Federal inspection record · CMS data as of October 1, 2026
Park Lane Post Acute LLC
1619 East Boot Road East Goshen, West Chester, PA · (484) 653-4400
- CMS high-performer trophy
- Certified beds
- 68
- Residents per day
- 62
- Ownership
- For-Profit
- Chain
- Prestige Healthcare Administrative Services
- Medicare / Medicaid
- Medicare
- Certified since
- November 27, 2002
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Park Lane Post Acute LLC carries 24 inspection points. That is fewer than 73% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning6F
- F
Ensure a qualified health professional conducts resident assessments.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspection history
2026-05-07
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-05-16
8 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-04-19
12 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 10 min of nursing staff time a day, 1 h 20 min of it from a registered nurse.
This home
4 h 10 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 26% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine64.3 pts worse | 23.5% | 87.8% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.1 pts worse | 22.9% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight6 pts better | 0.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better | 13.2% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts worse | 19.4% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased16.4 pts better | 0.0% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse | 34.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.9% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine43.7 pts worse | 27.1% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 7.3% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.6 pts worse | 45.3% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts better | 21.6% | 22.0% | 23.4% |
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Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Plpa Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Copper De Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Ellenbogen, Moss | Corporate Director · Individual | 0% | 30 facilities |
| Gold De Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Huyette, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Huyette, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hykes, Jonathon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hykes, Jonathon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pa & De Noble Parentco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Silver De Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Star Pa I Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Star Pa I Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
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Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- C
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Inspect, test, and maintain automatic sprinkler systems.
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems5F
- E
Ensure proper usage of power strips and extension cords.
- C
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress5F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- C
Install emergency lighting that can last at least 1 1/2 hours.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Construction4E
- E
Meet other general requirements.
- E
Use approved construction type or materials.
- C
Meet other general requirements.
- C
Meet other general requirements.
Miscellaneous3E
- E
Provide properly sized and located linen or trash receptacles.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide properly sized and located linen or trash receptacles.
Emergency Preparedness1C
- C
Create arrangements with other facilities to receive patients.
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Other homes nearby
-
Barclay Friends
West Chester, PA · Kendal
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0
-
West Chester Rehabilitation And Healthcare Center
West Chester, PA · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $40,019
-
Aventura At Pembrooke
West Chester, PA · Aventura Health Group
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 24 min
- Fines
- $64,386