Phoenixville Hospital
An acute care hospital in Phoenixville, Pennsylvania 19460
140 Nutt Road, Phoenixville, Pennsylvania 19460. (610) 983-1000.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 3 deficiencies cited in the last three years
- 144 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 Jun 3, 2024: a complaint inspection.
3 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
3 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 3, 2024: complaint inspection3 deficiencies
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Patient Rights: Restraint Or Seclusion
The inspectors’ words, 332 words
“PATIENT RIGHTS: RESTRAINT OR SECLUSION CFR(s): 482.13(e)(2) Restraint or seclusion may only be used when less restrictive interventions have been determined to be ineffective to protect the patient, a staff member, or others from harm. This Standard is not met as evidenced by: 47278 Based on review of facility policy and procedures, review of medical records (MR), and interview with staff (EMP), it was determined the facility failed to follow their approved policy for the use of restraints and failed to ensure only the less restrictive interventions were used for two of ten medical records reviewed (MR3 and MR5). Review on June 3, 2024, of facility policy “Restraint” with a revision date of 11/2023, revealed “... General Points: A. Restraints are to be used as infrequent and/or temporary measure when an assessment determines it is clinically necessary to improve the patient’s well-being and when less restrictive interventions have been determined to be ineffective to protect the patient, a staff member, or others from harm ... Nonviolent/Non-Self-Destructive Restraint ... C. An order by a physician, or other LIP is required prior to the application of restraint ...Violent/Self Destructive Restraint ... C. An order by a physician, or other LIP is required prior to the application of restraint ... D. A physician, or other LIP must see the patient face to face (in person) and evaluate the need for restraint or seclusion within 1 hour after initiation of restraint ...” Review of MR3 on June 3, 2024, revealed the patient was placed in upper extremity restraints on April 26, 2024, at 07:27 AM. There was no documentation of less restrictive interventions used prior to patient being placed in nonviolent restraints. Review of MR5 on June 3, 2024, revealed the patient was placed in 4-point restraints on May 23, 2024, at 11:21 PM. There was no documentation of less restrictive interventions used prior to patient being placed in violent restraints. Interview with EMP10 on June 3, 2024, confirmed the above finding for MR3 and MR5.”
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Patient Rights: Restraint Or Seclusion
The inspectors’ words, 307 words
“PATIENT RIGHTS: RESTRAINT OR SECLUSION CFR(s): 482.13(e)(5) §§482.13(e)(5) - The use of restraint or seclusion must be in accordance with the order of a physician or other licensed practitioner who is responsible for the care of the patient and authorized to order restraint or seclusion by hospital policy in accordance with State law. This Standard is not met as evidenced by: 47278 Based on review of facility policy and procedures, review of medical records (MR), and interview with staff (EMP), it was determined the facility failed to follow their approved policy for the use of restraints and failed to use a restarint in accordance with the order of a physician for one of ten medical records reviewed (MR7). Review on June 3, 2024, of facility policy “Restraint” with a revision date of 11/2023, revealed “... General Points: A. Restraints are to be used as infrequent and/or temporary measure when an assessment determines it is clinically necessary to improve the patient ’ s well-being and when less restrictive interventions have been determined to be ineffective to protect the patient, a staff member, or others from harm ... Nonviolent/Non-Self-Destructive Restraint ... C. An order by a physician, or other LIP is required prior to the application of restraint ...Violent/Self Destructive Restraint ... C. An order by a physician, or other LIP is required prior to the application of restraint ... D. A physician, or other LIP must see the patient face to face (in person) and evaluate the need for restraint or seclusion within 1 hour after initiation of restraint ...” Review of MR7 on June 3, 2024, revealed the patient was placed in upper extremity soft wrist restraints. There was no documentation of a restraint order prior to the patient being placed in nonviolent restraints. Interview with EMP11 on June 3, 2024, confirmed the above finding for MR7.”
