Federal inspection record · CMS data as of October 1, 2026
Garden Spot Village
433 S Kinzer Avenue, New Holland, PA · (717) 355-6247
- Certified beds
- 73
- Residents per day
- 60
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 19, 2001
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Garden Spot Village carries 16 inspection points. That is fewer than 81% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
4 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Inspection history
2026-01-09
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-12-13
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2024-01-05
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 24 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
5 h 24 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,018 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-05 | Fine | $8,018 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 0.7 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better | 100.0% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 96.6% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better | 0.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.9 pts better | 1.9% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 2.5% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts better | 18.8% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.7 pts worse | 24.3% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.2 pts worse | 20.6% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.9 pts worse | 27.3% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.4% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.6 pts worse | 6.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts worse | 33.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 3.8% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine27.3 pts better | 98.1% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts better | 4.2% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.7 pts better | 95.6% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.2 pts better | 11.8% | 22.0% | 23.4% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Garden Spot Communities | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Aldrich, Donald | Corporate Director · Individual | 0% | 2 facilities |
| Bender, Tim | Corporate Director · Individual | 0% | 3 facilities |
| Edwards, Carl | Corporate Director · Individual | 0% | 2 facilities |
| Garden Spot Communities | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Hess, Philip | Corporate Director · Individual | 0% | 1 facilities |
| Hoover, Joyce | Corporate Director · Individual | 0% | 2 facilities |
| Lindsey, Stephen | Corporate Officer · Individual | 0% | 3 facilities |
| Lindsey, Stephen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Musser, Karen | Corporate Director · Individual | 0% | 2 facilities |
| Rittersbach, Elma | Corporate Director · Individual | 0% | 1 facilities |
| Rouvre Haeusler, Christina | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Stoltzfus, Alphaus | Corporate Director · Individual | 0% | 2 facilities |
| Vega, David | Corporate Director · Individual | 0% | 2 facilities |
| Weber, Nathaniel | Corporate Officer · Individual | 0% | 3 facilities |
| Weber, Nathaniel | Operational/Managerial Control · Individual | 0% | 3 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1E
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Egress1E
- E
Install emergency lighting that can last at least 1 1/2 hours.
Services1E
- E
Have elevators that firefighters can control in the event of a fire.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Fairmount Homes
Ephrata, PA · Friends Services For The Aging
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 19 min
- Fines
- $0
-
Ephrata Manor
Ephrata, PA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 59 min
- Fines
- $13,845
-
Maple Farm
Akron, PA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 42 min
- Fines
- $0