{"schema_version":"1.0.0","facility":{"id":"cms-396144","ccn":"396144","name":"Exton Post Acute","source_name":"EXTON POST ACUTE","facility_types":["skilled_nursing_facility"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"PA","address":{"line1":"501 Thomas Jones Way","city":"Exton","state":"PA","zip":"19341","county_name":"Chester County","county_fips":"42029","county_method":"name_match","ssa_county_code":"210","urban":true},"location":{"lat":40.0222,"lon":-75.653,"method":"cms_published_coordinates"},"phone":"6104238600","certification":{"authority":"CMS","ccn":"396144","program":"Medicare","medicare":true,"medicaid":false,"first_approved":"2018-08-16","certified_beds":120,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/396144"},"licenses":[{"state":"PA","authority":"Pennsylvania Department of Health","license_number":"24600201","state_facility_id":"24600201","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":120,"avg_residents_per_day":87.7},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"EXTON OPERATOR LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":2},"quality_measures":{"value":5},"long_stay_qm":{"footnote":"2"},"short_stay_qm":{"value":5},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.91834,"lpn_hprd":1.29085,"rn_hprd":0.84189,"licensed_hprd":2.13274,"total_nurse_hprd":4.05108,"weekend_total_nurse_hprd":3.54958,"weekend_rn_hprd":0.47135,"pt_hprd":0.23286,"nursing_turnover_pct":61.7,"rn_turnover_pct":73.9,"administrators_left":0,"case_mix_index":1.74572,"case_mix_index_ratio":1.23787,"case_mix_total_nurse_hprd":4.82877,"adjusted_total_nurse_hprd":3.24692,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-09","cycle1_deficiencies":13,"cycle1_score":135,"cycle2_date":"2025-06-25","cycle23_deficiencies":12,"cycle23_score":100,"total_weighted_score":126.25},"cms_penalty_counts":{"fines":7,"fine_total":125161,"payment_denials":0,"total":7},"chain":{"id":"cms-chain-336","cms_chain_id":"336","name":"MARQUIS HEALTH SERVICES"},"operator_id":"op-exton-operator-llc","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/396144","provenance":[{"source_id":"cms_provider_info","source_record_id":"396144","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=396144&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":"396144","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=396144&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":"24600201","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":17,"health_count":13,"fire_count":4,"complaint_count":12,"latest_date":"2026-04-21","latest_standard_health":"2026-04-09","earliest_date":"2023-11-01","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":51,"health_count":35,"fire_count":16,"open_count":0,"actual_harm_count":5,"immediate_jeopardy_count":1,"serious_count":6,"complaint_count":25,"by_severity":{"potential":43,"immediate_jeopardy":1,"minimal":2,"actual_harm":5},"by_scope_severity":{"E":13,"F":2,"D":28,"J":1,"C":2,"G":5},"by_concept":{"environment_life_safety":16,"food_nutrition":2,"clinical_care":18,"medication":6,"infection_prevention":2,"administration":3,"resident_rights":3,"staffing":1},"type_ids":["cms-k0211","cms-f0812","cms-f0656","cms-f0657","cms-f0684","cms-f0694","cms-f0698","cms-f0756","cms-f0880","cms-f0678","cms-f0770","cms-f0835","cms-k0291","cms-k0225","cms-k0920","cms-k0521","cms-k0712","cms-f0606","cms-f0760","cms-k0321","cms-k0923","cms-f0689","cms-f0609","cms-f0610","cms-f0686","cms-f0692","cms-f0730","cms-f0758","cms-f0761","cms-f0755","cms-f0677","cms-k0351","cms-k0929"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":7,"fines":7,"fine_total":125161,"payment_denials":0,"latest_date":"2026-02-18"},"ownership_summary":{"disclosures":27,"organizations":5,"individuals":19,"not_available":false}},"row":{"id":"cms-396144","ccn":"396144","name":"Exton Post Acute","types":["skilled_nursing_facility"],"status":"active","state":"PA","city":"Exton","zip":"19341","county_fips":"42029","county_name":"Chester County","address":"501 Thomas Jones Way","beds":120,"residents":87.7,"ownership":"for_profit","operator_id":"op-exton-operator-llc","operator_name":"Exton Operator LLC","chain_id":"cms-chain-336","chain_name":"Marquis Health Services","lat":40.0222,"lon":-75.653,"overall":3,"health_rating":2,"staffing_rating":2,"qm_rating":5,"nurse_hprd":4.05,"turnover":61.7,"inspections":17,"last_inspection":"2026-04-21","deficiencies":51,"serious":6,"ij":1,"open":0,"penalties":7,"fines_total":125161,"deficiency_type_ids":["cms-k0211","cms-f0812","cms-f0656","cms-f0657","cms-f0684","cms-f0694","cms-f0698","cms-f0756","cms-f0880","cms-f0678","cms-f0770","cms-f0835","cms-k0291","cms-k0225","cms-k0920","cms-k0521","cms-k0712","cms-f0606","cms-f0760","cms-k0321","cms-k0923","cms-f0689","cms-f0609","cms-f0610","cms-f0686","cms-f0692","cms-f0730","cms-f0758","cms-f0761","cms-f0755","cms-f0677","cms-k0351","cms-k0929"],"universe":"cms","state_license":"PA 24600201","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-exton-operator-llc","name":"Exton Operator LLC","legal_name":"EXTON OPERATOR LLC","facility_count":1,"states":["PA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-336","name":"Marquis Health Services","cms_chain_id":"336","facility_count":90,"states":["FL","IL","MA","MD","NH","NJ","PA","RI","VA"],"cms_reported":{"facility_count":90,"avg_overall_rating":3,"avg_health_inspection_rating":2.6,"avg_staffing_rating":2.4,"avg_qm_rating":4.4}},"ownership":[{"owner_id":"org-exton-operator-llc","owner_type":"organization","owner_name":"Exton