PEMBROOKE HEALTH AND REHAB RESIDENCE

The information listed below provides an in-depth look into the type and quality of care offered at Pembrooke Health and Rehab Residence. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

PEMBROOKE HEALTH AND REHAB RESIDENCE
1130 WEST CHESTER PIKE
WEST CHESTER, PA 19380
(610) 692-3636

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 173
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

Get Free Help Finding Senior Care

  • Compare Costs and Services
  • 100% Free Service - No Obligation
  • Discuss Different Care Options Availabe
Fill out the form above to get started
Looking For*
City/State*
First Name*
Last Name*
Phone*
Email*

Note:* Required Fields

We value your privacy. By clicking "Request Assistance", you agree to the terms and conditions of our privacy policy. You also consent that we, or our partner providers, can reach out to you using a system that can auto-dial. Your consent is not required to use our service.

Nearby Cities:

Newtown Square | Lima | Media

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Pembrooke Health and Rehab Residence. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1620.7%
ADL Index Range: 6-1013.3%
ADL Index Range: 0-512.6%
Total Percent:46.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.2%
ADL Index Range: 6-106.6%
ADL Index Range: 0-54.6%
Total Percent:21.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-51.7%
Total Percent:1.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.7%
ADL Index Range: 6-103.3%
ADL Index Range: 0-50.2%
Total Percent:7.2%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
2.3%
ADL Index Range: 11-14
- Signs of depression
2.0%
Total Percent:4.3%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
1.0%
ADL Index Range: 15-16
- No Signs of depression
4.1%
ADL Index Range: 11-14
- No Signs of depression
2.0%
Total Percent:7.1%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.8%
ADL Index Range: 6-10
- No Signs of depression
1.6%
ADL Index Range: 2-5
- No Signs of depression
8.0%
ADL Index Range: 0-1
- No Signs of depression
1.2%
Total Percent:11.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.09%
Total Percent:0.09%
 

Rating Details For Pembrooke Health and Rehab Residence

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours49 Minutes1 Hour and 22 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 19 Minutes2 Hours and 27 Minutes
Total Licensed Nurse Hours1 Hour and 44 Minutes2 Hours and 6 Minutes
Total Nurse Hours4 Hours and 3 Minutes4 Hours and 34 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Pennsylvania are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityPennsylvania Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season84%90%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination81%89%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%63%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%19%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%17%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%18%
Percent of Long-Stay Residents Who Lose Too Much Weight10%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season84%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores8%13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%20%
Percent of Short-Stay Residents Who Have Delirium-3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/02/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/27/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/15/2008
  • Correction Date: 11/04/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/08/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/27/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/08/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/08/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/15/2008
  • Correction Date: 11/04/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/27/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/27/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/27/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/27/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/02/2010
  • Correction Date: 10/27/2010

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/08/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 10/22/2009
  • Correction Date: 12/08/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Pembrooke Health and Rehab Residence, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 05/08/2009
  • Correction Date: 06/17/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 10/22/2009
  • Correction Date: 12/08/2009
Source: Medicare Nursing Home Compare; Pennsylvania Department of Health - Retrieved 2011