{"schema_version":"1.0.0","facility":{"id":"cms-396114","ccn":"396114","name":"Twin Pines Health Care Center","source_name":"TWIN PINES HEALTH CARE CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"PA","address":{"line1":"315 East London Grove Road","city":"West Grove","state":"PA","zip":"19390","county_name":"Chester County","county_fips":"42029","county_method":"name_match","ssa_county_code":"210","urban":true},"location":{"lat":39.8567,"lon":-75.81,"method":"cms_published_coordinates"},"phone":"6108692456","certification":{"authority":"CMS","ccn":"396114","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2007-07-18","certified_beds":119,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/396114"},"licenses":[{"state":"PA","authority":"Pennsylvania Department of Health","license_number":"32102","state_facility_id":"32102","license_type":"Nursing home (PA Department of Health)","status":"active","as_of":"2026-09-17","evidence_class":"INFERRED","source_id":"pa_doh_nursing_homes","source_url":"https://data.pa.gov/d/xgn8-z9eg","link_method":"exact_address_zip"}],"capacity":{"certified_beds":119,"avg_residents_per_day":111.8},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"CHATHAM ACRES HEALTHCARE GROUP, INC.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":4},"health_inspection":{"value":3},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.14292,"lpn_hprd":0.92621,"rn_hprd":0.40883,"licensed_hprd":1.33504,"total_nurse_hprd":3.47796,"weekend_total_nurse_hprd":3.14527,"weekend_rn_hprd":0.21925,"pt_hprd":0.09185,"nursing_turnover_pct":47.5,"rn_turnover_pct":27.3,"administrators_left":0,"case_mix_index":1.42325,"case_mix_index_ratio":1.00922,"case_mix_total_nurse_hprd":3.93681,"adjusted_total_nurse_hprd":3.41915,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-30","cycle1_deficiencies":6,"cycle1_score":52,"cycle2_date":"2025-03-07","cycle23_deficiencies":8,"cycle23_score":32,"total_weighted_score":47},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-461","cms_chain_id":"461","name":"SABER HEALTHCARE GROUP"},"operator_id":"op-chatham-acres-healthcare-group-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/396114","provenance":[{"source_id":"cms_provider_info","source_record_id":"396114","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"396114","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"pa_doh_nursing_homes","source_record_id":"32102","url":"https://data.pa.gov/d/xgn8-z9eg","retrieved_at":"2026-11-07T14:54:00.622Z","source_updated_at":"2026-09-17","effective_date":"2026-09-17","jurisdiction":"PA","fields":["state_license","licensed_beds","licensee"],"evidence_class":"INFERRED","status":"current","note":"Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN)."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-06-22","latest_standard_health":"2026-04-30","earliest_date":"2024-04-05","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":28,"health_count":17,"fire_count":11,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":3,"by_severity":{"actual_harm":1,"potential":24,"minimal":3},"by_scope_severity":{"G":1,"D":14,"E":9,"F":1,"C":3},"by_concept":{"resident_rights":3,"clinical_care":11,"environment_life_safety":10,"food_nutrition":1,"medication":1,"emergency_preparedness":1,"infection_prevention":1},"type_ids":["cms-f0580","cms-f0658","cms-f0690","cms-k0161","cms-k0363","cms-f0812","cms-f0657","cms-f0692","cms-k0374","cms-k0741","cms-k0100","cms-k0324","cms-f0636","cms-f0656","cms-f0661","cms-f0684","cms-f0698","cms-f0758","cms-k0321","cms-k0353","cms-k0920","cms-k0929","cms-e0006","cms-f0583","cms-f0880"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":26,"organizations":10,"individuals":14,"not_available":false}},"row":{"id":"cms-396114","ccn":"396114","name":"Twin Pines Health Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"PA","city":"West Grove","zip":"19390","county_fips":"42029","county_name":"Chester County","address":"315 East London Grove Road","beds":119,"residents":111.8,"ownership":"for_profit","operator_id":"op-chatham-acres-healthcare-group-inc","operator_name":"Chatham Acres Healthcare Group, Inc","chain_id":"cms-chain-461","chain_name":"Saber Healthcare Group","lat":39.8567,"lon":-75.81,"overall":4,"health_rating":3,"staffing_rating":2,"qm_rating":5,"nurse_hprd":3.48,"turnover":47.5,"inspections":7,"last_inspection":"2026-06-22","deficiencies":28,"serious":1,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0580","cms-f0658","cms-f0690","cms-k0161","cms-k0363","cms-f0812","cms-f0657","cms-f0692","cms-k0374","cms-k0741","cms-k0100","cms-k0324","cms-f0636","cms-f0656","cms-f0661","cms-f0684","cms-f0698","cms-f0758","cms-k0321","cms-k0353","cms-k0920","cms-k0929","cms-e0006","cms-f0583","cms-f0880"],"universe":"cms","state_license":"PA 