Starfile / Pennsylvania

AVENTURA AT PEMBROOKE

1130 WEST CHESTER PIKE, WEST CHESTER, PA 19380 · CCN 395166

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

1

Payment denials

1

Chain

Chain

AVENTURA HEALTH GROUP

Facilities in chain

12

Chain avg overall

1.80 / 5

Inspection citations (34)3 immediate jeopardy2 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-28 · Health · corrected 2026-01-21

   Potential for more than minimal harm

2. LF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-28 · Health · corrected 2026-01-21

   Immediate jeopardy

3. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-28 · Health · corrected 2026-01-21

   Potential for more than minimal harm

4. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-12-28 · Health · corrected 2026-01-21

   Potential for more than minimal harm

5. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-12-28 · Health · corrected 2026-01-21

   Potential for more than minimal harm

6. DF0880Provide and implement an infection prevention and control program.2025-12-28 · Health · corrected 2026-01-21

   Potential for more than minimal harm

7. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-03 · Health · corrected 2025-11-18

   Potential for more than minimal harm

8. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-03 · Health · corrected 2025-11-18

   Actual harm

9. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-03 · Health · corrected 2025-11-18

   Potential for more than minimal harm

10. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-03 · Health · corrected 2025-11-18

    Actual harm

11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-22 · Health · corrected 2025-09-29

    Potential for more than minimal harm

12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-22 · Health · corrected 2025-09-29

    Potential for more than minimal harm

13. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-22 · Health · corrected 2025-09-29

    Potential for more than minimal harm

14. DF0692Provide enough food/fluids to maintain a resident's health.2025-08-22 · Health · corrected 2025-09-29

    Potential for more than minimal harm

15. EF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-08-22 · Health · corrected 2025-09-29

    Potential for more than minimal harm

16. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-08-22 · Health · corrected 2025-09-29

    Potential for more than minimal harm

17. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-22 · Health · corrected 2025-09-29

    Potential for more than minimal harm

18. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-25 · Health · corrected 2024-08-16

    Potential for more than minimal harm

19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-25 · Health · corrected 2024-08-16

    Potential for more than minimal harm

20. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-07-25 · Health · corrected 2024-08-16

    Potential for more than minimal harm

21. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-07-25 · Health · corrected 2024-08-16

    Potential for more than minimal harm

22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-27 · Health · corrected 2024-07-12

    Potential for more than minimal harm

23. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-21 · Health · corrected 2024-04-05

    Potential for more than minimal harm

24. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-08 · Health · corrected 2023-11-05

    Potential for more than minimal harm

25. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-08 · Health · corrected 2023-11-05

    Potential for more than minimal harm

26. EF0692Provide enough food/fluids to maintain a resident's health.2023-09-08 · Health · corrected 2023-11-05

    Potential for more than minimal harm

27. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-08 · Health · corrected 2023-11-05

    Potential for more than minimal harm

28. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-09-08 · Health · corrected 2023-11-05

    Potential for more than minimal harm

29. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-09-08 · Health · corrected 2023-11-05

    Potential for more than minimal harm

30. DF0567Honor the resident's right to manage his or her financial affairs.2023-08-03 · Health · corrected 2023-08-28

    Potential for more than minimal harm

31. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-16 · Health · corrected 2023-03-29

    Immediate jeopardy

32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-16 · Health · corrected 2023-03-29

    Potential for more than minimal harm

33. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-16 · Health · corrected 2023-03-29

    Immediate jeopardy

34. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-03-16 · Health · corrected 2023-03-29

    Potential for more than minimal harm

Ownership

Other facilities in WEST CHESTER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.