Pennsylvania Department of Health
GARDEN SPRING REHAB AND CARE CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

GARDEN SPRING REHAB AND CARE CENTER
Inspection Results For:

There are 233 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


GARDEN SPRING REHAB AND CARE CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on a Revisit survey and an Abbreviated survey completed on December 23, 2025, at Garden Spring Nursing and Rehabilitation Center, it was determined that there were no deficiencies identified under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities as it related to the Health portion of the survey process; however, the facility was not in compliance with the following requirements of 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

\~
\~
\~
\~

Plan of Correction:

§ 211.12(f.1)(3) LICENSURE Nursing services. :

(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:

Based on a review of nursing time schedules, it was determined that the facility failed to meet the minimum nurse aide (NA) to resident ratios for one of 14 days reviewed.

Findings include:

Review of nursing schedules for 14 days from December 9 through 22, 2025, revealed the following:

The facility failed to meet the minimum NA to resident ratio of one NA for ten residents on day shift (7:00 a.m. to 3:00 p.m.) on December 14, 2025.

Plan of Correction - To be completed: 01/20/2026

1. The facility is unable to retroactively correct the CNA hours for the dates mentioned.

2. The facility will schedule CNA's, to meet the ratio of 1 CNA to 10 residents on 7am-3pm, call outs, lateness will be monitored by NHA/DON and/or designee. Facility will overstaff to anticipate call outs.

3. NHA or designee will educate the scheduling coordinator on the state ratio requirements. The ratios will be monitored weekly x4 weeks.

4.Findings will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring or changes needed.

5. compliance date 1/20/26

§ 211.12(i)(2) LICENSURE Nursing services.:

(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.

Observations:

Based on a review of nursing time schedules, it was determined that the facility failed to provide a minimum of 3.2 hours of direct care for each resident for one of 14 days reviewed.

Findings include:

Review of nursing schedules for 14 days from December 9 through 22, 2025, revealed the following total nursing care hours below minimum requirements:

Sunday December 14, 2025: 3.11 care hours per resident.

Plan of Correction - To be completed: 01/20/2026

1. The facility is unable to retroactively correct the direct care hours for the date mentioned.

2. The facility will schedule staff to meet the 3.2 hours of total direct care per the minimum state requirements. Facility will overstaff to anticipate Lateness, call outs that will be closely monitored by DON/ designee ensuring 3.2 hours are being met.

3. NHA educated staffing coordinator on of minimum state requirements for staffing 3.2 hours of direct patient care.

4. Findings will be summarized and brought to the quality assurance and performance improvement committee and reviewed for any further monitoring or changes needed.

5.Compliance date 1/20/26.

Back to County Map

Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance

Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement