Home / Pennsylvania / Willow Grove
1113 North Easton Road, Willow Grove, PA 19090 · Montgomery County · (215) 830-5400
173 certified beds, about 136 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395077 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 18, 2024, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 46 health citations since December 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $15,753 in the last three years; the largest was $15,753, and the latest is dated November 5, 2025.
Nurses and nurse aides worked 3.36 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
55.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 46 health citations on file.
Inspectors wroteBased on facility policy review, clinical record review, family interview, and staff interview, it was determined that the facility failed to demonstrate that a resident's discharge from the facility was appropriate and that a discharge plan was implemented prior to the discharge for one of five sampled residents. (Resident 1)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the resident and the resident's representative(s) or legal representative of all required information, including the date of discharge, the reason for discharge, the location to which the resident was discharged , their appeal rights, and the State Long-Term Care Ombudsman's information in writing upon discharge from the facility for one of five sampled residents. (Resident 1)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident's responsible party was notified of a change in treatment for one of six sampled residents. (Resident 1)
Inspectors wroteBased on facility policy review, review of manufacturer's instructions, clinical record review, observation, and staff interview, it was determined that the facility failed to implement proper infection control procedures regarding the use and disinfection of a multi-use blood glucose meter (BGM) for four of 21 residents that utilized one of two medication carts on the nursing unit. This resulted in an Immediate Jeopardy situation due to an increased likelihood of transmitting bloodborne pathogens between residents who required fingerstick blood glucose testing. (Residents 38, 42, 43, 48)
Inspectors wroteBased on review of facility policy, observations, and resident interview, it was determined that the facility failed to provide a safe, sanitary, and comfortable environment for residents and staff on two of two nursing units toured. (Section Two, Section Four)
Inspectors wroteBased on clinical record review, observation, resident interview, and staff interview, it was determined that the facility failed to provide services to maintain adequate grooming and hygiene for two of eight sampled residents who required assistance with activities of daily living (ADLs). (Resident 2, 6)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of eight sampled residents. (Resident 2)
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide interventions to prevent pressure ulcers for one of eight sampled residents with a history of wounds. (Resident 2)
Inspectors wroteBased on facility policy review, clinical record review, observations, and staff interviews, it was determined that the facility failed to follow policies and procedures to prevent the spread of infection for one of eight sampled residents. (Resident 5)
Inspectors wroteBased on facility policy review, personnel file review, and staff interview, it was determined that the facility failed to verify professional license and complete a criminal background check prior to the start of employment for one of five newly hired employees. (E5)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for one of 26 sampled residents. (Resident 65)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the resident and the resident's representative(s) of transfer(s), including the reasons for the moves and Ombudsman information, in writing upon transfer from the facility for five of five sampled residents who were transferred to the hospital. (Residents 41, 48, 50, 81, 117)
Inspectors wroteBased on review of facility policy, clinical record review, observation, resident interview, and staff interview, it was determined that the facility failed to implement interventions that prevented new or worsened pressure ulcers for three of three sampled residents with skin impairments. (Residents 1, 2, 3)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that physician's orders were implemented for one of five sampled residents. (Resident 1)
Inspectors wroteBased on facility policy review, observation, and staff interview, it was determined that the facility failed to maintain a medication error rate of less than five percent (%) on one of five nursing units. (Section 2)
Inspectors wroteBased on clinical record review, observation, and resident interview, it was determined that the facility failed to accommodate resident needs by providing access to the call bell system for two of six sampled residents. (Residents 4, 5)
Inspectors wroteBased on clinical record review and observation, it was determined that the facility failed to ensure that safety interventions for falls were in place for one of six sampled residents. (Resident 4)
Inspectors wroteBased on facility policy review, clinical record review, and resident and staff interview, it was determined that the facility failed to provide written notice, including the reason for the change, prior to moving a resident to another room, for four of 12 sampled residents. (Residents 9, 10, 11, 12)
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to post accurate and current nurse staffing information.
Inspectors wroteBased on observation, it was determined that the facility failed to ensure that a safe, clean, and comfortable environment was maintained on three of four nursing units. (Units 1, 2, 3)
Inspectors wroteBased on clinical record review, observations, and staff interview, it was determined that the facility failed to ensure physician's orders were implemented for one of 27 sampled residents. (Resident 118)
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, it was determined that the facility failed to provide restorative nursing services to increase or prevent a reduction in range of motion for three of 27 sampled residents. (Residents 36, 47, 116)
Inspectors wroteBased on clinical record review, policy review, observation, and resident and staff interview, it was determined that the facility failed to ensure that staff properly secured smoking materials for one of one sampled resident that smoked (Resident 48) and failed to ensure that safety interventions were in place to prevent accidents for one of 37 sampled residents. (Resident 88)
Inspectors wroteBased on clinical record review, resident interview, and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered plan to render trauma-informed care to a resident with a diagnosis of post-traumatic stress disorder (PTSD) for one of 27 sampled residents. (Resident 36)
Inspectors wroteBased on review of facility policy and observation, it was determined that the facility failed to ensure that medications/biologicals were securely stored on one of four nursing units. (Unit 1)
Inspectors wroteBased on policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department.