32102","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-chatham-acres-healthcare-group-inc","name":"Chatham Acres Healthcare Group, Inc","legal_name":"CHATHAM ACRES HEALTHCARE GROUP, INC","facility_count":1,"states":["PA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-461","name":"Saber Healthcare Group","cms_chain_id":"461","facility_count":126,"states":["DE","IN","NC","OH","PA","VA"],"cms_reported":{"facility_count":126,"avg_overall_rating":3,"avg_health_inspection_rating":2.7,"avg_staffing_rating":2.2,"avg_qm_rating":4.3}},"ownership":[{"owner_id":"org-wwbv-holdings-llc","owner_type":"organization","owner_name":"Wwbv Holdings LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2019-09-30"},{"owner_type":"individual","owner_name":"William Weisberg","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-12-08","owner_name_raw":"WEISBERG, WILLIAM"},{"owner_id":"org-saber-governance-llc","owner_type":"organization","owner_name":"Saber Governance LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01"},{"owner_id":"org-shg-management-llc","owner_type":"organization","owner_name":"Shg Management LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01"},{"owner_type":"individual","owner_name":"Michelle Carroll","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-25","owner_name_raw":"CARROLL, MICHELLE"},{"owner_type":"individual","owner_name":"Adam Cooperman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-20","owner_name_raw":"COOPERMAN, ADAM"},{"owner_type":"individual","owner_name":"Benjamin Volpe","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-03-01","owner_name_raw":"VOLPE, BENJAMIN"},{"owner_type":"individual","owner_name":"William Weisberg","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-03-01","owner_name_raw":"WEISBERG, WILLIAM"},{"owner_type":"individual","owner_name":"Gregory Nicoluzakis","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-03-01","owner_name_raw":"NICOLUZAKIS, GREGORY"},{"owner_type":"individual","owner_name":"Benjamin Volpe","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-03-01","owner_name_raw":"VOLPE, BENJAMIN"},{"owner_type":"individual","owner_name":"William Weisberg","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-03-01","owner_name_raw":"WEISBERG, WILLIAM"},{"owner_id":"org-chatham-aviv","owner_type":"organization","owner_name":"Chatham Aviv","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2016-03-01"},{"owner_id":"org-chatham-aviv","owner_type":"organization","owner_name":"Chatham Aviv","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2016-03-01"},{"owner_id":"org-citrin-cooperman-advisors-llc","owner_type":"organization","owner_name":"Citrin Cooperman Advisors LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2009-02-01"},{"owner_id":"org-rkl-llp","owner_type":"organization","owner_name":"Rkl LLP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-26"},{"owner_id":"org-saber-healthcare-group-llc","owner_type":"organization","owner_name":"Saber Healthcare Group LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2009-02-01"},{"owner_id":"org-shg-boa-llc","owner_type":"organization","owner_name":"Shg Boa LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-12-08"},{"owner_id":"org-shg-management-llc","owner_type":"organization","owner_name":"Shg Management LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-09-01"},{"owner_id":"org-shg-mt-llc","owner_type":"organization","owner_name":"Shg Mt, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-12-08"},{"owner_id":"org-tcf-national-bank","owner_type":"organization","owner_name":"Tcf National Bank","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-07-19"},{"owner_type":"individual","owner_name":"Michelle Carroll","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-25","owner_name_raw":"CARROLL, MICHELLE"},{"owner_type":"individual","owner_name":"Adam Cooperman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-20","owner_name_raw":"COOPERMAN, ADAM"},{"owner_type":"individual","owner_name":"Gregory Nicoluzakis","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-03-01","owner_name_raw":"NICOLUZAKIS, GREGORY"},{"owner_type":"individual","owner_name":"Navneet