The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
GARDEN SPOT VILLAGE
NEW HOLLAND, PA · Medicare-certified · 73 beds
In good standing
Non-profit
5 of 5 overall
Garden Spot Village in New Holland, PA has a 5-star overall rating, with 5-star staffing and 4-star health inspection and quality ratings. It reports 5.19 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.1856 hrs/resident/day
Quality measures
Last inspection: January 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1856.
Staffing detail
- Registered nurses
- 1.01
- Licensed practical nurses
- 1.18
- Nurse aides
- 2.99
- Weekend nursing
- 4.55
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 24%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
22.9%27.3%Worsening
Residents with a fall causing major injury
6.8%0%Improving
Residents with pressure ulcers (bedsores)
4.1%3.4%Improving
Residents with a urinary tract infection
1.7%7.8%Worsening
Residents who lost too much weight
8.7%7.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.6%33.3%Worsening
Residents whose ability to walk got worse
24.5%3.7%Improving
Long-stay residents on antianxiety or sleep medication
17.4%20.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.9%0%Improving
Residents with new or worsening incontinence
39.7%27.4%Improving
Residents with depressive symptoms
3.8%2.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.7%—
Short-stay residents given the pneumonia vaccine
98.4%98.7%No change
What the inspectors found
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,018 in total fines.
- $8,018
Federal fine
Jan 5, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 65.8 residents on an average day (90% of 73 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.