ROSE CITY NURSING AND REHAB AT LANCASTER

CCN 395177 · KEYSTONE NURSING AND REHAB OF LANCASTER LLC · For profit - Limited Liability company · LME FAMILY HOLDINGS chain · 124 certified beds · Lancaster · PA


ROSE CITY NURSING AND REHAB AT LANCASTER is a 124-bed nursing home in LANCASTER, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1967-03-03. It averages 102.1 residents a day.

What harm was found in the violations cited at ROSE CITY NURSING AND REHAB AT LANCASTER?

CMS lists 47 health-inspection deficiencies for ROSE CITY NURSING AND REHAB AT LANCASTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-20.

Survey dateTagDeficiencySeverity
2026-05-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2026-05-20F0880, F0921Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2026-05-20F0584, F0656, F0684, F0692, F0698, F0755, F0770, F0790, F0835, F0842Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide routine and 24-hour emergency dental care for each resident. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-02-13F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2025-12-18F0680Ensure the activities program is directed by a qualified professional.E
2025-12-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-08-06F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D
2025-04-25F0730, F0756, F0947Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2025-04-25F0641, F0656, F0698, F0758, F0761Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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.E
2025-04-25F0580, F0604, F0610, F0684, F0689, F0692Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.D
2024-08-12F0686, F0921Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2024-03-15F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-03-15F0565, F0692Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide enough food/fluids to maintain a resident's health.E
2024-03-15F0600, F0657, F0658, F0759, F0825Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure medication error rates are not 5 percent or greater. / Provide or get specialized rehabilitative services as required for a resident.D
2024-01-03F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D
2023-12-01F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-12-01F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E
2023-12-01F0684, F0760Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors.D

Why was ROSE CITY NURSING AND REHAB AT LANCASTER fined 2 times?

DateTypeAmount
2026-05-20Fine$43,002
2023-12-01Fine$85,790

How is ROSE CITY NURSING AND REHAB AT LANCASTER staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.349973.88823
Total nursing staff turnover (%)49.444.5
Average number of residents per day102.1104.6

Who owns ROSE CITY NURSING AND REHAB AT LANCASTER, and what chain is it in?

ROSE CITY NURSING AND REHAB AT LANCASTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name KEYSTONE NURSING AND REHAB OF LANCASTER LLC and belongs to the LME FAMILY HOLDINGS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTUNDERSCORE HOLDINGS LLCsince 05/14/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTSAMARA HOLDINGS COMPANY LLC, STRAWBERRY HILL HOLDINGS LLCsince 01/28/2020
OPERATIONAL/MANAGERIAL CONTROLCLINICAL CONSULTING SERVICES LLC, PRIORITY CARE GROUP LLC, SUMMATION FINANCIAL SERVICES LLC, PEARLSTEIN, ROBERT, SHANK, CHRISTINEsince 01/01/2019
ADP OF THE SNFGPH LANCASTER LP, PEARLSTEIN, ROBERT, SHANK, CHRISTINEsince 01/01/2022

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