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Complaint Investigation

Aventura At Pembrooke

March 26, 2026 · West Chester, PA · 1130 West Chester Pike
Citations 1
CMS Rating 1/5
Beds 180
Provider ID 395166
Healthcare Facility
Aventura At Pembrooke
West Chester, PA  ·  View full profile →
Inspection Summary

AVENTURA AT PEMBROOKE in WEST CHESTER, PA — inspection on March 26, 2026.

Found 1 citation. Severity: Standard violations.

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

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Inspection Findings

FF0692
Quality of Life and Care Deficiencies

include:Observations made of resident rooms on March 26, 2026, revealed most rooms on the 1st, 2nd,

cups were not dated; there was no way to determine when the water was provided to the resident.During interviews Resident 1, Resident 2, Resident 3, and Resident 4, stated fresh water is not provided every shift and sometimes not every day.

Observations were made of ice machines on each unit indicating ice was available for residents.Observations were made throughout the dayshift.

Residents were not provided with fresh water and/or ice during the day shift.Interview conducted with Nursing Home Administrator (NHA) and Director of Nursing (DON) on March 26, 2025, at 3:10 p.m., when the above information was presented, the DON stated residents are provided with fresh water during every shift. 28 Pa.

Code 211.12(d)(1)(5) Nursing Services28 Pa Code: 211.10(c) Resident care policies Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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.


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