Park Lane Post Acute LLC
1619 East Boot Road East Goshen, West Chester, PA 19380
Park Lane Post Acute LLC is a nursing home in West Chester, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (484) 653-4400
- Last standard health inspection
- May 7, 2026 (6 months ago)
- Certified beds
- 68
- Residents per day, on average
- 61.9
- Ownership type
- For profit - Corporation
- Legal business name
- Park Lane Post Acute LLC
- Chain
- Prestige Healthcare Administrative Services
- Takes part in
- Medicare
Fewer health citations than the Pennsylvania average (25 vs 31).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
4 citations
Health inspection on May 7, 2026
CMS lists this as a standard inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 16, 2026.
CMS has cited this home for F0684 2 times since 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 16, 2026.
CMS has cited this home for F0695 2 times since 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on June 16, 2026.
CMS has cited this home for F0755 4 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 16, 2026.
CMS has cited this home for F0880 2 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
1 citation
Health inspection on January 2, 2026
CMS lists this as a complaint inspection.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on February 10, 2026.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Health citation
CMS removed citation F0623 from the health inspection on April 19, 2024.
Health citation
CMS removed citation F0642 from the health inspection on April 19, 2024.
CMS update of May 28, 2025
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
8 citations
Health inspection on May 16, 2025
CMS lists this as a standard inspection.
Citation F0692. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on June 24, 2025.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on June 24, 2025.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on June 24, 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on June 24, 2025.
CMS has cited this home for F0686 2 times since 2024.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 24, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 24, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on June 24, 2025.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 24, 2025.
8 citations
Fire safety inspection on May 16, 2025
CMS lists this as a standard inspection.
Citation K0100. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on June 15, 2025.
CMS has cited this home for K0100 3 times since 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for K0321 2 times since 2024.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for K0324 2 times since 2024.
Citation K0325. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed hallway dispensers for alcohol-based hand rub.
CMS lists it as corrected on May 15, 2025.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for K0355 2 times since 2024.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on May 15, 2025.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on May 15, 2025.
Citation E0025. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Create arrangements with other facilities to receive patients.
CMS lists it as corrected on May 15, 2025.
CMS update of April 30, 2025
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new legal business name for this home.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new name for this home. It was THE WATERMARK AT BELLINGHAM PARK LANE.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
12 citations
Health inspection on April 19, 2024
CMS lists this as a standard inspection.
Citation F0642. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure a qualified health professional conducts resident assessments.
CMS lists it as corrected on May 26, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 26, 2024.
Citation F0636. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on May 26, 2024.
Citation F0638. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Assure that each resident’s assessment is updated at least once every 3 months.
CMS lists it as corrected on May 26, 2024.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on May 26, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 26, 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on May 26, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 26, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 26, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on May 26, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on May 26, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on May 26, 2024.
15 citations
Fire safety inspection on April 19, 2024
CMS lists this as a standard inspection.
Citation K0161. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on May 30, 2024.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on May 30, 2024.
Citation K0225. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on May 30, 2024.
CMS has cited this home for K0225 2 times since 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on May 30, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on May 30, 2024.
Citation K0754. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly sized and located linen or trash receptacles.
CMS lists it as corrected on May 30, 2024.
CMS has cited this home for K0754 2 times since 2023.
Citation K0100. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on May 30, 2024.
Citation K0291. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on May 30, 2024.
CMS has cited this home for K0291 2 times since 2023.
Citation K0324. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on May 30, 2024.
Citation K0345. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 30, 2024.
Citation K0353. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 30, 2024.
Citation K0355. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on May 30, 2024.
Citation K0761. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on May 30, 2024.
Citation K0914. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on May 30, 2024.
CMS has cited this home for K0914 2 times since 2023.
Citation K0918. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on May 30, 2024.
CMS has cited this home for K0918 2 times since 2023.
7 citations
Fire safety inspection on June 23, 2023
CMS lists this as a standard inspection.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on August 6, 2023.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on August 6, 2023.
Citation K0225. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on August 6, 2023.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on August 6, 2023.
Citation K0754. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly sized and located linen or trash receptacles.
CMS lists it as corrected on August 6, 2023.
Citation K0100. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on August 6, 2023.
Citation K0918. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 6, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PLPA HOLDINGS LLC5% or greater direct ownership interest · 100% · since 06/17/2024
- COPPER DE TRUST5% or greater indirect ownership interest · no percentage provided · since 06/17/2024
- GOLD DE TRUST5% or greater indirect ownership interest · no percentage provided · since 06/17/2024
- PA & DE NOBLE PARENTCO LLC5% or greater indirect ownership interest · no percentage provided · since 06/17/2024
- SILVER DE TRUST5% or greater indirect ownership interest · no percentage provided · since 06/17/2024
- STAR PA I HOLDINGS LLC5% or greater indirect ownership interest · no percentage provided · since 06/17/2024
- STAR PA I TRUST5% or greater indirect ownership interest · no percentage provided · since 06/17/2024
- HUYETTE, JOHNOperational/managerial control · not applicable · since 06/17/2024
- HYKES, JONATHONOperational/managerial control · not applicable · since 06/17/2024
Questions
When was Park Lane Post Acute LLC last inspected?
CMS lists May 7, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Park Lane Post Acute LLC have?
CMS lists 25 health citations since April 19, 2024. CMS also calls these deficiencies.
Has Park Lane Post Acute LLC been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Park Lane Post Acute LLC?
Its CMS overall star rating is 5 of 5.
Is Park Lane Post Acute LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.