Lancaster County, Pennsylvania · Nursing home
Rose City Nursing and Rehab at Lancaster
2 of 5 overall from CMS
425 North Duke Street, Lancaster, PA 17602
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.35 hours Below the state average of 3.89
- Nursing staff who left in a year 49.4% Above the state average of 44.5%
- Health citations, last 3 inspection cycles 47 3 at the harm level or above
- Fines in 3 years $128,792 2 fines
- Certified beds in use 82.3% of 124 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Rose City Nursing and Rehab at Lancaster is a 124-bed nursing home in Lancaster, Pennsylvania (Lancaster County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.35 nurse staffing hours per resident per day, below the Pennsylvania average of 3.89. CMS lists 2 fines totaling $128,792 in the past three years.
- Certified beds
- 124
- Residents per day (average)
- 102.1
- Certified since
- 1967 (59 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Lme Family Holdings (15 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Rose City Nursing and Rehab at Lancaster
Chosen from this home's public data.
- CMS lists 2 fines totaling $128,792 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on May 20, 2026 plus complaint and infection-control inspections); the Pennsylvania average is 10.0. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 49.4%, above the Pennsylvania average of 44.5%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Pennsylvania average 3.0
- Health inspections 1 of 5 Pennsylvania average 2.8
- Staffing 3 of 5 Pennsylvania average 3.0
- Quality measures 5 of 5 Pennsylvania average 3.6
The vertical line marks the Pennsylvania average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.35 h Pennsylvania average 3.89
- Nurse aides 2.12 h Pennsylvania average 2.19
- Licensed practical nurses 0.52 h Pennsylvania average 0.91
- Registered nurses 0.70 h Pennsylvania average 0.79
- All staff, weekends 3.15 h Pennsylvania average 3.53
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Pennsylvania average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover49.4%
- Pennsylvania average44.5%
- Registered nurse turnover57.1%
- Pennsylvania average39.9%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Pennsylvania and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 25.1% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.0% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.3% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.9% | 10.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.3% | 87.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.7% | 17.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.1% | 20.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.0% | 93.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.4% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% | 25.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 22.0% | 17.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.04 | 1.62 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.48 | 1.18 | 1.78 |
Short-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.0% | 70.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 38.1% | 68.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 22.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 9.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 47 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level; the rest were graded as no actual harm. 17 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 20, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 20, 2026 | 16 | 1 |
| Apr 25, 2025 | 15 | 1 |
| Mar 15, 2024 | 16 | 0 |
Pennsylvania homes averaged 10.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (47)
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 10, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 10, 2026)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 10, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jun 10, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 30, 2026)
-
EPotential for more than minimal harm, pattern
Ensure the activities program is directed by a qualified professional.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 19, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2025)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 20, 2025)
-
FPotential for more than minimal harm, widespread
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 12, 2025)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Jun 12, 2025)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Jun 12, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 12, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jun 12, 2025)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 12, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jun 12, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jun 12, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jun 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 12, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 12, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 12, 2025)
Showing the 30 most recent of 47.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 20, 2026 | Fine | $43,002 |
| Dec 1, 2023 | Fine | $85,790 |
Pennsylvania homes averaged 0.8 fines and $25,774 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Pennsylvania
- Size249 of 656 by certified beds
- Pennsylvania average residents per day104.6
- ChainLme Family Holdings
- Chain average overall rating2.1 of 5
- Resident or family councilResident
- Homes in Lancaster10
- Homes in Lancaster County31
Common questions
What is the CMS star rating for Rose City Nursing and Rehab at Lancaster?
Rose City Nursing and Rehab at Lancaster has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 5.
How many beds does Rose City Nursing and Rehab at Lancaster have?
Rose City Nursing and Rehab at Lancaster has 124 certified beds. It averages 102.1 residents per day, about 82.3% of its certified beds.
How much nursing care do residents get at Rose City Nursing and Rehab at Lancaster?
The home reports 3.35 hours of nurse staffing per resident per day, including 0.70 hours from registered nurses. The Pennsylvania average is 3.89 hours and 0.79 hours from registered nurses.
Has Rose City Nursing and Rehab at Lancaster been fined?
Yes. CMS lists 2 fines totaling $128,792 in the past three years.
Does Rose City Nursing and Rehab at Lancaster accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Lancaster Nursing and Rehabilitation Center 446beds 87.6%in use 3.04nurse hours a day
- 2 of 5 Hamilton Arms Center 94beds 96.2%in use 3.33nurse hours a day
- 3 of 5 Abbeyville Skilled Nursing and Rehabilitation Cent 172beds 90.6%in use 3.37nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lancaster County
Who to call in Pennsylvania
These offices serve residents of every nursing home in Pennsylvania.
- Long-term care ombudsman Pennsylvania Long-Term Care Ombudsman Program 717-783-8975 An advocate for residents and their families.
- File a complaint about a nursing home Division of Nursing Care Facilities 1-800-254-5164 The state agency that inspects nursing homes.
Pennsylvania staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 395177. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.