Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Simpson House Inc during CMS and state inspections, most recent first.
The facility did not comply with NFPA 10 standards as a fire extinguisher was found unmounted in the medical records room. This was confirmed during an exit interview with the Administrator and Maintenance Director.
The facility did not maintain the fire protection rating for linen chutes, affecting one level. The chute door in the first-floor soiled utility room failed to self-close because it was wedged into the drywall when fully opened. This issue was confirmed by the Administrator and Maintenance Director.
The facility was found in violation of fire-resistance rating requirements due to its four-story, Type II (000), unprotected noncombustible construction, which exceeds the maximum allowed height for this type. The building is fully sprinklered, but the construction type is not permitted to exceed one story when sprinklered, as confirmed by the Administrator and Maintenance Director.
The facility failed to submit required direct care staffing information for a fiscal quarter, as mandated by CMS. This deficiency was identified through a review of the PBJ staffing data report and confirmed by the DON, who could not provide additional documentation. The missing submission could affect the facility's ability to report on staff levels and quality of care.
The facility failed to implement enhanced barrier precautions for residents with indwelling catheters and pressure ulcers, as required by their infection control policy. Observations revealed a lack of signage and PPE outside residents' rooms, and interviews confirmed staff were unaware of the need for these precautions.
A resident with pulmonary hypertension and chronic respiratory failure was found to be receiving 2 liters of oxygen instead of the prescribed 1 liter, and the oxygen tubing was undated. This was confirmed by a licensed nurse, indicating a failure to follow the physician's orders and proper equipment management.
A resident with multiple health conditions, including dementia and heart failure, was admitted to hospice services without a comprehensive care plan being developed by the facility. Despite a physician's order for hospice consultation, the facility did not create a care plan to address the resident's hospice needs, which was confirmed by the DON.
The facility did not provide inservice education for a nurse aide who was rated as 'Needs Improvement' in maintaining confidentiality during an annual performance review. Despite the identified need for improvement, there was no documentation of re-training on confidentiality for the nurse aide in 2023 and 2024. An interview confirmed the lack of documented re-education on this matter.
Uninspected and Unmounted Fire Extinguisher in Medical Records Room
Penalty
Summary
The facility failed to ensure that portable fire extinguishers were properly inspected and mounted, as required by NFPA 10, Standard for Portable Fire Extinguishers. During an observation on April 28, 2025, at 8:55 a.m., it was noted that a fire extinguisher was not mounted in the medical records room. This deficiency was confirmed during an exit interview with the Administrator and Maintenance Director on the same day at 10:30 a.m.
Plan Of Correction
1: The fire extinguisher was mounted in medical records with signage. 2: The Director of Facilities/ Designee will perform random monthly audits times 4 then quarterly audits to ensure all fire extinguishers are properly mounted. 3: The Facilities Director/Designee will report audit findings in the quarterly QA meeting and or the Facilities Governing Body meetings.
Failure to Maintain Fire Protection Rating for Linen Chutes
Penalty
Summary
The facility failed to maintain the fire protection rating for linen chutes, specifically affecting one of the four levels. During an observation on April 28, 2025, at 9:35 a.m., it was noted that the chute door in the soiled utility room on the first floor did not self-close as required. This failure was due to the door being wedged into the drywall when fully opened. An interview with the Administrator and Maintenance Director at 10:30 a.m. on the same day confirmed the issue with the chute door not self-closing.
Plan Of Correction
A wall stop was placed to ensure the soiled utility room chute door can self-close. The Director of Facilities/Designee will perform random monthly audits times 4 then quarterly audits to ensure all utility room chute doors self-close. The Facilities Director/Designee will report audit findings in the quarterly QA meeting and or the Facilities Governing Body meetings.
