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Preston Residence

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⌖ West Grove, PA · Chester County
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Medicare overall rating 5 of 5 stars
Certified beds28
Medicare / MedicaidMedicare only
OwnershipNon-profit (corporation)

About Preston Residence

Preston Residence is a 28-bed nonprofit nursing home in West Grove, PA. Medicare rates it 5 out of 5 stars overall (much above average); the average in Pennsylvania is 3.0. At its last full inspection (Jul 2026), inspectors found 3 problems, fewer than the Pennsylvania average of 10.0. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 54 min a day with each resident, more than the Pennsylvania average of 3 hr 53 min. About 31% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (5 of 5) and long-term care (4 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility namePreston Residence
LocationChester County, Pennsylvania
Address200 Sycamore Drive, West Grove, PA 19390 · Chester County
CMS provider number396090
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 19, 2004 (22 years)
✓ Medicare✗ Medicaid

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating5 of 5Much above average
Health inspections4 of 5Above average
Quality measures5 of 5Much above average
Staffing5 of 5Much above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

6 strengths in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jul 2026.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection3 (Jul 2026)Pennsylvania average: 10.0. Most citations are minor and corrected within weeks.
    Strength
  • Nurse staffing per resident4 hr 54 min a dayPennsylvania average: 3 hr 53 min
    Strength
  • Registered nurse time per resident59 min a dayPennsylvania average: 47 min
    Strength
  • Nursing staff turnover31% a yearPennsylvania average: 44%
    Strength

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Pennsylvania average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 5 of 5 (much above average)

  • Sent back to the hospital16.0%State average: 22.5%
    Better than average
  • Needed an emergency room visit11.7%State average: 9.5%
    Worse than average
  • Newly given antipsychotic drugs1.2%State average: 1.4%
    About average

Physical therapist time: about 21 minutes per resident a day. That is more than the state average of 6 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury1.6%State average: 3.1%
    Better than average
  • Pressure sores (bedsores)1.8%State average: 4.8%
    Better than average
  • Given antipsychotic drugs7.3%State average: 17.7%
    Better than average
  • Hospital stays per 1,000 resident days2.3State average: 1.6
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Pennsylvania average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Pennsylvania, Medicaid pays for 69% of resident days at a typical home.

  • 0% Medicaid
  • 41% Medicare
  • 59% Private pay, insurance and other
Beds in use, on average60%Pennsylvania typical: 85%

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 16 times.

Overall rating5★
Health inspections4★
Staffing5★
Quality of care5★
Nurse hours per resident per day4.9
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201954554.8
Jan 202053455.4
Jan 202144435.0
Jan 202233153.2
Jan 202323143.0
Jan 202443455.3
Feb 202554454.4
Feb 202654554.6
Sep 202654554.9

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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