Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rydal Park Of Philadelphia Presbytery Homes, Inc during CMS and state inspections, most recent first.
The facility failed to store and label food items properly in the kitchen, as observed during a tour with the FSD. A foul odor was detected in the refrigerator, and several food items, including ground beef, pastrami, beef hunks, briskets, pork loins, and lamb hunks, were found with expired dates or were undated and unlabeled. These issues were confirmed by the FSD.
The facility did not properly dispose of trash and recyclables in the receiving and dumpster area. Observations revealed exposed trash in two grey trash cans and one blue dumpster. Additionally, broken wooden pallets, cabinets, and a bathroom vanity were found near the receiving door. These findings were confirmed by the Food Service Director.
The facility failed to maintain effective infection control during medication administration for two residents. A nurse did not wash hands or wear gloves before administering eye drops, contrary to the facility's guidelines. The nurse touched a bedside table and administered oral medications and eye drops without performing hand hygiene.
A facility failed to inform a resident or their representative about the addition of Seroquel, a psychotropic medication, including its risks, benefits, and alternative treatment options. The resident, who was moderately cognitively impaired and had Parkinson's disease, received the medication without documented informed consent. The Nursing Supervisor confirmed the absence of necessary documentation, violating resident rights.
A facility failed to assess a resident's ability to self-administer medications safely, as required by their policy. The resident, who had a physician's order for Timolol Maleate Ophthalmic Solution for glaucoma, was observed keeping the medication on her over-the-bed table. Despite self-administering the eye drops, there was no documented assessment for medication self-administration, as confirmed by two registered nurses. This oversight violates the facility's policies and state regulations.
The facility failed to notify residents and their representatives of hospital transfers and the reasons for these transfers in a timely manner, in writing, and in a language and manner they understood. This deficiency was identified for three residents who were reviewed for hospitalizations, with reasons including shortness of breath, diabetic ketoacidosis, and hypoxia. An interview with the Nursing Home Administrator and DON confirmed the absence of a system to notify residents' representatives in writing prior to transfers.
The facility failed to provide written notice of the bed-hold policy to residents and their representatives during hospital transfers. This affected three residents who were transferred for medical reasons such as shortness of breath and diabetes ketoacidosis. The facility lacked a system to ensure compliance with this requirement, as confirmed by the Nursing Home Administrator and DON.
A resident, who was cognitively intact and required assistance for bed mobility, was not transferred into bed in a timely manner according to her preferences. After requesting assistance to be put to bed after lunch, the resident was told to wait for the next shift and later to wait until after dinner. The facility's failure to provide timely assistance violated its policy on activities of daily living.
The facility failed to maintain accurate and complete clinical records for all sampled residents. A review of the 'Arbitration Agreement' document revealed that resident signatures were present without any indication of their choice regarding arbitration. An interview with the Facility Administrator confirmed that staff did not direct residents to mark their preferred option, resulting in incomplete documentation for 204 residents.
The facility did not send timely discharge notifications to the State Ombudsman for emergency transfers in June and July 2024. Notifications were delayed until the survey date, confirmed by the Executive Director, violating 28 Pa. Code 201.18(b)(3).
The facility failed to include a nebulizer treatment in a resident's comprehensive care plan despite a physician's order and active treatment being observed. This omission was confirmed by the DON during an observation.
The facility failed to follow physician orders for a resident with chronic diastolic heart failure by not monitoring and documenting daily weights as required. The Director of Nursing confirmed the lack of documentation, and the facility could not provide the necessary records.
The facility failed to ensure a resident's wander guard was functioning and did not monitor hot beverage temperatures on one nursing unit. A resident with Alzheimer's had a non-functional wander guard, and a dietary aide did not check the temperature of a heated beverage before giving it to a nurse aide.
A resident with dementia and malnutrition experienced a significant weight loss shortly after admission, but the facility failed to notify the Registered Dietitian or reassess and modify interventions as required by policy.
A resident with multiple diagnoses, including anxiety, was prescribed Alprazolam on a PRN basis. The facility failed to document the rationale and duration for the PRN order when it was continued beyond 14 days, as required by CMS regulations, leading to a deficiency.
The facility failed to ensure proper labeling and discarding of medications. Several opened eye medication vials on the Middle Cart of the Second Floor were found without marking the opened date, contrary to the facility's policy. An RN confirmed the oversight during an interview.
