Deficiency timeline

WEST CHESTER REHABILITATION AND HEALTHCARE CENTER

Dated inspection findings, penalties, and correction notes for this nursing home in West Chester, PA. Newest events first.

43 eventsTimeline fines $40,019Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0776: Administration

    Administration

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Corrected May 27, 2026

  2. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0770: Administration

    Administration

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

    Corrected May 27, 2026

  3. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Mar 25, 2025

  4. Class IIIPotential for more than minimal harm (E)cms

    F0947: Nursing and Physician Services

    Nursing & physician services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected Nov 5, 2024

  5. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Nov 5, 2024

  6. Class IIIPotential for more than minimal harm (D)cms

    F0757: Pharmacy Service

    Pharmacy services

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

    Corrected Nov 5, 2024

  7. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Nov 5, 2024

  8. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

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

    Corrected Nov 5, 2024

  9. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Nov 5, 2024

  10. Class IIActual harm (G)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

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

    Corrected Sep 3, 2024

  11. Fine $23,218cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  12. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

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

    Corrected Jun 11, 2024

  13. Class IImmediate jeopardy (J)cms

    F0678: Quality of Life and Care

    Quality of life & care

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected Jun 11, 2024

  14. Class IIIPotential for more than minimal harm (E)cms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Jun 11, 2024

  15. Class IIIPotential for more than minimal harm (E)cms

    F0835: Administration

    Administration

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected Jun 11, 2024

  16. Fine $16,801cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  17. Class IIIPotential for more than minimal harm (D)cms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Jun 11, 2024

  18. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

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

    Corrected Jun 11, 2024

  19. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jun 11, 2024

  20. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 11, 2024

  21. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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.

    Corrected Jun 11, 2024

  22. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 17, 2024

  23. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Mar 26, 2024

  24. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

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

    Corrected Mar 26, 2024

  25. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Feb 12, 2024

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Feb 12, 2024

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 29, 2023

  28. Class IIIPotential for more than minimal harm (D)cms

    F0576: Resident Rights

    Resident rights

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

    Corrected Jul 17, 2023

  29. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 17, 2023

  30. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2023

  31. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Jul 17, 2023

  32. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2023

  33. Class IIIPotential for more than minimal harm (D)cms

    F0693: Quality of Life and Care

    Quality of life & care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected Jul 17, 2023

  34. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2023

  35. Class IIIPotential for more than minimal harm (D)cms

    F0740: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2023

  36. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

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

    Corrected Jul 17, 2023

  37. Class IVMinimal harm / potential for minimal harm (C)cms

    F0623: Resident Rights

    Resident rights

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

    Corrected Jul 17, 2023

  38. Class IIIPotential for more than minimal harm (D)cms

    F0770: Administration

    Administration

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

    Corrected Jul 17, 2023

  39. Class IImmediate jeopardy (J)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected May 16, 2023

  40. Class IIActual harm (G)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2023

  41. Class IIIPotential for more than minimal harm (E)cms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Jul 17, 2023

  42. Class IIIPotential for more than minimal harm (E)cms

    F0755: Pharmacy Service

    Pharmacy services

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

    Corrected Jul 17, 2023

  43. Class IIIPotential for more than minimal harm (E)cms

    F0809: Nutrition and Dietary

    Nutrition & dietary

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected Jul 17, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile