Elder Care Record

Pennsylvania › Lancaster County › Lancaster

Brethren Village

3001 Lititz Pike, Lancaster, PA 17606

CCN 395328 · Non-profit, corporation · 120 certified beds

CMS abuse iconContinuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Brethren Village, in Lancaster, Pennsylvania, is certified for 120 beds under non-profit, corporation ownership.

CMS gives it 3 of 5 stars overall, equal to the Pennsylvania median; the health inspection rating is 2, staffing 4 and quality measures 5.

Inspectors recorded 6 health deficiencies across the three most recent survey cycles (3, 3, 0 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 5.0 per 100 beds, fewer than the state median of 22.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.2 hours per resident per day (0.8 RN), above the Pennsylvania median of 3.6; nursing staff turnover is 38.1%.

CMS flags that the facility carries the CMS abuse icon.

6health deficiencies, 3 survey cycles3 at actual harm or worse
$0fines listed by CMS0 penalties in period
5.2nurse hours per resident per daystate median 3.6
92%occupancy (residents ÷ beds)111 residents a day

Compared with county, state and nation

MeasureThis facilityLancaster Co. medianPennsylvania medianUS average
Overall star rating3533.0
Health citations, 3 cycles6102628.7
Citations per 100 beds5.09.222.226.8
Total nurse hours per resident day5.24.23.63.9
RN hours per resident day0.80.70.70.7
Nursing staff turnover38.1%38.1%44.3%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (31 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 23
Cycle 30

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jan 2026, 21 Mar 2025.

Severity mix: G ×3 D ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Jan 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey16 Mar 2026
30 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey16 Mar 2026
26 Aug 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation15 Oct 2025
6 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation13 Mar 2025
6 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation13 Mar 2025
6 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation13 Mar 2025

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.21 h
Nurse aides3.36 h
LPN1.06 h
RN0.78 h
Weekend total4.85 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 38.1%, RNs 57.1%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay28.7%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.4%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay5.4%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.9%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.2%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.4%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation.

OrganisationRole in the CMS recordInterestSince
First National Bank of Pennsylvania5% or greater mortgage interestNOT APPLICABLE03/31/2017
Brethren VillageOperational/managerial controlNOT APPLICABLE01/01/1966
Covenant Alliance Rehab East LLCOperational/managerial controlNOT APPLICABLE05/01/2015
Friends Services For the AgingOperational/managerial controlNOT APPLICABLE09/02/2008
UpmcOperational/managerial controlNOT APPLICABLE01/01/2025
Baker Tilly Advisory Group LPAdp of the snfNOT APPLICABLE08/07/2024
Baker Tilly Us LLPAdp of the snfNOT APPLICABLE05/03/2024
Covenant Alliance Rehab East LLCAdp of the snfNOT APPLICABLE04/03/2025
Essential Medical Staffing LLCAdp of the snfNOT APPLICABLE01/01/2025
Favorite Healthcare Staffing LLCAdp of the snfNOT APPLICABLE01/01/2025
First National Bank of PennsylvaniaAdp of the snfNOT APPLICABLE07/28/2025
Friends Services For the AgingAdp of the snfNOT APPLICABLE04/01/2025
General Health Care Resources, Inc.Adp of the snfNOT APPLICABLE01/01/2025
Healthdirect Institutional Pharmacy Services IncAdp of the snfNOT APPLICABLE04/01/2019
Immediate Care Option Network, IncAdp of the snfNOT APPLICABLE01/01/2025
Pennsylvania Association of Director of Nursing Administration (PadonaAdp of the snfNOT APPLICABLE09/22/2022
Primary Staffing Services, Inc.Adp of the snfNOT APPLICABLE11/07/2016
Rkl LLPAdp of the snfNOT APPLICABLE01/01/2025
Shiftster LLCAdp of the snfNOT APPLICABLE07/15/2025
Tower Bridge Advisors, IncAdp of the snfNOT APPLICABLE09/09/2019
UpmcAdp of the snfNOT APPLICABLE04/15/2025
Urgent Medical Staffing SolutionsAdp of the snfNOT APPLICABLE01/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Lancaster County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Fairmount HomesEphrata11455500.0——
Garden Spot VillageNew Holland7354545.5$8K13 Nov 2025
Glen At Willow ValleyLancaster26255510.4—17 Nov 2023
Homestead Village, IncLancaster60555915.0$13K5 Mar 2026
Lakeside At Willow ValleyWillow Street8055511.3—4 Dec 2024
Landis HomesLititz10354511.0—26 Sep 2025
Maple FarmAkron46555510.9—4 Jun 2026
Masonic Village At ElizabethtownElizabethtown43455551.2—23 Jan 2026

All 31 facilities in Lancaster County

Questions and answers

How many deficiencies has Brethren Village been cited for?

6 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Brethren Village been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Brethren Village compare?

Reported total nurse staffing is 5.2 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Brethren Village?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Brethren Village, Covenant Alliance Rehab East LLC and Friends Services For the Aging. Individual owners and managers are not listed on this site.

When was Brethren Village last inspected?

The most recent survey or investigation in the CMS record is dated 30 Jan 2026; the most recent standard health survey was 30 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.