The facility failed to maintain effective infection control in the laundry room, where clean linens were observed dragging on the floor and touching employees' personal clothing, leading to potential contamination.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by improper storage, labeling, and dating of food items in the main kitchen. During a tour with the Food Service Director, a foul sulfur odor was detected in the refrigerator. An open package of ground beef was found with an expiration date that had already passed, and two cooked, ready-to-eat pastrami packages were labeled with a date from over a month prior. Additionally, several beef hunks, beef briskets, pork loins, and top round roast beef were found undated and unlabeled. Lamb hunks were labeled with an expired date and were submerged in a red-colored liquid. These findings were confirmed by the Food Service Director during the inspection.
Improper Disposal of Trash and Recyclables
Penalty
Summary
The facility failed to ensure proper disposal of trash and recyclables in the receiving and dumpster area, as observed during a tour of the Food Service Department. Two grey trash cans and one blue dumpster were found with trash exposed. Additionally, near the receiving door, there were four wooden pallet stacks with broken pieces lying on the ground, approximately five feet high, along with three broken wooden cabinets and a broken bathroom vanity. These observations were confirmed in an interview with the Food Service Director.
Infection Control Lapse During Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection control program during medication administration and wound treatment for two residents. Specifically, during a medication administration observation, a Registered Nurse, identified as Employee E9, did not wash hands or wear gloves before administering eye drops to a resident. The nurse touched the resident's bedside table and proceeded to administer oral medications and eye drops without performing hand hygiene or donning gloves, which is contrary to the facility's Medication Administration General Guidelines dated May 2016. These guidelines require hands to be washed with soap and water and gloves to be applied before administering various types of medications, including topical and ophthalmic medications.
Failure to Inform Resident of Psychotropic Medication Risks and Alternatives
Penalty
Summary
The facility failed to ensure that a resident or their representative was informed of treatment options, as well as the risks and benefits of the proposed care, specifically regarding the administration of psychotropic medication. Resident R396, who was moderately cognitively impaired with a BIMS score of 12 and had diagnoses including progressive neurological conditions and Parkinson's disease, was administered Seroquel, an antipsychotic medication, without documented evidence of informed consent. The resident's Medication Administration Records indicated that Seroquel was given daily, starting at 12.5 mg and later increased to 25 mg, without any record of the resident or their responsible party being informed about the medication, its risks, benefits, or alternative treatment options. The deficiency was further highlighted by the absence of documentation in the psychiatric progress notes, which failed to show that the resident or their representative was informed about the addition of Seroquel. An interview with the Nursing Supervisor confirmed the lack of documentation regarding the communication of this information to the resident or their responsible party. This oversight is a violation of resident rights as per the cited Pennsylvania codes.
Failure to Assess Resident's Ability to Self-Administer Medication
Penalty
Summary
The facility failed to assess a resident's ability to self-administer medications safely, as required by their policy. The policy, dated November 2017, states that residents who wish to self-administer medications must have a prescriber's order and be assessed by the interdisciplinary team to ensure the practice is safe. However, for one resident, identified as R80, there was no documented assessment for self-administration of medications, despite the resident having a physician's order for Timolol Maleate Ophthalmic Solution 0.5% to be instilled in both eyes every morning and at bedtime for glaucoma. During an observation, it was noted that the resident kept the eye drops on her over-the-bed table, which was confirmed by the resident and a registered nurse, Employee E9. The nurse acknowledged that the resident self-administers the eye drops and that an assessment for medication administration safety should have been conducted. Another registered nurse, Employee E6, confirmed the absence of a medication self-administration assessment for the resident. This oversight is a violation of the facility's policies and state regulations regarding resident care and pharmacy services.
Failure to Notify Residents and Representatives of Hospital Transfers
Penalty
Summary
The facility failed to notify residents and their representatives of hospital transfers and the reasons for these transfers in a timely manner, in writing, and in a language and manner they understood. This deficiency was identified for three residents who were reviewed for hospitalizations. Resident R1 was discharged to the hospital for shortness of breath, while Resident R59 was discharged multiple times for various reasons including shortness of breath, evaluation and treatment, diabetic ketoacidosis, and hypoxia. Resident R246 was sent to the hospital for evaluation. There was no evidence in the clinical records that the residents' representatives were informed of these transfers and the reasons behind them. An interview with the Nursing Home Administrator and Director of Nursing confirmed that the facility did not have a system in place to notify residents' representatives in writing, including the reasons for the transfers, prior to the residents' transfer or discharge. This lack of notification is a violation of the residents' rights as outlined in the applicable state code, which requires timely and understandable communication regarding transfers or discharges.
