Pennsylvania ›Exton

Exton Post Acute

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501 Thomas Jones Way, Exton, PA 19341 (opens Google Maps) · Chester County · (610) 423-8600· 120 certified beds · avg 102 residents/day · certified since Aug 16, 2018 · Medicare only — not Medicaid certified

Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →

Part of chain: MARQUIS HEALTH SERVICES (87 facilities, chain avg rating 3.0★)

2/5
Health inspection rating (on-site)
inspected Apr 9, 2026
6
Serious findings on record
most recent Feb 18, 2026
$145,924
Fines, last 3 years
2.98
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Feb 18, 2026 · F-0678 · triggered by a complaint

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 11, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Apr 15, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 14, 2025 (Past Non-Compliance)

▲ Actual harm, isolated · Jan 16, 2025 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 18, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jan 16, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 18, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 22, 2024 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 7, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Dec 19, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 23, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 35 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint F-0812

  2. D · Potential for more than minimal harm, isolated

    The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint F-0656

  3. D · Potential for more than minimal harm, isolated

    The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint F-0657

View all 35 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 9, 2026F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint · F-0694
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint · F-0698
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Feb 18, 2026▲ J · Immediate jeopardy, isolatedThe facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint · F-0678
Feb 18, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Feb 18, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770
Feb 18, 2026D · Potential for more than minimal harm, isolatedThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Dec 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jun 25, 2025D · Potential for more than minimal harm, isolatedThe facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · F-0606
Apr 15, 2025▲ G · Actual harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Jan 16, 2025▲ G · Actual harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 16, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 16, 2025E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Jan 16, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Aug 22, 2024▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Aug 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Jun 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Jun 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Apr 25, 2024E · Potential for more than minimal harm, patternThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Apr 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Mar 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770
Jan 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Dec 19, 2023▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Nov 1, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 1
2024
All citations: 8
Serious citations (G–L): 1
2025
All citations: 13
Serious citations (G–L): 3
2026
All citations: 12
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202321G ▲
202481G ▲
2025133G ▲
2026121J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

7 fines totaling $145,924.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Feb 18, 2026Fine$59,325
Apr 15, 2025Fine$10,358
Jan 16, 2025Fine$43,173
Aug 22, 2024Fine$8,824
Jan 27, 2024Fine$8,400
Jan 27, 2024Fine$8,401
Nov 1, 2023Fine$7,443

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityPennsylvania averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.98
Pennsylvania average: 3.94
U.S. average: 3.95
Registered Nurse hours
This facility: 0.70
Pennsylvania average: 0.80
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.57
Pennsylvania average: 3.58
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityPennsylvania avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.983.943.95bottom 10% in Pennsylvania; bottom 13% in the U.S.
Registered Nurse hours0.700.800.69top 44% in Pennsylvania; top 37% in the U.S.
Weekend total nurse staffing2.573.583.50bottom 5% in Pennsylvania; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)0.560.560.48top 34% in Pennsylvania; top 27% in the U.S.
Total nursing staff turnover (%)58.944.545.8bottom 13% in Pennsylvania; bottom 18% in the U.S.
RN turnover (%)66.739.942.9bottom 10% in Pennsylvania; bottom 15% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.66, RN 0.86, weekend 3.16.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.66 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Exton Post Acute. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Exton Operator LLCOrganization5% or Greater Direct Ownership Interest100%01/01/2025
Quinto Nexgen LLCOrganization5% or Greater Indirect Ownership Interest79%01/01/2025
Rokeach, FraideIndividualIndirect Ownership InterestNOT APPLICABLE01/01/2025
Cox-Malescio, GigiIndividualManaging Control - Governing BodyNOT APPLICABLE02/24/2025
Cox-Malescio, GigiIndividualCorporate DirectorNOT APPLICABLE02/24/2025
Cox-Malescio, GigiIndividualOperational/Managerial ControlNOT APPLICABLE02/24/2025
Cox-Malescio, GigiIndividualADP of the SNFNOT APPLICABLE02/24/2025
Flagler, OsherIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/27/2025
Fry, BeverlyIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2025
Fry, BeverlyIndividualADP of the SNFNOT APPLICABLE01/15/2025
Harman, DinaIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2025
Harman, DinaIndividualADP of the SNFNOT APPLICABLE01/14/2025
Kahanow, AvivaIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/27/2025
Levovitz, TzviIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/27/2025
Manufacturers & Traders Trust CompanyOrganization5% or Greater Mortgage InterestNOT APPLICABLE01/01/2025
Manufacturers & Traders Trust CompanyOrganization5% or Greater Security InterestNOT APPLICABLE01/01/2025
Marquis Limited LLCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2025
Marquis Limited LLCOrganizationADP of the SNFNOT APPLICABLE03/28/2025
Moore, CameronIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2025
Moore, CameronIndividualADP of the SNFNOT APPLICABLE01/01/2025

Showing 20 of 27 parties CMS has on file for this facility; 7 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Marquis Health Services — 87 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 86 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Pennsylvania midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 59% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 27 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 71 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
St Martha Center for Rehabilitation & Healthcare3.5 miDowningtown, PA★★★★★4/5
Park Lane Post Acute LLC3.8 miWest Chester, PA★★★★★4/5
Barclay Friends4.4 miWest Chester, PA★★★★☆4/5
West Chester Rehabilitation and Healthcare Center5.5 miWest Chester, PA★★☆☆☆2/5
Green Meadows Nursing & Rehabilitation Center5.5 miMalvern, PA★★★★☆4/5
Aventura at Pembrooke7.2 miWest Chester, PA★☆☆☆☆1/5
Inn at Freedom Village,the7.3 miWest Brandywine, PA★★★★★4/5
Pocopson Home8.5 miWest Chester, PA★★★★★4/5
Crosslands9.4 miKennett Square, PA★★★★★4/5
Phoenix Center for Rehabilitation and Nursing,the10.1 miPhoenixville, PA★★☆☆☆1/5
HCC at White Horse Village11.2 miNewtown Square, PA★★★★★5/5
Southeastern Pennsylvania Veteran's Center11.3 miSpring City, PA★★★★★3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Chester, PA — 20 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Exton →

Facility data as of CMS processing date 2026-08-01. CCN 396144.

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