Senior Home Review
Home›Browse›Pennsylvania›Norristown›Onyx Nursing & Rehabilitation
Nursing homeFAID #10861

Onyx Nursing & Rehabilitation

205 EAST JOHNSON HIGHWAY, NORRISTOWN, PA, 19401
(610) 275-6410
119 licensed beds

CMS rates Onyx Nursing & Rehabilitation 1 out of 5 overall. Federal inspectors issued 26 citations across 12 inspections in the last three years, with $109,841 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
Photo of ONYX Nursing & Rehabilitation
Photo via Google · Onyx Nursing and Rehabilitation

Address

205 East Johnson Highway
Norristown, PA 19401
Get directions
What we can show you for free.
Bed capacity
119
CMS facility ID
395346
Care type
Nursing home
County
Montgomery
Facility name
Onyx Nursing & Rehabilitation
Street address
205 EAST JOHNSON HIGHWAY
City / state / ZIP
Norristown, PA 19401
Phone
(610) 275-6410

Onyx Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Norristown, Pennsylvania. It is licensed for 119 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 Onyx Nursing & Rehabilitation 26 times across 12 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $109,841 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 — 67% stake — since 2025
Czermek, Michael
Direct owner — 25% stake — since 2025
Friedlander, Meir
Operational control · Additional disclosable party — since 2025
Graf, Andrew
Additional disclosable party — since 2025
Marlow, Lauri
Operational control · Additional disclosable party — since 2025
Onyx Ivory Propco Llc
Additional disclosable party — since 2026
Paramount Care Centers Llc
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
1976-11-01
CMS overall rating
1 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$109,841 total
Last standard inspection
2026-03-05
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$331 per day (≈ $10,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
96% Medicaid · 2% Medicare · 2% private/other
Occupancy
80% (fiscal year 2023)
Vs. state median
20% below the PA median of $415/day — full state cost breakdown

Services & coverage

Licensed beds
119
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 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-05Health inspection7 citations
F-0578
D · No harm found
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.
Corrected 2026-03-19
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-03-19
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-19
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-07
F-0760
J · Immediate jeopardy
Ensure that residents are free from significant medication errors.
Corrected 2026-03-19
F-0812
D · 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 2026-03-19
F-0835
D · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-03-19
2025-05-22Health inspectionComplaint-triggered8 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-18
F-0574
C · No harm found
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2025-06-18
F-0578
D · No harm found
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.
Corrected 2025-06-18
F-0584
E · 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 2025-06-18
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2025-06-18
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-06-18
F-0744
D · No harm found
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-06-18
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 2025-06-18
6 earlier / fire-safety inspections (11 citations)
2025-04-16Health inspectionComplaint-triggered1 citation
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 2025-05-05
2025-01-21Health inspectionComplaint-triggered1 citation
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 2025-03-03
2024-12-09Health inspectionComplaint-triggered1 citation
F-0584
E · 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 2025-02-07
2024-08-01Health inspectionComplaint-triggered5 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-09-20
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 2024-09-20
F-0688
D · No harm found
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 2024-09-20
F-0801
D · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-09-20
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-20
2024-01-31Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-01
F-0835
D · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-03-01
2025-05-22Fire-safety inspection1 citation
E-0004
C · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-07-01

Federal penalties

2024-12-09Fine$10,363
2024-01-31Fine$99,478
Total fines$109,841
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 395346.
How it compares in Pennsylvania.
Inspection citations, 3 years
26
More than 32% of nursing homes in the state
State median: 37
Federal fines, 3 years
$109,841
More than 92% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.5
Higher than 38% of nursing homes in the state
State median: 3.6
Nursing staff turnover, annual
64%
Higher than 93% 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 11 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased14.3%16.4%13.5%Better than state
Lose too much weight3.1%6.0%5.1%Better than state
With a catheter inserted and left in their bladder0.2%0.6%0.7%Better than state
With a urinary tract infection0.3%1.4%1.5%Better than state
Have depressive symptoms65.0%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 injury1.4%3.1%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine81.0%87.8%93.7%Near state average
Ability to walk independently worsened7.8%15.4%12.7%Better than state
Received an antianxiety or hypnotic medication19.4%20.1%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%93.7%95.3%Near state average
With pressure ulcers6.0%4.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence21.7%25.0%18.3%Better than state
Received an antipsychotic medication21.7%17.6%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.121.501.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days0.341.131.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine60.3%70.8%82.3%Worse than state
Newly received an antipsychotic medication4.8%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine88.6%70.9%80.1%Better than state
Were rehospitalized after a nursing home admission37.4%22.0%23.4%Worse than state
Had an outpatient emergency department visit9.5%9.5%11.8%Near state average
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-0578 2 inspections. 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.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0835 2 inspections. Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  • F-0584 2 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 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 0.9 miles. CMS rating 4 of 5.
  • Jefferson Einstein Montgomery Hospital, about 1.7 miles. CMS rating 4 of 5.
  • Temple Health - Chestnut Hill Hospital, about 6.9 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
2.945 ratings on Google
★Danielle Rosato · 2026-07-16 · via Google

“I delivered an Instacart order to a resident at this facility today. The receptionist berated the resident. He was trying to get my attention to hand the groceries to him. He did nothing wrong. The rude receptionist rolled her eyes at me, but I told her she was wrong. I handed him the groceries and he apologized. I told him that he didn't do anything wrong. I would be sick if my loved one was trea…”

★★★★Christina Adams · 2026-04-01 · via Google

“I was there and had a pretty good experience! Most of the aids and nurses were really nice, helpful and did their job with love. Cheryl the activities director had activities lined up all day long, every day. Something for everyone. That is a big part of rehabilitation as well. The food, not so great, but could definitely be worse. Ms. V, the social worker took the time to really get to know you. …”

★★★★★Zari S · 2026-04-29 · via Google

“The building is clean, well run, and has a really warm, welcoming feel. The staff is attentive and responsive, and you can tell they genuinely care about the residents. The nursing and therapy teams are on point, and communication is solid, which makes a big difference. Big shoutout to Meir, the Administrator he’s hands on, always around, and truly cares. His leadership shows throughout the whole …”

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 26 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