WYNDMOOR HILLS REHABILITATION AND NURSING CENTER

Special Focus Facility candidate · CCN 396115 · WYNDMOOR SNF OPERATING COMPANY LLC · For profit - Limited Liability company · LME FAMILY HOLDINGS chain · 77 certified beds · Montgomery · PA


WYNDMOOR HILLS REHABILITATION AND NURSING CENTER is a 77-bed nursing home in WYNDMOOR, Pennsylvania. CMS has certified it for Medicare and Medicaid since 2007-08-14. It averages 72.6 residents a day.

What harm was found in the violations cited at WYNDMOOR HILLS REHABILITATION AND NURSING CENTER?

CMS lists 86 health-inspection deficiencies for WYNDMOOR HILLS REHABILITATION AND NURSING CENTER since 2023-05-11, 77 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-06-12.

Survey dateTagDeficiencySeverity
2026-06-12F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2026-06-12F0627, F0760, F0914Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Ensure that residents are free from significant medication errors. / Provide bedrooms that don't allow residents to see each other when privacy is needed.D
2026-02-04F0684, F0697Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services.D
2025-12-11F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE
2025-12-11F0656, F0689, F0730, F0842Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Observe each nurse aide's job performance and give regular training. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-12-03F0689, F0842Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-08-25F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-07-07F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-05-29F0689, F0825Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide or get specialized rehabilitative services as required for a resident.D
2025-02-26F0558Reasonably accommodate the needs and preferences of each resident.E
2025-02-26F0697, F0761Provide safe, appropriate pain management for a resident who requires such services. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2025-02-08F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.K
2025-02-08F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D
2025-01-10F0908, F0921, F0925Keep all essential equipment working safely. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-01-10F0610, F0689Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-01-10F0584, F0609, F0656, F0677, F0685, F0688, F0690, F0694, F0695, F0743, F0791, F0812, F0842Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. / Provide or obtain dental services for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-09-17F0655, F0684, F0842Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-07-11F0908Keep all essential equipment working safely.L
2024-07-11F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.K
2024-07-11F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D
2024-02-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-02-23F0880Provide and implement an infection prevention and control program.F
2024-02-23F0584, F0883Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2024-02-23F0550, F0565, F0577, F0610, F0623, F0625, F0689, F0726, F0761, F0800, F0804, F0835, F0865, F0868, F0882, F0908, F0947Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Keep all essential equipment working safely. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2024-01-04F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E
2024-01-03F0801, F0812Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-01-03F0809, F0814Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Dispose of garbage and refuse properly.E
2024-01-03F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D
2023-10-26F0804, F0908, F0919Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-08-30F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2023-05-11F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-05-11F0880, F0921, F0925Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2023-05-11F0585, F0623, F0656, F0657, F0690Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D

Why was WYNDMOOR HILLS REHABILITATION AND NURSING CENTER fined 3 times?

DateTypeAmount
2025-01-10Fine$17,614
2024-07-11Fine$33,871
2024-01-03Fine$50,824

How is WYNDMOOR HILLS REHABILITATION AND NURSING CENTER staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.095943.88823
Total nursing staff turnover (%)47.744.5
Average number of residents per day72.6104.6

Who owns WYNDMOOR HILLS REHABILITATION AND NURSING CENTER, and what chain is it in?

WYNDMOOR HILLS REHABILITATION AND NURSING CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name WYNDMOOR SNF OPERATING COMPANY LLC and belongs to the LME FAMILY HOLDINGS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTBELLS HEALTHCARE MANAGEMENT LLCsince 11/15/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTBE SMARTS TR, WYNDMOOR EL LLC, WYNDMOOR MANAGING MEMBER LLC, WYNDMOOR MEMBER LLCsince 11/15/2019
W-2 MANAGING EMPLOYEEHERDER, TYNISHAsince 11/15/2019
CORPORATE DIRECTORFEUER, SAMUELsince 11/15/2019
OPERATIONAL/MANAGERIAL CONTROLBRAUNSTEIN, BARRYsince 11/15/2019

Were you or a family member harmed at WYNDMOOR HILLS REHABILITATION AND NURSING CENTER?