nursing home in Lancaster, PA
Hamilton Arms Center
336 South West End Avenue, Lancaster, PA 17603 · (717) 393-0419
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hamilton Arms Center at a glance
Hamilton Arms Center is a 94-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 (0.5 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (September 26, 2025) found 8 health citations. The Pennsylvania average is 10.
Federal regulators fined it 5 times in the past three years, totaling $36,454.
Nursing staff turnover is 33.7% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 94
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 15, 1967
- Resident/family council
- Resident
- County
- Lancaster County
- CMS Certification Number
- 395224
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) | 2 / 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) | 3 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.8 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.33 hrs | 3.89 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.49 hrs | 0.79 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.84 hrs | 2.19 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.06 hrs | 3.53 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 33.7% | 44.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 30.8% | 39.9% | 42.9% | Better |
| 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) | 8 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 58 | 82.4 | 80.6 | Better |
Penalties
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $36,454 | $25,774 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
Size
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 94 | 127 | 107 | |
| Average residents per day | 90 | 105 | 86 | |
| Occupancy | 96.2% | 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) | 2.7% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.8% | 17.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.8% | 16.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.8% | 17% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.5% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 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) | 16.3% | 20% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 31.5% | 25.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 94.7% | 93.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 89.9% | 87.5% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 66.3% | 68.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 67.9% | 70% | 82% | Worse |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 20, 2026 Complaint | 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 | G Actual harm, isolated | Past Non-Compliance |
| February 25, 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 March 31, 2026 |
| February 25, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 31, 2026 |
| September 26, 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 | G Actual harm, isolated | Corrected November 11, 2025 |
| September 26, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 11, 2025 |
| September 26, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 11, 2025 |
| September 26, 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 | D Potential harm, isolated | Corrected November 11, 2025 |
| September 26, 2025 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 | D Potential harm, isolated | Corrected November 11, 2025 |
| June 5, 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 July 2, 2025 |
| September 6, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 23, 2024 |
| September 6, 2024 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 October 23, 2024 |
| September 6, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected October 23, 2024 |
| September 6, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 23, 2024 |
| September 6, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 23, 2024 |
| September 6, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 23, 2024 |
| September 6, 2024 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 October 23, 2024 |
| July 15, 2024 Complaint | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Tag F0624 | D Potential harm, isolated | Corrected August 26, 2024 |
| October 6, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 29, 2023 |
| October 6, 2023 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 November 29, 2023 |
| October 6, 2023 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 November 29, 2023 |
| October 6, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected November 29, 2023 |
| October 6, 2023 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 November 29, 2023 |
| October 6, 2023 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected November 29, 2023 |
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 5 federal penalties in the past three years, including $36,454 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 20, 2026 | Fine | $14,380 |
| September 26, 2025 | Fine | $13,065 |
| January 8, 2024 | Fine | $2,659 |
| January 2, 2024 | Fine | $2,117 |
| December 11, 2023 | Fine | $4,233 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HACHC LLC Organization | 5% or greater direct ownership interest | 100% | 05/01/2021 |
| SMR 2021 FAMILY TRUST Organization | 5% or greater indirect ownership interest | 100% | 05/01/2021 |
| O'LEARY, DONNA Individual | adp of the snf | NOT APPLICABLE | 03/25/2025 |
| MANDEL, AVITAL Individual | operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| O'LEARY, DONNA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2021 |
Other nursing homes near Hamilton Arms Center
Abbeyville Skilled Nursing and Rehabilitation Cent
100 Abbeyville Road, Lancaster, PA 17603 · under 1 mi
For-profit · 172 beds · Part of Genesis Healthcare
★★★★★3AverageRose City Nursing and Rehab at Lancaster
425 North Duke Street, Lancaster, PA 17602 · 1.2 mi
For-profit · 124 beds · Part of Lme Family Holdings
★★★★★2Below average- ★★★★★5Much above average
Lancaster Nursing and Rehabilitation Center
900 East King Street, Lancaster, PA 17602 · 2.1 mi
For-profit · 446 beds · Part of Imperial Healthcare Group
★★★★★2Below average- ★★★★★5Much above average
Glen at Willow Valley
675 Willow Valley Square, Lancaster, PA 17602 · 3.3 mi
Non-profit · 262 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Hamilton Arms Center's rating?
Hamilton Arms Center 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 Hamilton Arms Center receive?
Its most recent standard health inspection found 8 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.
Does Hamilton Arms Center 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 Hamilton Arms Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hamilton Arms Center and how do I contact it?
Hamilton Arms Center is at 336 South West End Avenue, Lancaster, PA 17603. Phone: (717) 393-0419.
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.