Skilled Nursing

WILLOW GROVE POST ACUTE

3485 DAVISVILLE ROAD, HATBORO, PA 19040

109beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.1h

Hrs/resident · weekday

Expected: 3.1h

2.9h

Hrs/resident · weekend

vs 3.1h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
53%
LPNs
CNAs
57%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

61 standard deficiencies in the last 3 years

View all
0842Severity DMar 17, 2026

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0692Severity DMar 17, 2026

Provide enough food/fluids to maintain a resident's health.

0689Severity EDec 30, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity DDec 30, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0919Severity DDec 1, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

0585Severity EDec 1, 2025

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0947Severity EMay 16, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0943Severity EMay 16, 2025

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0925Severity DMay 16, 2025

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0908Severity DMay 16, 2025

Keep all essential equipment working safely.

0814Severity DMay 16, 2025

Dispose of garbage and refuse properly.

0730Severity EMay 16, 2025

Observe each nurse aide's job performance and give regular training.

0726Severity EMay 16, 2025

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0710Severity DMay 16, 2025

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0698Severity DMay 16, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0692Severity DMay 16, 2025

Provide enough food/fluids to maintain a resident's health.

0690Severity EMay 16, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0657Severity EMay 16, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0637Severity DMay 16, 2025

Assess the resident when there is a significant change in condition

0585Severity DMay 16, 2025

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0580Severity DMay 16, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0574Severity EMay 16, 2025

The resident has the right to receive notices in a format and a language he or she understands.

0919Severity EDec 9, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0842Severity DDec 9, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0924Severity ESep 9, 2024

Put firmly secured handrails on each side of hallways.

0761Severity ESep 9, 2024

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.

0584Severity DSep 9, 2024

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.

0552Severity DSep 9, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

0940Severity DAug 15, 2024

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0919Severity DAug 15, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0883Severity DAug 15, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0881Severity EAug 15, 2024

Implement a program that monitors antibiotic use.

0880Severity EAug 15, 2024

Provide and implement an infection prevention and control program.

0759Severity DAug 15, 2024

Ensure medication error rates are not 5 percent or greater.

0756Severity EAug 15, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0730Severity DAug 15, 2024

Observe each nurse aide's job performance and give regular training.

0726Severity EAug 15, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0698Severity DAug 15, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0694Severity EAug 15, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0684Severity DAug 15, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity DAug 15, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0656Severity DAug 15, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0655Severity DAug 15, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0623Severity DAug 15, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0585Severity DJun 10, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0660Severity DMay 7, 2024

Plan the resident's discharge to meet the resident's goals and needs.

0692Severity DApr 27, 2024

Provide enough food/fluids to maintain a resident's health.

0755Severity DMar 6, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0943Severity DNov 8, 2023

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0761Severity DNov 8, 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.

0755Severity DNov 8, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0697Severity DNov 8, 2023

Provide safe, appropriate pain management for a resident who requires such services.

0689Severity DNov 8, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DNov 8, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Severity DNov 8, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity DNov 8, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

0657Severity DNov 8, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity DNov 8, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity DNov 8, 2023

Ensure each resident receives an accurate assessment.

0610Severity DNov 8, 2023

Respond appropriately to all alleged violations.

0812Severity DAug 25, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

WILLOW GROVE OPERATOR LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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