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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Spend your best years at Barclay Friends, a distinguished community located in the harmonious neighborhood of West Chester, PA, offering independent living, personal care, memory care, skilled nursing, and long-term rehabilitation. A compassionate and highly trained team provides the highest quality of care tailored to residents’ unique needs 24/7. Beautifully furnished and spacious studio and one-bedroom floor plans are also provided in a nurturing and friendly environment, ensuring residents can feel at ease during their stay.
Residents will not run out of things to do with a thoughtfully curated slate of enriching programs and stimulating activities that aim to enhance their living experiences. Mealtimes promote social interactions and satisfy dietary needs with delicious and well-balanced dining options served in a family-style setting. Medication support and therapy services are also provided to meet residents’ healthcare needs. The community is ideal for those seeking comfort in retirement, especially with its comprehensive care and extensive amenities.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 61st out of 203 homes in Pennsylvania. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 59m per day | ▲ 26% State avg: 47m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 48m per day | ▼ 13% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 40m per day | ▲ 21% State avg: 2h 12m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 13m per day | ▲ 20% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 50% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 58m per day | ▲ 76% State avg: 33m per day · National avg: 28m per day |
Lower than the Pennsylvania average: 78.7%Barclay Friends is legally operated by Barclay Friends.
Key information about the people who lead and staff this community.
In Pennsylvania, the Department of Human Services (for assisted living facilities) and the Department of Health (for nursing homes) conduct unannounced inspections to verify adherence to state regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Pennsylvania state average. See the nursing homes benchmark below for the typical Pennsylvania score; higher is better.
Below the Pennsylvania average for nursing homes.
Pennsylvania nursing homes benchmark: C+ 77/100
Inspection score: 66 out of 100. Letter grade D. Below the Pennsylvania average for nursing homes.
A higher number of waivers may indicate the facility relies on staff who don't fully meet standard credential requirements. A lower number may suggest the facility meets staffing qualification standards without exemptions.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Pennsylvania state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 74 | 63 | This facility has 17% more total citations than a typical Pennsylvania nursing home (74 vs. PA avg 63).↑ 17% worse |
|
Citations per year
Average citations per year since 2021.
| 14.8 | 12.6 | This facility has 17% more citations per year than a typical Pennsylvania nursing home (14.8 vs. PA avg 12.6).↑ 17% worse |
|
Citations per inspection
Average citations per inspection.
| 4.9 | 5.7 | This facility has 14% fewer citations per inspection than a typical Pennsylvania nursing home (4.9 vs. PA avg 5.7).↓ 14% better |
Inspections
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 15 | 11 | This facility has 36% more total inspections than a typical Pennsylvania nursing home (15 vs. PA avg 11).↑ 36% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 10 | 8 | This facility has 25% more inspections with citations than a typical Pennsylvania nursing home (10 vs. PA avg 8).↑ 25% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 67% | 73% | This facility has 6 percentage points lower inspection citation rate than a typical Pennsylvania nursing home (67% vs. PA avg 73%).↓ 6% better |
Complaints & Investigations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 4 | 4 | This facility has total complaints in line with the Pennsylvania average (4 vs. PA avg 4).— At avg |
|
Complaints per year
Average complaints per year since 2021.
| 0.8 | 0.8 | This facility has complaints per year in line with the Pennsylvania average (0.8 vs. PA avg 0.8).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 8, 2025, identified multiple deficiencies including record confidentiality breaches, delayed resident refund processing, privacy violations, incomplete staff training, maintenance issues, and food storage concerns. Earlier inspections showed a pattern of similar issues such as medication management errors, incomplete staff training, and facility maintenance problems, with accepted plans of correction implemented each time. Complaint investigations were generally unsubstantiated, with one substantiated complaint in early 2022 related to resident abuse and incident reporting that was addressed through corrective action. No fines, immediate jeopardy findings, or license suspensions were listed in the available reports. The facility’s inspection history shows recurring themes in staff training, medication management, and facility maintenance, with ongoing efforts to correct deficiencies but no clear trend of sustained improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPennsylvania average 6.7
Last Health inspection on Jun 2025
Pennsylvania average 31.3
Pennsylvania average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 1 citation resulted from standard inspections.
