Chester County, Pennsylvania · Nursing home
Preston Residence
5 of 5 overall from CMS
200 Sycamore Drive, West Grove, PA 19390
At a glance
- Overall rating 5 of 5 Above the state average of 3.0
- Nurse time per resident, per day 4.90 hours Above the state average of 3.89
- Nursing staff who left in a year 31.0% Below the state average of 44.5%
- Health citations, last 3 inspection cycles 7 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 98.2% of 28 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Preston Residence is a 28-bed nursing home in West Grove, Pennsylvania (Chester County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 4.90 nurse staffing hours per resident per day, above the Pennsylvania average of 3.89. CMS lists no fines in the past three years.
- Certified beds
- 28
- Residents per day (average)
- 27.5
- Certified since
- 2004 (22 yrs)
Non profit - Corporation Participates in MedicareContinuing care retirement community
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Preston Residence
Chosen from this home's public data.
- About 98.2% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Pennsylvania average 3.0
- Health inspections 4 of 5 Pennsylvania average 2.8
- Staffing 5 of 5 Pennsylvania average 3.0
- Quality measures 5 of 5 Pennsylvania average 3.6
The vertical line marks the Pennsylvania average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.90 h Pennsylvania average 3.89
- Nurse aides 2.93 h Pennsylvania average 2.19
- Licensed practical nurses 0.99 h Pennsylvania average 0.91
- Registered nurses 0.98 h Pennsylvania average 0.79
- All staff, weekends 4.50 h Pennsylvania average 3.53
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Pennsylvania average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover31.0%
- Pennsylvania average44.5%
- Registered nurse turnover33.3%
- Pennsylvania average39.9%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Pennsylvania and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 35.1% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.0% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.6% | 10.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 38.7% | 87.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 17.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.5% | 20.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 93.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.8% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.6% | 25.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 7.3% | 17.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.32 | 1.62 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.19 | 1.18 | 1.78 |
Short-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 9.3% | 70.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.0% | 68.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.0% | 22.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% | 9.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 7 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 30, 2026 | 3 | 5 |
| Jun 13, 2025 | 3 | 1 |
| Jul 11, 2024 | 1 | 0 |
Pennsylvania homes averaged 10.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (7)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 12, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 12, 2025)
Show 2 more
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Aug 12, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 12, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Pennsylvania homes averaged 0.8 fines and $25,774 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Pennsylvania
- Size645 of 656 by certified beds
- Pennsylvania average residents per day104.6
- ChainNone listed
- Resident or family councilResident
- Homes in Chester County20
Common questions
What is the CMS star rating for Preston Residence?
Preston Residence has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 5 and quality measures is 5.
How many beds does Preston Residence have?
Preston Residence has 28 certified beds. It averages 27.5 residents per day, about 98.2% of its certified beds.
How much nursing care do residents get at Preston Residence?
The home reports 4.90 hours of nurse staffing per resident per day, including 0.98 hours from registered nurses. The Pennsylvania average is 3.89 hours and 0.79 hours from registered nurses.
Has Preston Residence been fined?
CMS lists no fines for this home in the past three years.
Does Preston Residence accept Medicare or Medicaid?
CMS lists its participation as "Medicare". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Twin Pines Health Care Center 119beds 94.2%in use 3.42nurse hours a day
- 4 of 5 Oxford Health Center 90beds 87.0%in use 3.70nurse hours a day
- 5 of 5 Kendal At Longwood 53beds 46.6%in use 6.02nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Chester County
Who to call in Pennsylvania
These offices serve residents of every nursing home in Pennsylvania.
- Long-term care ombudsman Pennsylvania Long-Term Care Ombudsman Program 717-783-8975 An advocate for residents and their families.
- File a complaint about a nursing home Division of Nursing Care Facilities 1-800-254-5164 The state agency that inspects nursing homes.
Pennsylvania staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 396090. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.