Nursing HomeInspections

Aventura at Pembrooke

Nursing home in West Chester, PA

Medicare & Medicaid certified1★ overall (CMS)

Call (610) 692-3636Send a messageMap ↗

Public-record details

Address
1130 West Chester Pike, West Chester, PA 19380
Phone
(610) 692-3636
Listed under
For-profit
Medicare CCN
395166
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
180
Average residents per day
136
Ownership
For-profit, corporation
Legal business name
Aventura at Pembrooke LLC
Chain
Aventura Health Group (11 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 395166. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 22, 2025. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 3, 2023 to Mar 26, 2026): 16 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 26, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 28, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 28, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 28, 2025Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 28, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 28, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection
F
Potential for more than minimal harm, widespread
Dec 28, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
L
Immediate jeopardy, widespread
Nov 3, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 3, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 3, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Nov 3, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Aug 22, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 31. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $55,416 in the last three years.

Dec 28, 2025Fine: $55,416

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.39 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
1.96 hours
Total nurse staffing on weekends
3.06 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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