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Memory Care in Montgomery County

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Elm Terrace Gardens

Memory Care in Montgomery County

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Elm Terrace Gardens

Overview of Elm Terrace Gardens

Make the Most of Every Stage of Life at Elm Terrace Gardens

Elm Terrace Gardens, a not-for-profit senior living community in Lansdale, PA, offers a full continuum of care designed to meet residents’ needs today and in the future. Whether you are seeking the independence and convenience of maintenance-free living, the support of personal care, specialized memory care, short-term rehabilitation, long-term nursing care, or a respite stay, Elm Terrace provides compassionate services in a vibrant, community setting.

Residents enjoy the peace of mind that comes with 24-hour security, an emergency call system in every apartment, and access to comprehensive healthcare services right on campus. Our professional team is here to provide support when needed—so residents can focus on living life to the fullest.

Life at Elm Terrace also includes chef-prepared dining, housekeeping, transportation, and beautifully maintained grounds. With a full calendar of recreational activities, exercise programs, and opportunities for enrichment, residents have endless ways to stay active, engaged, and connected.

At Elm Terrace Gardens, residents and their families find comfort knowing that quality care and a supportive community are always close at hand.

Managed by Erin Trout

Personal Care Administrator

Erin Trout serves as the Personal Care Administrator at Elm Terrace Gardens, overseeing the personal care services to ensure residents receive compassionate and professional support. She plays a key role in maintaining the community’s commitment to quality care and resident well-being.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
Pennsylvania average: 3.9/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Pennsylvania average: 3.5/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5
Pennsylvania average: 4.1/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5
Pennsylvania average: 3.8/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 35m per day

This home provides 0% more nursing time per resident than the Pennsylvania average.

Pennsylvania average: 4h 35m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 1h 12m per day 47m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 55m per day 2h 12m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 4h 19m per day 3h 31m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 13m per day 6m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 54m per day 33m per day 29m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 250

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Pennsylvania average
Occupancy rate 30.4%
Residents per day (avg) 65
Occupancy rate
30.4%
Residents per day (avg)
65

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

51% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

49% of new residents, often for short stays.

Typical stay 3 months

Finances and operations

Voluntary non-profit community
Home revenue
$25.5M
Operating deficit
-$856.1K
Voluntary non-profit community
Home revenue
$25.5M
Operating deficit
-$856.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.2M
36.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.0M
Total costs $26.2M
Bed community size
250-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 68 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
30%
In line with Pennsylvania average
Occupied beds
76 / 250
Average residents 103 per day

License Details

Facility TypePersonal Care Homes
StatusLicensed
IssuanceJune 10, 2025
ExpirationJune 10, 2026
CountyMONTGOMERY

Additional Licensing Details

License Number127830
CMS Certification Number395507

Ownership & Operating Entity

Elm Terrace Gardens is legally operated by Elm Terrace Gardens.

Profit StatusNON-PROFIT

Memory & Specialized Care

1 service
Alzheimer's Certification

State Inspection Report (PA)

April 28, 2025
119 Total Daily Staff
89 Waking Staff
0 Resident Support Staff
76 Residents Served

Secured Dementia Care Unit (PA)

Aspire
24 Capacity
21 Residents Served

Resident Conditions (PA)

Age 60+ 76 (100%)
Mobility Need 43 (57%)

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bedroom / 2 Bedroom

Building type icon
Building type icon

Building Type: Mid-rise

Dining services icon
Dining services icon

Dining Services

Beauty Salon & Barber Services icon

Beauty Salon & Barber Services

Transportation services icon
Transportation services icon

Transportation Services

Housekeeping & Maintenance icon

Housekeeping & Maintenance

Recreational & Social Activities  icon

Recreational & Social Activities

Wellness & Exercise Programs icon

Wellness & Exercise Programs

Parking Available icon

Parking Available

Types of Care at Elm Terrace Gardens

Independent Living Assisted Living Memory Care Skilled Nursing Nursing Care Respite Care

Inspection History

In Pennsylvania, the Department of Human Services (for assisted living facilities) and the Department of Health (for nursing homes) conduct unannounced inspections to verify adherence to state regulations.

