Elder Care Record

Pennsylvania › Lancaster County › Lancaster

Neffsville Nursing and Rehabilitation

2829 Lititz Pike, Lancaster, PA 17601

CCN 395205 · For-profit, corporation · 240 certified beds

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.

Certified for 240 beds, Neffsville Nursing and Rehabilitation serves Lancaster in Lancaster County, Pennsylvania and has taken Medicare and Medicaid residents since 1976.

CMS gives it 1 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.

Inspectors recorded 33 health deficiencies across the three most recent survey cycles (12, 12, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 13.8 per 100 beds, fewer than the state median of 22.2.

CMS lists 1 penalty in the period covered: fines totalling $10K.

Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 44.3%.

33health deficiencies, 3 survey cycles2 at actual harm or worse
$10Kfines listed by CMS1 penalty in period
3.2nurse hours per resident per daystate median 3.6
84%occupancy (residents ÷ beds)202 residents a day

Compared with county, state and nation

MeasureThis facilityLancaster Co. medianPennsylvania medianUS average
Overall star rating1533.0
Health citations, 3 cycles33102628.7
Citations per 100 beds13.89.222.226.8
Total nurse hours per resident day3.24.23.63.9
RN hours per resident day0.50.70.70.7
Nursing staff turnover44.3%38.1%44.3%45.8%
Fines listed$9,516$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)12
Cycle 212
Cycle 39

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Nov 2024, 21 Dec 2023.

Severity mix: K ×1 G ×1 D ×19 E ×8 F ×3 B ×1

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
4 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation12 Feb 2026
4 Feb 2026F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint investigation12 Feb 2026
3 Dec 2025F0584Honor 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.EComplaint investigation4 Dec 2025
10 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation7 Oct 2025
10 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation7 Oct 2025
25 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation25 Apr 2025
2 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation23 Jan 2025
15 Nov 2024F0880Provide and implement an infection prevention and control program.FStandard survey4 Jan 2025
15 Nov 2024F0692Provide enough food/fluids to maintain a resident's health.EStandard survey4 Jan 2025
15 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation4 Jan 2025
15 Nov 2024F0641Ensure each resident receives an accurate assessment.DStandard survey4 Jan 2025
15 Nov 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey4 Jan 2025
15 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey4 Jan 2025
15 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey4 Jan 2025
21 Dec 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey1 Feb 2024
21 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey1 Feb 2024
21 Dec 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey1 Feb 2024
21 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey1 Feb 2024
21 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 Feb 2024
21 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey1 Feb 2024
21 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 Feb 2024
21 Dec 2023F0758Implement 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.DStandard survey1 Feb 2024
21 Dec 2023F0760Ensure that residents are free from significant medication errors.DStandard survey1 Feb 2024
21 Dec 2023F0641Ensure each resident receives an accurate assessment.BStandard survey1 Feb 2024
21 Dec 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.EComplaint investigation1 Feb 2024
3 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey18 Apr 2023
3 Mar 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey18 Apr 2023
3 Mar 2023F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey18 Apr 2023
3 Mar 2023F0578Honor 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.DStandard survey18 Apr 2023
3 Mar 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 Apr 2023
3 Mar 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey18 Apr 2023
3 Mar 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey18 Apr 2023
3 Mar 2023F0880Provide and implement an infection prevention and control program.DStandard survey18 Apr 2023

Penalties

DateTypeAmountDetail
2 Jan 2026Fine$9,516

Staffing

Total nursing3.24 h
Nurse aides1.97 h
LPN0.72 h
RN0.54 h
Weekend total2.97 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 44.3%, RNs 32.1%; 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 Stay29.2%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.7%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.3%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.8%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.1%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay27.5%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: for-profit, corporation. Legal business name: Lancashire Opco, Llc.

OrganisationRole in the CMS recordInterestSince
Spacebar Opco LLC5% or greater direct ownership interest100%11/01/2021
Ai Elements LLC5% or greater indirect ownership interest33%11/01/2021
Strawberry Hill Holdings LLC5% or greater indirect ownership interest33%02/25/2022
Tilde Propco Holdings LLC5% or greater indirect ownership interest33%01/01/2023
Clinical Consulting Services LLCOperational/managerial controlNOT APPLICABLE09/01/2019
Priority Care Group LLCOperational/managerial controlNOT APPLICABLE11/01/2021
Summation Financial Services LLCOperational/managerial controlNOT APPLICABLE11/01/2021
2829 Lititz Propco LLCAdp of the snfNOT APPLICABLE11/01/2021
Clinical Consulting Services LLCAdp of the snfNOT APPLICABLE06/20/2025
Summation Financial Services LLCAdp of the snfNOT APPLICABLE06/20/2025

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 Neffsville Nursing and Rehabilitation been cited for?

33 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Neffsville Nursing and Rehabilitation been fined?

Yes. CMS lists fines totalling $10K in the period covered.

How does staffing at Neffsville Nursing and Rehabilitation compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Neffsville Nursing and Rehabilitation?

Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Spacebar Opco LLC, Ai Elements LLC and Strawberry Hill Holdings LLC. Individual owners and managers are not listed on this site.

When was Neffsville Nursing and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 4 Feb 2026; the most recent standard health survey was 15 Nov 2024.

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.