Home / Pennsylvania / West Reading
West Reading Skilled Nursing and Rehabilitation Ce
425 Buttonwood Street, West Reading, PA 19611 · Berks County · (610) 373-5166
176 certified beds, about 152 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395351 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 29, 2026, inspectors cited 5 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 31 health citations since September 2023 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 3.11 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
56.8% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Genesis Healthcare, an affiliated group of 184 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.
609/23
501/24
106/24
109/24
1112/24
102/25
501/26
105/26
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 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
6E
4F
Potential for minimal harm
0A
0B
4C
May 2, 2026Complaint inspection · 1 citation
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, resident interview, and staff interview, it was determined that the facility failed to provide care and services to maintain activities of daily living (showering) for five of 11 sampled residents. (Residents 2, 5, 8, 9, 11)
January 29, 2026Standard inspection · 5 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity for one of 31 sampled residents. (Resident 3)
- 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 that the Minimum Data Set (MDS) assessment was completed to accurately reflect the current status of three of 31 sampled residents. (Residents 1, 10, 13)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement physicians' orders for two of 31 sampled residents. (Residents 1 and 30)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to follow policies and procedures to prevent the spread of infection for one of 31 sampled residents. (Resident 113)
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on a review of facility policy, observation, and staff interview, it was determined that the facility failed to maintain a fully functioning resident call bell system for one of 31 sampled residents. (Resident 30).
February 18, 2025Complaint inspection · 1 citation
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, observations, and resident and staff interviews, it was determined that the facility failed to provide care and services in a manner that maintained each resident's dignity and preferences to promote quality of care for four of seven sampled residents. (Residents 1, 2, 3, 4)
December 10, 2024Standard inspection · 11 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, staff interview, and observation, it was determined that the facility failed to store food in a sanitary manner in the dietary department and on one of three nursing units. (Nursing unit 2)
- E Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on staff interview, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on resident interview, review of facility documentation, observation, and staff interview, it was determined that the facility failed to follow the pre-approved menus. (Residents 16, 22, 208)
- 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 clinical record review and staff interview, it was determined that the facility failed to develop a comprehensive care plan that addressed individual resident needs as identified in the comprehensive assessment for four of 32 sampled residents. (Residents 16, 48, 132, 143)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to implement physician's orders for two of 32 sampled residents. (Residents 16, 56)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to ensure that safety interventions were implemented to prevent falls and that the physician was notified per facility policy for one of 32 sampled residents. (Resident 146)
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on clinical record review, and staff interview, it was determined that the facility failed to ensure that pharmacy recommendations were acted upon in a timely manner for two of 32 sampled residents. (Residents 79, 149)
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on a review of facility policy, observation, and staff interview, it was determined that the facility failed to properly store medications in one of three nursing units. (Second Floor Nursing Unit)
- C 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 staff interview, it was determined that the facility failed to notify the resident and the resident's representative(s) of transfer(s) from the facility, including the reasons for the moves and Ombudsman information, in writing upon transfer for eight of eight sampled residents who were transferred to the hospital. (Residents 39, 85, 89, 94, 95, 143, 146, 157)
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to post accurate and current nurse staffing information.
- C Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, it was determined that the facility failed to dispose of trash and refuse properly.
September 27, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to notify a resident's responsible party of a change in treatment for one of four sampled residents. (Resident 1)
June 28, 2024Complaint inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on staff interview, observation, and facility policy review, it was determined that the facility failed to store food in a sanitary manner in the dietary department and on three of three nursing units. (Second, Third, and Fourth floors)
January 25, 2024Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department.
- 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 that the Minimum Data Set (MDS) assessment was completed to accurately reflect the resident's current status for two of 27 sampled residents. (Residents 10, 32)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for one of 27 sampled residents. (Resident 15)
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on clinical record review, observation and staff interview, it was determined that the facility failed to provide services and treatment to prevent a further decrease in range of motion and contractures for one of four sampled residents with limited range of motion. (Resident 62)
- C 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, it was determined that the facility failed to notify the residents and the residents' representatives regardless of transfers from the facility and reasons for the moves in writing for six of nine sampled residents who were transferred to the hospital. (Residents 19, 28, 32, 79, 81, 123)
September 15, 2023Complaint inspection · 6 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on staff interview, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on facility policy review, observation, resident interview, and results of a test tray audit, it was determined that the facility failed to provide food that was palatable and at appetizing temperatures on two of three nursing units. (Station two and Station four)
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on a review of the facility's meal schedule, observation, and resident and staff interview, it was determined that the facility failed to ensure that meals were served at regularly scheduled times in accordance with the resident needs on one of three nursing units. (Station 2)
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review and resident interview, it was determined that the facility failed to provide services to enhance each resident's quality of life by offering showers as scheduled to three of seven sampled residents. (Residents 2, 5, 6)
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on facility policy review, review of facility documentation, and interview, it was determined that the facility failed to promptly act upon a resident grievance for one of four sampled residents. (Resident 2)
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on clinical record review, review of facility documentation, observation, and interview, it was determined that the facility failed to ensure that a resident's preference at meal times had been accommodated for two of seven sampled residents. (Residents 2, 7)
Fire safety inspections
22 fire safety citations on file: 4 on December 10, 2024, 3 on June 24, 2024, 5 on January 25, 2024, 10 on February 16, 2023.
