Home / Pennsylvania / West Chester
800 West Miner Street, West Chester, PA 19382 · Chester County · (610) 696-3120
180 certified beds, about 174 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395740 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 3, 2024, inspectors cited 6 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 42 health citations since June 2023, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $40,019 in the last three years; the largest was $23,218, and the latest is dated August 15, 2024.
Nurses and nurse aides worked 3.46 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
43.8% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Marquis Health Services, an affiliated group of 90 nursing homes.
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.
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 42 health citations on file.
Inspectors wroteBased on interview, observation, and record review, it was determined that the facility failed to ensure the physician was notified and an intervention was put in place for a significant weight loss for one of 14 residents reviewed (Resident 14).
Inspectors wroteBased on review of the clinical record and interview with staff, it was determined that the facility failed to obtain laboratory services timely for one of three residents reviewed (Resident 1).
Inspectors wroteBased on review of the clinical record and staff interview, it was determined that the facility failed to ensure an x-ray was obtained in a timely manner for one of three residents reviewed (Resident 1).
Inspectors wroteBased on clinical record review staff interview, it was determined that the facility failed to include a resident or a resident's responsible party in the comprehensive care planning process for three of five sampled residents (Residents 1, 2, and 3).
Inspectors wroteBased on clinical records review, and resident, and staff interviews, it was determined that the facility failed to include the Interdisciplinary Team (IDT) in care plan meetings for 15 out of 15 resident care plan meetings reviewed (Residents 23, 27, 38, 66, 78, 85, 98, 101, 107, 114, 119, 121, 134, 143, 161).
Inspectors wroteBased on review of staff documentation, it was determined the facility failed to ensure the required 12 hours of annual training was completed by four of five staff members reviewed (Employee E3, Employee E4, Employee E5 and Employee E6).
Inspectors wroteBased on clinical records review and staff interviews, it was determined that the facility failed to notify the physician of a significant weight change for one of the 33 residents reviewed (Resident 21).
Inspectors wroteBased on clinical record review, resident and staff interviews, it was determined the facility failed to follow the physician's order for two of the 33 residents reviewed (Resident 13 and Resident 419).
Inspectors wroteBased on clinical record review and staff interview, it was determined the facility failed to ensure resident was free from unnecessary medication for one of 33 residents reviewed (Resident 21).
Inspectors wroteBased on review of the medication manufacturer's guidelines, the facility's policy, observation, and staff interviews, it was determined the facility failed to ensure medications were properly labeled and stored on two of two medication carts observed (Medication Carts 4 and 5).
Inspectors wroteBased on clinical record review and staff interview it was determined that the facility failed to ensure the pharmacy provided necessary pain medications timely which resulted in Resident 2 experiencing significant pain, and prompting emergent medical intervention. The facility failed to ensure physician ordered medications were available from the pharmacy for two of four residents reviewed (Residents 2 and 3).
Inspectors wroteBased on a review of established guidelines for Cardiopulmonary Resuscitation (CPR), the facility's policies and residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that CPR was provided in accordance with established facility policy and procedure for one of five residents reviewed (Resident 288), creating a situation in which the residents were placed in Immediate Jeopardy related to failing to perform cardiopulmonary resuscitation.
Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to follow physician's order regarding pre dialysis and post dialysis weight monitoring and to maintain ongoing communication with the dialysis center for four of four residents receiving dialysis (Residents 18, 98,161, and Resident 369).
Inspectors wroteBased on a review of their job descriptions it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to ensure that Cardio Pulmonary Resuscitation was provided in accordance with the facility policy and procedures to residents that are a full code.
Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to notify the physician of the significant weight change of two of the 32 residents reviewed (Resident 18 and 161).
Inspectors wroteBased on clinical records review, facility documentation review, and staff interview, it was determined that the facility failed to comprehensively investigate an injury of unknown origin for one of the 32 residents reviewed (Resident 37).
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 one of six residents reviewed (Residents 369).
Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to develop a comprehensive care plan for one of 32 residents reviewed (Resident 95)
Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to ensure wound treatment was consistently completed and wound recommendation from a wound consultant was followed for a surgical wound for one of 32 residents reviewed.
Inspectors wroteBased on clinical record review, it was determined that the facility failed to ensure one of 32 residents reviewed was free of unnecessary psychotropic medication (Resident 42).
Inspectors wroteBased on facility policy, clinical record review, and staff interview, it was determined that the facility failed to obtain and monitor weights for two of three residents reviewed for nutrition (Residents 3 and 4).
Inspectors wroteBased review of the facility's policy, clinical records review, and staff interviews, it was determined that the facility failed to accurately assess a sacral wound, inform the physician regarding the wound condition, and accurately assess weekly skin wounds resulting in an advanced wound stage with undermining for one of two residents reviewed (Resident R1).
Inspectors wroteBased on clinical record review, pharmacy record review, and staff and resident interview it was determined the facility failed to ensure medications were available for resident for one of the two residents reviewed (Resident CL1).
Inspectors wroteBased on observation, it was determined that the facility failed to ensure the call bell alerts were answered in a timely manner on one of two floors. (First Floor)
Inspectors wroteBased on clinical record reviews and resident and staff interviews, it was determined that the facility failed to implement the comprehensive care plan interventions to prevent pressure ulcer healing and discomfort for one of three resident reviewed (Resident R1).
Inspectors wroteBased on review of facility documentation and clinical record review, it was determined that the facility failed to ensure adequate supervision during a transfer for one of four residents reviewed (Resident 1). This was identified as a past noncompliance situation.
Inspectors wroteBased on observations, review of the clinical record, facility documentation, and policy and procedures, as well as staff interviews, it was determined that the facility failed to implement appropriate monitoring, supervision, and safety measures to prevent elopement (unauthorized leave from a safe area) of a resident (Resident 27) assessed to be at risk for eloping and who successfully left the building without staff knowledge. This failure placed residents at the facility in an Immediate Jeopardy situation one for nine residents who were identified as at risk for elopement. The incident has been identified as past non-compliance.
Inspectors wroteBased on interview, observation, and clinical record review, it was determined that the facility failed to follow physician's orders for two of 33 residents reviewed (Residents 70 and 18), causing actual harm to Resident 70, who experienced a delay in obtaining treatment and services at the hospital for a urinary tract infection and septic shock.
Inspectors wroteBased on clinical record review, facility policy and procedure review and staff interview it was determined the facility failed to provide proper dialysis services for four of 5 residents reviewed. (Residents 20, 29, 51, and 117) Findings Include: Review of facility policy and procedure titled Hemodialysis Access Care revealed under the section for care of AVFs (Aterio-Venous fistula- device surgically connected to an artery and a vein in a person's arm for dialysis treatment) and AVGs (synthetic or animal derived tubing to connect the artery and vein) to prevent infection and/or clotting check the patency of the site at regular intervals. Palpate the site to feel the thrill or use a stethoscope to hear the bruit of blood flow through the access. [...]
Inspectors wroteBased on clinical record review and staff and resident interviews it was determined the facility failed to ensure mediations were available for resident for three of 5 residents reviewed (Residents 68, 73, 137). Findings Include: Interview with Resident 68 on June 14, 2023, at 1:25 p.m. revealed that there are times the facility will run out of the resident's Latuda (antipsychotic medication). Review of Resident 68's clinical record revealed a physician's order dated February 10, 2023 for Latuda 80 mg (milligrams) twice daily for schizoaffective disorder (mental health disorder that is marked by a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania). [...]
Inspectors wroteBased on resident council interview and staff interviews, it was determined that the facility failed to ensure a nourishing snack is provided when 14 hours are between a substantial evening meal and breakfast the following day.
