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Public Record

Garden Spring Rehab and Care Center

Nursing HomeWillow Grove, PACMS 395077
45 citations on record

Operated by Imperial Healthcare Group

From CMS

Facility profile

CMS overall rating
2 / 5

*CMS Five-Star

Certified beds
173

*CMS

Avg. residents per day
132.5

*CMS

Inspection record

On record from CMS

Health citations
45

*CMS

Fire safety findings
7

*CMS

Inspections on file
13

*CMS

Last inspection
2025-11-05

*CMS

Citations

45 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0880Seriousimmediate jeopardy

    Provide and implement an infection prevention and control program.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0921Generalpotential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0623Generalno actual harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0559Generalpotential for harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

  • 0732Generalno actual harm

    Post nurse staffing information every day.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0688Generalpotential for harm

    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.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0699Generalpotential for harm

    Provide care or services that was trauma informed and/or culturally competent.

  • 0761Generalpotential for harm

    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.

  • 0584Generalpotential for harm

    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.

  • 0622Generalpotential for harm

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0580Generalpotential for harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • 0584Generalpotential for harm

    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.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0623Generalno actual harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0697Generalpotential for harm

    Provide safe, appropriate pain management for a resident who requires such services.

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0637Generalpotential for harm

    Assess the resident when there is a significant change in condition

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0688Generalpotential for harm

    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.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0850Generalno actual harm

    Hire a qualified full-time social worker in a facility with more than 120 beds.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection1 deficiency

    395077 11/05/2025 Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 F 0880 Provide and implement an infection prevention and control program. Level of Harm - Immediate jeopardy to resident health or safety Based on facility policy review, review of…

    Read full statement of deficiencies
  • Inspection5 deficiencies

    395077 07/11/2025 Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS…

    Read full statement of deficiencies
  • Inspection3 deficiencies

    395077 10/18/2024 Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm Based on facility policy review, personnel…

    Read full statement of deficiencies
  • Inspection1 deficiency

    395077 10/02/2024 Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Minimal harm or potential for actual harm Based on review of facility policy, clinical…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    395077 08/08/2024 Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    395077 07/12/2024 Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on clinical record review, observation, and resident…

    Read full statement of deficiencies
  • Inspection1 deficiency
    View inspection report
  • Inspection1 deficiency
    View inspection report
  • Inspection6 deficiencies

    395077 11/16/2023 Garden Spring Rehab and Care Center 1113 North Easton Road Willow Grove, PA 19090 F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not…

    Read full statement of deficiencies
  • InspectionFire Safety2 deficiencies
    View inspection report

Showing the 10 most recent inspections. 3 earlier inspections are also on record.

Ownership

Imperial Healthcare Group

13nursing homes nationwide, in CMS records

FAQ

Questions and answers

What is Garden Spring Rehab and Care Center?
Garden Spring Rehab and Care Center is a Medicare- and Medicaid-certified nursing home in Willow Grove, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 395077.
What is the CMS rating for Garden Spring Rehab and Care Center?
Garden Spring Rehab and Care Center has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Garden Spring Rehab and Care Center have?
Garden Spring Rehab and Care Center is certified for 173 beds. It serves an average of 132.5 residents per day.
How many citations does Garden Spring Rehab and Care Center have?
Garden Spring Rehab and Care Center has 45 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Garden Spring Rehab and Care Center last inspected?
Garden Spring Rehab and Care Center was last inspected on November 5, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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