16 visits/inspections

6 visits/inspections triggered by complaints

Results

13 with citations

3 without citations

Pennsylvania average: 4 complaint visits

Pennsylvania average: 8 inspections with citations

6 complaints

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

Pennsylvania average: 4 complaints

Latest inspection

Date April 28, 2025
Monitoring

86 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Pennsylvania average: 63 citations

100 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Pennsylvania average: 59 deficiencies

Health Inspection History

Inspections
Total health inspections 3

Pennsylvania average 6.7


Last Health inspection on Mar 2025

Total health citations 9

Pennsylvania average 31.3

Citations per inspection
3

Pennsylvania average 4.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 9 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Pennsylvania average

Pennsylvania average: 0.3


Serious Health citations More info 0
100% better than Pennsylvania average

Pennsylvania average: 0.6

0 critical citations More info Pennsylvania average: 0.3

0 serious citations More info Pennsylvania average: 0.6

8 moderate citations More info Pennsylvania average: 29.5

1 minor citation More info Pennsylvania average: 0.8
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 27, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Mar 27, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Mar 27, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. May 17, 2024
Corrected

Compare Memory Care around Montgomery County The information below is reported by the Pennsylvania Department of Human Services and Department of Health.

Filter by care type
Sanatoga Court
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Pottstown
130
Yes
25
227 Evergreen Road Operations Llc
8
3
62.5%
50
Profit
54
58.8%
Studio / 1 Bed
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Elm Terrace Gardens
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lansdale
72
No
68
Elm Terrace Gardens
16
6
81.3%
86
Non-Profit
119
30.4%
Studio / 1 Bed / 2 Bed
-
Viva Memory Care at Dresher
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dresher (Dresher)
66
No
52
Dresher Mc Opco, Llc
15
7
86.7%
133
Profit
66
53.0%
Private / Semi-Private Rooms
-
Bristol House Memory Care
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Warrington
48
No
52
Bristol House Memory Care Llc
19
7
94.7%
331
Profit
64
81.3%
Studio
-
South Mountain Memory Care
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Emmaus
28
No
67
South Mountain Memory Care Llc
11
0
36.4%
26
Profit
48
82.1%
Private Suites
-

Places of interest near Elm Terrace Gardens

Address 13.6 miles from city center

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 160
Employees 89
Contractors 71
Staff to resident ratio 2.54:1
31% better than Pennsylvania average

Pennsylvania average ratio: 1.94:1

Avg staff/day 51
Average shift 8.1 hours
0% compared with Pennsylvania average

Pennsylvania average: 7.8 hours

Total staff hours (quarter) 37,675
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 58
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

19.2%

7,224 contractor hours this quarter

Certified Nursing Assistant: 15 Licensed Practical Nurse: 13 Speech Language Pathologist: 11 Respiratory Therapy Technician: 7 Registered Nurse: 7 Physical Therapy Assistant: 6 Physical Therapy Aide: 5 Qualified Social Worker: 3 Therapeutic Recreation Specialist: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant43155815,71791100%8.4
Registered Nurse167235,96991100%9.2
Licensed Practical Nurse1413273,91691100%9.7
Other Dietary Services Staff4041,81991100%7.7
Respiratory Therapy Technician0771,4577279%7.9
Speech Language Pathologist011111,3287785%5.9
Physical Therapy Aide0551,1206571%7.9
Physical Therapy Assistant0661,0667279%7.6
Physical Therapist6061,0609099%4.2
Dietitian2028666268%7.9
Occupational Therapy Aide0115856571%9
Mental Health Service Worker1014725965%8
Clinical Nurse Specialist1014405560%8
Administrator1014165257%8
Qualified Social Worker0333995560%7
Nurse Practitioner1013924954%8
Therapeutic Recreation Specialist0113835055%7.7
Medical Director0112082629%8
Occupational Therapy Assistant011641719%3.8
58 Certified Nursing Assistant
% of Days 100%
23 Registered Nurse
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 100%
7 Respiratory Therapy Technician
% of Days 79%
11 Speech Language Pathologist
% of Days 85%
5 Physical Therapy Aide
% of Days 71%
6 Physical Therapy Assistant
% of Days 79%
6 Physical Therapist
% of Days 99%
2 Dietitian
% of Days 68%
1 Occupational Therapy Aide
% of Days 71%
1 Mental Health Service Worker
% of Days 65%
1 Clinical Nurse Specialist
% of Days 60%
1 Administrator
% of Days 57%
3 Qualified Social Worker
% of Days 60%
1 Nurse Practitioner
% of Days 54%
1 Therapeutic Recreation Specialist
% of Days 55%
1 Medical Director
% of Days 29%
1 Occupational Therapy Assistant
% of Days 19%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
63 residents
Residents by payment source
Medicare
23 residents (36.5%)
Medicaid
23 residents (36.5%)
Private pay or other
17 residents (27%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 23.1
110% worse than Pennsylvania average

