GARDENS AT STEVENS, THE

Continuing care retirement community · CCN 395575 · MAYBROOK-P DENVER OPCO, LLC · For profit - Limited Liability company · PRIORITY HEALTHCARE GROUP chain · 82 certified beds · Lancaster · PA


GARDENS AT STEVENS, THE is a 82-bed nursing home in STEVENS, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1983-07-01. It averages 69.5 residents a day.

What harm was found in the violations cited at GARDENS AT STEVENS, THE?

CMS lists 44 health-inspection deficiencies for GARDENS AT STEVENS, THE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-28.

Survey dateTagDeficiencySeverity
2026-04-28F0695Provide safe and appropriate respiratory care for a resident when needed.E
2026-02-27F0730, F0947Observe each nurse aide's job performance and give regular training. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2026-02-27F0761Ensure 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.E
2026-02-27F0628, F0641, F0657, F0684Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-12-16F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-12-03F0679Provide activities to meet all resident's needs.E
2025-12-03F0880Provide and implement an infection prevention and control program.D
2025-06-04F0677, F0725, F0842, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2025-06-04F0610, F0658Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality.D
2025-03-14F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2025-03-14F0641, F0677, F0756Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2025-03-14F0684, F0692, F0791, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program.D
2025-01-21F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-04-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-02-01F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-02-01F0761Ensure 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.F
2024-02-01F0557, F0578, F0580, F0584, F0610, F0641, F0655, F0656, F0684, F0776, F0880Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Honor 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. / Provide and implement an infection prevention and control program.D
2023-10-05F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-08-08F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2023-08-08F0557, F0558Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident.D

Why was GARDENS AT STEVENS, THE fined?

DateTypeAmount
2024-02-01Fine$55,807

How is GARDENS AT STEVENS, THE staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.494863.88823
Total nursing staff turnover (%)70.144.5
Average number of residents per day69.5104.6

Who owns GARDENS AT STEVENS, THE, and what chain is it in?

GARDENS AT STEVENS, THE is registered with CMS as For profit - Limited Liability company, operates under the legal business name MAYBROOK-P DENVER OPCO, LLC and belongs to the PRIORITY HEALTHCARE GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMAYBROOK-P OPCO HOLDINGS LLCsince 08/15/2016
5% OR GREATER INDIRECT OWNERSHIP INTERESTBL CAPITAL GROUP HOLDINGS LLC, FAIR OAKS FAMILY HOLDINGS LLC, SAMARA HOLDINGS COMPANY LLC, STRAWBERRY HILL HOLDINGS LLC, SEBBAG, GABRIELsince 01/28/2020
OPERATIONAL/MANAGERIAL CONTROLCLINICAL CONSULTING SERVICES LLC, PRIORITY CARE GROUP LLC, SUMMATION FINANCIAL SERVICES LLC, PEARLSTEIN, ROBERT, STERANKO, JOSEPHsince 01/01/2019
ADP OF THE SNFCLINICAL CONSULTING SERVICES LLC, MAYBROOK-P DENVER PROPCO LLC, SUMMATION FINANCIAL SERVICES LLC, PEARLSTEIN, ROBERT, STERANKO, JOSEPHsince 04/14/2025

Were you or a family member harmed at GARDENS AT STEVENS, THE?