Nursing HomeInspections

West Chester Rehabilitation and Healthcare Center

Nursing home in West Chester, PA

Medicare & Medicaid certified2★ overall (CMS)

Call (610) 696-3120Send a messageMap ↗

Public-record details

Address
800 West Miner Street, West Chester, PA 19382
Phone
(610) 696-3120
Listed under
For-profit
Medicare CCN
395740
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
180
Average residents per day
174
Ownership
For-profit, limited Liability company
Legal business name
West Chester Operator LLC
Chain
Marquis Health Services (87 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 31, 1987
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 395740. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 3, 2024. CMS lists 42 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to Jun 30, 2026): 11 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 30, 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
May 11, 2026Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
May 11, 2026Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 27, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 3, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Oct 3, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Oct 3, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Oct 3, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Oct 3, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Oct 3, 2024Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Aug 15, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
May 6, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 42. 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 2 fines totalling $40,019 in the last three years.

Aug 15, 2024Fine: $23,218
May 6, 2024Fine: $16,801

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
3.46 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
2.12 hours
Total nurse staffing on weekends
3.26 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
37%
Administrators who left in the past year
1

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.

Other nursing homes in West Chester

Park Lane Post Acute LLC1619 East Boot Road East Goshen · West Chester, PA 19380 · (484) 653-4400 · For-profit25 health citations in 3 inspection cycles · last standard inspection May 7, 2026 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Pocopson Home1695 Lenape Road · West Chester, PA 19382 · (610) 793-1212 · Government-owned5 health citations in 3 inspection cycles · last standard inspection Mar 26, 2026 · $16,036 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)Barclay Friends700 North Franklin · West Chester, PA 19380 · (610) 696-5211 · Nonprofit1 health citation in 3 inspection cycles · last standard inspection Jun 13, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Aventura at Pembrooke1130 West Chester Pike · West Chester, PA 19380 · (610) 692-3636 · For-profit31 health citations in 3 inspection cycles · last standard inspection Aug 22, 2025 · $55,416 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 5 in West Chester →