Sharma","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2017-02-01","owner_name_raw":"SHARMA, NAVNEET"},{"owner_type":"individual","owner_name":"Benjamin Volpe","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-03-01","owner_name_raw":"VOLPE, BENJAMIN"},{"owner_type":"individual","owner_name":"William Weisberg","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2009-02-01","owner_name_raw":"WEISBERG, WILLIAM"}],"inspections":[{"id":"cms-396114-20260622-health","ccn":"396114","date":"2026-06-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"G","sl":3,"cs":"corrected","cd":"2026-06-25","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-30","cmp":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-30","cmp":1}]},{"id":"cms-396114-20260430-fire","ccn":"396114","date":"2026-04-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0161","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-28","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-28","std":1,"tv":"New"}]},{"id":"cms-396114-20260430-health","ccn":"396114","date":"2026-04-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-27","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-27","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-27","std":1}]},{"id":"cms-396114-20250307-fire","ccn":"396114","date":"2025-03-07","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-15","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-15","std":1,"tv":"New"},{"t":"cms-k0100","ss":"C","sl":1,"cs":"corrected","cd":"2025-04-15","std":1,"tv":"New"},{"t":"cms-k0324","ss":"C","sl":1,"cs":"corrected","cd":"2025-04-15","std":1,"tv":"New"}]},{"id":"cms-396114-20250307-health","ccn":"396114","date":"2025-03-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1},{"t":"cms-f0636","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1},{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-09","std":1}]},{"id":"cms-396114-20240405-fire","ccn":"396114","date":"2024-04-05","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-01","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-01","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-01","std":1,"tv":"New"},{"t":"cms-k0929","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-01","std":1,"tv":"New"},{"t":"cms-e0006","ss":"C","sl":1,"cs":"corrected","cd":"2024-05-01","std":1,"tv":"New"}]},{"id":"cms-396114-20240405-health","ccn":"396114","date":"2024-04-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0583","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-30","std":1},{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-30","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-30","std":1}]}],"deficiency_types":{"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0661":{"code":"F-0661","title":"Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0929":{"code":"K-0929","title":"Ensure precautions for handling oxygen cylinders and equipment are correctly followed.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0006":{"code":"E-0006","title":"Conduct risk assessment and an All-Hazards approach.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-f0583":{"code":"F-0583","title":"Keep residents' personal and medical records private and confidential.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=396114&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"PA","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.8,"staffing_rating":3.1,"avg_residents_per_day":104.4,"cycle1_health_deficiencies":10,"cycle1_fire_deficiencies":3.4,"nurse_aide_hprd":2.22,"lpn_hprd":0.9,"rn_hprd":0.77551,"licensed_hprd":1.68,"total_nurse_hprd":3.89536,"weekend_total_nurse_hprd":3.52034,"weekend_rn_hprd":0.55,"pt_hprd":0.1,"nursing_turnover_pct":44.6,"rn_turnover_pct":39.4,"administrators_left":0.5,"case_mix_index":1.4174,"fines":0.8,"fine_amount":26769,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"PA","name":"Pennsylvania"},"county":{"fips":"42029","name":"Chester County"},"zip":"19390","city":"West Grove"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-395067","ccn":"395067","name":"Green Ridge Care Center","address":"2741 Boulevard Avenue","city":"Scranton","state":"PA","zip":"18509","beds":95,"overall":5,"inspections":6,"last_inspection":"2026-09-11","deficiencies":21,"serious":0,"ij":0,"open":8,"fines_total":8018,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395176","ccn":"395176","name":"Ambler Extended Care Center","address":"32 South Bethlehem