AVENTURA AT PEMBROOKE
AVENTURA AT PEMBROOKE is a 180-bed nursing home in WEST CHESTER, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1976-12-01. It averages 136.0 residents a day.
What harm was found in the violations cited at AVENTURA AT PEMBROOKE?
CMS lists 31 health-inspection deficiencies for AVENTURA AT PEMBROOKE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-03-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-26 | F0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2025-12-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L |
| 2025-12-28 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F |
| 2025-12-28 | F0684, F0695, F0770, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide and implement an infection prevention and control program. | D |
| 2025-11-03 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-11-03 | F0658, F0686 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-08-22 | F0693 | 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. | E |
| 2025-08-22 | F0656, F0684, F0690, F0692, F0757, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-07-25 | F0550, F0684, F0758, F0825 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2024-06-27 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-03-21 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-09-08 | F0684, F0692 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. | E |
| 2023-09-08 | F0655, F0756, F0757, F0758 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. | D |
| 2023-08-03 | F0567 | Honor the resident's right to manage his or her financial affairs. | D |
Why was AVENTURA AT PEMBROOKE fined?
| Date | Type | Amount |
|---|---|---|
| 2025-12-28 | Fine | $55,416 |
How is AVENTURA AT PEMBROOKE staffed relative to the PA average?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.38768 | 3.88823 |
| Average number of residents per day | 136.0 | 104.6 |
Who owns AVENTURA AT PEMBROOKE, and what chain is it in?
AVENTURA AT PEMBROOKE is registered with CMS as For profit - Corporation, operates under the legal business name AVENTURA AT PEMBROOKE LLC and belongs to the AVENTURA HEALTH GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CPP SENIOR HOLDINGS LLC | since 12/01/2018 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | KASZIRER, MOISHE | since 12/01/2018 |
| OPERATIONAL/MANAGERIAL CONTROL | KASZIRER, MOISHE | since 12/01/2018 |
| ADP OF THE SNF | BHATIA, SANJAY, KLEINER, SHLOIME | since 01/28/2025 |
Were you or a family member harmed at AVENTURA AT PEMBROOKE?