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Patient Rights: Restraint Or Seclusion
The inspectors’ words, 334 words
“PATIENT RIGHTS: RESTRAINT OR SECLUSION CFR(s): 482.13(e)(12) [the patient must be seen face-to-face within 1 hour after the initiation of the intervention -- ] §482.13(e)(12)(ii)To evaluate - 1. The patient’s immediate situation; 2. The patient’s reaction to the intervention; 3. The patient’s medical and behavioral condition; and 4. The need to continue or terminate the restraint or seclusion. This Standard is not met as evidenced by: 47278 Based on review of facility policy and procedures, review of medical records (MR), and interview with staff (EMP), it was determined the facility failed to follow their approved policy for the use of restraints and failed to ensure that a patient was seen face-to-face within 1 hour after the initiation of a restraint for one of ten medical records reviewed (MR1). Review on June 3, 2024, of facility policy “Restraint” with a revision date of 11/2023, revealed “... General Points: A. Restraints are to be used as infrequent and/or temporary measure when an assessment determines it is clinically necessary to improve the patient ’ s well-being and when less restrictive interventions have been determined to be ineffective to protect the patient, a staff member, or others from harm ... Nonviolent/Non-Self-Destructive Restraint ... C. An order by a physician, or other LIP is required prior to the application of restraint ...Violent/Self Destructive Restraint ... C. An order by a physician, or other LIP is required prior to the application of restraint ... D. A physician, or other LIP must see the patient face to face (in person) and evaluate the need for restraint or seclusion within 1 hour after initiation of restraint ...” Review of MR1 on June 3, 2024, revealed the patient was placed in 4-point violent restraints on May 18, 2024, at 10:11 PM. There was no documentation of the physician assessing the patient within 1 hour of being placed in violent restraints. MR1 was assessed on May 19, 2024, at 1:31 AM. Interview with EMP10 on June 3, 2024, confirmed the above findings for MR1.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 3, 2024 | Complaint inspection | 3 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 3 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 7; safety of care, 0 better and 0 worse of 6; readmission, 0 better and 3 worse of 9.
- Patients rate it 3 of 5 in CMS’s patient survey (743 surveys completed, Oct 1, 2024 to Sep 30, 2025): 70% rated it 9 or 10 out of 10, and 71% 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; 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 11.5%, heart failure 11.5%, pneumonia 15.8%, COPD 7.6%, stroke 14.6%. 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%, heart failure 24%, pneumonia 19.5%, COPD 20.8%. 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, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 178 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 54% 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 0.98 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 | 3 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.
- It has an inpatient rehabilitation unit of 14 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.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 3 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.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
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 4 of 5.
- 92% 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?
- Tower Health owns 100% directly since Apr 17, 2017.
- 15 owners or officers are people: Robert Romain (other role (CMS gives no detail)); Hans M Haupt (other role (CMS gives no detail)); Kathryn Evans (other role (CMS gives no detail)); Robert Ryan (other role (CMS gives no detail)); Anita Guzman (other role (CMS gives no detail)); Edward Thomas Hovick (other role (CMS gives no detail)); Lynn Hartman (other role (CMS gives no detail)); P S Perrotty (other role (CMS gives no detail)); Amy J Cadieux (other role (CMS gives no detail)); Robert Ehinger (managing employee (under contract)); Robert Ehinger (corporate officer); Martin Joseph Vinca (other role (CMS gives no detail)); James Kovaleski (other role (CMS gives no detail)); Richard Newell Jr (other role (CMS gives no detail)); Neil Gulati (other role (CMS gives no detail)).
- CMS’s Provider of Services file records 3 changes of ownership, the latest on Oct 1, 2017.
- 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 |
|---|---|---|---|
| Tower Health | Owns 5% or more directly | 100% | Apr 17, 2017 |
How does it compare nearby?
- Of the 5 hospitals CMS lists in Chester County, 3 have an overall star rating from CMS: 2 rated 5 of 5, 1 rated 3 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Coatesville VA Medical Center | Not given |
| Paoli Hospital | 5 |
| Chester County Hospital | 5 |
| Haven Behavioral Hospital of West Chester | Not given |
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
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.