Inspectors wroteBased on facility policy and procedure review, observation, and resident and staff interviews it was determined the facility failed to ensure the privacy of resident's mail for one of one resident reviewed and residents during a group interview. (Resident 73) Findings Include: Review of Facility Policy and Procedure titled Mail and Electronic Communication, undated; revealed mail will be delivered to residents unopened. Staff members of this facility will not open mail for the resident unless the resident request them to do so. Observation on June 14, 2023 at 11:03 a.m. revealed Certified Nursing Employee E4 handing a package to Resident 73 that was opened. Interview with Resident 73 at the time of the observation revealed this was the first he/she was seeing the package and had not asked staff to open it. [...]
Inspectors wroteBased on review of clinical records and staff interview, it was determined that the facility failed to develop a care plan for ascites for one out of 33 residents (Resident 69).
Inspectors wroteBased on clinical record review and staff and resident interview it was determined the facility failed to provide ADL care for a resident unable to complete on their own for one of 32 resident reviewed (Resident 73). Findings Include: Interview with Resident 73 on June 14, 2023 at 11:00 a.m. revealed they had not received a shower in three weeks time. Review of Resident 73's Quarterly Minimum Data Set (MDS-periodic assessment of resident needs), dated April 20, 2023 revealed the resident only needed supervision while bathing. Review of Resident 73's physician orders revealed an order dated March 9, 2021 for every Tuesday, Thursday, and Saturday please make sure CNA (certified Nursing Assistant) takes the resident to the shower room. [...]
Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to ensure treatment and services necessary to monitor bladder functioning were implemented for one of the 33 residents reviewed (Resident 137).
Inspectors wroteBased on facility policy and procedure review, clinical record review and staff interview it was determined the facility failed to monitor the nutritional status for 2 of five residents reviewed, (Residents 18 and 29) Findings Include: Review of facility policy and procedure titled Weight Assessment and Interventions revealed Residents are weighed upon admission and at intervals established by the interdisciplinary team and/or as ordered by the physician. The threshold for significant unplanned and undesired weight loss will be based on the following criteria. 1 month- 5% weight loss is significant, greater than 5% is severe. 6 months- 10% weight loss is significant; greater than 10% is severe. Review of Resident 18's physician orders revealed an order dated October 25, 2023 for daily weights. [...]
Inspectors wroteBased on clinical record review, observation, and staff interviews, it was determined that the facility failed to provide enteral nutrition (delivery of nutrition by a feeding tube) in accordance with physician's order for one of five residents receiving enteral feeding (Resident 414).
Inspectors wroteBased on observation, clinical record review and staff interview, it was determined the facility failed to provide respiratory care consistent with professional standards of practice, for one of 33 residents reviewed (Resident 20).
Inspectors wroteBased on observation, clinical record review, and interview, it was determined that the facility failed to provide the necessary psychological services to attain or maintain the highest practicable mental and psychosocial well-being for one of six residents reviewed for mood and behaviors. (Resident 68)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that monthly medication regimen reviews were completed by a licensed pharmacist for one of five residents reviewed for unnecessary medications (Residents 27).
Inspectors wroteBased on clinical record review and staff interview it was determined the facility failed to obtain lab services as ordered by the physician for two of 32 residents reviewed. (Residents 96 and 108)
Inspectors wroteBased on clinical record review, it was determined that the facility failed to notify the Office of the State Long Term Care Ombudsman of resident transfers in writing for five of 10 residents reviewed (Resident 10, Resident 17, Resident 93).
6 fire safety citations on file: 1 on October 3, 2024, 5 on May 6, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| August 15, 2024 | Fine | $23,218 |
| May 6, 2024 | Fine | $16,801 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.46 | 3.89 | 3.86 |
| Registered nurses | 0.48 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.53 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 44.5% | 45.8% |
| Registered nurse turnover | 36.8% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.14 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.54 on weekdays and 3.26 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.46 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 | 3.46 | 0.48 | 3.54 | 3.26 | 2.8% | 0 of 90 | 174 |
| Oct to Dec 2025 | 3.53 | 0.53 | 3.65 | 3.21 | 5.3% | 0 of 92 | 175 |
| Jul to Sep 2025 | 3.33 | 0.41 | 3.40 | 3.18 | 0.4% | 0 of 92 | 171 |
| Apr to Jun 2025 | 3.29 | 0.47 | 3.39 | 3.04 | 0.4% | 0 of 91 | 171 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 2.8 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 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 | 5.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.6 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.4 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for West Chester Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.0% this home
No different from the national rate
US median of homes 51.5% · Pennsylvania: 100 better, 108 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 190 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · Pennsylvania: 3 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 204 eligible stays.
9.5% this home
No different from the national rate
US median of homes 7.1% · Pennsylvania: 7 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 139 eligible stays.
80.0% this home
Median of homes: Pennsylvania54.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 85 residents counted.
1.9% this home
Median of homes: Pennsylvania0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 159 residents counted.
1.5% this home
Median of homes: Pennsylvania2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 159 residents counted.
100.0% this home
Median of homes: Pennsylvania100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 47 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEST CHESTER OPERATOR LLC. CMS links this home to Marquis Health Services, a group of 90 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cibc Bank USA | 5% or greater mortgage interest | Organization | 10/07/2022 | |
| Cibc Bank USA | 5% or greater security interest | Organization | 10/07/2022 | |
| Fry, Beverly | Managing control - governing body | Individual | 10/07/2022 | |
| Graham, Laura | Managing control - governing body | Individual | 03/26/2025 | |
| Harman, Dina | Managing control - governing body | Individual | 10/07/2022 | |
| Posen, Mindee | Managing control - governing body | Individual | 10/07/2022 | |
| Viroja, Yogesh | Managing control - governing body | Individual | 10/07/2022 | |
| Posen, Mindee | Corporate officer | Individual | 10/07/2022 | |
| Live Well Plus LLC | Operational/managerial control | Organization | 12/27/2024 | |
| Marquis Limited LLC | Operational/managerial control | Organization | 10/07/2022 | |
| Reliant Pro Rehab LLC | Operational/managerial control | Organization | 10/07/2022 | |
| Graf, Andrew | Operational/managerial control | Individual | 10/07/2022 | |
| Graham, Laura | Operational/managerial control | Individual | 03/26/2025 | |
| Flagler, Osher | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 02/10/2026 | |
| Levovitz, Tzvi | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/11/2025 | |
| Marquis Limited LLC | Adp of the SNF | Organization | 03/07/2025 | |
| Nfr 2020 Irrv Tr | Adp of the SNF | Organization | 10/07/2022 | |
| Quinto Nexgen LLC | Adp of the SNF | Organization | 10/07/2022 | |
| Reliant Pro Rehab LLC | Adp of the SNF | Organization | 03/07/2025 | |
| Rsbrmk Holdings LLC | Adp of the SNF | Organization | 10/07/2022 | |
| Sk Nexgen Tr | Adp of the SNF | Organization | 10/07/2022 | |
| Tryko Nexgen Holdings LLC | Adp of the SNF | Organization | 10/07/2022 | |
| Uak 2020 Irrv Tr | Adp of the SNF | Organization | 10/07/2022 | |
| Ukr Nexgen LLC | Adp of the SNF | Organization | 10/07/2022 | |
| West Chester Real Property LLC | Adp of the SNF | Organization | 10/07/2022 | |
| Yk Nexgen Tr | Adp of the SNF | Organization | 10/07/2022 | |
| Yr Nexgen Tr | Adp of the SNF | Organization | 10/07/2022 | |
| Fry, Beverly | Adp of the SNF | Individual | 10/28/2024 | |
| Graf, Andrew | Adp of the SNF | Individual | 10/07/2022 | |
| Graham, Laura | Adp of the SNF | Individual | 03/26/2025 | |
| Harman, Dina | Adp of the SNF | Individual | 10/07/2022 | |
| Posen, Mindee | Adp of the SNF | Individual | 10/07/2022 | |
| Viroja, Yogesh | Adp of the SNF | Individual | 10/07/2022 |
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.
Chosen from this home's own inspection record.
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