Nursing home report
WEST CHESTER, PA · Medicare-certified · 180 beds
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. It also has a recent federal penalty, $85,255 in fines over the last 24 months, and reported nurse staffing of 3.39 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.3877 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3877.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to run its operations effectively and efficiently using its available resources. Cited December 2025 — widespread issue, potential for harm.
F-Tag 835 — 42 CFR §483.70 — S/S: F
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited August 2025 — limited pattern, potential for harm.
F-Tag 693 — 42 CFR §483.25 — S/S: E
The home failed to provide enough food and fluids to keep residents healthy. Cited September 2023 — limited pattern, potential for harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $85,255 was recorded.
Health inspection found 6 health deficiencies.
Health inspection found 4 health deficiencies.
On record with Medicare: 1 fine · $85,255 in total fines · 1 payment denial.
Federal fine
Dec 28, 2025
Medicare/Medicaid payment denial
Aug 3, 2023
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.
