CareSentinel

Federal Nursing-Home Survey Record

WEST CHESTER REHABILITATION AND HEALTHCARE CENTER

CCN 395740 · 800 WEST MINER STREET, WEST CHESTER, PA, 19382 · Operated within the MARQUIS HEALTH SERVICES chain

Does WEST CHESTER REHABILITATION AND HEALTHCARE CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WEST CHESTER REHABILITATION AND HEALTHCARE CENTER (CCN 395740), in WEST CHESTER, PA, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 6 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. The most recent federal survey on file is dated 2024-10-03. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $83,889 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has $83,889 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$83,889

CMS has $83,889 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.0

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-02-27
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-10-03
CURRENT CYCLE
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-10-03
CURRENT CYCLE
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2024-10-03
CURRENT CYCLE
F761S/S D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

2024-10-03
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-10-03
CURRENT CYCLE
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2024-10-03
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-15
HISTORICAL
F755S/S G

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-05-06
HISTORICAL
F678S/S J

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2024-05-06
HISTORICAL
F835S/S E

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2024-05-06
HISTORICAL
F698S/S E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-05-06
HISTORICAL
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2024-05-06
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-05-06
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-05-06
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-05-06
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-05-06
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-03-26
HISTORICAL
F692S/S E

Provide enough food/fluids to maintain a resident's health.

2024-02-28
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-02-28
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-01-17
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-01-17
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-09-05
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-06-16
HISTORICAL
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-06-16
HISTORICAL
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-06-16
HISTORICAL
F698S/S E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2023-06-16
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2023-06-16
HISTORICAL
F809S/S E

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

2023-06-16
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2023-06-16
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-06-16
HISTORICAL
F770S/S D

Provide timely, quality laboratory services/tests to meet the needs of residents.

2023-06-16
HISTORICAL
F576S/S D

Ensure residents have reasonable access to and privacy in their use of communication methods.

2023-06-16
HISTORICAL
F693S/S D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

2023-06-16
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2023-06-16
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-06-16
HISTORICAL
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2023-06-16
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2023-06-16
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2023-06-16
HISTORICAL
F623S/S C

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at WEST CHESTER REHABILITATION AND HEALTHCARE CENTER?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…