Elder Care Record

Pennsylvania › Lancaster County › Stevens

Gardens At Stevens, The

400 Lancaster Avenue, Stevens, PA 17578

CCN 395575 · For-profit, limited liability company · 82 certified beds · chain Priority Healthcare Group

Continuing care retirement community
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.

Gardens At Stevens, The, in Stevens, Pennsylvania, is certified for 82 beds under for-profit, limited liability company ownership and belongs to the Priority Healthcare Group chain.

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

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (11, 15, 18 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 53.7 per 100 beds, more than the state median of 22.2.

CMS lists 1 penalty in the period covered: fines totalling $56K.

Reported nurse staffing is 3.5 hours per resident per day (0.9 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 70.1%.

44health deficiencies, 3 survey cycles2 at actual harm or worse
$56Kfines listed by CMS1 penalty in period
3.5nurse hours per resident per daystate median 3.6
85%occupancy (residents ÷ beds)70 residents a day

Compared with county, state and nation

MeasureThis facilityLancaster Co. medianPennsylvania medianUS average
Overall star rating2533.0
Health citations, 3 cycles44102628.7
Citations per 100 beds53.79.222.226.8
Total nurse hours per resident day3.54.23.63.9
RN hours per resident day0.90.70.70.7
Nursing staff turnover70.1%38.1%44.3%45.8%
Fines listed$55,807$0$0—

County and state figures are medians across facilities (31 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)11
Cycle 215
Cycle 318

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2026, 14 Mar 2025.

Severity mix: G ×2 D ×27 E ×11 F ×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
28 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation20 May 2026
27 Feb 2026F0730Observe each nurse aide's job performance and give regular training.FStandard survey1 Apr 2026
27 Feb 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey1 Apr 2026
27 Feb 2026F0761Ensure 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.EStandard survey1 Apr 2026
27 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey1 Apr 2026
27 Feb 2026F0641Ensure each resident receives an accurate assessment.DStandard survey1 Apr 2026
27 Feb 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey1 Apr 2026
27 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 Apr 2026
16 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation31 Dec 2025
3 Dec 2025F0679Provide activities to meet all resident's needs.EComplaint investigation4 Dec 2025
3 Dec 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation4 Dec 2025
4 Jun 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation1 Jul 2025
4 Jun 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation1 Jul 2025
4 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation1 Jul 2025
4 Jun 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation1 Jul 2025
4 Jun 2025F0610Respond appropriately to all alleged violations.DComplaint investigation1 Jul 2025
4 Jun 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation1 Jul 2025
14 Mar 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey1 May 2025
14 Mar 2025F0641Ensure each resident receives an accurate assessment.EStandard survey1 May 2025
14 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation1 May 2025
14 Mar 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey1 May 2025
14 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 May 2025
14 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey1 May 2025
14 Mar 2025F0791Provide or obtain dental services for each resident.DStandard survey1 May 2025
14 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey1 May 2025
21 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation4 Feb 2025
3 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Apr 2024
1 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey12 Mar 2024
1 Feb 2024F0761Ensure 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.FStandard survey12 Mar 2024
1 Feb 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey12 Mar 2024
1 Feb 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey12 Mar 2024
1 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey12 Mar 2024
1 Feb 2024F0584Honor 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.DStandard survey12 Mar 2024
1 Feb 2024F0610Respond appropriately to all alleged violations.DStandard survey12 Mar 2024
1 Feb 2024F0641Ensure each resident receives an accurate assessment.DStandard survey12 Mar 2024
1 Feb 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey12 Mar 2024
1 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Mar 2024
1 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey12 Mar 2024
1 Feb 2024F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DStandard survey12 Mar 2024
1 Feb 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation12 Mar 2024
5 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation23 Oct 2023
8 Aug 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation19 Sep 2023
8 Aug 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation19 Sep 2023
8 Aug 2023F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation19 Sep 2023

Penalties

DateTypeAmountDetail
1 Feb 2024Fine$55,807

Staffing

Total nursing3.49 h
Nurse aides1.93 h
LPN0.62 h
RN0.95 h
Weekend total3.21 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 70.1%, RNs 66.7%; 1 administrator 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 Stay36.2%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.5%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay44.2%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.8%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.4%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, limited liability company. Legal business name: Maybrook-P Denver Opco, Llc. Chain: Priority Healthcare Group (12 facilities).

OrganisationRole in the CMS recordInterestSince
Maybrook-P Opco Holdings LLC5% or greater direct ownership interest100%08/15/2016
Bl Capital Group Holdings LLC5% or greater indirect ownership interest24%01/28/2020
Samara Holdings Company LLC5% or greater indirect ownership interest10%01/28/2020
Strawberry Hill Holdings LLC5% or greater indirect ownership interest10%01/28/2020
Clinical Consulting Services LLCOperational/managerial controlNOT APPLICABLE01/01/2019
Priority Care Group LLCOperational/managerial controlNOT APPLICABLE01/01/2019
Summation Financial Services LLCOperational/managerial controlNOT APPLICABLE01/01/2019
Clinical Consulting Services LLCAdp of the snfNOT APPLICABLE06/30/2025
Maybrook-P Denver Propco LLCAdp of the snfNOT APPLICABLE08/15/2016
Summation Financial Services LLCAdp of the snfNOT APPLICABLE06/30/2025

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 Lancaster County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Fairmount HomesEphrata11455500.0——
Garden Spot VillageNew Holland7354545.5$8K13 Nov 2025
Glen At Willow ValleyLancaster26255510.4—17 Nov 2023
Homestead Village, IncLancaster60555915.0$13K5 Mar 2026
Lakeside At Willow ValleyWillow Street8055511.3—4 Dec 2024
Landis HomesLititz10354511.0—26 Sep 2025
Maple FarmAkron46555510.9—4 Jun 2026
Masonic Village At ElizabethtownElizabethtown43455551.2—23 Jan 2026

All 31 facilities in Lancaster County

Questions and answers

How many deficiencies has Gardens At Stevens, The been cited for?

44 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Gardens At Stevens, The been fined?

Yes. CMS lists fines totalling $56K in the period covered.

How does staffing at Gardens At Stevens, The compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Gardens At Stevens, The?

It is part of the Priority Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Maybrook-P Opco Holdings LLC, Bl Capital Group Holdings LLC and Samara Holdings Company LLC. Individual owners and managers are not listed on this site.

When was Gardens At Stevens, The last inspected?

The most recent survey or investigation in the CMS record is dated 28 Apr 2026; the most recent standard health survey was 27 Feb 2026.

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.