Failure to Provide Bed-Hold Policy Notice
Penalty
Summary
The facility failed to provide written notice of the bed-hold policy to residents and their representatives at the time of a facility-initiated transfer to a hospital. This deficiency was identified for three residents who were transferred to the hospital for various medical reasons, including shortness of breath, diabetes ketoacidosis, and hypoxia. The clinical records for these residents did not contain any documented evidence that the residents or their representatives received the required written notice explaining the duration of the bed-hold, bed-hold reserve payment, and the conditions for returning to a bed at the facility. An interview with the Nursing Home Administrator and the Director of Nursing confirmed that the facility did not provide the necessary bed-hold policy information to the residents and their representatives. Additionally, it was acknowledged that there was no system in place to ensure compliance with this requirement. This oversight was in violation of the Pennsylvania Code, specifically sections 201.14(a) regarding the responsibility of the licensee and 201.29(f) concerning resident rights.
Failure to Timely Assist Resident with Bed Transfer
Penalty
Summary
The facility failed to ensure that a resident, identified as R246, was transferred into bed in a timely manner according to her preferences. The resident, who was cognitively intact with a BIMS score of 14, required partial to moderate assistance for bed mobility. On January 7, 2025, after lunch, the resident requested assistance to be transferred to bed from a team member who had helped her to the bathroom. However, the team member refused the request, asking the resident to wait for the next shift. Further investigation revealed that the resident reiterated her request to another staff member later in the day, but was again told to wait until after dinner. The resident was eventually assisted to the bathroom by an agency aide around 6:27 p.m. The facility's failure to assist the resident into bed in a timely manner was a violation of the facility's policy on activities of daily living, which mandates providing care and services to maintain or improve residents' ability to carry out such activities.
Incomplete Arbitration Records for Residents
Penalty
Summary
The facility failed to maintain accurate and complete clinical records for all 21 sampled residents. The deficiency was identified through a review of the facility's document titled 'Arbitration Agreement,' which included a designated signature area and two blank check boxes for residents to indicate their consent or refusal to arbitrate. However, the records showed that resident signatures were present without any indication of their choice regarding arbitration. An interview with the Facility Administrator confirmed that staff did not direct residents to mark their preferred option, resulting in incomplete documentation. This issue affected a total of 204 residents' arbitration records, as confirmed by the administrator.
Failure to Timely Notify Ombudsman of Discharges
Penalty
Summary
The facility failed to provide timely discharge notifications to the State Office of the Long-Term Care Ombudsman for emergency transfers and discharges that occurred in June and July 2024. This deficiency was identified through a review of emailed notifications for the months of April, May, June, July, and August 2024. It was found that the notifications for June and July were not sent until the date of the survey on September 24, 2024. An interview with the Executive Director confirmed the delay in sending these notifications, which is a requirement under 28 Pa. Code 201.18(b)(3) Management.
Failure to Include Nebulizer Treatment in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan related to respiratory care for one resident. The resident, admitted with diagnoses including respiratory tuberculosis and nasal congestion, had a physician order for Ipratropium-Albuterol Solution to be inhaled twice daily for wheezing and chest congestion. Despite the presence of a nebulizer machine at the resident's bedside and active treatment being observed, the comprehensive care plan dated April 18, 2024, did not include the nebulizer treatment. This omission was confirmed by the Director of Nursing during an observation on May 3, 2024.
Failure to Follow CHF Protocol and Document Daily Weights
Penalty
Summary
The facility failed to follow physician orders related to the congestive heart failure (CHF) protocol for one of eight sampled residents. Specifically, the facility did not monitor and document the daily weights of Resident R72, who had a diagnosis of chronic diastolic heart failure, among other conditions. The physician's orders required daily weighing before breakfast and notification of the medical doctor if there was a weight gain of two pounds in twenty-four hours or five pounds in one week. However, a review of the resident's clinical record revealed no documented evidence that these daily weights were taken as ordered. During an interview, the Director of Nursing confirmed that the weights were not documented in the resident's clinical record, although they believed there might be documentation elsewhere. Despite this belief, the facility was unable to provide any documentation related to the daily weights for Resident R72. This failure to follow the physician's orders and document the required daily weights constitutes a deficiency in nursing services as per the facility's heart failure clinical protocol and relevant regulations.
Failure to Ensure Functioning Wander Guard and Monitor Hot Beverage Temperatures
Penalty
Summary
The facility failed to ensure that a resident's wander guard was functioning properly for a resident at risk for elopement. Resident R89, diagnosed with Alzheimer's disease and unspecified dementia, had a physician order to check the wander guard every shift. However, during an observation, the wander guard was found to be non-functional, and it did not alert staff when the resident approached the exit doors. This deficiency was confirmed by a registered nurse, unit manager Employee E5, who acknowledged that the wander guard needed replacement. Additionally, the facility did not monitor hot beverage temperatures on one of the three nursing units. In the 3rd floor dining room, Dietary Aide Employee E13 was observed heating a beverage in the microwave and handing it back to a nurse aide without checking its temperature. This action was against the facility's policy, which requires maintaining hot liquid serving temperatures below 180 degrees Fahrenheit to prevent scalding. Employee E13 confirmed that the temperature was not checked before distribution to the resident.
Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to monitor and modify interventions consistent with a resident's needs to maintain acceptable parameters of nutritional status. Specifically, Resident R39, who had diagnoses of dementia and malnutrition, experienced a significant weight loss of 6.7% (7.2 pounds) over nine days shortly after admission. Despite the facility's policy requiring the treatment team to evaluate undesirable weight changes, there was no documented evidence that the Registered Dietitian was made aware of the significant weight loss or that the resident's needs were reassessed and interventions modified accordingly. Resident R39's weight history showed a drop from 107 pounds on admission to between 99.8 and 100.4 pounds over a period of several weeks. The Registered Dietitian confirmed during an interview that the significant weight loss was not assessed. This failure to monitor and address the resident's nutritional status is a clear deficiency in the facility's care practices, as outlined by the relevant state codes.
Failure to Document Rationale for Extended PRN Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure a resident's medication regimen was free from potential unnecessary medications. Resident R72, who has multiple diagnoses including anxiety, was prescribed Alprazolam, a psychotropic medication, on a PRN basis. The resident received this medication on several occasions in April 2024. However, the clinical records did not contain evidence that the physician documented the rationale and indicated the duration of the PRN order when it was continued beyond the 14-day limit as required by CMS regulations. A pharmacy consultant review in November 2023 recommended that PRN anxiolytic orders need a 14-day stop date unless a longer duration is justified with a clinical rationale. Despite this recommendation, the PRN order for Alprazolam was continued without the necessary documentation. The medication was discontinued and restarted multiple times, but the required documentation was still not provided, leading to the deficiency noted in the report.
Failure to Label and Discard Medications Properly
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were labeled in accordance with professional standards and to discard expired medications as required. During an observation of the Middle Cart on the Second Floor, several opened eye medication vials were found without any marking of the opened date. These included a 5 ML bottle of Tobramycin Ophthalmic Solution, two 15 ML bottles of Tears Lubricant Eye Drop, a 5 ML bottle of Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution, a 5 ML bottle of Latanoprost Ophthalmic Solution, an opened box of Systane Lubricant Eye Drops, and a 5 ML bottle of Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution. All these medications had future expiry dates but were not labeled with the date they were opened, which is against the facility's policy revised in February 2023 that requires multi-dose vials to be dated and discarded within 28 days unless otherwise specified by the manufacturer. An interview with Registered Nurse (RN), Employee E9, confirmed that the eye drop bottles should have been discarded as they were not marked with the opened dates per the facility policy. This deficiency was identified during a review of the facility policy, observation, and staff interview, indicating a failure to comply with the professional standards for medication labeling and storage. The relevant state codes cited include 28 Pa Code 201.14(a), 28 Pa Code 211.9(g)(h), and 28 Pa Code 211.12(c)(d)(1)(5).
Infection Control Deficiency in Linen Processing
Penalty
Summary
The facility failed to maintain an effective infection control program related to the processing of linens. During an observation in the laundry room, it was noted that a Laundry Aide, Employee E10, allowed clean linens to drag on the floor while folding them. Employee E10 confirmed that this practice was incorrect and could lead to contamination. Additionally, another Laundry Aide, Employee E12, was observed allowing clean linens to touch their personal clothing while folding them. Employee E12 also confirmed that this practice was improper and could result in contamination. These actions were in violation of infection control protocols designed to prevent contamination and maintain hygiene standards.
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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 Rydal
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Joseph's Manor | 1.7 mi | ★★★★★ | 9 | 0 |
| Hrh Transitional Care Unit(a D/b/a Entity Of Hrhs) | 1.7 mi | ★★★★★ | 5 | 0 |
| Wyncote Care Center | 1.9 mi | ★★★★★ | 12 | 0 |
| Hopkins Center | 2 mi | ★★★★★ | 26 | 0 |
| Brookside Healthcare & Rehabilitation Center | 2.1 mi | ★★★★★ | 4 | 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 July 2026) and official state health department websites.