Hospital of Univ of Pennsylvania
An acute care hospital in Philadelphia, Pennsylvania 19104
3400 Spruce St, Philadelphia, Pennsylvania 19104. (215) 662-6289.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 20, 2026.
- 5of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years (needs attention)
- 782 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Nov 13, 2024: a complaint inspection.
2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
5 visits on record, nothing cited. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Nov 15, 2023: complaint inspection2 deficiencies
-
Nursing Services
The inspectors’ words, 169 words
“NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 45721 Based on observations, review of medical records (MR), review of facility policy and procedures and interview with staff (EMP), it was determined that the facility failed to identify, respond timely and appropriately to a medical emergency for one patient (MR1), and failed to ensure that all staff were adequately trained and competent in emergency response protocols (A398). On November 14, 2023, at 3:05 PM, Immediate Jeopardy (IJ) was identified, and the facility was notified, regarding its failure to identify and respond timely to a patient having a medical emergency, and failed to ensure that all staff were adequately trained on emergency response protocols. At 7:40 PM, IJ was removed after the State Survey Agency verified implementation of corrective actions to remove the immediate risk to patients. Cross Reference: 482.23(b)(6) Nursing Services”
-
Supervision Of Contract Staff
The inspectors’ words, 1,053 words
“SUPERVISION OF CONTRACT STAFF CFR(s): 482.23(b)(6) All licensed nurses who provide services in the hospital must adhere to the policies and procedures of the hospital. The director of nursing service must provide for the adequate supervision and evaluation of all nursing personnel which occur within the responsibility of the nursing service, regardless of the mechanism through which those personnel are providing services (that is, hospital employee, contract, lease, other agreement, or volunteer). This Standard is not met as evidenced by: 45721 Based on observations, review of medical records (MR), review of facility policies and procedures and interviews with staff (EMP), it was determined that the facility failed to identify, respond timely and appropriately to a medical emergency for one patient (MR1) and failed to ensure that all staff were adequately trained and competent in emergency response protocols. Findings include: Review on November 15, 2023, of facility document “Clinical Emergencies Nursing Orientation,” revised June 20, 2023, revealed a number to call for a rapid response code. The document listed the Primary Nurse’s duties to stay with the patient, complete a Situation, Background Assessment Recommendation (SBAR), and notify the patient’s physician or Provider. Further review revealed “Nursing Responsibilities The First 3 Minutes PRIOR TO RRT [Rapid Response Team] OR CODE TEAM ARRIVAL: 01 Assess patient - if not breathing and or no pulse, begin CPR. 02 Call For Help Activate local and global response teams. 03 Obtain Emergency Equipment Defibrillator/AED, code cart, backboard, bag-valve mask. 04 Turn Defibrillator On. 05 Continue CPR & Ventilate Patient Ensure connection to O2 deliver source. ...” Review of facility policy “Clinical Emergency Response System for Cardiopulmonary Arrest and Other Clinical Emergencies” effective October 4, 2023, revealed “Resuscitation efforts will be undertaken in accordance with the procedure set forth below and will be generally consistent with guidelines set forth by the American Heart Association. Specific clinical details of the resuscitation will be at the discretion of the coordinating provider present on the scene. PURPOSE: The purpose of this policy is to facilitate a timely response with trained personnel and adequate equipment to the activation of a Clinical Emergency System, cardiopulmonary arrest (Code Call), acute respiratory compromise (Anesthesia STAT or Airway Rapid Response), or other clinical emergency (Rapid Response, OB Rapid Response, CT Surgery STAT/ECMO Alert, Pediatric Emergency) ...” Review of MR1 nursing documentation, dated November 3, 2023, indicated that the patient was ambulating slowly, with a walker, towards the door between the units. Staff approached the patient and attempted to take the patient’s vitals, but the patient refused and refused to go to the dayroom or kitchen area to sit down. Further review of the nurse’s documentation indicated that nursing became concerned that the patient might fall so they went to obtain a wheelchair. However, while attempting to get the wheelchair, the patient “lowered” themself to the floor. When staff returned, they attempted again to take vitals for a second time. When they were unable to find a pulse, they called for the Rapid Response Team [“RRT” a team of nurses and other clinical personnel designated to respond to medical emergencies]. However, a “Code Blue” [an alert to indicate that a patient is having an unexpected cardiac event or is in respiratory arrest requiring resuscitation efforts and assistance is needed] was eventually initiated at 2055 [8:55 PM] due to the patient’s unresponsiveness. Further review of documentation indicated that resuscitation ended at 2126 [9:26 PM] and the patient was pronounced deceased and subsequently transferred to the morgue. Observation of video footage, dated November 3, 2023, revealed that the patient was ambulating but then is observed slumped over their walker. Staff is viewed approaching the patient and appears to be talking to the patient, but the patient remains slumped over the walker, head down towards the floor. Staff leave the patient, and