Inspectors wroteBased on a review of facility policy, observation, review of facility documentation, and staff interview, it was determined that the facility staff failed to wash hands during the medication pass in accordance with facility infection control policy on two of four nursing units(Units 2 and 3) and failed to perform infection surveillance in accordance with facility policy.
Inspectors wroteBased on observation, it was determined that the facility failed to ensure that a safe, clean, and comfortable environment was maintained on three of four nursing units. (Units 1, 2, 3)
Inspectors wroteBased on clinical record review it was determinied that the facility failed to ensure that the Minimum Data Set (MDS) assessments were complete for 15 of 32 sampled residents. (Residents 6, 10, 30, 43, 53, 58, 59, 65, 71, 94, 104, 112, 121, 123, 124)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop a comprehensive care plan that addressed individual resident needs as identified in the comprehensive assessment for six of 32 sampled residents. (Residents 14, 59, 104, 115, 121, 124)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that a licensed pharmacist conducted medication regimen reviews at least monthly or that the physician acknowledged the pharmacist's recommendations for five of 32 sampled residents. (Residents 13, 30, 63, 81, 112)
Inspectors wroteBased on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to notify a resident's responsible party or the physician of a significant change in condition for four of 32 sampled residents. (Residents 53, 61, 123, 141)
Inspectors wroteBased on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to report an allegation of abuse to the local Area Agency of Aging and the State Survey Agency for of one of 32 sampled residents. (Resident 83)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that a significant change assessment was completed to reflect a change in overall status for one of 32 sampled residents. (Resident 63)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to complete a Preadmission Screening to identify a mental disorder for one of 32 sampled residents. (Resident 6)
Inspectors wroteBased on clinical record review, observation, and resident interview, it was determined that the facility failed to revise the comprehensive care plan to reflect the resident's status after each assessment for three of 32 sampled residents. (Residents 10, 58, 61)
Inspectors wroteBased on clinical record review, observation, and resident interview, it was determined that the facility failed to provide assistance with personal grooming and hygiene to one of 32 sampled residents. (Resident 104)
Inspectors wroteBased on clinical record review and staff interview it was determined that the facility failed to ensure that physician's orders were implemented for two of 32 sampled residents. (Residents 83, 123)
Inspectors wroteBased on clinical record review and staff and resident interview, it was determined the facility failed to provide restorative nursing services to prevent further decrease in range of motion for two of seven sampled residents with limited range of motion. (Residents 14, 104)
Inspectors wroteBased on clinical record review, policy review, observation, and staff interview, it was determined that the facility failed to ensure that staff properly secured smoking materials for three of three sampled residents that smoke. (Residents 35, 59, 71)
Inspectors wroteBased on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to assess residents identified with urinary incontinence or an indwelling catheter, failed to provide services to restore bladder function as much as possible, and/or failed to provide proper catheter care for four of 32 sampled residents. (Residents 30 39, 61, 65)
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to timely assess the nutritional status of three of nine sampled residents at nutritional risk. (Residents 53, 61, 123)
Inspectors wroteBased on clinical record review, staff interview, and resident interview, it was determined that the facility failed to provide necessary interventions to address pain for one of 32 sampled residents.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide ongoing assessment and monitoring for two of four sampled residents receiving dialysis (process of removing excess toxins and water from the blood). (Residents 115, 123)
Inspectors wroteBased on clinical record review, it was determined that the facility failed to notify the resident and the resident's representative(s) in writing upon transfer from the facility and failed to notify a representative of the Office of the State Long Term Care Ombudsman for six of nine residents sampled who were transferred to the hospital. (Residents 29, 58, 61, 88, 115, 123)
Inspectors wroteBased on staff interview, it was determined that the facility failed to provide a qualified full-time social worker for a facility with more than 120 beds.
7 fire safety citations on file: 2 on November 16, 2023, 5 on December 2, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| November 5, 2025 | Fine | $15,753 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.36 | 3.89 | 3.86 |
| Registered nurses | 0.40 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.53 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 55.9% | 44.5% | 45.8% |
| Registered nurse turnover | 60.0% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.43 on weekdays and 3.19 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 30.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.36 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.36 | 0.40 | 3.43 | 3.19 | 30.2% | 0 of 90 | 136 |
| Oct to Dec 2025 | 3.64 | 0.43 | 3.73 | 3.42 | 23.0% | 0 of 92 | 133 |
| Jul to Sep 2025 | 3.49 | 0.46 | 3.58 | 3.26 | 14.3% | 0 of 92 | 131 |
| Apr to Jun 2025 | 3.28 | 0.43 | 3.37 | 3.06 | 9.2% | 0 of 91 | 138 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.0 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.6 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.8 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.5 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.4 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Garden Spring Rehab and Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (32.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
32.5% this home
Worse than the national rate
US median of homes 51.5% · Pennsylvania: 100 better, 108 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 43 eligible stays.
9.8% this home
No different from the national rate
US median of homes 10.7% · Pennsylvania: 3 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 72 eligible stays.
8.1% this home
No different from the national rate
US median of homes 7.1% · Pennsylvania: 7 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.
66.7% this home
Median of homes: Pennsylvania54.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 57 residents counted.
0.0% this home
Median of homes: Pennsylvania0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 101 residents counted.
0.8% this home
Median of homes: Pennsylvania2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 101 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Pennsylvania100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living residences and personal care homes in the same town or within 5 miles, each with its Pennsylvania licence record.
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.