Skip to main content
Advertisement
Complaint Investigation

Aventura At Pembrooke

Inspection Date: December 28, 2025
Total Violations 6
Facility ID 395166
Location WEST CHESTER, PA
Advertisement

Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited AVENTURA AT PEMBROOKE in WEST CHESTER, PA for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-12-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of AVENTURA AT PEMBROOKE.

Correction Status: Deficient, Provider has no plan of correction.

Advertisement

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

Federal health inspectors cited AVENTURA AT PEMBROOKE in WEST CHESTER, PA for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-12-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level L: widespread, immediate jeopardy to resident health or safety.

This represents an immediate jeopardy situation, the most serious level of deficiency.

This was one of 6 deficiencies cited during this inspection of AVENTURA AT PEMBROOKE.

Correction Status: Deficient, Provider has no plan of correction.

Advertisement

F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited AVENTURA AT PEMBROOKE in WEST CHESTER, PA for a deficiency under regulatory tag F-F0695 during a complaint investigation conducted on 2025-12-28.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of AVENTURA AT PEMBROOKE.

Correction Status: Deficient, Provider has no plan of correction.

Advertisement

F-Tag F0770

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited AVENTURA AT PEMBROOKE in WEST CHESTER, PA for a deficiency under regulatory tag F-F0770 during a complaint investigation conducted on 2025-12-28.

Category: Administration Deficiencies

The facility was found deficient in the following area: Provide timely, quality laboratory services/tests to meet the needs of residents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of AVENTURA AT PEMBROOKE.

Correction Status: Deficient, Provider has no plan of correction.

Advertisement

F-Tag F0835

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited AVENTURA AT PEMBROOKE in WEST CHESTER, PA for a deficiency under regulatory tag F-F0835 during a complaint investigation conducted on 2025-12-28.

Category: Administration Deficiencies

The facility was found deficient in the following area: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of AVENTURA AT PEMBROOKE.

Correction Status: Deficient, Provider has no plan of correction.

Advertisement

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited AVENTURA AT PEMBROOKE in WEST CHESTER, PA for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-12-28.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of AVENTURA AT PEMBROOKE.

Correction Status: Deficient, Provider has no plan of correction.

πŸ“‹ Inspection Summary

AVENTURA AT PEMBROOKE in WEST CHESTER, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WEST CHESTER, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVENTURA AT PEMBROOKE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
« Back to Facility Page
Advertisement
Advertisement