5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tucked away in the serene area of Montgomery County, Media, PA, Lima Estates is an astonishing senior living community that offers independent living and assisted living services. The community offers an array of beautiful senior living apartments set in 54-acres of beautifully maintained ground. As a non-profit community, Lima Estates does not have an investor to satisfy, allowing them to fully commit instead on providing amazing care to the residents.
The community conducts a wide array of stimulating activities and programs to keep residents active, healthy, and entertained. Residents also relish a dining experience, featuring carefully prepared meals catered to their dietary needs and tastes. Here, residents are given access to the necessities of a fulfilling retirement life, including compassionate care services, a friendly management team, vibrant activities, and excellent dining experiences.
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 78th out of 207 homes in Pennsylvania for nurse hours. 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 30m per day | ▲ 93% 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.
| 47m per day | ▼ 14% State avg: 54m 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 26m per day | ▲ 11% State avg: 2h 12m per day · National avg: 2h 20m 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 14m per day | ▲ 20% State avg: 3h 32m per day · National avg: 3h 27m 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.
| 0m per day | ▼ 100% 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.
| 1h 18m per day | ▲ 137% State avg: 33m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
976% more staff per resident than Pennsylvania average
86% worse 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.
All 21 RN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
1.1 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
1 hoursHelps with daily care and mobility.
All 36 CNA Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
1.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 0 | 36 | 1,093 | 92 | 100% | 1.1 |
| Registered Nurse | 21 | 0 | 21 | 476 | 92 | 100% | 1.1 |
| Licensed Practical Nurse | 9 | 0 | 9 | 350 | 92 | 100% | 1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 142 | 84 | 91% | 1.2 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 134 | 75 | 82% | 1.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 72 | 62 | 67% | 1.2 |
| Administrator | 1 | 0 | 1 | 65 | 59 | 64% | 1.1 |
| Dietitian | 1 | 0 | 1 | 63 | 58 | 63% | 1.1 |
| Nurse Practitioner | 1 | 0 | 1 | 63 | 57 | 62% | 1.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 29 | 22 | 24% | 1.3 |
| Medical Director | 1 | 0 | 1 | 6 | 14 | 15% | 0.4 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 3 | 7 | 8% | 0.5 |
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.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.8%
16% better than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
46% better than Pennsylvania averagePennsylvania average: 68.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
4Residents 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 Lima Estates from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #134 / 209Payroll — State benchmarkedThis home is ranked 134th out of 209 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.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #165 / 209Payroll % — State benchmarkedThis home is ranked 165th out of 209 homes in Pennsylvania. Shows payroll as a percentage of revenue versus the Pennsylvania average. Well-run Pennsylvania facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Room Sizes: 529 / 770 / 806 sq. ft
Housing Options: 1 Bed / 2 Bed / 3 Bed
Building Type: Two-story
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (75% of admissions), and a typical private pay stay runs around 10 - 11 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.9 miles from city center
Estimated distance in miles from Media's city center to Lima Estates's address, calculated via Google Maps.
Add your location
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| Lima Estates | NH AL IL MC | Media | 60
Facility
60
PA AVG
94
Rank
#399 / 555 |
62.3%
Facility
62.3%
PA AVG
78.7%
Rank
#336 / 518 | -21% | 4.54
Facility
4.54
PA AVG
4.15
Rank
#78 / 207 | +122% | +10% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | - | - | - | 5 | A+ |
24
Facility
24
PA AVG
46
Rank
#511 / 668 | - | $16.5MFiscal year ending 12/2023
Facility
$16.5MFiscal year ending 12/2023
PA AVG
$32.8M
Rank
#113 / 209 | $8.3MFiscal year ending 12/2023
Facility
$8.3MFiscal year ending 12/2023
PA AVG
$6.7M
Rank
#134 / 209 | 50.7%Fiscal year ending 12/2023
Facility
50.7%Fiscal year ending 12/2023
PA AVG
40%
Rank
#165 / 209 | 395492 | ||||
| Garden Spring Nursing and Rehabilitation Center | NH AL IL MC | Willow Grove | 173
Facility
173
PA AVG
94
Rank
#34 / 555 |
71.2%
Facility
71.2%
PA AVG
78.7%
Rank
#257 / 518 | -10% | 3.59
Facility
3.59
PA AVG
4.15
Rank
#168 / 207 | -92% | -13% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | 45
Facility
45
PA AVG
31.3
Rank
#171 / 207 | 4.1
Facility
4.1
PA AVG
4.4
Rank
#121 / 207 | 1 | 133 | - |
54
Facility
54
PA AVG
46
Rank
#249 / 668 | Bh Opco Holdco LLC | $13.9MFiscal year ending 06/2024
Facility
$13.9MFiscal year ending 06/2024
PA AVG
$32.8M
Rank
#159 / 209 | $6.8MFiscal year ending 06/2024
Facility
$6.8MFiscal year ending 06/2024
PA AVG
$6.7M
Rank
#129 / 209 | 49.2%Fiscal year ending 06/2024
Facility
49.2%Fiscal year ending 06/2024
PA AVG
40%
Rank
#24 / 209 | 395077 |
Lima Estates is located in Media, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
Lima Estates has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
Lima Estates's occupancy is 62.3%.
Lima Estates is registered as a non-profit in PA.
Yes — there are 4 photos of Lima Estates in the photo gallery on this page.
Lima Estates is located at 411 N Middletown Rd, Media, PA 19063.
(610) 565-7020 will put you in contact with the team at Lima Estates.
Yes — Lima Estates is a CMS-certified provider of Medicare and Medicaid.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
