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D
Poor

AVENTURA AT PEMBROOKE

1130 WEST CHESTER PIKE · WEST CHESTER, PA 19380

6106923636 · For profit - Corporation

180 beds134.5 residents323 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVENTURA AT PEMBROOKE receives an overall staffing grade of D (Poor). With 3.4221 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3979 HPRD, below the recommended 0.75. It is 0.47 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.53% compared to weekdays. The facility relies heavily on temporary agency staff (26.67% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4221 HPRD — needs 0.06 more hours per resident per day.
⚠️RN staffing (0.3979 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️26.67% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4221hrs/resident/day▼ 0.47
CMS benchmark: 3.48
RN HPRD
0.3979hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
16.53%
3.5898 weekday → 2.9963 weekend
Agency Staff
26.67%
21.06% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9767hrs/resident/day
Direct care aides
LPN HPRD
1.0475hrs/resident/day
Licensed practical nurses
Consistency
0.3555std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Chester County Average-0.71 HPRD
4.14
03.42 HPRD
vs. Pennsylvania State Average-0.48 HPRD
3.90
03.42 HPRD
vs. National Average-0.47 HPRD
3.90
03.42 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVENTURA AT PEMBROOKE ★
WEST CHESTER · This facility
—
D
3.42210.3979★☆☆☆☆
WILLIAM HOOD DUNWOODY CARE CTR
NEWTOWN SQUARE
7.8 mi
A+
5.8911.802★★★★★
POCOPSON HOME
WEST CHESTER
7.8 mi
C
4.11040.5272★★★★★
Crosslands
KENNETT SQUARE
8.2 mi
A+
5.05861.1864★★★★★
PINE VIEW HEALTHCARE AND REHABILITATION CENTER
BROOMALL
9.2 mi
D
3.94870.2996★★★☆☆
BROOMALL MANOR
BROOMALL
9.6 mi
C
3.45470.4543★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
34
Total Deficiencies
$227,133
Fines Assessed
Dec 28, 2025Health
6 deficiencies cited· Includes actual harm
▼
Nov 3, 2025Health
4 deficiencies cited· Includes actual harm
▼
Aug 22, 2025Health
7 deficiencies cited
▼
Jul 25, 2024Health
4 deficiencies cited
▼
Jun 27, 2024Health
1 deficiency cited
▼
Mar 21, 2024Health
1 deficiency cited
▼
Sep 8, 2023Health
6 deficiencies cited
▼
Aug 3, 2023Health
1 deficiency cited
▼
Mar 16, 2023Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 3, 2023Payment Denial
Mar 16, 2023Fine
$227,133
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.