Elder Care Record

Pennsylvania › Montgomery County › Willow Grove

Garden Spring Rehab and Care Center

1113 North Easton Road, Willow Grove, PA 19090

CCN 395077 · For-profit, corporation · 173 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 173 beds, Garden Spring Rehab and Care Center serves Willow Grove in Montgomery County, Pennsylvania and has taken Medicare and Medicaid residents since 1967.

CMS gives it 2 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.

Inspectors recorded 46 health deficiencies across the three most recent survey cycles (7, 14, 25 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.6 per 100 beds, about the same as the state median of 22.2.

CMS lists 1 penalty in the period covered: fines totalling $16K.

Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 55.9%.

46health deficiencies, 3 survey cycles1 at actual harm or worse
$16Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 3.6
78%occupancy (residents ÷ beds)136 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianPennsylvania medianUS average
Overall star rating2333.0
Health citations, 3 cycles46202628.7
Citations per 100 beds26.616.822.226.8
Total nurse hours per resident day3.43.63.63.9
RN hours per resident day0.40.70.70.7
Nursing staff turnover55.9%42.5%44.3%45.8%
Fines listed$15,753$0$0—

County and state figures are medians across facilities (58 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 214
Cycle 325

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Oct 2024, 16 Nov 2023.

Severity mix: K ×1 D ×33 E ×6 F ×2 C ×4

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
6 May 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation22 May 2026
6 May 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation22 May 2026
15 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation27 May 2026
5 Nov 2025F0880Provide and implement an infection prevention and control program.KComplaint investigation9 Dec 2025
11 Jul 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation12 Aug 2025
11 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation12 Aug 2025
11 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation12 Aug 2025
11 Jul 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation12 Aug 2025
11 Jul 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation12 Aug 2025
18 Oct 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey7 Nov 2024
18 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 Nov 2024
18 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey7 Nov 2024
2 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation30 Oct 2024
8 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Sep 2024
8 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation3 Sep 2024
12 Jul 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation29 Jul 2024
12 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation29 Jul 2024
17 Jun 2024F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint investigation25 Jun 2024
27 Feb 2024F0732Post nurse staffing information every day.CComplaint investigation13 Mar 2024
16 Nov 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation19 Dec 2023
16 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey19 Dec 2023
16 Nov 2023F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey19 Dec 2023
16 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey19 Dec 2023
16 Nov 2023F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey19 Dec 2023
16 Nov 2023F0761Ensure 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.DStandard survey19 Dec 2023
2 Dec 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Jan 2023
2 Dec 2022F0880Provide and implement an infection prevention and control program.FStandard survey12 Jan 2023
2 Dec 2022F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey12 Jan 2023
2 Dec 2022F0641Ensure each resident receives an accurate assessment.EStandard survey12 Jan 2023
2 Dec 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey12 Jan 2023
2 Dec 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey12 Jan 2023
2 Dec 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey12 Jan 2023
2 Dec 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey12 Jan 2023
2 Dec 2022F0637Assess the resident when there is a significant change in conditionDStandard survey12 Jan 2023
2 Dec 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey12 Jan 2023
2 Dec 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey12 Jan 2023
2 Dec 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Jan 2023
2 Dec 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey12 Jan 2023
2 Dec 2022F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey12 Jan 2023
2 Dec 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey12 Jan 2023
2 Dec 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey12 Jan 2023
2 Dec 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey12 Jan 2023
2 Dec 2022F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey12 Jan 2023
2 Dec 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey12 Jan 2023
2 Dec 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey12 Jan 2023
2 Dec 2022F0850Hire a qualified full-time social worker in a facility with more than 120 beds.CStandard survey12 Jan 2023

Penalties

DateTypeAmountDetail
5 Nov 2025Fine$15,753

Staffing

Total nursing3.36 h
Nurse aides1.9 h
LPN1.05 h
RN0.4 h
Weekend total3.19 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 55.9%, RNs 60.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.0%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay21.6%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.8%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.8%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Montgomery County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Artman Lutheran HomeAmbler615451727.9—11 May 2026
Dock TerraceLansdale7255500.0——
Dresher Hill Health and Rehabilitation CenterFort Washington11854354.2—30 Jan 2026
Elm Terrace GardensLansdale7255545.6—27 Mar 2025
Frederick Living - CedarwoodFrederick6155511.6—26 Oct 2023
Gwynedd Healthcare and Rehabilitation CenterLansdale181543158.3$24K4 Dec 2025
Health Center At the Hill At Whitemarsh, TheLafayette Hill6055511.7—14 Feb 2024
Hrh Transitional Care Unit(A D/B/A Entity of Hrhs)Meadowbrook21555314.3—19 Feb 2026

All 58 facilities in Montgomery County

Questions and answers

How many deficiencies has Garden Spring Rehab and Care Center been cited for?

46 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Garden Spring Rehab and Care Center been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Garden Spring Rehab and Care Center compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Garden Spring Rehab and Care Center?

Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Garden Spring Rehab and Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 18 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.