sanitary conditions in the dietary department. During review of the facility policy entitled, Date Marking for Food Safety, staff were expected to routinely check the refrigerator for food items nearing expiration and discard perishable foods held at 41 degrees Fahrenheit or lower after seven days. During the dietary department tour, surveyors observed dirt, debris, and dead insects along the window shelf beneath an air conditioning unit in the dry storeroom, with the unit located next to bulk food containers with lids. Also in the dry storeroom, a crate of 12 boxes of baking soda was touching the floor, two discolored sugar packets and a packet of ketchup were on the floor below it, and a bag of biscuit mix removed from its original packaging was not dated. A chipped plastic spatula was also found in the utensil drawer. In the walk-in cooler, surveyors found a pan of egg salad dated June 13, 2026, and a pan of sliced ham dated June 11, 2026. In the freezer, there were two large areas of ice accumulation near the entrance and an unsealed bag of chicken open to the air. In the kitchen, a window fan blowing air into the area across from the meal service tray line had a dust-covered shield, and lunch meal service was occurring at the time. In the dish machine room, an opened bottle of caramel sauce had leaked and left food residue on top of the dish machine, and two ceiling tiles were stained. The Dietary Manager confirmed that the undated item should have been dated and that the expired items should have been removed but were not.
Failure to Include Identified Needs in Care Plans
Penalty
Summary
The facility failed to develop comprehensive care plans that addressed individual resident needs identified in the comprehensive assessment for two sampled residents. Resident 45 had diagnoses of malnutrition and full upper and lower dentures; the MDS assessment identified that the resident had no natural teeth and required assistance with oral hygiene, and the CAA summary dated May 24, 2026 identified dental care as a problem that should have been included in the comprehensive care plan. Review of the care plan showed no interventions addressing dental care. Resident 77 had diagnoses of cataracts in both eyes, right eye blindness, and left-sided hemiplegia; the MDS assessment identified that the resident required assistance with toileting, hygiene, and showering and had a fall since the last assessment, and the CAA summary dated June 15, 2026 identified visual function as a problem that should have been included in the comprehensive care plan. Review of the care plan showed no interventions addressing visual function. In interview, the DON confirmed that no care plan had been developed with interventions to address Resident 45's dental care or Resident 77's visual function.
Failure to Provide Personal Hygiene Assistance
Penalty
Summary
The facility failed to provide care and services to maintain activities of daily living, specifically personal hygiene, for one resident who was unable to perform these tasks independently. The resident had a history of stroke, dementia, and legal blindness, and a MDS assessment showed moderate cognitive impairment with dependence on staff for all ADLs, including personal hygiene. The care plan directed staff to assist with personal hygiene and self-care. On multiple observations, the resident was found in bed with long, dirty fingernails on both hands, including dirt beneath the nails, and facility documentation showed the resident was last bathed by staff on June 24, 2026, at 8:31 p.m. There were no documented refusals of care. The DON confirmed that nail care was to be done on shower days.
Failure to Follow Blood Pressure Medication Orders
Penalty
Summary
The facility failed to ensure physicians' orders were implemented for one resident with hypertension. The resident had an order dated April 9, 2026, for metoprolol and losartan once daily, with instructions not to administer either medication if systolic blood pressure was below 120 mm Hg. Review of the June 2026 MAR showed that staff administered metoprolol 15 times and losartan 2 times when the resident's SBP was below 120 mm Hg. During an interview on June 26, 2026, the DON confirmed that the physician's orders were not followed for the resident.
Failure to Send Discharge Notices to Ombudsman
Penalty
Summary
The facility failed to provide copies of the written discharge notices to a representative of the Office of the State Long-Term Care Ombudsman for two residents who were discharged from the facility. Resident 83 was discharged on April 8, 2026, and the clinical record contained no documented evidence that the facility sent a copy of the written discharge notice to the Ombudsman. Resident 87 was discharged on February 24, 2026, and the clinical record likewise contained no documented evidence that a copy of the written discharge notice was sent to the Ombudsman. During an interview on June 26, 2026, at 11:33 a.m., the Social Services Director confirmed that the written copies of the discharge notices were not sent to the Office of the State Long-Term Care Ombudsman.
Failure to Employ Qualified Dietary Manager or Full-Time Dietitian
Penalty
Summary
The facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian. During an interview, the dietary manager stated that there was no qualified dietary manager employed at the facility. Further, the Administrator confirmed that the facility did not have a full-time dietitian or a qualified dietary manager. There was no evidence provided to show that the facility had either a full-time qualified dietitian or a qualified dietary services manager, as required.
