Willow Grove Post Acute
Hatboro, Pennsylvania · CCN 396017
29 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 114
- Surveys
- 29
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 109
- Ownership
- For profit - Limited Liability company
- Chain
- MARQUIS HEALTH SERVICES
- County
- Montgomery
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 132 for-profit facilities of 100–127 beds in Pennsylvania.
Last survey on record
May 15, 2026
178 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.53 | 3.42 |
| Registered-nurse hours per resident day | 0.97 | — |
| Annual nurse turnover | 44.9% | 47.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D5175.0% | E1725.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F5853×
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.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6923×
Provide enough food/fluids to maintain a resident's health.
In the surveyor’s words
From the most serious findings on record at Willow Grove Post Acute, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF689Dec 30, 2025
Based on observations, interviews with staff, and review of facility policies it was determined that the facility failed to ensure prevention of accidents and hazards related to unattended medication carts and medications for two of two nursing units reviewed. (First floor and Second floor)Findings Include: Review of facility policy titled, Administering Medications dated April 2019. Review of policy states, Policy Statement Medications are administered in a safe and timely manner, and as prescribed. Further review of facility policy revealed Policy Interpretation and Implementation- .20. During administration of medications, the medication cart is kept closed and locked when out of sight of the medication nurse or aide. […]
- No harm, potential for more than minimal, patternF585Dec 1, 2025
Based on review of facility provided documentation, it was determined that the facility failed to address residents' concerns related to late call bell response time three of six residents reviewed. (Resident R3, R4, R5) Findings include:During interview with Resident R3, on Monday, December 1, 2025 at 11:10 am, room [ROOM NUMBER]-A, he reported waiting excessively long time for response from nursing staff during overnight shifts, 11 pm to 7 am.Review of facility provided grievance reports for month of November 2025 revealed care concern was submitted on November 2, 2025 regarding Resident R4, and untimely hygiene care; unidentified shift.Further review of grievance reports revealed care concern was submitted on November 2, 2025, regarding Resident R5 and call bell response time;… […]
- No harm, potential for more than minimal, patternF574May 16, 2025
Based on observations, resident interviews, and staff interviews, it was determined that the facility failed to post the State Survey Agency and the State Long-Term Care Ombudsman program phone number and contact information readily accessible on the two of two nursing floors. (1st Floor, and 2nd Nursing Units) Findings include: During an observation of First Floor nursing units on May 13, 2025 at 11:44 a.m. revealed there was no posting for the required Department of Health contact information or required postings for the State Long-Term Care Ombudsman. […]
- No harm, potential for more than minimal, patternF657May 16, 2025
Based on clinical record review and interview with staff, it was determined that the facility did not ensure that care plans were revised in a timely manner related to hopsice services, enternal feeding, and intravenous device for three of nineteen records reviewed (Resident R18, R36, and R80). Findings include: Review of facility policy titled, Care Plans, Comprehensive Person-Centered revised March 2022 states, Policy Statement- A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. 12. The interdisciplinary team reviews and updates the care plan: a. when there has been a significant change in the resident's condition; b. […]
- No harm, potential for more than minimal, patternF690May 16, 2025
Based on clinical record reviews, interviews with residents and staff and reviews of policies and procedures and hospital records, it was determined that the facility failed to ensure that residents with bowel and bladder incontinence received care to maintain, restore or improve bowel and bladder function for two of five residents reviewed. (Residents R8 and R41) Findings include: Review of the facility policy titled urinary continence and incontinence assessment and management dated August 2022 revealed that it was the responsibility of the staff to screen for management of individuals with urinay incontinence. […]
Read 20 findings in full →The most serious and the most recent: 20 of 114 on record.
Every survey on record
FindingsAt actual harm or above
- May 15, 2026Standard and complaint7 findings
- Mar 17, 2026Complaint2 findings
- Dec 30, 2025Complaint2 findings
- Dec 1, 2025Complaint2 findings
- May 16, 2025Standard16 findings
- Dec 9, 2024Complaint2 findings
- Sep 9, 2024Complaint4 findings
- Aug 15, 2024Standard and complaint16 findings
Show the 21 earlier surveys
- Jun 10, 2024Complaint1 finding
- May 7, 2024Complaint1 finding
- Apr 27, 2024Complaint1 finding
- Mar 6, 2024Complaint1 finding
- Nov 8, 2023Standard and complaint12 findings
- Aug 25, 2023Complaint1 finding
- Mar 29, 2023Complaint1 finding
- Dec 8, 2022Standard5 findings
- Mar 17, 2022Complaint1 finding
- Jan 21, 2022Standard8 findings
- Mar 11, 2020Complaint2 findings
- Nov 1, 2019Standard5 findings
- Oct 29, 2018Standard4 findings
- May 23, 2018Complaint1 finding
- Nov 9, 2017Standard4 findings
- Mar 2, 2017Complaint2 findings
- Nov 22, 2016Complaint1 finding
- Sep 12, 2016Standard5 findings
- Oct 16, 2015Standard and complaint5 findings
- Oct 1, 2013—1 finding
- Oct 25, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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