nursing home in Lancaster, PA
Rose City Nursing and Rehab at Lancaster
425 North Duke Street, Lancaster, PA 17602 · (717) 397-4281
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Rose City Nursing and Rehab at Lancaster at a glance
Rose City Nursing and Rehab at Lancaster is a 124-bed for-profit nursing home in Lancaster, Pennsylvania (Lancaster County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Pennsylvania average of 3.
Residents receive about 3.3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 20, 2026) found 16 health citations. The Pennsylvania average is 10.
Federal regulators fined it 2 times in the past three years, totaling $128,792.
Nursing staff turnover is 49.4% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 124
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Lme Family Holdings
- Medicare-certified since
- March 3, 1967
- Resident/family council
- Resident
- County
- Lancaster County
- CMS Certification Number
- 395177
Ratings
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.8 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.35 hrs | 3.89 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.70 hrs | 0.79 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.12 hrs | 2.19 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.15 hrs | 3.53 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 49.4% | 44.5% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 39.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 201.3 | 82.4 | 80.6 | Worse |
Penalties
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $128,792 | $25,774 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 124 | 127 | 107 | |
| Average residents per day | 102 | 105 | 86 | |
| Occupancy | 82.3% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.7% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 4.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 22% | 17.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 25.1% | 16.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.7% | 17% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5% | 6.2% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 10.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.1% | 20% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 23.5% | 25.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 92% | 93.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 81.3% | 87.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 38.1% | 68.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 36% | 70% | 82% | Worse |
Inspection citations
State inspectors cited this home for 47 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 20, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected June 10, 2026 |
| May 20, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 10, 2026 |
| May 20, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected June 10, 2026 |
| May 20, 2026 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 20, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 10, 2026 |
| February 13, 2026 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 18, 2025 Complaint | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected January 19, 2026 |
| December 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 8, 2025 |
| August 6, 2025 Complaint | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 20, 2025 |
| April 25, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | C No harm, widespread | Corrected April 29, 2025 |
| April 25, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected June 12, 2025 |
| April 25, 2025 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected June 12, 2025 |
| April 25, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | F Potential harm, widespread | Corrected June 12, 2025 |
| April 25, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 25, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 25, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 25, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 25, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 25, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 25, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 25, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 25, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 25, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 25, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 12, 2025 |
| August 12, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected September 3, 2024 |
| August 12, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected September 3, 2024 |
| March 15, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | C No harm, widespread | Corrected May 1, 2024 |
| March 15, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 1, 2024 |
| March 15, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected May 1, 2024 |
| March 15, 2024 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected May 1, 2024 |
| March 15, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 1, 2024 |
| March 15, 2024 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected May 1, 2024 |
| March 15, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 1, 2024 |
| March 15, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 1, 2024 |
| March 15, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 1, 2024 |
| January 3, 2024 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0801 | D Potential harm, isolated | Corrected January 15, 2024 |
| December 1, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected October 27, 2023 |
| December 1, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | J Immediate jeopardy, isolated | Corrected January 2, 2024 |
| December 1, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected January 2, 2024 |
| December 1, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected January 2, 2024 |
| December 1, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 2, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $128,792 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 20, 2026 | Fine | $43,002 |
| December 1, 2023 | Fine | $85,790 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| UNDERSCORE HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 05/14/2018 |
| SAMARA HOLDINGS COMPANY LLC Organization | 5% or greater indirect ownership interest | 32% | 01/28/2020 |
| STRAWBERRY HILL HOLDINGS LLC Organization | 5% or greater indirect ownership interest | 32% | 01/28/2020 |
| GPH LANCASTER LP Organization | adp of the snf | NOT APPLICABLE | 05/14/2018 |
| PEARLSTEIN, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| SHANK, CHRISTINE Individual | adp of the snf | NOT APPLICABLE | 05/26/2023 |
| CLINICAL CONSULTING SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| PEARLSTEIN, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 01/01/2022 |
| PRIORITY CARE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| SHANK, CHRISTINE Individual | operational/managerial control | NOT APPLICABLE | 05/26/2023 |
| SUMMATION FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
Other nursing homes near Rose City Nursing and Rehab at Lancaster
Lancaster Nursing and Rehabilitation Center
900 East King Street, Lancaster, PA 17602 · 1.1 mi
For-profit · 446 beds · Part of Imperial Healthcare Group
★★★★★2Below averageHamilton Arms Center
336 South West End Avenue, Lancaster, PA 17603 · 1.2 mi
For-profit · 94 beds
- Abuse citation
★★★★★2Below averageAbbeyville Skilled Nursing and Rehabilitation Cent
100 Abbeyville Road, Lancaster, PA 17603 · 1.7 mi
For-profit · 172 beds · Part of Genesis Healthcare
★★★★★3Average- ★★★★★5Much above average
- ★★★★★5Much above average
Glen at Willow Valley
675 Willow Valley Square, Lancaster, PA 17602 · 3.4 mi
Non-profit · 262 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Rose City Nursing and Rehab at Lancaster's rating?
Rose City Nursing and Rehab at Lancaster has 2 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.
How many inspection citations did Rose City Nursing and Rehab at Lancaster receive?
Its most recent standard health inspection found 16 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.
Does Rose City Nursing and Rehab at Lancaster accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Rose City Nursing and Rehab at Lancaster?
It is for profit - limited liability company and part of Lme Family Holdings. The ownership section on this page lists the owners and managers reported to CMS.
Where is Rose City Nursing and Rehab at Lancaster and how do I contact it?
Rose City Nursing and Rehab at Lancaster is at 425 North Duke Street, Lancaster, PA 17602. Phone: (717) 397-4281.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.