Nursing home report
WEST CHESTER, PA · Medicare-certified · 180 beds
AVENTURA AT PEMBROOKE has a 1 out of 5 overall rating, with a 1-star health inspection rating, 2-star staffing and quality scores, and reported nurse staffing below the federal benchmark (3.65 vs. 4.1 hours per resident per day). It has the lowest overall rating flag, no fines in the last 24 months, and recent inspection concerns included accident hazards/supervision, treatment and care orders, and facility administration.
Health inspections
Staffing
3.6476 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6476.
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.
Health inspection found 6 health deficiencies.
Health inspection found 4 health deficiencies.
On record with Medicare: 1 payment denial.
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.
