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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 69th out of 203 homes in Pennsylvania. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 12m per day | ▲ 53% State avg: 47m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▼ 25% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 55m per day | ▲ 33% State avg: 2h 12m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 5m per day | ▲ 16% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 13m per day | ▲ 117% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 54m per day | ▲ 64% State avg: 33m per day · National avg: 29m per day |
Lower than the Pennsylvania average: 78.7%Elm Terrace Gardens is legally operated by Elm Terrace Gardens.
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.
A higher number of waivers may indicate the facility relies on staff who don't fully meet standard credential requirements. A lower number may suggest the facility meets staffing qualification standards without exemptions.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Pennsylvania state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 86 | 63 | This facility has 37% more total citations than a typical Pennsylvania nursing home (86 vs. PA avg 63).↑ 37% worse |
|
Citations per year
Average citations per year since 2021.
| 17.2 | 12.6 | This facility has 37% more citations per year than a typical Pennsylvania nursing home (17.2 vs. PA avg 12.6).↑ 37% worse |
|
Citations per inspection
Average citations per inspection.
| 5.4 | 5.7 | This facility has 5% fewer citations per inspection than a typical Pennsylvania nursing home (5.4 vs. PA avg 5.7).↓ 5% better |
Inspections
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 11 | This facility has 45% more total inspections than a typical Pennsylvania nursing home (16 vs. PA avg 11).↑ 45% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 13 | 8 | This facility has 63% more inspections with citations than a typical Pennsylvania nursing home (13 vs. PA avg 8).↑ 63% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 81% | 73% | This facility has 8 percentage points higher inspection citation rate than a typical Pennsylvania nursing home (81% vs. PA avg 73%).↑ 8% worse |
Complaints & Investigations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 6 | 4 | This facility has 50% more total complaints than a typical Pennsylvania nursing home (6 vs. PA avg 4).↑ 50% worse |
|
Complaints per year
Average complaints per year since 2021.
| 1.2 | 0.8 | This facility has 50% more complaints per year than a typical Pennsylvania nursing home (1.2 vs. PA avg 0.8).↑ 50% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 28, 2025, found deficiencies related to direct care staff lacking required educational qualifications, which the facility addressed with a corrective plan including staff termination and conditional re-hire. Earlier inspections showed a pattern of deficiencies involving resident care, abuse reporting, medication management, food service sanitation, and safety issues, with multiple instances of substantiated abuse and failure to follow reporting requirements. Complaint investigations were mostly unsubstantiated except for several substantiated cases of resident abuse resulting in staff termination and corrective actions. Enforcement actions such as staff terminations were noted, but fines or license suspensions were not listed in the available reports. The facility has shown some ongoing challenges in compliance, though recent corrective plans have been implemented and monitored.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPennsylvania average 6.7
Last Health inspection on Mar 2025
Pennsylvania average 31.3
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.
100% better than Pennsylvania averagePennsylvania average: 0.3
100% better than Pennsylvania averagePennsylvania average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% better than Pennsylvania average
6% better than Pennsylvania average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,126 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 42 | 20 | 62 | 16,983 | 92 | 100% | 8.8 |
| Registered Nurse | 17 | 5 | 22 | 6,192 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 11 | 9 | 20 | 3,645 | 92 | 100% | 10 |
| Dietitian | 3 | 0 | 3 | 1,452 | 74 | 80% | 8 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,375 | 74 | 80% | 7.6 |
| Physical Therapist | 6 | 0 | 6 | 1,234 | 91 | 99% | 4.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,196 | 82 | 89% | 8 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,020 | 69 | 75% | 6.3 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,017 | 69 | 75% | 7.6 |
| Physical Therapy Assistant | 0 | 3 | 3 | 928 | 68 | 74% | 7.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 513 | 57 | 62% | 9 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 454 | 63 | 68% | 7 |
| Administrator | 1 | 0 | 1 | 453 | 57 | 62% | 7.9 |
| Medical Director | 0 | 1 | 1 | 192 | 24 | 26% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 64 | 19 | 21% | 3.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
40.9
84% worse than Pennsylvania averagePennsylvania average: 22.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
41.4%
118% worse than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
58.5%
177% worse than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
15% better than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
82% worse than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.2%
24% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
2.8%
56% worse than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
5.5%
17% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
12.8%
25% better than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
62.1%
29% worse than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.6%
10% worse than Pennsylvania averagePennsylvania average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.82
8% worse than Pennsylvania averagePennsylvania average: 1.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.57
31% worse than Pennsylvania averagePennsylvania average: 1.20
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.3%
66% worse than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
6% better than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
39.4%
43% worse than Pennsylvania averagePennsylvania average: 68.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.9%
21% worse than Pennsylvania averagePennsylvania average: 23.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.2%
16% better than Pennsylvania averagePennsylvania average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
100% worse than Pennsylvania averagePennsylvania average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.4%
19% worse than Pennsylvania averagePennsylvania average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.9%
36% better than Pennsylvania averagePennsylvania average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
51% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
63Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Elm Terrace Gardens based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #87 / 205Payroll — State benchmarkedThis home is ranked 87th out of 205 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Studio / 1 Bedroom / 2 Bedroom
Building Type: Mid-rise
Dining Services
Beauty Salon & Barber Services
Transportation Services
Housekeeping & Maintenance
Recreational & Social Activities
Wellness & Exercise Programs
Parking Available
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
13.6 miles from city center
Estimated distance in miles from Lansdale's city center to Elm Terrace Gardens's address, calculated via Google Maps.
Add your location
Elm Terrace Gardens is located in Lansdale, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| 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 | 250 | 30.4% | -61% | 4.58 | +25% | +10% | $0 | 9 | 3.0 | - | 65 | 68 | James Burns | $25.5M | $11.9M | 46.7% | 395507 | ||||
| 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 | 85 | 58.8% | -25% | 3.42 | -50% | -18% | $0 | 15 | 1.7 | - | 50 | 25 | 227 Evergreen Road Operations LLC | $25.1M | $6.5M | 25.9% | 395904 |
Elm Terrace Gardens is in the Lansdale neighborhood of Lansdale.
Elm Terrace Gardens has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to PA state health department records, Elm Terrace Gardens's license number is 127830.
According to PA state health department records, Elm Terrace Gardens's license expires on June 10, 2027.
Elm Terrace Gardens's occupancy is 30%.
Elm Terrace Gardens is registered as a non-profit in PA.
Elm Terrace Gardens has 250 beds.
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