Encore Healthcare and Rehabi of Malvern
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 17 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (9 vs median 3)
Bottom 25% in AR · Critically understaffed (RN) · Below chain average · No penalties on record
What this means for your family
This facility is praised for its warm, communicative staff and engaging community events, making it a strong choice for those prioritizing social interaction. However, families should be vigilant regarding personal property and insist on clear, written protocols for incident reporting, as there have been concerning reports of unnotified falls and lost belongings.
Google Reviews
Google Reviews
17 reviews on Google“Encore Healthcare and Rehab of Malvern receives highly polarized feedback, with some families praising the staff's genuine kindness and communication, while others report serious concerns regarding patient safety and personal property management. While many reviewers highlight a warm, family-like atmosphere, there are critical reports of unaddressed falls and lost belongings that suggest inconsistent operational oversight.”
Quality Themes
Tap a score for detailsStrengths
- Warm, compassionate nursing and support staff
- Effective communication with families
- Engaging holiday and community events
- Professional and attentive administrative team
Concerns
- Loss of personal clothing and belongings
- Lack of transparency regarding patient injuries and falls
- Staff dismissiveness or lack of empathy during care requests (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 20 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I've noticed the administrative team is very responsive to feedback; how do you ensure that communication remains consistent between the staff and our family regarding daily updates?
- 2We want to make sure our loved one's belongings stay organized and safe; what specific systems do you have in place to prevent the loss of personal clothing or items?
- 3Could you walk us through the protocol for notifying families immediately if an unexpected incident, like a fall, occurs during a shift?
- 4With the recent health inspections, what specific steps is the facility taking to address past deficiencies and improve the overall care environment?
- 5We love seeing that you host engaging holiday and community events; what does a typical weekly calendar of activities look like for the residents?
- 6In the event of a medical emergency after hours, how is the nursing staff coordinated to ensure immediate and effective care?
Personalized based on this facility's data
Key Review Excerpts
“Within two weeks everyone knew Mom's name and mine. They would update me about how she's doing. Since Covid shut down all nursing homes they let us do zoom calls with our loved ones and I can call all her caregivers and get updates on how she is doing.”
“My uncle stayed a total of 24 days. During our stay, when asking the nurses for help they came in the room sighing and whispering to each other. Also within 3 weeks he fell and broke a hip there. Not only were we not notified but it wasn't documented.”
“My mother was there for a few weeks after hip surgery. Within a 4 or 5 week period the lost every stitch of her clothes. She left there in a hospital gown. They couldn't find a pair of her socks to go home in”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
1
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints that triggered investigations revealing serious concerns about abuse reporting, resident protection, and treatment quality, with multiple complaint-related deficiencies documented. The facility shows persistent problems across nutrition and dietary services, quality of care, and medication management, with food safety and treatment issues recurring across multiple surveys. While the facility reports correcting all identified deficiencies, the pattern of repeated violations in core care areas warrants careful consideration.
Nov 18, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 7, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 21, 2024Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nov 9, 2023Routine10
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Oct 27, 2023Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Aug 25, 2022Routine6
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ownership & Operations
Who Operates This Facility
Encore Healthcare and Rehabi of Malvern
for profit
Chain Affiliation
Southern Administrative Services
35 facilities nationwide
Chain avg rating: 3.6/5 · Rank 30 of 35
Ownership & Management
Owners
4p2t1 Ops Holding Lp
Owner · Organization
Jej Assets Lp
Owner (parent company) · Organization
Ponthie, Sharlot
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
17 reviews from families & visitors
Official Website
Visit encoreatmalvern.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.