Pennsylvania average: 11.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 40.9
84% worse than Pennsylvania average

Pennsylvania average: 22.2

Long-stay resident measures
Significantly below average Pennsylvania avg: 3.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 41.4%
118% worse than Pennsylvania average

Pennsylvania average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 58.5%
177% worse than Pennsylvania average

Pennsylvania average: 21.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.6%
15% better than Pennsylvania average

Pennsylvania average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.8%
82% worse than Pennsylvania average

Pennsylvania average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.2%
24% better than Pennsylvania average

Pennsylvania average: 5.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.8%
56% worse than Pennsylvania average

Pennsylvania average: 1.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
17% better than Pennsylvania average

Pennsylvania average: 6.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Pennsylvania average

Pennsylvania average: 5.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.8%
25% better than Pennsylvania average

Pennsylvania average: 17.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 62.1%
29% worse than Pennsylvania average

Pennsylvania average: 86.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.6%
10% worse than Pennsylvania average

Pennsylvania average: 93.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.82
8% worse than Pennsylvania average

Pennsylvania average: 1.68

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.57
31% worse than Pennsylvania average

Pennsylvania average: 1.20

Short-stay resident measures
Average Pennsylvania avg: 2.8 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 23.3%
66% worse than Pennsylvania average

Pennsylvania average: 68.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
6% better than Pennsylvania average

Pennsylvania average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 39.4%
43% worse than Pennsylvania average

Pennsylvania average: 68.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 27.9%
21% worse than Pennsylvania average

Pennsylvania average: 23.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.2%
16% better than Pennsylvania average

Pennsylvania average: 9.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.5%
100% worse than Pennsylvania average

Pennsylvania average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 43.4%
19% worse than Pennsylvania average

Pennsylvania average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 68.9%
36% better than Pennsylvania average

Pennsylvania average: 50.6%

Guides for Better Senior Living

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Financial Aid for Pennsylvania Seniors

Get financial aid guidance

Community HealthChoices (CHC)

PA Medicaid CHC

Age 65+ or disabled, Pennsylvania resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

Managed care model; high urban demand (e.g., Philadelphia, Pittsburgh).

Pennsylvania OPTIONS Program

PA OPTIONS

Age 60+, Pennsylvania resident, at risk of nursing home placement.

~$2,000/month (individual, varies by region).

$8,000 (individual).

Cost-sharing required above certain income; rural/urban balance.

Living Independence for the Elderly (LIFE)

Pennsylvania LIFE (PACE)

Age 55+, PA resident (specific counties), NFLOC, safe with LIFE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

16 providers in 25 counties (e.g., Allegheny, Luzerne); LIFE branding unique to PA.

Medicare Savings Program (MSP)

Pennsylvania Medicare Savings Program

Age 65+ or disabled, PA resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Pennsylvania LIHEAP

Age 60+ prioritized, PA resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Cash grants and crisis aid; serves ~600,000 households annually.

Family Caregiver Support Program (FCSP)

Pennsylvania Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; PA resident; functional needs (2+ ADLs).

No strict cap; reimbursements up to $600/month if care recipient income < ~$2,322/month (185% FPL).

Not assessed; need-based.

High demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Pennsylvania SCSEP

Age 55+, unemployed, low-income, PA resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Pennsylvania VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, PA resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran population; supports rural/urban care needs.

Property Tax/Rent Rebate Program (PTRR)

Pennsylvania Property Tax/Rent Rebate Program

Age 65+, PA resident, homeowner/renter (or widow/er 50+, disabled 18+).

~$45,000/year (individual or couple, excludes half of Social Security).

Not assessed; income-focused.

Rebates up to $1,000; ~600,000 eligible annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

Pennsylvania SFMNP

Age 60+, PA resident, low-income.

~$2,322/month (individual, 185% FPL).

Not assessed.

Vouchers (~$50/season) via 52 AAAs; serves ~200,000 annually.

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