St John Neumann Ctr for Rehab & Healthcare
10400 Roosevelt Avenue, Philadelphia, PA 19116 · Philadelphia County · 226 certified beds · avg 218 residents/day · certified since Mar 7, 1967
Part of chain: THE ROSENBERG FAMILY (16 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jan 24, 2025 · F-0584
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Why it matters: An unsafe or unclean environment affects residents' health, comfort, and dignity every single day.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 24, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (37)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jan 21, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Nov 20, 2025 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jan 24, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Dec 3, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 15, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint |
| Mar 8, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 8, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 8, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 8, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 8, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 8, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 8, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 8, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Mar 8, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 9, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 15 | 0 | E |
| 2025 | 18 | 1 | K ▲ |
| 2026 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $26,043.
| Date | Type | Amount / length |
|---|---|---|
| Jan 24, 2025 | Fine | $26,043 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.75 | 3.94 | 3.95 | top 46% in Pennsylvania; bottom 49% in the U.S. |
| Registered Nurse hours | 0.64 | 0.80 | 0.69 | bottom 49% in Pennsylvania; top 43% in the U.S. |
| Weekend total nurse staffing | 3.50 | 3.58 | 3.50 | top 43% in Pennsylvania; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.56 | 0.48 | top 35% in Pennsylvania; top 28% in the U.S. |
| Total nursing staff turnover (%) | 38.1 | 44.5 | 45.8 | top 32% in Pennsylvania; top 31% in the U.S. |
| RN turnover (%) | 18.9 | 39.9 | 42.9 | top 13% in Pennsylvania; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.48, RN 0.60, weekend 3.25. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Basch, Joel | Individual | 5% or Greater Direct Ownership Interest | 8% | 11/28/2023 |
| Basch, Joshua | Individual | 5% or Greater Direct Ownership Interest | 8% | 11/28/2023 |
| Basch, Moshe | Individual | 5% or Greater Direct Ownership Interest | 8% | 11/28/2023 |
| Basch, Yitzi | Individual | 5% or Greater Direct Ownership Interest | 8% | 11/28/2023 |
| Rosenberg, Avraham | Individual | 5% or Greater Direct Ownership Interest | 10% | 11/28/2023 |
| Rosenberg, Esther | Individual | 5% or Greater Direct Ownership Interest | 16% | 11/28/2023 |
| Rosenberg, Moshe | Individual | 5% or Greater Direct Ownership Interest | 27% | 09/01/2014 |
| Rosenberg, Zvi | Individual | 5% or Greater Direct Ownership Interest | 10% | 11/28/2023 |
| 10400 Roosevelt Realty | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/28/2023 |
| 10400 Roosevelt Realty | Organization | ADP of the SNF | NOT APPLICABLE | 11/28/2023 |
| Rosenberg, Esther | Individual | ADP of the SNF | NOT APPLICABLE | 11/28/2023 |
| Spector, Larry | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Spector, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2025 |
| Stern, Samuel | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Stern, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 11/28/2023 |
| Varughese, Annie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/17/2023 |
| Varughese, Annie | Individual | ADP of the SNF | NOT APPLICABLE | 11/27/1966 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Oakwood Healthcare & Rehabilitation Center | 0.3 mi | Philadelphia, PA | ★★★★☆ | 4/5 | |
| Paul's Run | 0.9 mi | Philadelphia, PA | ★★★★★ | 4/5 | |
| Delaware Valley Veteran's Home | 1.8 mi | Philadelphia, PA | ★★★★☆ | 2/5 | abuse |
| Chapel Manor | 1.9 mi | Philadelphia, PA | ★★☆☆☆ | 2/5 | abuse |
| Accela Rehab and Care Center at Somerton | 2.2 mi | Philadelphia, PA | ★☆☆☆☆ | 2/5 | |
| The Pines at Philadelphia Rehab and Healthcare Ctr | 2.9 mi | Philadelphia, PA | ★★★★★ | 4/5 | |
| Wesley Enhanced Living Pennypack Park | 2.9 mi | Philadelphia, PA | ★★★☆☆ | 3/5 | |
| Lafayette-Redeemer, the | 2.9 mi | Philadelphia, PA | ★★★★★ | 5/5 | |
| Immaculatemarycenter for Rehabilitation&healthcare | 3.0 mi | Philadelphia, PA | ★☆☆☆☆ | 2/5 | |
| Deer Meadows Rehabilitation Center | 3.0 mi | Philadelphia, PA | ★★☆☆☆ | 2/5 | |
| Transitional Care Unit at Nazareth Hospital | 3.1 mi | Philadelphia, PA | ★★★★★ | 4/5 | |
| River's Edge Rehabilitation & Healthcare Center | 3.5 mi | Philadelphia, PA | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395182.