St Monica Center for Rehabilitation & Healthcare
2509 South Fourth Street, Philadelphia, PA 19148 · Philadelphia County · 180 certified beds · avg 176 residents/day · certified since Nov 29, 1982
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.
All citations in the current public record (41)
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 |
|---|---|---|
| Jul 24, 2025 | E · Potential for harm, repeated | 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. |
| Jul 24, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 24, 2025 | D · Potential for harm, one-off | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 24, 2025 | D · Potential for harm, one-off | 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. |
| Jul 24, 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jul 24, 2025 | 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. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Sep 27, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Sep 27, 2024 | E · Potential for harm, repeated | 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. |
| Sep 27, 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. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 27, 2024 | 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. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Sep 27, 2024 | 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. |
| Dec 7, 2023 | 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. |
| Dec 7, 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. |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | D · Potential for harm, one-off | 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. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Dec 7, 2023 | 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. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Oct 5, 2023 | 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. · from a complaint |
| Sep 11, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 15 | 0 | E |
| 2024 | 12 | 0 | F |
| 2025 | 14 | 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)
No fines or payment denials in the published 3-year window.
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) | 3.55 | 3.94 | 3.95 | bottom 46% in Pennsylvania; bottom 39% in the U.S. |
| Registered Nurse hours | 0.51 | 0.80 | 0.69 | bottom 28% in Pennsylvania; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.58 | 3.50 | bottom 47% in Pennsylvania; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.56 | 0.48 | bottom 39% in Pennsylvania; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 44.6 | 44.5 | 45.8 | bottom 49% in Pennsylvania; top 49% in the U.S. |
| RN turnover (%) | 32.0 | 39.9 | 42.9 | top 36% in Pennsylvania; top 33% 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 3.45, RN 0.50, weekend 3.17. Staffing rating: 3/5.
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 - Individual
| 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% | 11/28/2023 |
| Rosenberg, Zvi | Individual | 5% or Greater Direct Ownership Interest | 10% | 11/28/2023 |
| 2509 South Fourth Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/28/2023 |
| 2509 South Fourth Realty LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 11/28/2023 |
| 2509 South Fourth Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/28/2023 |
| Cox, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/26/2004 |
| Cox, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2025 |
| Honig, Peter | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/28/2023 |
| Honig, Peter | Individual | ADP of the SNF | NOT APPLICABLE | 11/28/2023 |
| Rosenberg, Esther | Individual | ADP of the SNF | NOT APPLICABLE | 11/28/2023 |
| Stern, Samuel | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2022 |
| Stern, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
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 you show me an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "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 |
|---|---|---|---|---|---|
| Fox Subacute at South Philadelphia | 1.0 mi | Philadelphia, PA | ★★☆☆☆ | 2/5 | abuse |
| Graduate Post Acute | 2.1 mi | Philadelphia, PA | ★★☆☆☆ | 1/5 | abuse |
| Majestic Center for Rehab & Sub-Acute Care | 2.4 mi | Camden, NJ | ★★★★★ | 4/5 | |
| Abigail House for Nursing & Rehabilitation | 2.9 mi | Camden, NJ | ★★☆☆☆ | 1/5 | |
| Logan Square Rehabilitation and Healthcare Center | 3.0 mi | Philadelphia, PA | ★★★☆☆ | 3/5 | |
| Tucker House Nursing and Rehabilitation Center | 3.2 mi | Philadelphia, PA | ★★☆☆☆ | 2/5 | |
| University City Rehabilitation and Healthcare Ctr | 3.4 mi | Philadelphia, PA | ★★★☆☆ | 2/5 | |
| Renaissance Healthcare & Rehabilitation Center | 3.8 mi | Philadelphia, PA | ★★★☆☆ | 3/5 | |
| Holy Family Home | 4.0 mi | Philadelphia, PA | ★★★★★ | 4/5 | |
| Rittenhouse Post Acute | 4.0 mi | Philadelphia, PA | ★★★★☆ | 3/5 | |
| United Methodist Communities at Collingswood | 4.1 mi | Collingswood, NJ | ★★★★★ | 5/5 | |
| West Park Rehabilitation and Nursing Center | 4.3 mi | Philadelphia, PA | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395558.