WEST CHESTER REHABILITATION AND HEALTHCARE CENTER
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-08-15 — ACTUAL HARM (tag F0755, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-05-06 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2023-06-16 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-06-16 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
3.25
state median 3.36
Weekend staffing gap
−0%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.32
registered nurses only
Contract (agency) staff
3%
share of all nursing hours
Nursing staff turnover
44%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $40,019 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-15 | Fine | $23,218 |
| 2024-05-06 | Fine | $16,801 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the MARQUIS HEALTH SERVICES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- RIVERSIDE POST ACUTE (JACKSONVILLE, FL) —
- WEST GABLES HEALTH CARE CENTER (MIAMI, FL) —
- DOBSON PLAZA (EVANSTON, IL) —
- BIRCHWOOD PLAZA (CHICAGO, IL) —
- BAY HARBOR POST ACUTE HEALTHCARE CENTER (SALISBURY, MD) —
- ORCHARD HILL REHABILITATION AND HEALTHCARE CENTER (TOWSON, MD) —
- COLLINGSWOOD REHABILITATION AND HEALTHCARE CENTER (ROCKVILLE, MD) —
- WESTGATE HILLS REHAB & HEALTHCARE CTR (BALTIMORE, MD) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-11 | F0770 | Administration Deficiencies | D | not recorded |
| 2026-05-11 | F0776 | Administration Deficiencies | D | not recorded |
| 2025-02-27 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-10-03 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-03 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-10-03 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-03 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-03 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-03 | F0947 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-08-15 | F0755 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-05-06 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-06 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-06 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-06 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-06 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-06 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-06 | F0835 | Administration Deficiencies | E | not recorded |
| 2024-03-26 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-02-28 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-28 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-17 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0576 | Resident Rights Deficiencies | D | not recorded |
| 2023-06-16 | F0623 | Resident Rights Deficiencies | C | not recorded |
| 2023-06-16 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-16 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-06-16 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-06-16 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-06-16 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-16 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-06-16 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-06-16 | F0770 | Administration Deficiencies | D | not recorded |
| 2023-06-16 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |