Pennsylvania Department of Health
GARDENS AT STROUD, THE
Patient Care Inspection Results

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GARDENS AT STROUD, THE
Inspection Results For:

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GARDENS AT STROUD, THE - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on a State Licensure Monitoring survey on April 4, 2024, it was determined that The Gardens at Stroud was not in compliance with the following requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.


 Plan of Correction:


201.13c (b) LICENSURE License renewal:State only Deficiency.
(b) In addition to the application form and fee under subsection (a), a facility shall submit an updated annual financial report that meets the requirements set forth in 201.12(b)(8) (relating to application for license of a new facility or change in ownership).
Observations:
Based on review of the facility submitted application for renewal of the license, it was determined that the facility failed to submit an annual financial report which shall include the following:

(i) Audited financial statements prepared in accordance with generally accepted accounting principles (GAAP). If GAAP requires consolidated financial statements, then consolidated statements shall be provided. (The GAAP indicates that the following is included in and audited financial statement: Balance Sheet, Cash Flow Statement, Income Statement, Statement of Shareholder Equity Changes and an auditor opinion)
(ii) A visual representation of the current ownership structure, which shall include parent companies, shareholders, and any related parties of the persons identified in paragraphs (1) through (6). (this would be an organizational chart rather than a list)
(iii) A supplemental schedule of annual gross revenues, prepared in accordance with GAAP. The supplemental schedule shall be broken out by payor type.

Findings:
Review of the submitted application revealed that there was no visual representation of ownership structure, no audited financial report, and no supplement schedule of annual gross revenues by payer type contained in the application.

The facility failed to meet the requirements as set forth in 28 Pa Code 201.13 c.



 Plan of Correction - To be completed: 05/31/2024

1. The Facility did submit a statement for License renewal.

2. 2025 License renewal has potential to be affected by this alleged deficiency.

3. Education will be completed with the Nursing Home Administrator regarding providing correct financial information.

4.05/31/2024 is anticipated date of Facility audited financials being completed. An audit of 2025 financial information will be completed prior to submission for the 2025 license renewal. The result of this audit will be presented to the QAPI committee for review.


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