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.
Lutheran Community at Telford is a non-profit-operated 125-bed personal care community at 235 North Washington Street in Telford, Pennsylvania. A 26-bed secured dementia care unit serves residents on-site. The facility offers independent living, personal care, memory support, healthcare, and rehabilitation, with Medicare and private pay accepted.
CMS rates the facility 5 stars, with health inspection performance 42 percent above Pennsylvania average. The raw compliance record is more mixed: across 13 inspections since 2021, the facility averaged 9.6 deficiencies annually, roughly double the 4.7 state average. No fines or license actions appear on record. Two substantiated complaint investigations in early 2025 identified inadequate supervision in the secured dementia unit, resulting in resident-to-resident abuse incidents; a December 2023 investigation found an agency CNA had stolen a resident’s debit card. Nurse hours run 5h 2m per resident daily, 10 percent above Pennsylvania’s average. Occupancy stands at 58 percent, well below the 78.7 percent state average, indicating current availability across care levels
.
Amenities include a heated indoor pool, fitness and aquatic center, creative arts studio, and meditation chapel, an unusually broad lifestyle offering for a personal care setting.
The community suits older adults in Bucks County wanting a multi-level non-profit campus, with depth in memory support programming and lifestyle amenities for independent and personal care residents.
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.
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.
| 55m per day | ▲ 17% 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 | ▼ 15% 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.
| 3h 4m per day | ▲ 40% 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 20m per day | ▲ 23% 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.
| 3m per day | ▼ 54% 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.
| 32m per day | ▼ 3% State avg: 33m per day · National avg: 28m 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.
Lower than the Pennsylvania average: 78.7%Lutheran Community at Telford is legally operated by Lutheran Community At Telford.
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 composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Pennsylvania state average. The score below shows how many points this facility sits above or below the typical Pennsylvania assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.
4 points above the Pennsylvania average for assisted living residences (83/100)
Rank #183 / 460 in Pennsylvania Inspection Score — State benchmarked This home is ranked 183rd out of 460 homes in Pennsylvania for Inspection Score. Shows this facility's inspection score compared to the Pennsylvania average among 460 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 87 out of 100. Letter grade B+. 4 points above the Pennsylvania average for assisted living residences (83/100)
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.
| 46 | 63 | This facility has 27% fewer total citations than a typical Pennsylvania assisted living residence (46 vs. PA avg 63).↓ 27% better Rank #276 / 478 Total citations — State benchmarked This home is ranked 276th out of 478 homes in Pennsylvania for Total citations. Shows this facility's total citations compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking. |
|
Citations per year
Average citations per year since 2021.
| 9.2 | 12.6 | This facility has 27% fewer citations per year than a typical Pennsylvania assisted living residence (9.2 vs. PA avg 12.6).↓ 27% better |
|
Citations per inspection
Average citations per inspection.
| 3.3 | 5.7 | This facility has 42% fewer citations per inspection than a typical Pennsylvania assisted living residence (3.3 vs. PA avg 5.7).↓ 42% better Rank #205 / 478 Citations per inspection — State benchmarked This home is ranked 205th out of 478 homes in Pennsylvania for Citations per inspection. Shows this facility's citations per inspection compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking. |
Inspections
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 14 | 11 | This facility has had 27% more total inspections than the Pennsylvania average (14 vs. PA avg 11). More inspections can mean more regulatory scrutiny rather than worse care.↑ 27% more |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 12 | 8 | This facility has 50% more inspections with citations than a typical Pennsylvania assisted living residence (12 vs. PA avg 8).↑ 50% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 86% | 73% | This facility has 13 percentage points higher inspection citation rate than a typical Pennsylvania assisted living residence (86% vs. PA avg 73%).↑ 13% worse Rank #417 / 478 Inspection citation rate — State benchmarked This home is ranked 417th out of 478 homes in Pennsylvania for % of inspections with citations. Shows this facility's % of inspections with citations compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking. |
Complaints & Investigations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 3 | 4 | This facility has 25% fewer total complaints than a typical Pennsylvania assisted living residence (3 vs. PA avg 4).↓ 25% better Rank #297 / 478 Total complaints — State benchmarked This home is ranked 297th out of 478 homes in Pennsylvania for Complaint inspections. Shows this facility's complaint inspections compared to the Pennsylvania average among 478 comparable communities in the ranking pool. Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking. |
|
Complaints per year
Average complaints per year since 2021.
| 0.6 | 0.8 | This facility has 25% fewer complaints per year than a typical Pennsylvania assisted living residence (0.6 vs. PA avg 0.8).↓ 25% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Jul 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
31 total: 9 full-time employees and 22 contractors.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursAssists with medical care and medications.