two mental health technicians approach the patient. One is observed tapping on the patient’s walker. The patient becomes unsteady but assisted by the mental health technician. Shortly, thereafter the one technician leaves the patient, and the other technician follows, leaving the patient alone- still slumped over their walker. About two minutes later (video counter time 0:08:46), two Registered Nurses (RN) approach the patient and appear to be looking at the patient. They leave the patient. Another two minutes later (0:10:48), the patient is observed falling to the floor. However, in the medical record it is documented that the patient “lowers” themself to the floor. Seconds later the patient is observed lying on the floor, without movement. A registered nurse approaches the patient, about a minute later (0:11:50). With the help of a second nurse, the two nurses are observed straightening out the patient. For several minutes, the patient appears to be motionless and there is no visual evidence of vitals or emergency response being initiated until almost five minutes after nursing observed the patient on the floor. At 0:15:30 a nurse is observed arriving with a “crash cart” [ a cart that contains medications and supplies to aid in medical emergency situations]. At 0:17:09 a Rapid Response Nurse arrives and the nurse initiates chest compressions at 0:17:36. At 0:21:27 the Emergency Department physician is observed arriving on scene. Interview on November 14, 2023, at 4:15 pm with EMP4 (RN Supervisor) stated they received a phone call on November 3, 2023, asking for assistance with a patient that fell. EMP4 asked the nurse if there were any injuries and was told no, they just needed help getting the patient off the floor. EMP4 reported that when they got to the unit and looked at the patient, they noticed the patient appeared gray in color. EMP4 asked if anyone checked for responsiveness, and no one answered. EMP4 checked the carotid and femoral pulses and could not feel a pulse, and then instructed staff to call a code blue. Interview conducted on November 14, 2023, with EMP7 (RN) confirmed they were the charge nurse that evening and the patients primary care nurse. EMP7 stated they were unsure on how to call a code and left the patient to get a computer. Interview conducted on November 14, 2023, with EMP3 confirmed the patient was on the floor and that staff had left the area. Further interview confirmed the patient was not assessed, vital signs were not completed, and chest compression were not started timely.”
All 6 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 13, 2024 | Complaint inspection | No deficiencies cited |
| Nov 8, 2024 | Complaint inspection | No deficiencies cited |
| Mar 25, 2024 | Complaint inspection | No deficiencies cited |
| Feb 26, 2024 | Complaint inspection | No deficiencies cited |
| Jan 26, 2024 | Complaint inspection | No deficiencies cited |
| Nov 15, 2023 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 5 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 5 better and 0 worse of 8; safety of care, 2 better and 1 worse of 7; readmission, 2 better and 1 worse of 10.
- Patients rate it 4 of 5 in CMS’s patient survey (689 surveys completed, Oct 1, 2024 to Sep 30, 2025): 82% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, better than the national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: better than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.5%, heart failure 8.7%, pneumonia 7.7%, COPD 5.8%, stroke 9.8%, heart bypass surgery 1.4%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14%, heart failure 19.7%, pneumonia 17.5%, COPD 21%, heart bypass surgery 9.3%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, better than the national rate; unplanned hospital visits after outpatient surgery, better than expected.
- Emergency department patients spent a median of 290 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 6% left before being seen.
- 69% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.03 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- It has an inpatient rehabilitation unit of 58 beds, which CMS lists apart as a rehabilitation facility.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 5 of 5.
- 99% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Trustees of the University of Pennsylvania owns an unstated share directly since Oct 18, 2007.
- Trustees of the University of Pennsylvania runs it.
- 15 owners or officers are people: Julia Puchtler (corporate officer); George Cotsarelis (corporate director, 0%); Michele Volpe (corporate director, 0%); Kevin B Mahoney (corporate director, 0%); Regina Cunningham (corporate director, 0%); Ana Luisa Pujols-Mckee (corporate director, 0%); Jacqueline Margo Brooks Carthon (corporate director, 0%); Neil O Fishman (corporate director, 0%); Jonathan A Epstein (corporate director, 0%); Elaine Shiffler (corporate officer, 0%); Patricia J Kroculick (corporate director, 0%); Colleen Mattioni (corporate director, 0%); Thomas Mccormick (managing employee (on the payroll)); Albert Zezulinski (corporate director, 0%); Michael Rossi (managing employee (on the payroll)).
- CMS’s Provider of Services file records 1 change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Trustees of the University of Pennsylvania | Owns 5% or more directly | Oct 18, 2007 | |
| Trustees of the University of Pennsylvania | Runs it (operational or managerial control) | Oct 18, 2007 |
How does it compare nearby?
- Of the 21 hospitals CMS lists in Philadelphia County, 11 have an overall star rating from CMS: 2 rated 5 of 5, 3 rated 4 of 5, 2 rated 3 of 5, 4 rated 2 of 5.
- CMS rates this one 5 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
-
Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.