AVENTURA AT PEMBROOKE

πŸ“ 1130 WEST CHESTER PIKE, west-chester, PA 19380 πŸ“ž 6106923636 πŸ›οΈ 180 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

91
Total Violations
8 years of data
$214,455
Total Fines
4 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 1 violations

Tag 0686 D Mar 21, 2024

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

βœ“ Corrected: Apr 5, 2024

2023 7 violations

Tag 0655 D Sep 8, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Nov 5, 2023
Tag 0684 E Sep 8, 2023

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

βœ“ Corrected: Nov 5, 2023
Tag 0692 E Sep 8, 2023

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

βœ“ Corrected: Nov 5, 2023
Tag 0756 D Sep 8, 2023

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

βœ“ Corrected: Nov 5, 2023
Tag 0757 D Sep 8, 2023

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

βœ“ Corrected: Nov 5, 2023
Tag 0758 D Sep 8, 2023

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.

βœ“ Corrected: Nov 5, 2023
Tag 0567 D Aug 3, 2023

Honor the resident's right to manage his or her financial affairs.

2022 23 violations

Tag 0550 D Oct 14, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Nov 20, 2022
Tag 0580 D Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0610 D Oct 14, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 20, 2022
Tag 0641 E Oct 14, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 20, 2022
Tag 0655 D Oct 14, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Nov 20, 2022
Tag 0657 D Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0684 G Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0686 D Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0692 E Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0697 G Oct 14, 2022

Provide safe, appropriate pain management for a resident who requires such services.

Tag 0740 D Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0755 D Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0756 F Oct 14, 2022

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

βœ“ Corrected: Nov 20, 2022
Tag 0759 D Oct 14, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Nov 20, 2022
Tag 0804 E Oct 14, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Nov 20, 2022
Tag 0880 D Oct 14, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 20, 2022
Tag 0558 D Aug 4, 2022

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Sep 30, 2022
Tag 0656 D Aug 4, 2022

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

βœ“ Corrected: Sep 30, 2022
Tag 0656 D Apr 27, 2022

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

βœ“ Corrected: May 17, 2022
Tag 0689 J Apr 27, 2022

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

βœ“ Corrected: May 17, 2022

2021 6 violations

Tag 0641 D Sep 24, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 5, 2021
Tag 0684 D Sep 24, 2021

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

βœ“ Corrected: Nov 5, 2021
Tag 0685 D Sep 24, 2021

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Nov 5, 2021
Tag 0690 D Sep 24, 2021

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

βœ“ Corrected: Nov 5, 2021
Tag 0757 D Sep 24, 2021

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

βœ“ Corrected: Nov 5, 2021
Tag 0880 D Sep 24, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 5, 2021

2020 3 violations

Tag 0684 D Jul 29, 2020

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

βœ“ Corrected: Sep 14, 2020
Tag 0686 D Jul 29, 2020

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

βœ“ Corrected: Sep 14, 2020
Tag 0842 D Jul 29, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Sep 14, 2020

2019 15 violations

Tag 0584 D Nov 15, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Dec 9, 2019
Tag 0610 D Nov 15, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Dec 21, 2019
Tag 0623 D Nov 15, 2019

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

βœ“ Corrected: Dec 21, 2019
Tag 0684 D Nov 15, 2019

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

βœ“ Corrected: Dec 21, 2019
Tag 0689 D Nov 15, 2019

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

βœ“ Corrected: Dec 21, 2019
Tag 0730 F Nov 15, 2019

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Dec 21, 2019
Tag 0755 D Nov 15, 2019

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

βœ“ Corrected: Dec 21, 2019
Tag 0756 D Nov 15, 2019

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

βœ“ Corrected: Dec 21, 2019
Tag 0759 E Nov 15, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Dec 21, 2019
Tag 0791 D Nov 15, 2019

Provide or obtain dental services for each resident.

βœ“ Corrected: Dec 21, 2019
Tag 0558 E May 9, 2019

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jun 15, 2019
Tag 0686 G May 9, 2019

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

βœ“ Corrected: Jun 15, 2019
Tag 0921 E May 9, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jun 15, 2019
Tag 0554 D Apr 9, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: May 31, 2019
Tag 0711 D Apr 9, 2019

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

βœ“ Corrected: May 31, 2019

2018 28 violations

Tag 0585 E Dec 14, 2018

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Feb 12, 2019
Tag 0688 D Dec 14, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Feb 12, 2019
Tag 0692 D Dec 14, 2018

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

βœ“ Corrected: Feb 12, 2019
Tag 0697 D Dec 14, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Feb 12, 2019
Tag 0761 D Dec 14, 2018

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.

βœ“ Corrected: Feb 12, 2019
Tag 0812 D Dec 14, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Feb 12, 2019
Tag 0880 D Dec 14, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 12, 2019
Tag 0689 D Oct 4, 2018

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

βœ“ Corrected: Nov 26, 2018
Tag 0550 D Sep 27, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Nov 26, 2018
Tag 0553 D Sep 27, 2018

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

βœ“ Corrected: Nov 26, 2018
Tag 0576 D Sep 27, 2018

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

βœ“ Corrected: Nov 26, 2018
Tag 0600 D Sep 27, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Nov 26, 2018
Tag 0745 D Sep 27, 2018

Provide medically-related social services to help each resident achieve the highest possible quality of life.

βœ“ Corrected: Nov 26, 2018
Tag 0921 D Sep 27, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Nov 26, 2018
Tag 0695 D Jun 8, 2018

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

βœ“ Corrected: Jul 5, 2018
Tag 0557 D Apr 12, 2018

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Jun 11, 2018
Tag 0679 D Apr 12, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Jun 11, 2018
Tag 0689 E Apr 12, 2018

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

βœ“ Corrected: Jun 11, 2018
Tag 0690 D Apr 12, 2018

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

βœ“ Corrected: Jun 11, 2018
Tag 0770 D Apr 12, 2018

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

βœ“ Corrected: Jun 11, 2018

2017 8 violations

Tag 0921 D Dec 21, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jan 15, 2018
Tag 0151 D Nov 29, 2017

Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.

βœ“ Corrected: Jan 15, 2018
Tag 0323 E Oct 26, 2017

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

βœ“ Corrected: Nov 20, 2017
Tag 0223 G Oct 16, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: Nov 20, 2017
Tag 0225 D Oct 16, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Nov 20, 2017
Tag 0319 D Oct 16, 2017

Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.

βœ“ Corrected: Nov 20, 2017
Tag 0247 D Sep 25, 2017

Give notice to the resident before a room or roommate change.

βœ“ Corrected: Oct 23, 2017
Tag 0309 D Aug 30, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Oct 15, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $205,417

$118,755
Fine
October 14, 2022
$77,191
Fine
October 14, 2022
$9,471
Fine
April 27, 2022
Average: $68,472 | Range: $9,471 - $118,755

2017 1 penalties totaling $9,038

$9,038
Fine
August 30, 2017
Average: $9,038 | Range: $9,038 - $9,038

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 21, 2024
0.00

Health

September 8, 2023
0.00

Health

August 3, 2023
0.00

Health

October 14, 2022
0.00

Health

August 4, 2022
0.00

Health

April 27, 2022
0.00

Health

February 1, 2022
0.00

Health

September 24, 2021
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
395166
395166
6106923636
Chester

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual