Chester Valley Rehab And Nursing Center

283 East Lancaster Avenue
Malvern, PA 19355
Chester County
Phone: 610-296-4170
Provider Number: 395519
Last Inspection: 07/11/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
184
Number of Residents
Number of
Residents
167
Number of Beds Available
Beds Available
17
Percent Occupancy
Percent Occupancy
91%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • PA
  • USA
  • 46
  • 25
  • 16
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 46
  • 36
  • 28
Lower Numbers are Better

Details by Inspection Date

 

7/11/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 9/9/2014
Failed To: Dispose of garbage and refuse properly. Isolated : Minimal 3 9/9/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/9/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 9/9/2014
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3  
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread : Minimal 5 9/9/2014
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Isolated : Minimal 3 9/9/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/9/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/9/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 9/9/2014
Failed To: Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. Isolated : Minimal 3 9/9/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/9/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 9/9/2014
 

6/24/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 7/31/2013
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 7/31/2013
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/31/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/31/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 7/31/2013
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 7/31/2013
Failed To: Give or get x-rays and other tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 7/31/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 7/31/2013
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 7/31/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/31/2013
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 7/31/2013
 

6/25/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 8/8/2012
Failed To: Dispose of garbage and refuse properly. Pattern : Minimal 4 8/8/2012
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 8/8/2012
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/8/2012
Failed To: Provide residents with private access to a telephone. Isolated : Minimal 3 8/8/2012
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 8/8/2012
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 8/8/2012
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 8/8/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

7/17/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 9/9/2014
 

6/3/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 6/18/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 6/18/2014
 

4/22/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 6/4/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 6/4/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/4/2014
 

12/23/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/22/2014
Failed To: Dispose of garbage and refuse properly. Isolated : Minimal 3 1/22/2014
 

8/21/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/11/2013
 

6/10/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/25/2013
 

3/20/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 4/26/2013
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 4/26/2013
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Isolated : Minimal 3 4/26/2013
 

1/24/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 2/26/2013
 

11/6/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/6/2012
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 12/6/2012
 

10/25/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/4/2012
 

5/23/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 5/25/2012
 

4/5/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 5/5/2012

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg PA State Avg
Number of Residents 167 100.95 113.88
Registered Nurses 0.44 1.15 0.94
Licensed Practical / Vocational Nurses 0.95 0.91 0.84
Certified Nursing Assistants 2.10 2.38 2.22
Total Staff Hours 3.49 4.43 3.99

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 4 4 5
Long Stay Residents Experiencing One or More Falls with Major Injury 1 4 3
Long Stay Residents Who Have Depressive Symptoms 2 6 3
Long Stay Residents Who Lose Too Much Weight 14 8 7
Long Stay Residents Who Received an Antipsychotic Medication 31 17 18
Long Stay Residents Who Self Report Moderate to Severe Pain 12 6 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 10 4 5
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 5 5 5
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 23 14 15
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 3
Long Stay Residents With a Urinary Tract Infection 2 5 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 44 59 56
Short Stay Residents Who Newly Received an Antipsychotic Medication 3 1 2
Short Stay Residents Who Self Report Moderate to Severe Pain 31 19 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 24 17 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 14 13 15
Short Stay Residents With Pressure Ulcers That Are New or Worsened 2 0 1