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Preston Residence

200 Sycamore Drive, West Grove, PA 19390 · Chester County · (610) 869-6767

28 certified beds, about 28 residents a day · Non profit - Corporation · Medicare since 2004

CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 396090 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 30, 2026, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 7 health citations since July 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 4.90 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.

31.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

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.

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 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
0F
Potential for minimal harm
0A
0B
0C
July 30, 2026Standard inspection · 3 citations
  1. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased upon clinical record review, it was determined that the facility failed to ensure Minimum Data Set Assessments (MDS) were completed timely for three of 12 residents reviewed (Resident 23, Resident 33 and Resident 34).
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased on clinical record review and interview with staff, it was determined that the facility failed to encode a subset of items upon a resident's reentry to the facility for one of 12 residents reviewed (Resident 34).
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Not yet corrected
    Inspectors wroteBased upon clinical record review, it was determined that the facility failed to ensure Minimum Data Set Assessments (MDS) were completed accurately for one of 12 residents reviewed (Resident 2).
June 13, 2025Standard inspection · 3 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased upon clinical record review and staff interview, it was determined the facility failed to ensure accurate Minimum Data Set Assessments were completed for one of 12 residents reviewed (Resident 14).
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased on review of clinical records and staff interviews, it was determined the facility failed to ensure that fluid restriction physician's orders were followed for one of one residents reviewed. (Resident 10)
  3. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2025
    Inspectors wroteBased upon clinical record review and interview, it was determined the facility failed to ensure non-pharmaceutical interventions were completed prior to the administration of pain medication for one resident and failed to ensure side effects were being monitored during the use of anti-psychotic medication for one resident (Resident 4 and Resident 11).
July 11, 2024Standard inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on observations and resident and staff interview, it was determined the facility failed to ensure Enhanced Barrier Precautions (infection control prevention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities) were in place for residents requiring enhanced barrier precautions for two of 19 residents (Residents 69 and 120).

Fire safety inspections

6 fire safety citations on file: 5 on June 13, 2025, 1 on July 11, 2024.

Every fire safety citation6 citations
  1. E
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · June 13, 2025 · Corrected (the home has a date of correction)
  2. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 13, 2025 · Corrected (the home has a date of correction)
  3. C
    List the names and contact information of those in the facility.
    E 30 · June 13, 2025 · Corrected (the home has a date of correction)
  4. C
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 13, 2025 · Corrected (the home has a date of correction)
  5. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 13, 2025 · Corrected (the home has a date of correction)
  6. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 11, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)4.903.893.86
Registered nurses0.980.790.69
All nursing staff on weekends4.503.533.42
Nurse aides2.93
Licensed practical nurses0.99
Nursing staff turnover (share who left in a year)31.0%44.5%45.8%
Registered nurse turnover33.3%39.9%42.9%
Administrators who left1

CMS expects 3.66 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 5.05 on weekdays and 4.50 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.63 in April to June 2025 to 4.90 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.900.985.054.50 12.1%0 of 9028
Oct to Dec 20253.520.673.623.28 17.6%13 of 9228
Jul to Sep 20254.550.874.674.26 8.7%0 of 9227
Apr to Jun 20254.630.864.804.21 16.4%0 of 9126
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%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.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
35.116.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.60.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.63.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.41.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.84.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.317.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.022.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.79.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.21.8

Owners and operators

Legal business name: JENNER'S POND INC..

NameRoleTypeShareSince
Jenner's Pond Inc.5% or greater direct ownership interestOrganization100%02/01/1998
Jenner's Pond Inc.5% or greater indirect ownership interestOrganization100%02/01/1998
Franiak, KennethCorporate officerIndividual08/09/2021
Jenner's Pond Inc.Operational/managerial controlOrganization02/01/1998
Franiak, KennethOperational/managerial controlIndividual08/09/2021
Tracy, GeorgineOperational/managerial controlIndividual02/13/2023
Jenner's Pond Inc.Adp of the SNFOrganization02/01/1998
Sharma, NavneetAdp of the SNFIndividual01/01/2022
Tracy, GeorgineAdp of the SNFIndividual03/18/2025

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 30, 2026: "Assure that each resident’s assessment is updated at least once every 3 months."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 13, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 13, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 11, 2024: "Provide and implement an infection prevention and control program."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Preston Residence's Medicare star rating?
CMS rates Preston Residence 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Preston Residence get at its last inspection?
3 health deficiencies at the standard inspection on July 30, 2026. The Pennsylvania average is 10.
Has Preston Residence been fined?
CMS lists no fines in the last three years.
Does Preston Residence accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Preston Residence?
CMS lists 9 owners and managers. Legal business name: JENNER'S POND INC..

Sources

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