With a score of 23/100, West Chester Rehabilitation And Healthcare Center 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.
With 3.33 total nurse hours per resident per day, West Chester Rehabilitation And Healthcare Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 40 deficiencies at West Chester Rehabilitation And Healthcare Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.33 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.41 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.06 | 2.4 | Below Average |
| Weekend Total Nursing | 3.18 | 3.8 | Below Average |
| Weekend RN Hours | 0.26 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Feb 26, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Oct 2, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0947 Severity EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Oct 2, 2024 · Nursing and Physician Services Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Oct 2, 2024 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Oct 2, 2024 · Quality of Life and Care 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 | 3.8% | 4.5% | Better |
| Falls with major injury | 4.2% | 3.0% | Worse |
| On antipsychotic medication | 16.1% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 3.4% | 14.0% | Better |
| Excessive weight loss | 6.3% | 7.5% | Better |
| New/worsened incontinence | 32.6% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $83,889
How This Grade Was Calculated
This facility's grade of F is based on a score of 23 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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