West Chester Rehabilitation and Healthcare Center

800 West Miner Street, West Chester, PA 19382

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West Chester Rehabilitation and Healthcare Center 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.

At a glance

CMS overall star rating3 of 5
Last standard health inspectionOctober 3, 2024 (2 years ago)
Health citations since June 16, 202341 (Pennsylvania average 31)
Fines in the past three years2, $40,019 in total
CMS flagsNone listed by CMS

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

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 overall star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on June 30, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0692. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough food/fluids to maintain a resident's health.
  CMS lists it as corrected on July 23, 2026.
  CMS has cited this home for F0692 3 times since 2023.
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Health inspection on May 11, 2026
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0770. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.
  CMS lists it as corrected on May 27, 2026.
  CMS has cited this home for F0770 2 times since 2023.
- Citation F0776. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  CMS lists it as corrected on May 27, 2026.
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CMS update of November 20, 2025
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
- Fine
  CMS changed the fine from June 16, 2023 from $43,871 to $21,932.
CMS update of July 30, 2025
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of March 26, 2025
- Fine
  CMS changed the fine from August 15, 2024 from $35,720 to $23,218.
Health inspection on February 27, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0657. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on March 25, 2025.
  CMS has cited this home for F0657 2 times since 2024.
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CMS update of February 26, 2025
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of December 20, 2024
- Fine
  CMS changed the fine from May 6, 2024 from $25,847 to $16,801.
CMS update of October 30, 2024
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on October 3, 2024
6 citations
CMS lists this as a standard inspection.
Show the 6 citations
- Citation F0657. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  CMS lists it as corrected on November 5, 2024.
- Citation F0947. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  CMS lists it as corrected on November 5, 2024.
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on November 5, 2024.
  CMS has cited this home for F0580 2 times since 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 November 5, 2024.
  CMS has cited this home for F0684 3 times since 2023.
- Citation F0757. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on November 5, 2024.
- Citation F0761. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on November 5, 2024.
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Fire safety inspection on October 3, 2024
1 citation
CMS lists this as a standard inspection.
Show the 1 citation
- 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 October 6, 2024.
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Health inspection on August 15, 2024
1 citation
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
116 of 656 Pennsylvania homes (18%) got a citation at the actual harm level in 2024.
CMS fine of $23,218 on August 15, 2024.
Show the 1 citation
- Citation F0755. Severity G: actual 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 September 3, 2024.
  CMS has cited this home for F0755 3 times since 2023.
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CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of June 26, 2024
- Fine
  CMS changed the fine from June 16, 2023 from $42,405 to $43,871.
Health inspection on May 6, 2024
9 citations
CMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
66 of 656 Pennsylvania homes (10%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $16,801 on May 6, 2024.
Show the 9 citations
- Citation F0678. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  CMS lists it as corrected on June 11, 2024.
- Citation F0698. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.
  CMS lists it as corrected on June 11, 2024.
  CMS has cited this home for F0698 2 times since 2023.
- Citation F0835. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  CMS lists it as corrected on June 11, 2024.
- Citation F0580. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on June 11, 2024.
- 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 11, 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 June 11, 2024.
  CMS has cited this home for F0623 2 times since 2023.
- 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 June 11, 2024.
  CMS has cited this home for F0656 3 times since 2023.
- 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 11, 2024.
- Citation F0758. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on June 11, 2024.
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Fire safety inspection on May 6, 2024
5 citations
CMS lists this as a standard inspection.
Show the 5 citations
- 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 May 5, 2024.
- Citation K0932. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Meet other general requirements.
  CMS lists it as corrected on May 5, 2024.
- Citation K0100. Severity C: potential for minimal harm, widespread.
  The rule CMS cited: Meet other general requirements.
  CMS lists it as corrected on May 5, 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 5, 2024.
- 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 5, 2024.
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Health inspection on March 26, 2024
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- 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 April 17, 2024.
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Health inspection on February 28, 2024
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- 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 March 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 March 26, 2024.
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Health inspection on January 17, 2024
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0558. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.
  CMS lists it as corrected on February 12, 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 February 12, 2024.
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CMS update of December 21, 2023
- Changed ownership in the last 12 months
  CMS no longer shows a change of ownership in the past 12 months.
Health inspection on June 16, 2023
16 citations
CMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
15 of 656 Pennsylvania homes (2%) got a citation at the immediate jeopardy level in 2023.
Show the 16 citations
- Citation F0689. Severity J: immediate jeopardy, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on May 16, 2023.
- Citation F0684. Severity G: actual 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 July 17, 2023.
- Citation F0698. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.
  CMS lists it as corrected on July 17, 2023.
- Citation F0755. Severity E: potential for more than minimal harm, pattern.
  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 July 17, 2023.
- Citation F0809. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on July 17, 2023.
- Citation F0576. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure residents have reasonable access to and privacy in their use of communication methods.
  CMS lists it as corrected on July 17, 2023.
- 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 July 17, 2023.
- Citation F0677. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on July 17, 2023.
- 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 July 17, 2023.
- Citation F0692. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide enough food/fluids to maintain a resident's health.
  CMS lists it as corrected on July 17, 2023.
- 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 July 17, 2023.
- 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 July 17, 2023.
- Citation F0740. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  CMS lists it as corrected on July 17, 2023.
- Citation F0756. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  CMS lists it as corrected on July 17, 2023.
- Citation F0770. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.
  CMS lists it as corrected on July 17, 2023.
- Citation F0623. Severity C: potential for minimal harm, widespread.
  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 July 17, 2023.
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CMS star ratings

