GARDEN SPRING REHAB AND CARE CENTER
1113 NORTH EASTON ROAD, WILLOW GROVE, PA 19090 · CCN 395077
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 173
- Avg residents/day
- 131.1
- Phone
- 2158305400
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-18 | 9 | 10.1 | 9.5 | -1.1 better |
| 2 | 2023-11-16 | 12 | 10.9 | 9.8 | +1.1 worse |
| 3 | 2022-12-02 | 24 | 10.5 | 9.3 | +13.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident rights | 1 |
| Environmental | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.49 | 58.3% |
| RN staffing (reported) | 0.46 | 72.2% |
| Total nurse staffing (adjusted) | 3.68 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- IMPERIAL HEALTHCARE GROUP
- Facilities in chain
- 13
- Chain avg overall
- 2.40 / 5
Inspection citations (45)1 immediate jeopardy
- KF0880Provide and implement an infection prevention and control program.2025-11-05 · Health · corrected 2025-12-09
Immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-11 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-11 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-11 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-11 · Health · corrected 2025-08-12
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-07-11 · Health · corrected 2025-08-12
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-18 · Health · corrected 2024-11-07
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-18 · Health · corrected 2024-11-07
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-18 · Health · corrected 2024-11-07
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-02 · Health · corrected 2024-10-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-08 · Health · corrected 2024-09-03
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-08-08 · Health · corrected 2024-09-03
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-12 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-12 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-06-17 · Health · corrected 2024-06-25
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-02-27 · Health · corrected 2024-03-13
Potential for minimal harm
- EF0584Honor 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.2023-11-16 · Health · corrected 2023-12-19
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-16 · Health · corrected 2023-12-19
Potential for more than minimal harm
- DF0688Provide 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.2023-11-16 · Health · corrected 2023-12-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-16 · Health · corrected 2023-12-19
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2023-11-16 · Health · corrected 2023-12-19
Potential for more than minimal harm
- DF0761Ensure 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.2023-11-16 · Health · corrected 2023-12-19
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-04-10 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-10 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- EF0584Honor 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.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-12-02 · Health · corrected 2023-01-12
Potential for minimal harm
- DF0637Assess the resident when there is a significant change in condition2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0688Provide 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.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
- CF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2022-12-02 · Health · corrected 2023-01-12
Potential for minimal harm
- FF0880Provide and implement an infection prevention and control program.2022-12-02 · Health · corrected 2023-01-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BH OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-07-01 |
| CHRH EQUITIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-29 |
| ENS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-29 |
| THE ENS FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-29 |
| YMCS EQUITIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-29 |
| GOTTESMAN, DANIEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-07-29 |
| HERZKA, YISROEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-07-01 |
| KOPELOWITZ, SHAUL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-07-01 |
| HERZKA, YISROEL | Individual | CORPORATE OFFICER | — | 2021-07-29 |
| ARON, YEHOSHUA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-07-01 |
Other facilities in WILLOW GROVE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.