Green Meadows Nursing & Rehabilitation Center
283 East Lancaster Avenue, Malvern, PA 19355 · Chester County · 184 certified beds · avg 168 residents/day · certified since Feb 10, 1982
Part of chain: PRESTIGE HEALTHCARE ADMINISTRATIVE SERVICES (15 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 29, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Dec 11, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 11, 2025 | E · Potential for harm, repeated | The facility did not make sure resident rooms met each resident's needs. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Apr 30, 2025 | D · Potential for harm, one-off | The 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 |
| Oct 9, 2024 | E · Potential for harm, repeated | 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. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 30, 2023 | D · Potential for harm, one-off | 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. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 3 | 0 | E |
| 2025 | 7 | 0 | E |
| 2026 | 1 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.34 | 3.94 | 3.95 | bottom 31% in Pennsylvania; bottom 28% in the U.S. |
| Registered Nurse hours | 0.44 | 0.80 | 0.69 | bottom 16% in Pennsylvania; bottom 28% in the U.S. |
| Weekend total nurse staffing | 3.17 | 3.58 | 3.50 | bottom 41% in Pennsylvania; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.56 | 0.48 | bottom 39% in Pennsylvania; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 46.0 | 44.5 | 45.8 | bottom 46% in Pennsylvania; bottom 47% in the U.S. |
| RN turnover (%) | 31.3 | 39.9 | 42.9 | top 34% in Pennsylvania; top 32% in the U.S. |
Hours are per resident per day, 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 3.31, RN 0.44, weekend 3.15. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CPSH Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2021 |
| Stern, Moshe | Individual | 5% or Greater Indirect Ownership Interest | 98% | 07/01/2021 |
| Berger, Yaakov | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you adapt rooms for residents with special needs, like wheelchairs or other equipment?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Park Lane Post Acute LLC | 4.8 mi | West Chester, PA | ★★★★★ | 4/5 | |
| Aventura at Pembrooke | 5.1 mi | West Chester, PA | ★☆☆☆☆ | 1/5 | |
| Exton Post Acute | 5.5 mi | Exton, PA | ★★★☆☆ | 2/5 | |
| Barclay Friends | 5.6 mi | West Chester, PA | ★★★★☆ | 4/5 | |
| Phoenix Center for Rehabilitation and Nursing,the | 6.0 mi | Phoenixville, PA | ★★☆☆☆ | 1/5 | |
| West Chester Rehabilitation and Healthcare Center | 7.2 mi | West Chester, PA | ★★☆☆☆ | 2/5 | |
| HCC at White Horse Village | 7.8 mi | Newtown Square, PA | ★★★★★ | 5/5 | |
| Wayne Center | 8.6 mi | Wayne, PA | ★★★★☆ | 4/5 | |
| Parkhouse Rehabilitation and Nursing Center | 9.0 mi | Royersford, PA | ★★☆☆☆ | 2/5 | |
| St Martha Center for Rehabilitation & Healthcare | 9.1 mi | Downingtown, PA | ★★★★★ | 4/5 | |
| William Hood Dunwoody Care Ctr | 9.2 mi | Newtown Square, PA | ★★★★★ | 5/5 | |
| Southeastern Pennsylvania Veteran's Center | 9.4 mi | Spring City, PA | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395519.