3 of 5CMS overall star rating
2 of 5CMS health inspection star rating
2 of 5CMS staffing star rating
5 of 5CMS quality measures star rating

Facts from CMS

Phone: (610) 696-3120
Last standard health inspection: October 3, 2024 (2 years ago)
Certified beds: 180
Residents per day, on average: 172.4
Ownership type: For profit - Limited Liability company
Legal business name: West Chester Operator LLC
Chain: Marquis Health Services
Takes part in: Medicare and Medicaid

More health citations than the Pennsylvania average (41 vs 31).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

LIVE WELL PLUS LLCOperational/managerial control · not applicable · since 12/27/2024
MARQUIS LIMITED LLCOperational/managerial control · not applicable · since 10/07/2022
RELIANT PRO REHAB LLCOperational/managerial control · not applicable · since 10/07/2022
GRAF, ANDREWOperational/managerial control · not applicable · since 10/07/2022
GRAHAM, LAURAOperational/managerial control · not applicable · since 03/26/2025

Questions

When was West Chester Rehabilitation and Healthcare Center last inspected?

CMS lists October 3, 2024 as the date of its most recent standard health inspection.

How many citations (violations) does West Chester Rehabilitation and Healthcare Center have?

CMS lists 41 health citations since June 16, 2023. CMS also calls these deficiencies.

Has West Chester Rehabilitation and Healthcare Center been fined?

CMS lists 2 fines in the past three years, $40,019 in total.

What is the CMS star rating of West Chester Rehabilitation and Healthcare Center?

Its CMS overall star rating is 3 of 5.

Is West Chester Rehabilitation and Healthcare Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

West Chester Rehabilitation and Healthcare Center

At a glance

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CMS flags

Inspections, fines and changes

CMS update of October 28, 2026

Health inspection on June 30, 2026

Health inspection on May 11, 2026

CMS update of November 20, 2025

CMS update of July 30, 2025

CMS update of March 26, 2025

Health inspection on February 27, 2025

CMS update of February 26, 2025

CMS update of December 20, 2024

CMS update of October 30, 2024

Health inspection on October 3, 2024

Fire safety inspection on October 3, 2024

Health inspection on August 15, 2024

CMS update of July 31, 2024

CMS update of June 26, 2024

Health inspection on May 6, 2024

Fire safety inspection on May 6, 2024

Health inspection on March 26, 2024

Health inspection on February 28, 2024

Health inspection on January 17, 2024

CMS update of December 21, 2023

Health inspection on June 16, 2023

CMS star ratings

Facts from CMS

Owners and managers

Questions

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