Pike","city":"Ambler","state":"PA","zip":"19002","beds":100,"overall":5,"inspections":7,"last_inspection":"2026-08-20","deficiencies":33,"serious":1,"ij":1,"open":0,"fines_total":13070,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395202","ccn":"395202","name":"Broomall Manor","address":"43 Church Lane","city":"Broomall","state":"PA","zip":"19008","beds":114,"overall":5,"inspections":7,"last_inspection":"2026-01-16","deficiencies":5,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395226","ccn":"395226","name":"Spruce Manor Nursing & Rehabilitation Center","address":"220 S. Fourth Avenue","city":"West Reading","state":"PA","zip":"19611","beds":184,"overall":5,"inspections":6,"last_inspection":"2026-04-24","deficiencies":9,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395259","ccn":"395259","name":"Statesman Health & Rehabilitation Center","address":"2629 Trenton Road","city":"Levittown","state":"PA","zip":"19056","beds":101,"overall":4,"inspections":10,"last_inspection":"2026-08-10","deficiencies":34,"serious":0,"ij":0,"open":5,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395286","ccn":"395286","name":"Broad Mountain Health and Rehabilitation Center","address":"500 West Laurel Street","city":"Frackville","state":"PA","zip":"17931","beds":117,"overall":2,"inspections":11,"last_inspection":"2026-08-27","deficiencies":55,"serious":3,"ij":1,"open":2,"fines_total":45678,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395311","ccn":"395311","name":"Bryn Mawr Extended Care Center","address":"956 Railroad Avenue","city":"Bryn Mawr","state":"PA","zip":"19010","beds":160,"overall":1,"inspections":13,"last_inspection":"2026-05-12","deficiencies":83,"serious":4,"ij":2,"open":0,"fines_total":35925,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395395","ccn":"395395","name":"River's Bend Health & Rehab Center","address":"800 King Russ Road","city":"Harrisburg","state":"PA","zip":"17109","beds":198,"overall":1,"inspections":13,"last_inspection":"2026-07-01","deficiencies":79,"serious":6,"ij":2,"open":0,"fines_total":45331,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":125,"same_site_review":[],"nearby":[{"id":"cms-396090","ccn":"396090","name":"Preston Residence","address":"200 Sycamore Drive","city":"West Grove","state":"PA","zip":"19390","beds":28,"overall":5,"inspections":6,"last_inspection":"2026-07-30","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":7},{"id":"pa-doh-908002","name":"Linden Hall","address":"114 Maiden Lane","city":"Kennett Square","state":"PA","zip":"19348","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"state","state_actions":0,"state_serious":0,"types":["nursing_home"],"distance_km":8.3},{"id":"cms-395307","ccn":"395307","name":"Kendal at Longwood","address":"Box 100","city":"Kennett Square","state":"PA","zip":"19348","beds":53,"overall":5,"inspections":7,"last_inspection":"2025-09-05","deficiencies":9,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":9.1},{"id":"cms-085042","ccn":"085042","name":"Complete Care at Brackenville LLC","address":"100 St. Claire Drive","city":"Hockessin","state":"DE","zip":"19707","beds":104,"overall":5,"inspections":7,"last_inspection":"2026-03-05","deficiencies":30,"serious":1,"ij":0,"open":0,"fines_total":16801,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.4},{"id":"cms-395384","ccn":"395384","name":"Pocopson Home","address":"1695 Lenape Road","city":"West Chester","state":"PA","zip":"19382","beds":275,"overall":5,"inspections":7,"last_inspection":"2026-03-26","deficiencies":5,"serious":2,"ij":0,"open":0,"fines_total":16036,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.7},{"id":"cms-395388","ccn":"395388","name":"Crosslands","address":"1660 East Street Road","city":"Kennett Square","state":"PA","zip":"19348","beds":60,"overall":5,"inspections":7,"last_inspection":"2026-02-20","deficiencies":12,"serious":1,"ij":0,"open":0,"fines_total":12735,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":13.9},{"id":"cms-085033","ccn":"085033","name":"Pike Creek Nursing & Rehabilitation Center","address":"5651 Limestone Road","city":"Wilmington","state":"DE","zip":"19808","beds":177,"overall":2,"inspections":8,"last_inspection":"2026-08-26","deficiencies":104,"serious":6,"ij":3,"open":3,"fines_total":221208,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":15.1},{"id":"cms-085017","ccn":"085017","name":"Willowbrooke Court at Cokesbury Village","address":"726 Loveville Road","city":"Hockessin","state":"DE","zip":"19707","beds":10,"overall":5,"inspections":6,"last_inspection":"2025-07-29","deficiencies":11,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":15.5}]}}