GoodStanding

Nursing home report

AVENTURA AT PEMBROOKE

WEST CHESTER, PA · Medicare-certified · 180 beds

Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall

Aventura at Pembrooke in West Chester, PA has a 1-out-of-5 overall rating, with a 1-star health inspection rating and 2-star staffing and quality ratings. Reported staffing is below the federal benchmark (3.39 vs 4.1 hours per resident per day), and the facility had $55,416 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.3877 hrs/resident/day

Quality measures

Last inspection: July 29, 2026Penalties, last 24 months: $55,416recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3877.

Staffing detail

Registered nurses
0.41
Licensed practical nurses
1.01
Nurse aides
1.96
Weekend nursing
3.06

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

20%26.4%Worsening

Residents with a fall causing major injury

2.6%2.3%No change

Residents with pressure ulcers (bedsores)

3.8%2.1%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

2.8%2.5%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.7%5.2%Improving

Residents whose ability to walk got worse

0%1.5%Worsening

Long-stay residents on antianxiety or sleep medication

15.3%14.5%Improving

Short-stay residents newly given an antipsychotic

2.9%12.8%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

9.9%18.6%Worsening

Residents with depressive symptoms

4%3.4%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—98.5%—

Long-stay residents given the pneumonia vaccine

96.5%89.1%Worsening

Short-stay residents given the seasonal flu vaccine

—57.8%—

Short-stay residents given the pneumonia vaccine

48.4%24.4%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: L

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to make sure residents fully understood their health status, care, and treatments. Cited July 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 552 — 42 CFR §483.10 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited July 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $55,416 was recorded.

  6. PENALTY

    A federal fine of $85,255 was recorded.

  7. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $55,416 in total fines.

  • Federal fine

    Dec 28, 2025

    $55,416

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of AVENTURA HEALTH GROUP · 11 homes · 1.6 stars avg
Occupancy
136 residents on an average day (76% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 49 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.