Home / Pennsylvania / West Chester
Park Lane Post Acute LLC
1619 East Boot Road East Goshen, West Chester, PA 19380 · Chester County · (484) 653-4400
68 certified beds, about 64 residents a day · For profit - Corporation · Medicare since 2002
CMS high performing icon Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 396082 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 25 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.88 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.26 of those hours.
42.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Prestige Healthcare Administrative Services, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1204/24
805/25
101/26
405/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
3E
2F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 4 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff and resident interview, observation, and clinical record review, it was determined that the facility failed to monitor a resident's skin after the application of an elastic wrap for one out of six residents reviewed (Resident 37).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, review of facility policy, and clinical record review, it was determined that the facility failed to ensure physician orders for oxygen for one out of six residents reviewed (Resident 25).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on a review of clinical records and staff interviews, it was determined that the facility failed to ensure that medications ordered by physicians were available for two of 19 residents reviewed (Residents 4 and 5). Findings Include: A review of Resident 4's readmission notes dated April 8, 2026, at 10:28 p.m., revealed the resident was readmitted with a left hip fracture, post ORIF (Open Reduction and Internal Fixation- A two-part surgical procedure used to treat severe, displaced bone fractures by realigning the bone and securing it with hardware) to the left hip. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on a review of the facility's policy, clinical records review, observations, and staff interviews, it was determined that the facility failed to practice infection control prevention and management for one of two residents reviewed (Resident 71).
January 2, 2026Complaint inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on a review of clinical and pharmacy records and staff interviews, it was determined that the facility failed to ensure medications were made available for one of the two residents reviewed (Resident CL1).
May 16, 2025Standard inspection · 8 citations
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to follow physician orders and adequately monitor significant weight changes for three of eight residents reviewed for nutrition (Residents 18, 36 and 37).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to monitor behaviors and potential side effects for residents receiving anti-psychotic medications (psychiatric drugs used to treat symptoms of psychosis, like hallucinations and delusions) for two of five residents reviewed (Residents 18 and 25).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to thoroughly investigate allegations of staff being rough to the resident while providing care for one of the 19 residents reviewed (Resident 62).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to ensure skin impairment identified from admission was thoroughly assessed and wound care recommendations from the wound physician were followed for one of four residents reviewed (Resident 59).
- D Ensure 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.
Inspectors wroteBased on clinical records review and staff interviews, it was determined that the facility failed to follow physician orders regarding administration of nutrition for one of two residents reviewed (Resident 317).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical records facility policy review and staff interviews, it was determined that the facility failed to follow physician orders for oxygen for one of one residents reviewed. (Resident 317)
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to ensure medications were made available for one of the 19 residents reviewed (Resident 18).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to store food in a sanitary manner.
April 19, 2024Standard inspection · 12 citations
- F Ensure a qualified health professional conducts resident assessments.
Inspectors wroteBased on review of clinical records and Minimum Data Set (MDS-mandated assessments of a resident's abilities and care needs) assessments, and a staff interview, it was determined that the facility failed to timely certify the completion of the MDS assessments for nine of nine sampled residents (Residents 6, 40, 42, 50, 57, 65, 76, 77, and Resident 99).
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased upon review of facility policy and procedure, observation, and clinical record review, it was determined the facility failed to ensure enhanced barrier precautions were in place for residents requiring enhanced barrier precautions for three of three reviewed (Residents 50, 212, and 213).
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual, clinical record review and staff interview, it was determined that the facility failed to ensure that the comprehensive Minimum Data Set assessments were completed in the required time frame for five of 12 residents reviewed (Residents 27, 166, 212, 214, 262)
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on review of the Resident Assessment Instrument User's Manual and clinical records, and staff interviews, it was determined that the facility failed to complete a quarterly Minimum Data Set assessments timely for four of 12 residents reviewed (Residentsv 5, 22, 50, and 211 ).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and interview with staff, it was determined that the facility failed to notify the State Long-Term Care (LTC) Ombudsman's office of residents transferred or discharged for three of three residents reviewed (Residents 50, 64, and 76).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure MDS assessments accurately reflected the resident's status for two of 12 residents reviewed (Residents 50 and 212).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased upon review of clinical records, it was determined the facility failed to ensure baseline care plans were completed upon admission for three of 18 residents reviewed (Residents 93, 212 and 213).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of clinical records and staff interview, it was determined that the facility failed to develop a comprehensive care plan for one of 12 residents reviewed (Resident 50).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interviews, it was determined that the facility failed to follow the physician's weight monitoring order for two of the 12 residents reviewed (Resident 64 and 263).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, clinical record reviews, as well as resident and staff interviews, it was determined that the facility failed to follow a physician's order and the wound specialist recommendation for one of four residents reviewed (Resident 262).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on a review of the facility's policy, clinical records review, and staff interview, it was determined that the facility failed to provide treatment and services to maintain/restore bladder continence of one of the 12 residents reviewed (Resident 64).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on clinical record reviews and staff interview, it was determined that the facility failed to ensure medications were made available for one of the 12 residents reviewed (Resident 93).
