Garden Spring Rehab and Care Center
1113 North Easton Road · Willow Grove, PA · 19090 · 2158305400
173 certified beds For profit - Corporation Chain: Imperial Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.42 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (44 in the current record)
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Potential for harm · D April 15, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has no plan of correction · Resident Rights
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Immediate jeopardy · K November 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 9, 2025 · Infection Control
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Potential for harm · D July 11, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 12, 2025 · Quality of Life and Care
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Potential for harm · D July 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 12, 2025 · Quality of Life and Care
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Potential for harm · D July 11, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 12, 2025 · Quality of Life and Care
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Potential for harm · D July 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 12, 2025 · Infection Control
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Potential for harm · E July 11, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 12, 2025 · Environmental
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Potential for harm · D October 18, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 7, 2024 · Quality of Life and Care
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No harm found · C October 18, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 7, 2024 · Resident Rights
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Potential for harm · D October 2, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 30, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected September 3, 2024 · Pharmacy Service
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Potential for harm · D July 12, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 29, 2024 · Resident Rights
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Potential for harm · D July 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 29, 2024 · Quality of Life and Care
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Potential for harm · D June 17, 2024 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected June 25, 2024 · Resident Rights
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No harm found · C February 27, 2024 · found via complaint
Post nurse staffing information every day.
Corrected March 13, 2024 · Nursing and Physician Services
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Potential for harm · D November 16, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 19, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023
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.
Corrected December 19, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 19, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023
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.
Corrected December 19, 2023 · Pharmacy Service
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Potential for harm · E November 16, 2023 · found via complaint
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.
Corrected December 19, 2023 · Resident Rights
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Potential for harm · D December 2, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 12, 2023 · Resident Rights
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Potential for harm · E December 2, 2022
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.
Corrected January 12, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395077 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.