Violation of Fire-Resistance Rating Requirements
Penalty
Summary
The facility was found to be in violation of fire-resistance rating requirements due to its building construction type and height. During an observation and document review, it was noted that the building is a four-story, Type II (000), unprotected noncombustible construction with a basement, which is fully sprinklered. This construction type is not permitted to exceed one story when sprinklered, according to the NFPA 101 standards. The surveyors confirmed with the Administrator and Maintenance Director that the story height exceeds the maximum allowed for this type of construction, indicating a failure to comply with the fire safety regulations, affecting the entire facility.
Plan Of Correction
1: The FSES will be updated by Lenhardt Rodgers Architecture, and a copy will be forwarded to Life Safety as well as DOH Harrisburg and the Local Field office in Norristown. 2: FSES will be updated yearly.
Failure to Submit Staffing Data for Fiscal Quarter
Penalty
Summary
The facility failed to electronically submit direct care staffing information for the first quarter of the fiscal year 2025, covering the period from October 1, 2024, to December 31, 2024. This deficiency was identified through a review of the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) staffing data report and confirmed during an interview with the Director of Nursing. The report indicated that the facility did not meet the mandatory submission requirements as outlined in Section 6106 of the Affordable Care Act (ACA) and the State Operations Manual, which mandates the electronic submission of complete and accurate direct care staffing information, including agency and contract staff, based on payroll and other verifiable data. The failure to submit the required staffing data was further highlighted by the facility's triggering for 'Failed to Submit Data for the Quarter' in the PBJ staffing data report. During the interview, the Director of Nursing, identified as Employee E2, was unable to provide any additional information or documentation to account for the missing submission. This lack of compliance with the CMS requirements for staffing data submission could potentially impact the facility's ability to report on staff levels, turnover, and tenure, which are critical for assessing the quality of care provided to residents.
Plan Of Correction
1. The Director of Nursing and Administrator will be in-serviced on CMS, 483.70 Mandatory submission of staffing based on payroll data in a uniform format that Long Term Care facilities must electronically submit to CMS direct care staffing information according to the CMS submission schedule. 2. The Director of Nursing along with the Administrator will be reviewing the direct care staffing data monthly for electronic submission. 3. The administrator will monitor that the facility submits the direct care staffing data electronically in the uniform format for each quarter as directed by CMS for Payroll Based Journal. Data submission will be reported by the Director of Nursing or the Administrator through the Quality Assurance meeting and/or the Facilities Governing Body meetings for compliance.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement enhanced barrier precautions for four residents, leading to a deficiency in infection prevention and control. The facility's policy on enhanced barrier precautions, which was reviewed in July 2024, mandates the use of personal protective equipment (PPE) such as gowns and gloves during high-contact resident care activities for residents with wounds or indwelling medical devices. However, observations and interviews revealed that these precautions were not followed for residents with indwelling catheters and pressure ulcers. Resident R36, who had an indwelling catheter, and Resident R50, who had pressure ulcers, did not have enhanced barrier precautions documented in their care plans. Observations showed no signage indicating the need for such precautions on their doors, and no gowns or waste containers were available outside their rooms. Interviews with the residents and staff confirmed the lack of awareness and implementation of these precautions. Similarly, Residents R24 and R48, both with indwelling catheters, also lacked signage and available gowns outside their rooms. Interviews with the residents and staff further confirmed the absence of enhanced barrier precautions. The Unit Manager acknowledged the lack of signage and gowns, indicating a systemic failure to adhere to the facility's infection control policies.
Plan Of Correction
1- Residents R36, R50, R24, and R48 were all placed on Enhanced Barrier Precautions. This includes PPE immediately available outside of the resident's room and a waste container near the exit of the room with signage posted for each resident's room. All residents will be screened during the admissions process for the need of Enhanced Barrier Precautions prior to admission to the facility. The Director of Nursing/Designee will review the new orders report to determine if Enhanced Barrier Precautions need to be initiated and added to a resident's plan of care. All licensed staff will be educated on the policy and procedures of Enhanced Barrier Precautions and the location of where PPE will be readily available on the nursing units. The Director of Nursing/Designee will perform random weekly audits times 4, then monthly audits times 4, then quarterly audits times 4 to assure the facility has implemented Enhanced Barrier Precautions for the required residents. Audit results will be reported by the Director of Nursing/Designee through the Quality Assurance meeting and/or the Facilities Governing Body meetings for compliance. Date of Corrective action: May 30, 2025.
