24/100
Poor
205 East Johnson Highway, Norristown, PA 19401
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
4 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$109,654 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 69%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 5, 2026 (5 months ago).
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, 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
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Part of PARAMOUNT CARE CENTERS, which operates 10 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| PARAMOUNT CARE CENTERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| FRIEDLANDER, MEIR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MARLOW, LAURI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ONYX IVORY PROPCO LLC | Organization | ADP OF THE SNF | — |
| PARAMOUNT CARE CENTERS LLC | Organization | ADP OF THE SNF | — |
| FRIEDLANDER, MEIR | Individual | ADP OF THE SNF | — |
| GRAF, ANDREW | Individual | ADP OF THE SNF | — |
| MARLOW, LAURI | Individual | ADP OF THE SNF | — |
| KRAUS, ABRAHAM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| CZERMEK, MICHAEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Onyx Wellness Center holds an ElderGrade of F (24 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.35 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 25 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Onyx Wellness Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.