Operator LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2025-01-01"},{"owner_id":"org-quinto-nexgen-llc","owner_type":"organization","owner_name":"Quinto Nexgen LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":79,"percentage_raw":"79%","association_date":"2025-01-01"},{"owner_type":"individual","owner_name":"Fraide Rokeach","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"ROKEACH, FRAIDE"},{"owner_type":"individual","owner_name":"Osher Flagler","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-27","owner_name_raw":"FLAGLER, OSHER"},{"owner_type":"individual","owner_name":"Aviva Kahanow","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-27","owner_name_raw":"KAHANOW, AVIVA"},{"owner_type":"individual","owner_name":"Tzvi Levovitz","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-27","owner_name_raw":"LEVOVITZ, TZVI"},{"owner_type":"individual","owner_name":"Yitzchok Rokowsky","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-27","owner_name_raw":"ROKOWSKY, YITZCHOK"},{"owner_type":"individual","owner_name":"Gigi Cox-Malescio","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-24","owner_name_raw":"COX-MALESCIO, GIGI"},{"owner_type":"individual","owner_name":"Beverly Fry","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"FRY, BEVERLY"},{"owner_type":"individual","owner_name":"Dina Harman","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"HARMAN, DINA"},{"owner_type":"individual","owner_name":"Yogesh Viroja","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"VIROJA, YOGESH"},{"owner_id":"org-marquis-limited-llc","owner_type":"organization","owner_name":"Marquis Limited LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01"},{"owner_id":"org-reliant-pro-rehab-llc","owner_type":"organization","owner_name":"Reliant Pro Rehab LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-15"},{"owner_type":"individual","owner_name":"Gigi Cox-Malescio","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-24","owner_name_raw":"COX-MALESCIO, GIGI"},{"owner_type":"individual","owner_name":"Cameron Moore","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"MOORE, CAMERON"},{"owner_type":"individual","owner_name":"Gigi Cox-Malescio","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-24","owner_name_raw":"COX-MALESCIO, GIGI"},{"owner_type":"individual","owner_name":"Mindee Posen","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"POSEN, MINDEE"},{"owner_id":"org-manufacturers-and-traders-trust-company","owner_type":"organization","owner_name":"Manufacturers & Traders Trust Company","role":"lender_interest","role_raw":"5% OR GREATER MORTGAGE INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01"},{"owner_id":"org-manufacturers-and-traders-trust-company","owner_type":"organization","owner_name":"Manufacturers & Traders Trust Company","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01"},{"owner_id":"org-marquis-limited-llc","owner_type":"organization","owner_name":"Marquis Limited LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-28"},{"owner_id":"org-reliant-pro-rehab-llc","owner_type":"organization","owner_name":"Reliant Pro Rehab LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-15"},{"owner_type":"individual","owner_name":"Gigi Cox-Malescio","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-24","owner_name_raw":"COX-MALESCIO, GIGI"},{"owner_type":"individual","owner_name":"Beverly Fry","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-15","owner_name_raw":"FRY, BEVERLY"},{"owner_type":"individual","owner_name":"Dina Harman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-14","owner_name_raw":"HARMAN, DINA"},{"owner_type":"individual","owner_name":"Cameron Moore","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"MOORE, CAMERON"},{"owner_type":"individual","owner_name":"Mindee Posen","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"POSEN, MINDEE"},{"owner_type":"individual","owner_name":"Yogesh Viroja","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"VIROJA, YOGESH"}],"inspections":[{"id":"cms-396144-20260421-fire","ccn":"396144","date":"2026-04-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"tv":"New"}]},{"id":"cms-396144-20260409-health","ccn":"396144","date":"2026-04-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"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-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1},{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-14","cmp":1,"std":1}]},{"id":"cms-396144-20260218-health","ccn":"396144","date":"2026-02-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0678","ss":"J","sl":4,"cs":"corrected","cd":"2026-03-11","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-11","cmp":1},{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-11","cmp":1},{"t":"cms-f0835","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-11","cmp":1}]},{"id":"cms-396144-20251215-health","ccn":"396144","date":"2025-12-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-06","cmp":1}]},{"id":"cms-396144-20250625-fire","ccn":"396144","date":"2025-06-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-k0225","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0291","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0521","ss":"C","sl":1,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"},{"t":"cms-k0712","ss":"C","sl":1,"cs":"corrected","cd":"2025-06-20","std":1,"tv":"New"}]},{"id":"cms-396144-20250625-health","ccn":"396144","date":"2025-06-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