Garden Spring Rehab and Care Center — nursing home in Willow Grove, PA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 173 CMS-certified beds (not state-licensed beds)
Licensed beds: State license not yet ingested for this state
State license: 860202 active
Average residents per day: 137.4 CMS, MDS-derived
CMS Certification Number: 395077
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Corporation
Operator (legal business name): CMS reports the legal business name as not available.
CMS chain: Not part of a CMS-reported chain
Phone: (215) 830-5400
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

15

latest May 6, 2026

Citations

53

46 health · 7 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D33	E6	F2
Minimal	A·	B5	C6

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$15,753

Payment denials

0

Latest

Nov 5, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 395077
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 173
First approved: Jan 1, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

Authority: Pennsylvania Department of Health
License number: 860202
State facility ID: 860202
License type: Nursing home (PA Department of Health)
License status: active
Link to CMS record: Linked by exact street address + ZIP Inferred
As of: Sep 17, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 6, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Apr 15, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Nov 5, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Jul 11, 2025	Health	Health Complaint	5	Potential harm	—	Open →
Oct 18, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 18, 2024	Health	Health Standard	3	Potential harm	—	Open →
Oct 2, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 8, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jul 12, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jun 17, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 27, 2024	Health	Health Complaint	1	Minimal	—	Open →
Nov 16, 2023	Fire safety	Fire Safety Standard	2	Minimal	—	Open →
Nov 16, 2023	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Dec 2, 2022	Fire safety	Fire Safety Standard	5	Minimal	—	Open →
Dec 2, 2022	Health	Health Standard	21	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Nov 5, 2025	Civil money penalty (fine)	$15,753	—	395077\|Fine\|136356

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D33	E6	F2
Minimal	A·	B5	C6

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 6, 2026	F-0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 22, 2026	Complaint
May 6, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 22, 2026	Complaint
Apr 15, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 27, 2026	Complaint
Nov 5, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	K · Immediate jeopardy Pattern	Corrected Dec 9, 2025	Complaint
Jul 11, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 12, 2025	Complaint
Jul 11, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 12, 2025	Complaint
Jul 11, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 12, 2025	Complaint
Jul 11, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 12, 2025	Complaint
Jul 11, 2025	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2025	Complaint
Oct 18, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 7, 2024
Oct 18, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 7, 2024
Oct 18, 2024	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Nov 7, 2024
Oct 2, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 30, 2024	Complaint
Aug 8, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 3, 2024	Complaint
Aug 8, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 3, 2024	Complaint
Jul 12, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 29, 2024	Complaint
Jul 12, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2024	Complaint
Jun 17, 2024	F-0559	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 25, 2024	Complaint
Feb 27, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Mar 13, 2024	Complaint
Nov 16, 2023	F-0584	Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 19, 2023	Complaint
Nov 16, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 19, 2023
Nov 16, 2023	F-0688	Provide 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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 19, 2023
Nov 16, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 19, 2023
Nov 16, 2023	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 19, 2023
Nov 16, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 19, 2023
Nov 16, 2023	E-0007	Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Jan 13, 2024
Nov 16, 2023	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Jan 13, 2024
Dec 2, 2022	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0584	Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 12, 2023
Dec 2, 2022	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 12, 2023
Dec 2, 2022	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 12, 2023
Dec 2, 2022	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0688	Provide 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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0690	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 · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2023
Dec 2, 2022	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 12, 2023
Dec 2, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jan 12, 2023
Dec 2, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jan 12, 2023
Dec 2, 2022	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	B · Minimal Pattern	Corrected Feb 14, 2023
Dec 2, 2022	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	B · Minimal Pattern	Corrected Feb 14, 2023
Dec 2, 2022	E-0007	Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness	B · Minimal Pattern	Corrected Feb 14, 2023
Dec 2, 2022	E-0022	Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness	B · Minimal Pattern	Corrected Feb 14, 2023
Dec 2, 2022	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	B · Minimal Pattern	Corrected Mar 18, 2023
Dec 2, 2022	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Jan 12, 2023
Dec 2, 2022	F-0850	Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records	C · Minimal Widespread	Corrected Jan 12, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.1

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.56

State avg 3.90US avg 3.90

Registered nurse (RN)0.43

State avg 0.78US avg 0.69

Licensed practical nurse0.96

State avg 0.90US avg 0.86

Nurse aide2.16

State avg 2.22US avg 2.35

Weekend total nurse3.40

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.46 (case-mix index 1.44).

Staff turnover

Total nursing staff turnover64.1%

State avg 44.6%US avg 45.3%

Registered nurse turnover52.9%

State avg 39.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Oct 18, 2024
Cycle 1 health score: 120
Total weighted score: 109

Operating entity

CMS reports the legal business name as not available.

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

0

Organizations

0

Individuals

0

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

No ownership disclosures in the CMS Ownership file for this CCN.

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1113 North Easton Road, Willow Grove, PA 19090
ZIP: 19090
County: Montgomery County FIPS 42091
State: Pennsylvania
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Willow Grove Post Acute 3485 Davisville Road, Hatboro, PA 19040 CCN 396017	2.5 km	109	May 15, 2026	84	—
Brookside Healthcare & Rehabilitation Center 2630 Woodland Road, Roslyn, PA 19001 CCN 395227	3 km	120	Dec 3, 2025	21	—
Luther Woods Nursing and Rehabilitation Center 313 County Line Road, Hatboro, PA 19040 CCN 395370	4 km	140	May 13, 2026	21	—
Dresher Hill Health and Rehabilitation Center 1390 Camp Hill Road, Fort Washington, PA 19034 CCN 395509	4.7 km	118	Jul 31, 2026	22	—
Majestic Oaks Rehabilitation and Nursing Center 333 Newtown Road, Warminster, PA 18974 CCN 395431	5 km	180	Mar 5, 2026	642 harm	$35k
Huntingdon Skilled Nursing and Rehabilitation Cent 3430 Huntingdon Pike, Huntingdon Valley, PA 19006 CCN 395913	5.4 km	125	Apr 3, 2026	56	—
Rydal Park of Philadelphia Presbytery Homes, Inc 1515 the Fairway, Rydal, PA 19046 CCN 395321	5.5 km	114	Jul 14, 2026	31	—
Willowbrooke Ctskdcarectr at Fortwashingtonestates 735 Susquehanna Road, Fort Washington, PA 19034 CCN 395496	5.9 km	9	Feb 5, 2026	8	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	395077	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	395077	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Pennsylvania DOH Nursing Homes PA	860202	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Sep 17, 2026	Nov 7, 2026

Record-level source links for CCN 395077

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction