Rose City Nursing and Rehab at Lancaster

Nursing home in Lancaster, PA

Medicare & Medicaid certified2★ overall (CMS)

Call (717) 397-4281 Send a message Map ↗

Public-record details

Address: 425 North Duke Street, Lancaster, PA 17602
Phone: (717) 397-4281
Listed under: For-profit
Medicare CCN: 395177
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 3 of 5
Quality measures rating: 5 of 5
Certified beds: 124
Average residents per day: 102
Ownership: For-profit, limited Liability company
Legal business name: Keystone Nursing and Rehab of Lancaster LLC
Chain: Lme Family Holdings (15 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Mar 3, 1967
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 395177. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 20, 2026. CMS lists 47 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 1, 2023 to May 20, 2026): 17 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Inspection	Citation	Severity
May 20, 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. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 20, 2026	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 · complaint inspection	D Potential for more than minimal harm, isolated
May 20, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
May 20, 2026	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
May 20, 2026	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 20, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
May 20, 2026	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration	D Potential for more than minimal harm, isolated
May 20, 2026	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 20, 2026	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration	D Potential for more than minimal harm, isolated
May 20, 2026	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	D Potential for more than minimal harm, isolated
May 20, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	E Potential for more than minimal harm, pattern
May 20, 2026	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 47. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $128,792 in the last three years.

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

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.35 hours
Registered nurse (RN) time per resident per day: 0.70 hours
Nurse aide time per resident per day: 2.12 hours
Total nurse staffing on weekends: 3.15 hours
Nursing staff turnover (yearly): 49%
RN turnover (yearly): 57%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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