Failure to Adhere to Prescribed Oxygen Therapy
Penalty
Summary
The facility failed to provide appropriate respiratory care for a resident, identified as Resident R45, who was receiving oxygen therapy. Resident R45 was admitted with diagnoses including pulmonary hypertension, chronic obstructive pulmonary disease, and chronic respiratory failure. The physician's orders for Resident R45 specified the administration of oxygen at 1 liter per minute via nasal cannula to maintain blood oxygen levels above 92%. However, observations on two separate occasions revealed that the resident was receiving 2 liters of oxygen, contrary to the physician's orders. Additionally, it was noted that the oxygen tubing used for Resident R45 was not dated, which is a deviation from standard practice. This was confirmed during an interview with a licensed nurse, Employee E3, who acknowledged that the oxygen concentrator was set at 2 liters and that the tubing was undated. These findings indicate a failure to adhere to the prescribed oxygen therapy regimen and proper equipment management, as required by professional standards and the resident's care plan.
Plan Of Correction
1. Resident R45's oxygen concentrator setting was placed at 1 Liter as ordered by the physician. The oxygen tubing was changed and dated. 2. All residents' oxygen concentrator settings have been evaluated and are administering the proper liters of oxygen according to the physician orders. All oxygen tubing's were changed and dated. All residents on oxygen will receive physician orders to change and date oxygen tubing weekly. 3. All licensed staff will be re-educated on physician's orders and concentrator settings. The Director of Nursing/Designee will review the new orders report for oxygen orders and accurate concentrator settings. 4. The Director of Nursing/Designee will perform random weekly audits times 4, then monthly audits times 4, then quarterly audits times 4 of physician's orders for oxygen orders and for accurate concentrator settings. Audit results will be reported by the Director of Nursing/Designee through the Quality Assurance meeting and/or the Facilities Governing Body meetings for compliance. 5. Date of Corrective action: May 30, 2025.
Failure to Develop Hospice Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for hospice services for Resident R40, who was admitted to the facility with multiple diagnoses including dementia, chronic kidney disease, anemia, heart failure, hypertension, and polyneuropathy. Despite a physician's order for a hospice consult and the resident's subsequent admission to hospice services, no care plan was created to address her hospice care needs. This oversight was confirmed during an interview with the Director of Nursing, who acknowledged that no care plan had been developed for the resident's hospice care from the time of her hospice admission until her death.
Failure to Provide Confidentiality Training for Nurse Aide
Penalty
Summary
The facility failed to provide inservice education based on the outcome of an annual performance review for one of the three nurse aides reviewed, identified as Employee E10. The performance review, dated December 13, 2023, rated Employee E10 as 'Needs Improvement' in maintaining confidentiality of resident, employee, operations data, and health information. A comment in the review advised Employee E10 to be mindful of discussing nursing concerns in front of residents and family members and to ensure appropriate conversation in common areas. Despite this identified need for improvement, a review of inservice records for 2023 and 2024 revealed no documentation of re-training for Employee E10 regarding confidentiality. An interview conducted on July 3, 2024, confirmed the absence of documented re-education on confidentiality for Employee E10 after the performance evaluation.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kearsley Rehabilitation And Nursing Center | 0.2 mi | ★★★★★ | 1 | 0 |
| Inglis House | 0.3 mi | ★★★★★ | 7 | 0 |
| Monumentalpostacutecare At Woodside Park | 0.5 mi | ★★★★★ | 22 | 1 |
| Centennial Healthcare And Rehabilitation Center | 1.5 mi | ★★★★★ | 25 | 0 |
| Aristacare At East Falls | 2.1 mi | ★★★★★ | 10 | 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.