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Medicare-certifiedSkilled Nursing

Rose City Nursing and Rehab at Lancaster

Lancaster, PennsylvaniaMedicare inspection record
(717) 397-4281

About Rose City Nursing and Rehab at Lancaster

Rose City Nursing and Rehab at Lancaster provides skilled nursing and rehabilitation care designed for recovery and healing. Our Lancaster, Pennsylvania team supports patients through post-hospital care, injury recovery, and ongoing medical needs with compassionate, personalized attention.

Community at a glance

Capacity

124 residents

Location

Lancaster, PA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

425 NORTH DUKE STREET, Lancaster, Pennsylvania 17602

(717) 397-4281

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on May 20, 2026, state inspectors cited 16 health deficiencies (the Pennsylvania average is 10.0).

Nurses and nurse aides spend 3 hours 21 minutes with each resident a day, below the Pennsylvania average of 3 hours 53 minutes.

Medicare fined Rose City Nursing and Rehab at Lancaster 2 times in the last three years, $128,792 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 21 minutesBelow the Pennsylvania average
Registered nurse time per resident, per day42 minutesBelow the Pennsylvania average
Nursing staff who left in the past year49%Above the Pennsylvania average

Inspections

47 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 20, 2026 · Standard inspection · 13 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareCorrected Jun 10, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jun 10, 2026
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Jun 10, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 10, 2026
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 10, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 10, 2026
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 10, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 10, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 10, 2026
  • Provide routine and 24-hour emergency dental care for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 10, 2026
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 10, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 10, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 10, 2026

February 13, 2026 · Complaint investigation · 1 citation

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 30, 2026
December 18, 2025 · Complaint investigation · 1 citation+
  • Ensure the activities program is directed by a qualified professional.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 19, 2026
December 3, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 8, 2025
August 6, 2025 · Complaint investigation · 1 citation+
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 20, 2025
April 25, 2025 · Standard inspection · 14 citations+
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jun 12, 2025
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jun 12, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, widespread (level F)Pharmacy ServiceCorrected Jun 12, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 12, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 12, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 12, 2025
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 12, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 12, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 12, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 12, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 12, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 12, 2025
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 12, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 12, 2025
August 12, 2024 · Complaint investigation · 2 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 3, 2024
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Sep 3, 2024
March 15, 2024 · Standard inspection · 8 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 1, 2024
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 1, 2024
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 1, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 1, 2024
  • Provide or get specialized rehabilitative services as required for a resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 1, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 1, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 1, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 1, 2024
January 3, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jan 15, 2024
December 1, 2023 · Complaint investigation · 5 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Immediate danger to residents, a few residents (level J)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 2, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Oct 27, 2023
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jan 2, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jan 2, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 2, 2024

Fines and payment denials

2 fines totaling $128,792 in the last three years.

  • May 20, 2026Fine: $43,002
  • December 1, 2023Fine: $85,790

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Keystone Nursing and Rehab of Lancaster LLC
Medicare-certified beds
124
Average residents per day
102
Accepts
Medicare and Medicaid
First certified
March 3, 1967
Part of a chain
Lme Family Holdings, 15 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
395177

Location

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425 NORTH DUKE STREETLancaster, PA 17602

12 other communities within 10 miles

Senior living near Lancaster

Questions about Rose City Nursing and Rehab at Lancaster

How did Rose City Nursing and Rehab at Lancaster do on its last inspection?+

State inspectors visited on May 20, 2026 and cited 16 health deficiencies, 8 of them from complaint investigations. The Pennsylvania average is 10.0.

How much nursing care does each resident get at Rose City Nursing and Rehab at Lancaster?+

Nurses and aides spend 3 hours 21 minutes with each resident per day, including 42 minutes from registered nurses. 49% of nursing staff left over the past year.

Has Rose City Nursing and Rehab at Lancaster been fined by Medicare?+

Yes. Medicare fined Rose City Nursing and Rehab at Lancaster 2 times in the last three years, totaling $128,792.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Lancaster Skilled Nursing in Pennsylvania Skilled Nursing guide Information last updated October 2026