Failure to Follow Physician Orders for Blood Pressure Medication Administration
Penalty
Summary
Staff failed to follow physician orders regarding the administration of blood pressure medication for two residents. For one resident with hypertension, a physician ordered that metoprolol succinate be administered twice daily, but not if the resident's heart rate was below 60 beats per minute (BPM). Review of the Medication Administration Records (MARs) showed that the medication was administered multiple times in April and May without any documentation that the resident's heart rate was checked prior to administration, as required by the order. The Assistant Director of Nursing confirmed that there was no evidence of heart rate assessment before giving the medication. For another resident with hypertension and diabetes, a similar physician order was in place for metoprolol tartrate, specifying to withhold the medication if the heart rate was less than 60 BPM. The MARs indicated that the medication was administered on four occasions in April and May when the resident's heart rate was actually below 60 BPM. The Director of Nursing confirmed that the medication was given outside of the prescribed parameters. These findings were based on policy review, clinical record review, and staff interviews.
Failure to Serve Meals at Scheduled Times in Dining Room
Penalty
Summary
The facility failed to serve meals at the regularly scheduled times in accordance with resident needs in Doc's dining room. Food Committee Minutes from two consecutive months documented resident complaints about frequent late meal tray delivery. Multiple residents reported in a group interview that meals were often delivered late to the main dining room, describing it as an ongoing issue. One resident specifically stated that meal trays can often be served late. The facility's meal schedule indicated that lunch was to be served at 12:30 p.m., but observations on two consecutive days showed the meal cart arriving 20 and 23 minutes late, respectively. The Administrator confirmed that the meal service was late on these occasions.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to maintain proper food storage and sanitary conditions in the kitchen, as observed during a tour. Several flies were seen around the hand sink area, and juice dispensers had dried sticky substances on the spouts. There was peeling paint on a ceiling tile above the meat slicer, and holes in the wall adjacent to the tile. A fan with a layer of dust on its shield was running, and an opened container of peanut butter with food debris outside the lid was not dated. In the tray line cooler, various opened food items, including juice, jelly, applesauce, and apple juice, were not dated, and the cooler's bottom had a buildup of dried food and liquid. In the walk-in cooler, opened bags of cheese and pie containers were improperly stored, and several food items, including lettuce, eggs, and potatoes, were not dated. Expired yogurt and cottage cheese were found, and the floor under the shelves had food and dried liquid. In the freezer, tubs of ice cream had sticky food debris on the lids. The dry storage area had undated bags of cake mix, spider webs, debris, and a dead fly on the window sill. The wall below the window A/C unit was crumbling, and there was peeling paint above food storage areas. Food debris was found on and under bulk bins, and a banana was on the floor. The paper product storage area had paper debris and a garbage bag on the floor, with a dark, dried sticky substance present. The Dining Services Director confirmed the items should have been dated and expired items removed, which was not done.
Failure to Follow Pre-Approved Menus and Notify Residents of Changes
Penalty
Summary
The facility failed to adhere to pre-approved menus and did not notify residents of changes to these menus on one of its nursing units. On June 17, 2024, residents reported not receiving the menu items they had selected for their meals. Specifically, Resident 35, who had chosen a chef salad with no meat and applesauce, received a tuna fish sandwich, rice, cauliflower, apple juice, and soup instead. The tray ticket indicated that the meal should have included steamed corn and fresh fruit, but these items were not provided. Resident 35 expressed dissatisfaction with the meal and stated that she was not informed of any substitutions or changes to her meal selections. Similarly, Resident 26 and Resident 184 received meals that did not match the pre-approved menu, which was supposed to include steamed corn and frosted chocolate cake. Instead, they received cauliflower and a packaged chocolate cookie without any prior notification of these changes. Staff members, including nurse aides and the regional Director of Dining Services, confirmed that they were not informed of any changes to the pre-approved menus for the lunch meal on June 17, 2024. This lack of communication and failure to follow the approved dietary plan led to dissatisfaction among the residents.
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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 Richboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holland Center For Rehabilitation And Nursing | 2.2 mi | ★★★★★ | 12 | 0 |
| Pennswood Village | 2.7 mi | ★★★★★ | 2 | 0 |
| Chandler Hall Health Services | 3.1 mi | ★★★★★ | 1 | 0 |
| Pickering Manor Home | 3.7 mi | ★★★★★ | 0 | 0 |
| Ann's Choice | 4.2 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.