Jefferson Health- Northeast
An acute care hospital in Philadelphia, Pennsylvania 19114
10800 Knights Road, Philadelphia, Pennsylvania 19114. (215) 612-4000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 2of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 464 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- 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.
What did inspectors find?
The last inspection on record was on Sep 4, 2024: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 2 months of the last 36. Last cited Mar 2024. Most serious: Standard-level. 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.
Mar 27, 2024: complaint inspection1 deficiency
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Director Of Respiratory Services
The inspectors’ words, 301 words
“DIRECTOR OF RESPIRATORY SERVICES CFR(s): 482.57(a)(1) There must be a director of respiratory care services who is a doctor of medicine or osteopathy with the knowledge, experience and capabilities to supervise and administer the service properly. The director may serve on either a full-time or part-time basis. This Standard is not met as evidenced by: 49539 Based on review of personnel file (PF), and interview (EMP) with staff , it was determined the facility failed to designate a director of respiratory care services who is a Doctor of Medicine or osteopathy with the knowledge, experience, and capabilities to supervise and administer the service properly. Findings include: Review of facility job description, “ Director of Cardiorespiratory, “ Revised Edition 08/2012, revealed “ ... Education: Graduate of an AMA approved School of Respiratory Therapy. A bachelor’s degree in a related major is highly desirable .... Licensure/Certification/Registration Requirements: Registered by the National Board of Respiratory Care. Certified or Registered Pulmonary Technician. Licensed by the State Board of Medicine or State Board of Osteopathic Medicine. ... “ Review of PF1, on March 29, 2024, revealed PF1 was a respiratory therapist. There was no documentation that PF1 held a Doctor of Medicine or osteopathy degree. An interview conducted on March 27, 2024, at 10 AM, with EMP2 confirmed PF1 was functioning as the Director of Respiratory Care Services. EMP2 also confirmed PF1 was not a Doctor of Medicine or osteopathy. An interview conducted on April 4, 2024, at 1:30 PM, with EMP2 confirmed that the Director of Respiratory ’ s direct report, who is the Senior Vice President, is not a Doctor of Medicine or Osteopathy. Interview via email on April 15, 2024, at 1:15 AM, with EMP2 confirmed the facility does not have a direct physician who oversees the respiratory inpatient and outpatient respiratory departments.”
Dec 19, 2023: complaint inspection1 deficiency
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Integration Of Emergency Services
The inspectors’ words, 633 words
“INTEGRATION OF EMERGENCY SERVICES CFR(s): 482.55(a)(2) [If emergency services are provided at the hospital --] (2) The services must be integrated with other departments of the hospital. This Standard is not met as evidenced by: 38776 Based on review of facility documents, medical records (MR), and staff interview (EMP), it was determined the facility failed to ensure an Emergency Department patient with an Emergency Severity Index level two was reassessed within one hour and care was provided in a timely manner for one of one medical record reviewed (MR1). Findings: Review on December 19, 2023, of the facility policy, “Triage,” last reviewed December 2022 revealed “I. Purpose: To identify and prioritize the patient’s needs for care and treatment. To ensure timely treatment based on presentation at time of triage, and when deemed appropriate by the triage nurse. II. Policy: A. Patients arriving in the Emergency Department are triaged. A Registered Nurse is assigned to cover the triage area 24 hours a day, seven days a week. Patients are triaged in the triage area or at the bedside in the main Emergency Department depending on patient volume and severity of illness or injury. ... III. Definitions: Triage - process that involves the rapid sorting of patients who present to the emergency department (ED) to distinguish those who need immediate medical attention from patient who can safely wait to be seen. Emergency Severity Index(ESI)- is a five-level emergency department (ED) triage algorithm that provides clinically relevant stratification of patients into five groups from 1. (most urgent) to 5 (least urgent) on the basis of acuity and resource needs ... VI. Procedure: A. Plan: 1. Triage is the process of sorting and classifying patients into priorities of treatment through rapid patient assessment. It is most valuable at times when the number of patients exceeds the number of caregivers or available beds. 2. In some types of patients, early therapeutics and diagnostics may be implemented through the Initial Triage Assessment Guidelines to expedite care. ... C. Operation 1. Triage Nurse ... b. Responsibilities and duties: i. Assess patient upon arrival and determine the urgency of care needed using rapid triage assessment and designate appropriate care area. ... v. Observe for changes in condition of waiting room patients, reassess/reprioritize as necessary. Reassessment recommendation of acuity level 2 should not exceed one hour and level 3 two hours. ... D. ESI Levels ... b. Level 2: Care required as soon as possible; condition presents danger if not treated; “acute” but not severe. ...” Review on December 19, 2023, of MR1 revealed the patient presented to the ED on October 29, 2023, at 2102 via personal vehicle for groin pain. There was documentation MR1’s triage was started at 2105. There was triage nursing documentation MR1 presented to the hospital for a right upper groin hernia. There was documentation MR1 had a history of hypertension for 10 years but was medication noncompliant. There was triage nursing documentation MR1’s blood pressure was 216/117 at triage. There was documentation MR1 was assigned an Emergency Severity Index (ESI) level of 2. There was documentation at 2111 MR1’s triage was complete and MR1 was assigned to the waiting room. Continued review of MR1 revealed there was no documentation MR1’s blood pressure was reassessed during the ED visit. There was documentation MR1 expressed to the triage nurse frustration with the ED wait time at 2357. There was documentation MR1 left the ED without being seen on October 30, 2023, at 0030. Interview on December 19, 2023, with EMP1, at approximately 1330, confirmed the findings noted above for MR1. EMP1 confirmed MR1 did not receive any treatment for the elevated blood pressure and MR1’s blood pressure was not reassessed throughout the ED visit. EMP1 confirmed MR1 left without being seen on October 30, 2023, at approximately 0030.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 4, 2024 | Complaint inspection | No deficiencies cited |
| Mar 27, 2024 | Complaint inspection | 1 deficiency cited |
| Dec 19, 2023 | Complaint inspection | 1 deficiency 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 2 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, 0 better and 0 worse of 8; safety of care, 2 better and 0 worse of 7; readmission, 0 better and 4 worse of 11.
- Patients rate it 3 of 5 in CMS’s patient survey (2,494 surveys completed, Oct 1, 2024 to Sep 30, 2025): 61% rated it 9 or 10 out of 10, and 62% 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), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than 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: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11%, heart failure 8.9%, pneumonia 15.1%, COPD 8%, stroke 12.2%, heart bypass surgery 2.6%. 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 15.6%, heart failure 23.2%, pneumonia 17.4%, COPD 21.5%, heart bypass surgery 13.7%, hip or knee replacement 6.3%. 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, worse than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 316 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 5% left before being seen.
- 27% 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 1.05 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 | 2 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 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.
- No 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. deficiency on record in the last three years.
- 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 3 of 5.
- 73% 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?
- CMS’s ownership file has no owners listed for this hospital.
- CMS’s Provider of Services file records no change of ownership.
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.
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 2 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
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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
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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.