Nursing homes › Pennsylvania › West Chester Rehabilitation and Healthcare Center
800 West Miner Street, West Chester, PA 19382 · 6106963120 · 180 certified beds
Per CMS filings, this facility is affiliated with Marquis Health Services, a group operating 89 facilities in 9 states. Group record: average rating 3.1/5, 6 abuse citation icons, 1 facilities on the Special Focus list, $2,835,484 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.46 (Pennsylvania median: 3.63). RN hours: 0.48. Weekend total: 3.26. Nursing staff turnover: 44%.
All-time on record: 41 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-11 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | corrected 2026-05-27 |
| 2026-05-11 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | complaint | corrected 2026-05-27 |
| 2025-02-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | corrected 2025-03-25 |
| 2024-10-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-11-05 |
| 2024-10-03 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2024-11-05 |
| 2024-10-03 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-11-05 |
| 2024-10-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-11-05 |
| 2024-10-03 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-11-05 |
| 2024-10-03 | 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. | D | Health | corrected 2024-11-05 |
| 2024-08-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | complaint | corrected 2024-09-03 |
| 2024-05-06 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Health | corrected 2024-06-11 |
| 2024-05-06 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2024-06-11 |
| 2024-05-06 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Health | corrected 2024-06-11 |
| 2024-05-06 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-06-11 |
| 2024-05-06 | Respond appropriately to all alleged violations. | D | Health | corrected 2024-06-11 |
| 2024-05-06 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-06-11 |
| 2024-05-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-06-11 |
| 2024-05-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-11 |
| 2024-05-06 | 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. | D | Health | corrected 2024-06-11 |
| 2024-03-26 | Provide enough food/fluids to maintain a resident's health. | E | complaint | corrected 2024-04-17 |
| 2024-02-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-03-26 |
| 2024-02-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-03-26 |
| 2024-01-17 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-02-12 |
| 2024-01-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-02-12 |
| 2023-09-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-08-29 |
| 2023-06-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2023-05-16 |
| 2023-06-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Health | corrected 2023-07-17 |
| 2023-06-16 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2023-07-17 |
| 2023-06-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2023-07-17 |
| 2023-06-16 | 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. | E | Health | corrected 2023-07-17 |
| 2023-06-16 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | 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. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-07-17 |
| 2023-06-16 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2023-07-17 |
| Date | Type | Amount |
|---|---|---|
| 2024-08-15 | Fine | $23,218 |
| 2024-05-06 | Fine | $16,801 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRY, BEVERLY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/07/2022 |
| GRAHAM, LAURA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/26/2025 |
| HARMAN, DINA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/07/2022 |
| POSEN, MINDEE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/07/2022 |
| VIROJA, YOGESH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/07/2022 |
| POSEN, MINDEE | Corporate Officer | Individual | NOT APPLICABLE | since 10/07/2022 |
| LIVE WELL PLUS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/27/2024 |
| MARQUIS LIMITED LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/07/2022 |
| RELIANT PRO REHAB LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/07/2022 |
| GRAF, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/07/2022 |
| GRAHAM, LAURA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/26/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395740. Corrections: data@carerecords.org.