Fire safety inspections
30 fire safety citations on file: 8 on May 16, 2025, 15 on April 19, 2024, 7 on June 23, 2023.
Every fire safety citation30 citations
- E Meet other general requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- C Create arrangements with other facilities to receive patients.
- E Use approved construction type or materials.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Provide properly sized and located linen or trash receptacles.
- C Meet other general requirements.
- C Install emergency lighting that can last at least 1 1/2 hours.
- C Provide properly protected cooking facilities.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- C Inspect, test, and maintain automatic sprinkler systems.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
- C To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C Have generator or other power source capable of supplying service within 10 seconds.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Provide properly sized and located linen or trash receptacles.
- C Meet other general requirements.
- C Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.88 | 3.89 | 3.86 |
| Registered nurses | 1.26 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.72 | 3.53 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 0.66 | ||
| Nursing staff turnover (share who left in a year) | 42.9% | 44.5% | 45.8% |
| Registered nurse turnover | 30.4% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.95 on weekdays and 3.72 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.43 in April to June 2025 to 3.88 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.88 | 1.26 | 3.95 | 3.72 | 0.3% | 0 of 90 | 64 |
| Oct to Dec 2025 | 4.10 | 1.30 | 4.20 | 3.84 | 0.3% | 0 of 92 | 59 |
| Jul to Sep 2025 | 4.53 | 1.47 | 4.63 | 4.25 | 0.2% | 0 of 92 | 52 |
| Apr to Jun 2025 | 4.43 | 1.51 | 4.50 | 4.26 | 2.3% | 0 of 91 | 55 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 0.0 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.1 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.2 | 9.5 | 12.0 |
Owners and operators
Legal business name: PARK LANE POST ACUTE LLC. CMS links this home to Prestige Healthcare Administrative Services, a group of 15 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Plpa Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 06/17/2024 |
| Copper De Trust | 5% or greater indirect ownership interest | Organization | 06/17/2024 | |
| Gold De Trust | 5% or greater indirect ownership interest | Organization | 06/17/2024 | |
| Pa & De Noble Parentco LLC | 5% or greater indirect ownership interest | Organization | 06/17/2024 | |
| Silver De Trust | 5% or greater indirect ownership interest | Organization | 06/17/2024 | |
| Star Pa I Holdings LLC | 5% or greater indirect ownership interest | Organization | 06/17/2024 | |
| Star Pa I Trust | 5% or greater indirect ownership interest | Organization | 06/17/2024 | |
| Ellenbogen, Moss | Corporate director | Individual | 06/17/2024 | |
| Huyette, John | Operational/managerial control | Individual | 06/17/2024 | |
| Hykes, Jonathon | Operational/managerial control | Individual | 06/17/2024 | |
| Huyette, John | Adp of the SNF | Individual | 02/14/2025 | |
| Hykes, Jonathon | Adp of the SNF | Individual | 02/03/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on May 7, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on April 19, 2024: "Ensure a qualified health professional conducts resident assessments."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on May 7, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Barclay Friends West Chester, 0.9 mi · 5 of 5 stars · 1 citation
- West Chester Rehabilitation and Healthcare Center West Chester, 2.5 mi · 2 of 5 stars · 42 citations
- Aventura at Pembrooke West Chester, 3.6 mi · 1 of 5 stars · 38 citations
- Exton Post Acute Exton, 3.8 mi · 3 of 5 stars · 35 citations
- Green Meadows Nursing & Rehabilitation Center Malvern, 4.8 mi · 4 of 5 stars · 14 citations
- St. Martha Center for Rehabilitation & Healthcare Downingtown, 6.4 mi · 5 of 5 stars · 11 citations
- Pocopson Home West Chester, 6.4 mi · 5 of 5 stars · 5 citations
- Crosslands Kennett Square, 7.2 mi · 5 of 5 stars · 8 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Park Lane Post Acute LLC's Medicare star rating?
- CMS rates Park Lane Post Acute LLC 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Park Lane Post Acute LLC get at its last inspection?
- 4 health deficiencies at the standard inspection on May 7, 2026. The Pennsylvania average is 10.
- Has Park Lane Post Acute LLC been fined?
- CMS lists no fines in the last three years.
- Does Park Lane Post Acute LLC accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Park Lane Post Acute LLC?
- CMS lists 12 owners and managers, and links the home to Prestige Healthcare Administrative Services. Legal business name: PARK LANE POST ACUTE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.