Twin Pines Health Care Center
315 East London Grove Road, West Grove, PA 19390 · Chester County · 119 certified beds · avg 112 residents/day · certified since Jul 18, 2007
Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 22, 2026 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (17)
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 22, 2026 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jun 22, 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 |
| Jun 22, 2026 | 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. · from a complaint |
| Apr 30, 2026 | F · Potential for harm, facility-wide | 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. |
| Apr 30, 2026 | D · Potential for harm, one-off | 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. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 7, 2025 | D · Potential for harm, one-off | 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. |
| Mar 7, 2025 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Mar 7, 2025 | 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. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 7, 2025 | D · Potential for harm, one-off | The 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. |
| Apr 5, 2024 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 5, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Apr 5, 2024 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | E |
| 2025 | 8 | 0 | D |
| 2026 | 6 | 1 | G ▲ |
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) | 3.31 | 3.94 | 3.95 | bottom 29% in Pennsylvania; bottom 27% in the U.S. |
| Registered Nurse hours | 0.41 | 0.80 | 0.69 | bottom 10% in Pennsylvania; bottom 24% in the U.S. |
| Weekend total nurse staffing | 3.00 | 3.58 | 3.50 | bottom 28% in Pennsylvania; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.56 | 0.48 | bottom 12% in Pennsylvania; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 44.5 | 45.8 | bottom 34% in Pennsylvania; bottom 38% in the U.S. |
| RN turnover (%) | 46.2 | 39.9 | 42.9 | bottom 35% in Pennsylvania; bottom 42% 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 3.42, RN 0.42, weekend 3.09. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| WWBV Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 09/30/2019 |
| Carroll, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/25/2024 |
| Carroll, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 08/25/2024 |
| Chatham Aviv | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/01/2016 |
| Chatham Aviv | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2016 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2009 |
| Cooperman, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/20/2023 |
| Cooperman, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2023 |
| Nicoluzakis, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Nicoluzakis, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2019 |
| RKL LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/26/2023 |
| Saber Governance LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Saber Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2009 |
| Sharma, Navneet | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2017 |
| SHG Boa LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/08/2025 |
| SHG Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| SHG Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| SHG Mt, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/08/2025 |
| TCF National Bank | Organization | ADP of the SNF | NOT APPLICABLE | 07/19/2019 |
| Volpe, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Preston Residence | 4.3 mi | West Grove, PA | ★★★★★ | 4/5 | |
| Kendal at Longwood | 5.6 mi | Kennett Square, PA | ★★★★★ | 5/5 | |
| Complete Care at Brackenville LLC | 8.3 mi | Hockessin, DE | ★★★★☆ | 3/5 | |
| Pocopson Home | 8.5 mi | West Chester, PA | ★★★★★ | 4/5 | |
| Crosslands | 8.6 mi | Kennett Square, PA | ★★★★★ | 4/5 | |
| Pike Creek Nursing & Rehabilitation Center | 9.4 mi | Wilmington, DE | ★★☆☆☆ | 1/5 | SFF |
| Willowbrooke Court at Cokesbury Village | 9.6 mi | Hockessin, DE | ★★★★★ | 4/5 | |
| Oxford Health Center | 10.4 mi | Oxford, PA | ★★★★☆ | 4/5 | |
| Regal Heights Healthcare & Rehab Center | 10.4 mi | Hockessin, DE | ★★☆☆☆ | 2/5 | abuse |
| Inn at Freedom Village,the | 10.9 mi | West Brandywine, PA | ★★★★★ | 4/5 | |
| Encore at Parkside | 10.9 mi | Newark, DE | ★★☆☆☆ | 1/5 | SFF |
| Cadia Rehabilitation Pike Creek | 11.4 mi | Wilmington, DE | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 396114.