Elder Care Record

Pennsylvania › Montgomery County › Hatboro

Willow Grove Post Acute

3485 Davisville Road, Hatboro, PA 19040

CCN 396017 · For-profit, limited liability company · 109 certified beds · chain Marquis Health Services

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.

Willow Grove Post Acute is a For-profit, limited liability company nursing home in Hatboro, Pennsylvania, certified for 109 beds and caring for about 95 residents a day.

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

Inspectors recorded 57 health deficiencies across the three most recent survey cycles (13, 22, 22 by cycle, most recent first), none at the actual-harm level. That is 52.3 per 100 beds, more than the state median of 22.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.5 hours per resident per day (1.0 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 44.9%.

57health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.5nurse hours per resident per daystate median 3.6
87%occupancy (residents ÷ beds)95 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianPennsylvania medianUS average
Overall star rating3333.0
Health citations, 3 cycles57202628.7
Citations per 100 beds52.316.822.226.8
Total nurse hours per resident day3.53.63.63.9
RN hours per resident day1.00.70.70.7
Nursing staff turnover44.9%42.5%44.3%45.8%
Fines listed$0$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)13
Cycle 222
Cycle 322

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2026, 16 May 2025.

Severity mix: D ×40 E ×17

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
15 May 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey17 Jun 2026
15 May 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation17 Jun 2026
15 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Jun 2026
15 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation17 Jun 2026
15 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation17 Jun 2026
15 May 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation17 Jun 2026
15 May 2026F0908Keep all essential equipment working safely.DStandard survey17 Jun 2026
17 Mar 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation17 Apr 2026
17 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation17 Apr 2026
30 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation29 Jan 2026
30 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation29 Jan 2026
1 Dec 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint investigation6 Jan 2026
1 Dec 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation6 Jan 2026
16 May 2025F0574The resident has the right to receive notices in a format and a language he or she understands.EStandard survey8 Jul 2025
16 May 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey8 Jul 2025
16 May 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey8 Jul 2025
16 May 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey8 Jul 2025
16 May 2025F0730Observe each nurse aide's job performance and give regular training.EStandard survey8 Jul 2025
16 May 2025F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey8 Jul 2025
16 May 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey8 Jul 2025
16 May 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey8 Jul 2025
16 May 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey8 Jul 2025
16 May 2025F0637Assess the resident when there is a significant change in conditionDStandard survey8 Jul 2025
16 May 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey8 Jul 2025
16 May 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey8 Jul 2025
16 May 2025F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey8 Jul 2025
16 May 2025F0814Dispose of garbage and refuse properly.DStandard survey8 Jul 2025
16 May 2025F0908Keep all essential equipment working safely.DStandard survey8 Jul 2025
16 May 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey8 Jul 2025
9 Dec 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation21 Jan 2025
9 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation21 Jan 2025
9 Sep 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.EComplaint investigation16 Oct 2024
9 Sep 2024F0924Put firmly secured handrails on each side of hallways.EComplaint investigation16 Oct 2024
9 Sep 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation16 Oct 2024
9 Sep 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.DComplaint investigation16 Oct 2024
15 Aug 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard survey2 Oct 2024
15 Aug 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey2 Oct 2024
15 Aug 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey2 Oct 2024
15 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey2 Oct 2024
15 Aug 2024F0881Implement a program that monitors antibiotic use.EStandard survey2 Oct 2024
15 Aug 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey2 Oct 2024
15 Aug 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey2 Oct 2024
15 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey2 Oct 2024
15 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation2 Oct 2024
15 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey2 Oct 2024
15 Aug 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey2 Oct 2024
15 Aug 2024F0730Observe each nurse aide's job performance and give regular training.DStandard survey2 Oct 2024
15 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation2 Oct 2024
15 Aug 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey2 Oct 2024
15 Aug 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey2 Oct 2024
15 Aug 2024F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard survey2 Oct 2024
10 Jun 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigation30 Jul 2024
7 May 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation6 Jul 2024
27 Apr 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation24 Jun 2024
6 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation23 Apr 2024
8 Nov 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation4 Jan 2024
25 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation15 Sep 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.53 h
Nurse aides1.99 h
LPN0.57 h
RN0.97 h
Weekend total3.31 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 44.9%, RNs 45.2%; 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 Stay14.0%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 Stay1.4%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.8%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.8%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.5%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: Willow Grove Operator Llc. Chain: Marquis Health Services (87 facilities).

OrganisationRole in the CMS recordInterestSince
Willow Grove Holdco LLC5% or greater direct ownership interest100%01/01/2025
Manufacturers & Traders Trust Company5% or greater mortgage interestNOT APPLICABLE01/01/2025
Manufacturers & Traders Trust Company5% or greater security interestNOT APPLICABLE01/01/2025
Marquis Limited LLCOperational/managerial controlNOT APPLICABLE01/01/2025
Reliant Pro Rehab LLCOperational/managerial controlNOT APPLICABLE01/14/2025
Marquis Limited LLCAdp of the snfNOT APPLICABLE04/01/2025
Reliant Pro Rehab LLCAdp of the snfNOT APPLICABLE01/14/2025

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 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 Willow Grove Post Acute been cited for?

57 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Willow Grove Post Acute been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Willow Grove Post Acute 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 Willow Grove Post Acute?

It is part of the Marquis Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Willow Grove Holdco LLC, Marquis Limited LLC and Reliant Pro Rehab LLC. Individual owners and managers are not listed on this site.

When was Willow Grove Post Acute last inspected?

The most recent survey or investigation in the CMS record is dated 15 May 2026; the most recent standard health survey was 15 May 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.