01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-29 | 3 | 2025-08-29 | 2 |
| Cycle 2 | 2024-10-18 | 5 | 2024-10-18 | 0 |
| Cycle 3 | 2024-01-02 | 7 | 2024-01-02 | 0 |
CMS CCN 3957382026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Paul'S Run
9896 Bustleton Avenue · Philadelphia, PA 19115 · Philadelphia County
Certified beds119CMS provider file
Recent citation rows17current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
17 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-29 · FIREE0009Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-08-29 · FIREE0030Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2025-10-102025-08-29 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-10-222025-08-29 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-222025-08-29 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-10-222024-10-18 · HEALTHF0623Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-11-182024-10-18 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-11-182024-10-18 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-11-182024-10-18 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-11-182024-10-18 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-182024-01-02 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-02-222024-01-02 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-02-222024-01-02 · HEALTHF0691Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-02-222024-01-02 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-02-222024-01-02 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-02-222024-01-02 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-02-222024-01-02 · HEALTHF0882Severity C · widespread; potential for minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-02-2203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LIBERTY LUTHERAN SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2001
- BORTZ, BEVERLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2012
- BRECKENRIDGE, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2019
- FERNANDEZ-MILLER, ANNABELLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- HIMLER, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2016
- MATTHIAS-LONG, WAYNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2021
- ROTH, FRANKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/09/2025
- STEITZ, PAMELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2021
- STETTLER, DAVEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2016
- BARNUM, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/10/2006
- FISHER, LUANNEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/02/1977
- MYERS, JOANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/09/1987
- LIBERTY LUTHERAN SERVICESOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2001
- BEECH III, FRANKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/02/2025
- GALANTE, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/13/2007
- GRIFFIES-EDWARDS, KIMBERLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2024
- BAKER TILLY ADVISORY GROUP LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2024
- BANK OF AMERICA CORPOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/16/2006
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.88per resident day
RN hours0.67per resident day
Weekend nurse hours3.67per resident day
Staff turnover29.0%CMS reported field
06 / LOCAL RECORDS
Open the Philadelphia ledger →Other published facilities nearby
Accela Rehab And Care Center At Somerton225 beds · CMS overall 1/558 citation rowsAristacare At East Falls66 beds · CMS overall 1/588 citation rowsCare Pavilion Nursing And Rehabilitation Center396 beds · CMS overall 1/5141 citation rowsCaring Heart Rehabilitation And Nursing Center269 beds · CMS overall 2/582 citation rowsCentennial Healthcare And Rehabilitation Center180 beds · CMS overall 3/538 citation rowsChapel Manor238 beds · CMS overall 2/590 citation rowsCliveden Nursing And Rehabilitation Center180 beds · CMS overall 2/563 citation rowsCathedral Village82 beds · CMS overall 4/517 citation rows