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GARDENS AT WEST SHORE, THE Inspection Report, Violations & Safety Grade (CAMP HILL, Pennsylvania)

770 POPLAR CHURCH ROAD, CAMP HILL, Pennsylvania 17011

Phone: 7177637070

CMS Overall:1/5

Overview & Bed Count

Certified Beds
309
Avg Residents/Day
200.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Cumberland
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityPennsylvania AvgDifference
RN Hours per Resident per Day0.590.78-0.19
Total Nurse Hours per Resident per Day3.243.90-0.65
CMS Staffing Rating4/53.1/5-
Nursing Staff Turnover35.6%44.6%-

Health Citation History

55 health citations on record

DateCategoryDescriptionSeverity
2026-07-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2026-07-01Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-06-01Resident Rights DeficienciesHonor 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.F – Moderate Harm Potential
2026-06-01Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2026-02-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2026-02-09Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2026-02-09Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-12-26Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2025-08-07Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-08-07Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2025-08-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-08-07Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2025-08-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-08-07Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-08-07Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2025-08-07Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2024-09-26Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2024-09-26Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2024-09-26Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2024-09-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-09-26Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2024-09-26Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.D – Moderate Harm Potential
2024-09-26Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-09-26Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2024-09-26Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E – Moderate Harm Potential
2024-07-10Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-05-23Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-05-23Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-02-22Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G – Actual Harm
2024-02-22Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-01-29Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-01-11Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2023-11-16Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2023-11-16Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2023-11-16Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2023-11-16Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2023-11-16Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2023-11-16Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E – Moderate Harm Potential
2023-11-16Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-11-16Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2023-11-16Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-11-16Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionD – Moderate Harm Potential
2023-11-16Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-11-16Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-11-16Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential

Showing 50 of 55 citations.

Fire Safety Citation History

1 fire safety citation on record

DateCategoryDescriptionSeverity
2026-05-28Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential

Total Penalties & Fines

$58,069
Total Fine Amount (CMS)
4
Number of Fines
4
Total Penalties
DateTypeFine AmountPayment Denial
2026-06-01Fine$16,355-
2026-02-09Fine$9,110-
2026-02-09Fine$9,113-
2024-02-22Fine$23,491-

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