100% better than Pennsylvania averagePennsylvania average: 0.3
100% better than Pennsylvania averagePennsylvania average: 0.6
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% worse than Pennsylvania average
0% compared with Pennsylvania average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,702 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 42 | 0 | 42 | 14,803 | 92 | 100% | 8 |
| Registered Nurse | 13 | 0 | 13 | 4,883 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 16 | 0 | 16 | 4,607 | 92 | 100% | 7.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,536 | 84 | 91% | 7.6 |
| Dietitian | 2 | 0 | 2 | 1,016 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 435 | 60 | 65% | 6.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 370 | 60 | 65% | 5.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 362 | 45 | 49% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 347 | 45 | 49% | 7.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 318 | 59 | 64% | 5.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 295 | 62 | 67% | 4.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 234 | 55 | 60% | 4.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 6 | 7% | 4.6 |
| Medical Director | 0 | 1 | 1 | 24 | 13 | 14% | 1.8 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
84% lower than Pennsylvania averagePennsylvania average: $59K
52% fewer fines than Pennsylvania averagePennsylvania average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Pennsylvania averagePennsylvania average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 12, 2023 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 12, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.7
33% worse than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.6
24% worse than Pennsylvania averagePennsylvania average: 22.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
30.8%
62% worse than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
29.0%
37% worse than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
14% better than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
43% worse than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
7.5%
35% worse than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
2.1%
18% worse than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
1.4%
79% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.5%
91% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
13.5%
21% better than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.2%
8% better than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
5% better than Pennsylvania averagePennsylvania average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.85
10% worse than Pennsylvania averagePennsylvania average: 1.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.58
52% better than Pennsylvania averagePennsylvania average: 1.20
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
39% better than Pennsylvania averagePennsylvania average: 68.8%
Rate of successful return to home or community from a skilled nursing facility.
65.3%
29% better than Pennsylvania averagePennsylvania average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
58% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
63Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Barclay Friends based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #68 / 205Payroll — State benchmarkedThis home is ranked 68th out of 205 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private / Shared Suites
Building Type: Mid-rise
Dining Services
Beauty Services
Social and Recreational Activities
On-site Medical Care and Health Services
Exercise Programs
Most residents typically stay for a few weeks or months before returning home or moving on.
Luke Dorey serves as the Personal Care Administrator at Barclay Friends, overseeing the personal care services to ensure residents receive compassionate and professional support. He plays a key role in maintaining the quality of care within the community.
1.2 miles from city center
Estimated distance in miles from West Chester's city center to Barclay Friends's address, calculated via Google Maps.
Add your location
Barclay Friends is located in West Chester, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| Kendal-Crosslands Communities |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kennett Square | 51 | 66.7% | -15% | 6.47 | +49% | +56% | $0 | 4 | 2.0 | 1 | 34 | - | 9 | Catherine Emig | $39.8M | $16.0M | 40.3% | 395388 | ||||
| Chester County Pocopson Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | West Chester | 275 | 61.9% | -21% | 5.31 | -47% | +28% | $16.0k | 9 | 3.0 | 2 | 162 | - | 1 | Thomas Mancill | $25.1M | $18.0M | 71.8% | 395384 | ||||
| Freedom Village at Brandywine |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Coatesville | 120 | 90.9% | +15% | 4.23 | +31% | +2% | $0 | 5 | 1.7 | - | 46 | A+ | 9 | Danielle Geyer | $38.0M | $14.5M | 38.1% | 396062 | ||||
| Barclay Friends |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | West Chester (North Franklin Street) | 103 | 49.5% | -37% | 4.70 | +12% | +13% | $9.4k | 1 | 1.0 | - | 61 | A+ | 35 | Barclay Friends | $24.1M | $13.0M | 53.9% | 395848 |
Barclay Friends is in the North Franklin Street neighborhood of West Chester.
Barclay Friends has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to PA state health department records, Barclay Friends's license number is 146820.
According to PA state health department records, Barclay Friends's license expires on May 31, 2027.
Barclay Friends's occupancy is 50%.
Barclay Friends is registered as a non-profit in PA.
Barclay Friends has 103 beds.
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