Nursing homeActive

Gardens At Stevens, The

400 Lancaster Avenue, Stevens, PA 17578717336387882 certified beds · 70 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
44
0422
Penalties · 3 yrs
$55,807
1 fine
Last survey
2026-04-28
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Pennsylvania Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-28Complaint010CMS-2567 (Care Compare)
2026-02-27Standard070CMS-2567 (Care Compare)
2025-12-16Complaint010CMS-2567 (Care Compare)
2025-12-03Complaint020CMS-2567 (Care Compare)
2025-06-04Complaint060CMS-2567 (Care Compare)
2025-03-14Standard080CMS-2567 (Care Compare)
2025-01-21Complaint010CMS-2567 (Care Compare)
2024-04-03Complaint001CMS-2567 (Care Compare)
2024-02-01Standard0121CMS-2567 (Care Compare)
2023-10-05Complaint010CMS-2567 (Care Compare)
2023-08-08Complaint030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Pennsylvania Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-28Complaint survey · 1 deficiencyOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 395575-20260428-F695
2026-02-27Standard survey · 7 deficienciesOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 395575-20260227-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 395575-20260227-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 395575-20260227-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 395575-20260227-F684
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 395575-20260227-F730
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 395575-20260227-F761
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 395575-20260227-F947
2025-12-16Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-31Record 395575-20251216-F684
2025-12-03Complaint survey · 2 deficienciesOfficial report
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 395575-20251203-F679
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 395575-20251203-F880
2025-06-04Complaint survey · 6 deficienciesOfficial report
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 395575-20250604-F610
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 395575-20250604-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 395575-20250604-F677
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 395575-20250604-F725
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 395575-20250604-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-01Record 395575-20250604-F880
2025-03-14Standard survey · 8 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F692
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F756
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F791
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 395575-20250314-F947
2025-01-21Complaint survey · 1 deficiencyOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-04Record 395575-20250121-F677
2024-04-03Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-19Record 395575-20240403-F689
2024-02-01Standard survey · 13 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-12Record 395575-20240201-F686
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F557
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F580
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F584
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F610
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F684
F761Ensure 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.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F761
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F776
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 395575-20240201-F880
2023-10-05Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-23Record 395575-20231005-F609
2023-08-08Complaint survey · 3 deficienciesOfficial report
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-19Record 395575-20230808-F557
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-19Record 395575-20230808-F558
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-19Record 395575-20230808-F725

Penalties & enforcement

DateActionAmountSource
2024-02-01Civil money penalty$55,807CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.95
Facility
Pennsylvania
National
Pennsylvania 0.79 · National 0.69
Total nurse hours per resident day3.49
Facility
Pennsylvania
National
Pennsylvania 3.89 · National 3.86
Weekend total nurse hours3.21
Facility
Pennsylvania
National
Pennsylvania 3.53 · National 3.42
Total nursing staff turnover70%
Facility
Pennsylvania
National
Pennsylvania 45% · National 46%
Registered nurse turnover67%
Facility
Pennsylvania
National
Pennsylvania 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityPennsylvaniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.8%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.4%3.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.4%17.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.2%1.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
36.2%16.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
11.9%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.0%20.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Maybrook-P Opco Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Bl Capital Group Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST24%
Fair Oaks Family Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST12%
Samara Holdings Company LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST10%
Sebbag, Gabriel
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST5%
Strawberry Hill Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST10%
Clinical Consulting Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pearlstein, Robert
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Priority Care Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Steranko, Joseph
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Summation Financial Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Clinical Consulting Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Maybrook-P Denver Propco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Pearlstein, Robert
Individual
ADP OF THE SNFNOT APPLICABLE
Steranko, Joseph
Individual
ADP OF THE SNFNOT APPLICABLE
Summation Financial Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Priority Healthcare Group12 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Pennsylvania.

No county cost figures on file for Lancaster.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Ephrata Manor
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4.2 mi2026-02-02081
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5.6 mi2026-06-04050
Fairmount Homes
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6.3 mi2025-07-02000
Phoebe Berks
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9.2 mi2026-03-18050
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01