Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LAFAYETTE-REDEEMER, THE

PHILADELPHIA, PA · 120 certified beds · Last Life Safety survey February 14, 2025

CMS Certification Number 395704 · first certified September 1985

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within PA

12 citations — more than 56% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (December 2025 to February 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was February 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility12PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0652024-0432025-02
Citations at each Life Safety survey
Survey dateCitations
June 22, 20234
April 11, 20245
February 14, 20253

Most-cited tags

Most-cited tags at this facility
K-03632K-02252K-09201K-03511K-09181K-09111K-03721K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.22024-04-11
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.22025-02-14
K-0920Ensure proper usage of power strips and extension cords.12023-06-22
K-0351Install an approved automatic sprinkler system.12023-06-22
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-02-14
K-0911Meet requirements for the installation and maintenance of electrical systems.12024-04-11
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-06-22
K-0324Provide properly protected cooking facilities.12024-04-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 14, 2025 — 3 citations

Citations issued on February 14, 2025
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (April 10, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 10, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 10, 2025)

April 11, 2024 — 5 citations

Citations issued on April 11, 2024
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (June 15, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 15, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 15, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 15, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 15, 2024)

June 22, 2023 — 4 citations

Citations issued on June 22, 2023
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 5, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 5, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 5, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 5, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.