0606","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-15","std":1}]},{"id":"cms-396144-20250415-health","ccn":"396144","date":"2025-04-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0760","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2025-04-14","cmp":1}]},{"id":"cms-396144-20250116-fire","ccn":"396144","date":"2025-01-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-25","std":1,"tv":"New"},{"t":"cms-k0225","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-16","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-25","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-25","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-25","std":1,"tv":"New"}]},{"id":"cms-396144-20250116-health","ccn":"396144","date":"2025-01-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0730","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-18","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-18","std":1}]},{"id":"cms-396144-20240822-health","ccn":"396144","date":"2024-08-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-07","cmp":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-07","cmp":1}]},{"id":"cms-396144-20240610-health","ccn":"396144","date":"2024-06-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-28","cmp":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-28","cmp":1}]},{"id":"cms-396144-20240425-health","ccn":"396144","date":"2024-04-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-04","cmp":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-04","cmp":1}]},{"id":"cms-396144-20240315-fire","ccn":"396144","date":"2024-03-15","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-k0225","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-12","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-12","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-12","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-12","std":1,"tv":"New"},{"t":"cms-k0929","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-12","std":1,"tv":"New"}]},{"id":"cms-396144-20240315-health","ccn":"396144","date":"2024-03-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-16","cmp":1}]},{"id":"cms-396144-20240127-health","ccn":"396144","date":"2024-01-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-27","cmp":1}]},{"id":"cms-396144-20231219-health","ccn":"396144","date":"2023-12-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-01-23","cmp":1}]},{"id":"cms-396144-20231101-health","ccn":"396144","date":"2023-11-01","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-19","cmp":1}]}],"deficiency_types":{"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress 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-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-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-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-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","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-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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"},"cms-f0678":{"code":"F-0678","title":"Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0835":{"code":"F-0835","title":"Administer the facility in a manner that enables it to use its resources effectively and efficiently.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0225":{"code":"K-0225","title":"Have stairways and smokeproof enclosures used as exits that meet safety requirements.","category":"Egress 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-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0606":{"code":"F-0606","title":"Not hire anyone with a finding of abuse, neglect, exploitation, or theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","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-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care 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-f0730":{"code":"F-0730","title":"Observe each nurse aide's job performance and give regular training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke 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"}},"penalties":[{"id":"cms-396144-pen-f137648","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-02-18","amount":38562,"fine_id":"137648","evidence_class":"VERIFIED","source_record_id":"396144|Fine|137648"},{"id":"cms-396144-pen-f135855","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-04-15","amount":10358,"fine_id":"135855","evidence_class":"VERIFIED","source_record_id":"396144|Fine|135855"},{"id":"cms-396144-pen-f135806","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-01-16","amount":43173,"fine_id":"135806","evidence_class":"VERIFIED","source_record_id":"396144|Fine|135806"},{"id":"cms-396144-pen-f14055","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-08-22","amount":8824,"fine_id":"14055","evidence_class":"VERIFIED","source_record_id":"396144|Fine|14055"},{"id":"cms-396144-pen-f13818","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-01-27","amount":8401,"fine_id":"13818","evidence_class":"VERIFIED","source_record_id":"396144|Fine|13818"},{"id":"cms-396144-pen-f13819","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-01-27","amount":8400,"fine_id":"13819","evidence_class":"VERIFIED","source_record_id":"396144|Fine|13819"},{"id":"cms-396144-pen-f13871","type":"fine","type_label":"Civil money penalty (fine)","date":"2023-11-01","amount":7443,"fine_id":"13871","evidence_class":"VERIFIED","source_record_id":"396144|Fine|13871"}],"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=396144&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=396144&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=396144&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=396144&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=396144&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=396144&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":"19341","city":"Exton"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-395075","ccn":"395075","name":"New Eastwood Healthcare and Rehabilitation Center","address":"2125 Fairview Avenue","city":"Easton","state":"PA","zip":"18042","beds":97,"overall":4,"inspections":7,"last_inspection":"2024-09-05","deficiencies":8,"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-395171","ccn":"395171","name":"Riverton Rehabilitation and Healthcare Center","address":"803 North Wahneta St","city":"Allentown","state":"PA","zip":"18103","beds":111,"overall":4,"inspections":10,"last_inspection":"2026-07-07","deficiencies":28,"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-395365","ccn":"395365","name":"Alpine Valley Post Acute and Healthcare Center","address":"945 Duke Street","city":"Lebanon","state":"PA","zip":"17042","beds":105,"overall":5,"inspections":7,"last_inspection":"2024-09-20","deficiencies":8,"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-395372","ccn":"395372","name":"Capitol Rehabilitation and Healthcare Center","address":"4000 Linglestown Road","city":"Harrisburg","state":"PA","zip":"17112","beds":138,"overall":3,"inspections":12,"last_inspection":"2026-01-14","deficiencies":51,"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-395483","ccn":"395483","name":"Markley Rehabilitation and Healthcare Center","address":"550 East Fornance Street","city":"Norristown","state":"PA","zip":"19401","beds":121,"overall":4,"inspections":11,"last_inspection":"2026-07-10","deficiencies":50,"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-395485","ccn":"395485","name":"Graduate Post Acute","address":"1526 Lombard Street","city":"Philadelphia","state":"PA","zip":"19146","beds":150,"overall":2,"inspections":26,"last_inspection":"2026-07-31","deficiencies":125,"serious":2,"ij":2,"open":11,"fines_total":17940,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-395537","ccn":"395537","name":"Roosevelt Rehabilitation and Healthcare Center","address":"7800 Bustleton Avenue","city":"Philadelphia","state":"PA","zip":"19152","beds":240,"overall":2,"inspections":18,"last_inspection":"2026-05-06","deficiencies":72,"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-395662","ccn":"395662","name":"Logan Square Rehabilitation and Healthcare Center","address":"2 Franklin Town Blvd","city":"Philadelphia","state":"PA","zip":"19103","beds":140,"overall":3,"inspections":11,"last_inspection":"2026-07-07","deficiencies":73,"serious":1,"ij":1,"open":0,"fines_total":43154,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":89,"same_site_review":[],"nearby":[{"id":"cms-395815","ccn":"395815","name":"St Martha Center for Rehabilitation & Healthcare","address":"470 Manor Ave","city":"Downingtown","state":"PA","zip":"19335","beds":120,"overall":5,"inspections":7,"last_inspection":"2026-06-29","deficiencies":21,"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"],"distance_km":5.7},{"id":"cms-396082","ccn":"396082","name":"Park Lane Post Acute LLC","address":"1619 East Boot Road East Goshen","city":"West Chester","state":"PA","zip":"19380","beds":68,"overall":5,"inspections":7,"last_inspection":"2026-05-07","deficiencies":55,"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":6.2},{"id":"cms-395848","ccn":"395848","name":"Barclay Friends","address":"700 North Franklin","city":"West Chester","state":"PA","zip":"19380","beds":64,"overall":5,"inspections":6,"last_inspection":"2026-07-16","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","nursing_home"],"distance_km":7.1},{"id":"cms-395740","ccn":"395740","name":"West Chester Rehabilitation and Healthcare Center","address":"800 West Miner Street","city":"West Chester","state":"PA","zip":"19382","beds":180,"overall":3,"inspections":13,"last_inspection":"2026-06-30","deficiencies":47,"serious":4,"ij":2,"open":0,"fines_total":40019,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.8},{"id":"cms-395519","ccn":"395519","name":"Green Meadows Nursing & Rehabilitation Center","address":"283 East Lancaster Avenue","city":"Malvern","state":"PA","zip":"19355","beds":184,"overall":4,"inspections":9,"last_inspection":"2026-08-04","deficiencies":31,"serious":1,"ij":0,"open":0,"fines_total":13065,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.9},{"id":"pa-doh-230602","name":"Aventura at Pembrooke","address":"1130 West Chester Pike","city":"Westtown","state":"PA","zip":"19382","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":9.3},{"id":"cms-395166","ccn":"395166","name":"Aventura at Pembrooke","address":"1130 West Chester Pike","city":"West Chester","state":"PA","zip":"19380","beds":180,"overall":1,"inspections":12,"last_inspection":"2026-08-31","deficiencies":37,"serious":3,"ij":1,"open":1,"fines_total":64386,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11.5},{"id":"cms-396062","ccn":"396062","name":"The Inn at Freedom Village","address":"35 Freedom Boulevard","city":"West Brandywine","state":"PA","zip":"19320","beds":60,"overall":5,"inspections":6,"last_inspection":"2024-09-13","deficiencies":24,"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":11.8}]}}