27 total: 11 full-time employees and 16 contractors.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursHelps with daily care and mobility.
79 total: 48 full-time employees and 31 contractors.
79
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,926 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 31 | 79 | 16,788 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 11 | 16 | 27 | 3,906 | 92 | 100% | 7.4 |
| Registered Nurse | 9 | 22 | 31 | 2,786 | 92 | 100% | 6.7 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,236 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,987 | 89 | 97% | 7.6 |
| Nurse Aide in Training | 5 | 0 | 5 | 1,328 | 87 | 95% | 7.7 |
| RN Director of Nursing | 5 | 0 | 5 | 693 | 77 | 84% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 547 | 57 | 62% | 8.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 450 | 60 | 65% | 7.5 |
| Administrator | 1 | 0 | 1 | 428 | 57 | 62% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 398 | 53 | 58% | 7.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 328 | 54 | 59% | 5.8 |
| Qualified Social Worker | 0 | 3 | 3 | 289 | 60 | 65% | 4.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 274 | 72 | 78% | 3.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 266 | 61 | 66% | 4.3 |
| Dietitian | 1 | 0 | 1 | 144 | 36 | 39% | 4 |
| Physical Therapy Aide | 0 | 1 | 1 | 124 | 39 | 42% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 46 | 15 | 16% | 3 |
| Medical Director | 0 | 1 | 1 | 31 | 12 | 13% | 2.6 |
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.
12.4
13% worse than State averageState average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.4
32% worse than State averageState 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
23.3%
23% worse than State averageState average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
28.0%
33% worse than State averageState average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.9%
38% worse than State averageState average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
105% worse than State averageState average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.7%
69% better than State averageState average: 5.5%
Percent of long-stay residents with a urinary tract infection
3.3%
88% worse than State averageState average: 1.8%
Percent of long-stay residents who lose too much weight
2.5%
62% better than State averageState average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
18.8%
10% worse than State averageState average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
15% better than State averageState average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than State averageState average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.17
30% better than State averageState average: 1.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.07
11% better than State averageState 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
98.1%
43% better than State averageState average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
46% better than State averageState average: 68.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.5%
In line with State averageState average: 23.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.0%
33% worse than State averageState average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
66.7%
24% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.0%
7% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64Residents 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 Lutheran Community at Telford from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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 #36 / 209Payroll — State benchmarkedThis home is ranked 36th out of 209 homes in Pennsylvania for Payroll. 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 #113 / 209Payroll % — State benchmarkedThis home is ranked 113th out of 209 homes in Pennsylvania for Payroll %. Shows payroll as a percentage of revenue versus the Pennsylvania average. Well-run Pennsylvania facilities typically land around 53–62% — 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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% 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.
0.0 miles from city center
Estimated distance in miles from Telford's city center to Lutheran Community at Telford's address, calculated via Google Maps.
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The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| Freedom Village at Brandywine | NH AL IL MC RC SNF | Coatesville | - | 60 | A+ | 9 | 1 Bed / 2 Bed |
| Souderton Mennonite Homes | NH AL MC RC | Souderton | - | 154 | - | 31 | Studio / 1 Bed / 2 Bed |
| Lutheran Community at Telford | NH IL MC SNF | Telford | - | 125 | - | 65 | - |
| Barclay Friends | NH AL MC RESC SNF | West Chester (North Franklin Street) | - | 103 | A+ | 35 | Private / Shared Suites |
| Overlook Green Senior Living | NH MC | Pittsburgh | - | 128 | - | 30 | Studio / 1 Bed |
Lutheran Community at Telford has a walk score of 65. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to PA state health department records, Lutheran Community at Telford's license number is 126720.
According to PA state health department records, Lutheran Community at Telford's license expires on August 2, 2026.
Lutheran Community at Telford's occupancy is 58%.
Yes — see the floorplan options available at Lutheran Community at Telford on this page.
Lutheran Community at Telford is registered as a non-profit in PA.
Lutheran Community at Telford has 125 beds.
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