Search for Skilled Nursing by ZIP Code:  :

Pembrooke Health And Rehabilitation Center

  1. Home
  2. Skilled Nursing Home Facilities Directory
  3. Pennsylvania (PA)
  4. West Chester
Full Name

Phone Number

Email Address

City of interest
We value your privacy. By clicking, you agree to the terms and conditions of our privacy policy. You also consent that we can reach out to you using a phone system that can auto-dial numbers. Your consent is not required to use our service.

Search for nursing homes in your area

ZIP:

About Pembrooke Health And Rehabilitation Center

General Information

Legal Business NameReliant Pembrooke, LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 1, 1976 (40 years)
Capacity180
Residents155
Percent Occupied86%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Pembrooke Health And Rehabilitation Center

Pembrooke Health And Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Pennsylvania Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 13, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.

July 6, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

March 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

February 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure each resident receives an accurate assessment by a qualified health professional.

December 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

November 3, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$13,390 fine
KSomeImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionCoordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

April 28, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionProperly sized and located linen or trash receptacles.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionApproved construction type or materials.
BSomePotential for Minimal HarmFire Safety InspectionProperly sized and located compartments to protect residents from smoke.

April 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide residents with private access to a telephone.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pembrooke Health And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr
2hr 30min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
50min
1hr 10min
ReportedExpected
RN
3hr 35min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

69.9%
70.1%
70.1%
95.7%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.3%
95.7%
95.0%
94.0%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
51.9%
48.1%
43.1%
56.0%
Q1 2015Q2 2015Q3 2015PA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
29.9%
27.0%
22.5%
16.8%
Q1 2015Q2 2015Q3 2015PA
Received an Antipsychotic Medication
29.8%
20.3%
30.3%
15.3%
Q1 2015Q2 2015Q3 2015PA
Need for Help with ADLs has Increased
7.0%
12.6%
11.8%
8.3%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
8.3%
8.0%
7.1%
7.6%
Q1 2015Q2 2015Q3 2015PA
Lose Too Much Weight
3.1%
2.2%
2.1%
5.3%
Q1 2015Q2 2015Q3 2015PA
High Risk Residents With Pressure Ulcers
0.7%
3.7%
3.7%
3.5%
Q1 2015Q2 2015Q3 2015PA
Have Depressive Symptoms
5.6%
2.9%
5.7%
4.3%
Q1 2015Q2 2015Q3 2015PA
With a Urinary Tract Infection
2.7%
1.4%
2.8%
3.2%
Q1 2015Q2 2015Q3 2015PA
Experiencing One or More Falls with Major Injury
0.0%
1.6%
0.8%
3.3%
Q1 2015Q2 2015Q3 2015PA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015PA
Were Physically Restrained

Quality Measures for Short Stay Residents

89.0%
93.8%
88.2%
82.8%
Q1 2015Q2 2015Q3 2015PA
Assessed and Appropriately Given the Pneumococcal Vaccine
86.9%
78.9%
78.9%
83.4%
Q1 2015Q2 2015Q3 2015PA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
18.8%
32.9%
33.8%
18.2%
Q1 2015Q2 2015Q3 2015PA
Self Report Moderate to Severe Pain
1.6%
4.7%
3.5%
2.0%
Q1 2015Q2 2015Q3 2015PA
Newly Received an Antipsychotic Medication
1.2%
2.9%
2.1%
1.2%
Q1 2015Q2 2015Q3 2015PA
With Pressure Ulcers That Are New or Worsened