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WESTGATE HILLS REHABILITATION AND NURSING CTR Inspection Report, Violations & Safety Grade (HAVERTOWN, Pennsylvania)

2050 OLD WEST CHESTER PIKE, HAVERTOWN, Pennsylvania 19083

Phone: 6104498600

CMS Overall:3/5

Overview & Bed Count

Certified Beds

110

Avg Residents/Day

103

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Delaware

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall3/5

Health3/5

Staffing2/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	Pennsylvania Avg	Difference
RN Hours per Resident per Day	0.56	0.78	-0.22
Total Nurse Hours per Resident per Day	3.54	3.90	-0.36
CMS Staffing Rating	2/5	3.1/5	-
Nursing Staff Turnover	40.4%	44.6%	-

Health Citation History

19 health citations on record

Date	Category	Description	Severity
2026-01-14	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2026-01-14	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2026-01-14	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D – Moderate Harm Potential
2026-01-14	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2026-01-14	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D – Moderate Harm Potential
2026-01-14	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2026-01-14	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D – Moderate Harm Potential
2026-01-14	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2025-11-21	Environmental Deficiencies	Ensure resident rooms meet each resident's needs.	D – Moderate Harm Potential
2024-11-07	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2024-11-07	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2024-11-07	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D – Moderate Harm Potential
2023-12-14	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	K – Immediate Jeopardy
2023-12-14	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	E – Moderate Harm Potential
2023-12-14	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2023-12-14	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2023-12-14	Resident Assessment and Care Planning Deficiencies	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	D – Moderate Harm Potential
2023-12-14	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2023-12-14	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential

Fire Safety Citation History

25 fire safety citations on record

Date	Category	Description	Severity
2026-01-14	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2026-01-14	Egress Deficiencies	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	E – Moderate Harm Potential
2026-01-14	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2026-01-14	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2026-01-14	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2026-01-14	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2026-01-14	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	E – Moderate Harm Potential
2026-01-14	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the installation and maintenance of electrical systems.	E – Moderate Harm Potential
2024-11-07	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2024-11-07	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2024-11-07	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2024-11-07	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2024-11-07	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2024-11-07	Emergency Preparedness Deficiencies	Address patient/client population and determine types of services needed.	C – Minimal Harm Potential
2024-11-07	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	C – Minimal Harm Potential
2024-11-07	Emergency Preparedness Deficiencies	Establish emergency prep training and testing.	C – Minimal Harm Potential
2024-11-07	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	C – Minimal Harm Potential
2024-11-07	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	C – Minimal Harm Potential
2023-12-14	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2023-12-14	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	E – Moderate Harm Potential
2023-12-14	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-12-14	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2023-12-14	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-12-14	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2023-12-14	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential

Total Penalties & Fines

$49,590

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-01-22	Fine	$10,256	-
2023-12-26	Fine	$6,480	-
2023-12-14	Fine	$32,854	-
2023-12-14	Payment Denial	-	5 days starting 2024-01-18

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Need Help Finding Safe Care?

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

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