F

AVENTURA AT PEMBROOKE

1130 WEST CHESTER PIKE, WEST CHESTER, PA 19380
Score: 30 / 100

With a score of 30/100, Aventura At Pembrooke ranks in the bottom tier of Pennsylvania nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Aventura At Pembrooke is near the national average, with 3.42 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 34 deficiencies at Aventura At Pembrooke, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.42 3.8 Average
Registered Nurses (RN) 0.40 0.7 Below Average
Licensed Practical Nurses (LPN) 1.05 0.7 Above Average
Certified Nursing Assistants (CNA) 1.98 2.4 Below Average
Weekend Total Nursing 3.00 3.8 Below Average
Weekend RN Hours 0.20 0.7 Below Average

🔍 Inspection & Deficiency History

34
Total Deficiencies
Dec 27, 2025
Most Recent Inspection
🟠 31 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity L
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 27, 2025 · Quality of Life and Care Deficiencies
  • Tag 0835 Severity F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    Dec 27, 2025 · Administration Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 27, 2025 · Quality of Life and Care Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Dec 27, 2025 · Quality of Life and Care Deficiencies
  • Tag 0770 Severity D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    Dec 27, 2025 · Administration Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.5% 4.5% Worse
Falls with major injury 2.5% 3.0% Better
On antipsychotic medication 20.6% 14.5% Worse
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 6.2% 14.0% Better
Excessive weight loss 3.7% 7.5% Better
New/worsened incontinence 15.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 30 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
180
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 21, 2025
Deficiencies (Cycle 1)
17