Every fire safety citation22 citations
- 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 Provide properly sized and located linen or trash receptacles.
- C Provide properly protected cooking facilities.
- F Provide a written emergency evacuation plan.
- E Provide properly protected cooking facilities.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- C Develop and maintain an Emergency Preparedness Program (EP).
- C To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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 Provide properly protected cooking facilities.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have elevators that firefighters can control in the event of a fire.
- C Meet other general requirements.
- C Have properly located and lighted "Exit" signs.
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) | 3.11 | 3.89 | 3.86 |
| Registered nurses | 0.41 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.80 | 3.53 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 56.8% | 44.5% | 45.8% |
| Registered nurse turnover | 76.2% | 39.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.11 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 3.24 on weekdays and 2.80 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.14 in April to June 2025 to 3.11 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 | 3.11 | 0.41 | 3.24 | 2.80 | 6.9% | 0 of 90 | 152 |
| Oct to Dec 2025 | 3.38 | 0.37 | 3.53 | 2.99 | 19.3% | 0 of 92 | 146 |
| Jul to Sep 2025 | 2.97 | 0.34 | 3.06 | 2.76 | 7.0% | 0 of 92 | 139 |
| Apr to Jun 2025 | 3.14 | 0.33 | 3.25 | 2.87 | 14.3% | 0 of 91 | 141 |
| 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 | 26.7 | 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 | 2.4 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.0 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.5 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.2 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.6 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.2 | 1.8 |
Owners and operators
Legal business name: 425 BUTTONWOOD STREET OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis Pm Pa Operations LLC | 5% or greater direct ownership interest | Organization | 100% | 11/15/2022 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 11/15/2022 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 11/15/2022 | |
| Berg, Michael | Corporate officer | Individual | 11/15/2022 | |
| Bridgeford, Laura | Corporate officer | Individual | 04/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 04/01/2024 | |
| Mitchell, Darwin | Operational/managerial control | Individual | 10/25/2023 | |
| Mitchell, Darwin | Adp of the SNF | Individual | 10/25/2023 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 10 problems in this area, most recently on December 10, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on January 29, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on May 2, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 29, 2026: "Ensure each resident receives an accurate assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.80 hours per resident per day, below the Pennsylvania average of 3.53.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Spruce Manor Nursing & Rehabilitation Center West Reading, 0.3 mi · 4 of 5 stars · 8 citations
- Wyomissing Health and Rehabilitation Center Reading, 1 mi · 4 of 5 stars · 18 citations
- Highlands at Wyomissing Wyomissing, 2 mi · 5 of 5 stars · 5 citations
- Transitional Sub-Acute Unit Wyomissing, 2.4 mi · 5 of 5 stars · 0 citations
- Mifflin Center Shillington, 2.7 mi · 4 of 5 stars · 18 citations
- Sinking Spring Skilled Nursing and Rehabilitation Sinking Spring, 3.6 mi · 2 of 5 stars · 32 citations
- Laureldale Skilled Nursing and Rehabilitation Cent Laureldale, 4.3 mi · 3 of 5 stars · 29 citations
- Fairlane Gardens Nursing and Rehab at Reading Reading, 5.4 mi · 1 of 5 stars · 17 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 West Reading Skilled Nursing and Rehabilitation Ce's Medicare star rating?
- CMS rates West Reading Skilled Nursing and Rehabilitation Ce 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did West Reading Skilled Nursing and Rehabilitation Ce get at its last inspection?
- 5 health deficiencies at the standard inspection on January 29, 2026. The Pennsylvania average is 10.
- Has West Reading Skilled Nursing and Rehabilitation Ce been fined?
- CMS lists no fines in the last three years.
- Does West Reading Skilled Nursing and Rehabilitation Ce accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns West Reading Skilled Nursing and Rehabilitation Ce?
- CMS lists 15 owners and managers, and links the home to Genesis Healthcare. Legal business name: 425 BUTTONWOOD STREET OPERATIONS 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.