C

ST MARTHA CENTER FOR REHABILITATION & HEALTHCARE

470 MANOR AVE, DOWNINGTOWN, PA 19335
Score: 60 / 100

With a score of 60 out of 100, St Martha Center For Rehabilitation & Healthcare earns a C grade — placing it near the middle of Pennsylvania nursing facilities. Families should review the detailed metrics below when considering this Downingtown location.

Staffing at St Martha Center For Rehabilitation & Healthcare is near the national average, with 3.47 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 14 deficiencies at St Martha Center For Rehabilitation & Healthcare. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.47 3.8 Average
Registered Nurses (RN) 0.38 0.7 Below Average
Licensed Practical Nurses (LPN) 0.99 0.7 Above Average
Certified Nursing Assistants (CNA) 2.09 2.4 Below Average
Weekend Total Nursing 3.24 3.8 Below Average
Weekend RN Hours 0.26 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Jan 7, 2026
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jan 7, 2026 · Quality of Life and Care Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Feb 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0758 Severity D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Feb 20, 2025 · Pharmacy Service Deficiencies
  • Tag 0692 Severity E
    Provide enough food/fluids to maintain a resident's health.
    Jan 11, 2024 · Quality of Life and Care Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 11, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.3% 4.5% Better
Falls with major injury 2.7% 3.0% Average
On antipsychotic medication 18.0% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 11.8% 14.0% Better
Excessive weight loss 9.7% 7.5% Worse
New/worsened incontinence 33.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 7, 2026
Deficiencies (Cycle 1)
1