The nursing home failed to update each resident’s assessment at least every three months. Cited July 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: D
Nursing home report
WEST GROVE, PA · Medicare-certified · 28 beds
Preston Residence in West Grove, PA has an overall 5 out of 5 stars, with strong staffing and quality ratings and no fines in the last 24 months. Its nurse staffing is 4.90 hours per resident per day, above the federal benchmark of 4.1, while the health inspection rating is 4 out of 5 stars.
Health inspections
Staffing
4.8953 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8953.
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
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 pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to update each resident’s assessment at least every three months. Cited July 2026 — isolated incident, potential for harm.
F-Tag 638 — 42 CFR §483.20 — S/S: D
The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited July 2026 — isolated incident, potential for harm.
F-Tag 640 — 42 CFR §483.20 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2026 — isolated incident, potential for harm.
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, potential for harm.
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited June 2025 — isolated incident, potential for harm.
F-Tag 757 — 42 CFR §483.45(d) — S/S: D
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 3 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
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.