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Nursing homeFAID #10935

Ivory Nursing & Rehabilitation

2004 OLD ARCH ROAD, NORRISTOWN, PA, 19401
(610) 277-0380
120 licensed beds

CMS rates Ivory Nursing & Rehabilitation 2 out of 5 overall. Federal inspectors issued 52 citations across 13 inspections in the last three years, with $25,324 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Ivory Nursing and Rehabilitation
What we can show you for free.
Bed capacity
120
CMS facility ID
395446
Care type
Nursing home
County
Montgomery
Facility name
Ivory Nursing & Rehabilitation
Street address
2004 OLD ARCH ROAD
City / state / ZIP
Norristown, PA 19401
Phone
(610) 277-0380

Ivory Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Norristown, Pennsylvania. It is licensed for 120 beds — close to the median for skilled nursing facilities in Pennsylvania (119 beds).

It is one of 9 senior care facilities in Norristown and 656 skilled nursing facilities across Pennsylvania. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Paramount Care Centers, a group of 10 facilities on this site.

Federal inspectors have cited Ivory Nursing & Rehabilitation 52 times across 13 inspections in the last three years, including 9 food-safety citations, and CMS has imposed $25,324 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Paramount Care Centers
Ownership type
For profit - Limited Liability company

Registered owners & officers

Kraus, Abraham
Direct owner · Additional disclosable party — 67% stake — since 2025
Czermek, Michael
Direct owner · Additional disclosable party — 25% stake — since 2025
Bankwell
Additional disclosable party — since 2025
Graf, Andrew
Additional disclosable party — since 2025
Onyx Ivory Propco Llc
Additional disclosable party — since 2025
Paramount Care Centers Llc
Operational control — since 2025
Peake, Lorena
Operational control · Additional disclosable party — since 2025
Reich, Sam
Operational control · Additional disclosable party — since 2025

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1979-06-28
CMS overall rating
2 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$25,324 total
Last standard inspection
2026-08-14
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$289 per day (≈ $8,790/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
95% Medicaid · 2% Medicare · 3% private/other
Occupancy
79% (fiscal year 2023)
Vs. state median
30% below the PA median of $415/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 9 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-14Health inspection4 citations
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
2026-02-18Health inspectionComplaint-triggered1 citation
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-11
9 earlier / fire-safety inspections (47 citations)
2025-12-11Health inspectionComplaint-triggered1 citation
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2026-01-20
2025-12-03Health inspection11 citations
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-12-23
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-12-23
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-23
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-12-23
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-12-23
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-12-23
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-23
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-23
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-12-23
F-0887
D · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-12-23
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2025-12-23
2024-10-31Health inspection18 citations
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-12-02
F-0622
D · No harm found
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-12-02
F-0623
B · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-12-02
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-12-02
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-02
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-02
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-02
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2024-12-02
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-12-02
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-12-02
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-12-02
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-02
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-12-02
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-02
F-0865
E · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-12-02
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-02
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-12-02
2024-09-10Health inspectionComplaint-triggered4 citations
F-0623
B · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-01
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-02
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-02
F-0908
F · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2024-10-02
2024-07-30Health inspectionComplaint-triggered6 citations
F-0585
D · No harm foundFrom a complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-08-30
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-30
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-30
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-30
F-0688
D · No harm foundFrom a complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-08-30
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-30
2024-05-16Health inspectionComplaint-triggered2 citations
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-06-17
F-0741
D · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-06-17
2023-11-08Health inspectionComplaint-triggered1 citation
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-11-30
2023-10-30Health inspectionComplaint-triggered2 citations
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-30
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-11-30
2025-12-03Fire-safety inspection2 citations
E-0004
C · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-12-30
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2025-12-30

Federal penalties

2024-01-22Fine$25,324
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 395446.
How it compares in Pennsylvania.
Inspection citations, 3 years
52
More than 69% of nursing homes in the state
State median: 37
Federal fines, 3 years
$25,324
More than 77% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.7
Higher than 54% of nursing homes in the state
State median: 3.6
Nursing staff turnover, annual
41%
Higher than 40% of nursing homes in the state
State median: 45%

Resident outcomes

On 21 federal quality measures, this facility does better than the Pennsylvania average on 10 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased13.8%16.4%13.5%Better than state
Lose too much weight3.0%6.0%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.6%0.7%Better than state
With a urinary tract infection1.2%1.4%1.5%Better than state
Have depressive symptoms63.2%13.8%13.5%Worse than state
Were physically restrained0.0%0.2%0.1%Better than state
Experiencing one or more falls with major injury1.8%3.1%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine83.9%87.8%93.7%Near state average
Ability to walk independently worsened15.4%15.4%12.7%Near state average
Received an antianxiety or hypnotic medication19.0%20.1%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine99.1%93.7%95.3%Near state average
With pressure ulcers3.0%4.7%4.5%Better than state
With new or worsened bowel or bladder incontinence27.2%25.0%18.3%Near state average
Received an antipsychotic medication25.1%17.6%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days2.051.501.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.011.131.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine43.2%70.8%82.3%Worse than state
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine87.1%70.9%80.1%Better than state
Were rehospitalized after a nursing home admission23.7%22.0%23.4%Near state average
Had an outpatient emergency department visit15.2%9.5%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0804 4 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-0584 3 inspections. Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0908 2 inspections. Keep all essential equipment working safely.
  • F-0623 2 inspections. Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Where to check, and what's nearby.

Who to contact in Pennsylvania

  • Licensing: Pennsylvania Department of Health
  • File a complaint: 800-254-5164 · Online
  • Long-Term Care Ombudsman: 717-783-8975. A free advocate for residents and families.
  • Adult Protective Services: 800-490-8505. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Suburban Community Hospital, about 0.8 miles. CMS rating 4 of 5.
  • Jefferson Einstein Montgomery Hospital, about 1.8 miles. CMS rating 4 of 5.
  • Temple Health - Chestnut Hill Hospital, about 6.7 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.617 ratings on Google
★★★★★Charles Teitelbaum · 2025-08-01 · via Google

“This place has truly exceeded our expectations! The staff is compassionate, caring, and dedicated to providing top-notch care. The facility is clean, comfortable, and well-maintained. The activities and programs are engaging and fun, and the food is delicious. What really sets this nursing home apart, though, is the love and kindness shown to each resident. It's clear that the staff genuinely care…”

★★★★★Linda Brown · 2025-08-07 · via Google

“⭐⭐⭐⭐⭐ Towne Manor East is truly a gem in the world of skilled nursing facilities. From the moment you walk through the doors, there’s a sense of warmth, professionalism, and genuine care that sets this place apart. I’ve had the opportunity to interact with many facilities over the years, but very few match the level of dedication and compassion shown by the team at Towne Manor East — especially Ad…”

★★★★★Shmuely Reich · 2025-04-01 · via Google

“The staff is great and they really take care of the residents as it were their own grandma. I was walking around and couldn't help but notice the happy smiles on all the residents faces. I would really recommend this place to anyone that I know.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 52 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered