Rose City Nursing and Rehab at LancasterCMS ratings, inspections and fines
- Address
- 425 North Duke Street, Lancaster, PA 17602
- CCN
- 395177
- Ownership type
- For-profit, limited liability company
- Certified beds
- 124
- Chain
- Chain name not shown
- Residents per day
- 102
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Rose City Nursing and Rehab at Lancaster an overall rating of 2 of 5 stars. The last standard survey was on 20 May 2026. The latest survey cycle has 17 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 2 fines with a total of $128,792 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lancaster County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 31 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 20 May 2026 | 17 | 8 |
| Cycle 2 | 25 Apr 2025 | 16 | 8 |
| Cycle 3 | No date | 14 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0584 | 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. | D | Complaint investigation | 10 Jun 2026 |
| 20 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Jun 2026 |
| 20 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Jun 2026 |
| 20 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 10 Jun 2026 |
| 20 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 10 Jun 2026 |
| 20 May 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Jun 2026 |
| 20 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Jun 2026 |
| 20 May 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 10 Jun 2026 |
| 20 May 2026 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 10 Jun 2026 |
| 20 May 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 10 Jun 2026 |
| 20 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Jun 2026 |
| 20 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 10 Jun 2026 |
| 20 May 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 10 Jun 2026 |
| 13 Feb 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 30 Mar 2026 |
| 18 Dec 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Complaint investigation | 19 Jan 2026 |
| 3 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Dec 2025 |
| 6 Aug 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 20 Aug 2025 |
Survey cycle 2: 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0758 | Implement 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 | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0761 | Ensure 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 | Standard survey | 12 Jun 2025 |
| 25 Apr 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 12 Jun 2025 |
| 12 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 3 Sep 2024 |
| 12 Aug 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 3 Sep 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 1 May 2024 |
| 15 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 1 May 2024 |
| 15 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 1 May 2024 |
| 15 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 1 May 2024 |
| 15 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 1 May 2024 |
| 15 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 1 May 2024 |
| 15 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 May 2024 |
| 15 Mar 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 1 May 2024 |
| 3 Jan 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Complaint investigation | 15 Jan 2024 |
| 1 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 2 Jan 2024 |
| 1 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Jan 2024 |
| 1 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Oct 2023 |
| 1 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 2 Jan 2024 |
| 1 Dec 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 2 Jan 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 May 2026 | Fine | $43,002 | |
| 1 Dec 2023 | Fine | $85,790 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.35 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.70 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.52 | 0.91 | |
| Nurse aides | 2.12 | 2.19 | |
| All nurse staff, weekends | 3.15 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 49.4%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 57.1%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.1% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Keystone Nursing and Rehab of Lancaster LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Underscore Holdings LLC | 5% or greater direct ownership interest | 100% | 14 May 2018 |
| Samara Holdings Company LLC | 5% or greater indirect ownership interest | 32% | 28 Jan 2020 |
| Strawberry Hill Holdings LLC | 5% or greater indirect ownership interest | 32% | 28 Jan 2020 |
| Clinical Consulting Services LLC | Operational/managerial control | 1 Jan 2019 | |
| Priority Care Group LLC | Operational/managerial control | 1 Jan 2019 | |
| Summation Financial Services LLC | Operational/managerial control | 1 Jan 2019 | |
| GPH Lancaster LP | Adp of the snf | 14 May 2018 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Lancaster County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Lancaster Nursing and Rehabilitation Center | Lancaster | 2 of 5 | 8 | $0 | 29 May 2026 | |
| Hamilton Arms Center | Lancaster | 3 of 5 | 7 | $9,009 | 26 Sep 2025 | |
| Abbeyville Skilled Nursing and Rehabilitation Cent | Lancaster | 3 of 5 | 11 | $0 | 2 Apr 2026 | |
| Homestead Village, Inc | Lancaster | 5 of 5 | 2 | $12,735 | 5 Mar 2026 | |
| Trillium Place | Lancaster | 5 of 5 | 1 | $0 | 26 Nov 2024 | |
| Glen at Willow Valley | Lancaster | 5 of 5 | 0 | $0 | 4 Dec 2025 | |
| Neffsville Nursing and Rehabilitation | Lancaster | 1 of 5 | 12 | $9,516 | 15 Nov 2024 | |
| Brethren Village | Lancaster | 3 of 5 | 3 | $0 | 30 Jan 2026 | |
| Rehabilitation Center at Brethren Village LLC | Lancaster | 5 of 5 | 0 | $0 | 9 Jul 2025 | |
| Lakeside at Willow Valley | Willow Street | 5 of 5 | 0 | $0 | 16 Jan 2026 | |
| Landis Homes | Lititz | 5 of 5 | 1 | $0 | 26 Sep 2025 | |
| Luther Acres Manor | Lititz | 1 of 5 | 5 | $0 | 15 Nov 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Rose City Nursing and Rehab at Lancaster (CCN 395177). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/rose-city-nursing-and-rehab-at-lancaster-lancaster-pa-395177/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Rose City Nursing and Rehab at Lancaster last inspected?
- The latest inspection with a citation in the CMS record was on 20 May 2026. It was a standard survey and a complaint investigation. It gave 13 citations. The standard survey before the last one was on 25 Apr 2025.
- Who operates Rose City Nursing and Rehab at Lancaster?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Rose City Nursing and Rehab at Lancaster a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.