Nursing homes › Pennsylvania › Neffsville Nursing and Rehabilitation
2829 Lititz Pike, Lancaster, PA 17601 · 7175693211 · 240 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.
Total nurse staffing: 3.24 (Pennsylvania median: 3.63). RN hours: 0.54. Weekend total: 2.97. Nursing staff turnover: 44%.
All-time on record: 33 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2026-02-12 |
| 2026-02-04 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | complaint | corrected 2026-02-12 |
| 2025-12-03 | 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. | E | complaint | corrected 2025-12-04 |
| 2025-09-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-10-07 |
| 2025-09-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-10-07 |
| 2025-03-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-04-25 |
| 2025-01-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-01-23 |
| 2024-11-15 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-01-04 |
| 2024-11-15 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2025-01-04 |
| 2024-11-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2025-01-04 |
| 2024-11-15 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-01-04 |
| 2024-11-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-01-04 |
| 2024-11-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-01-04 |
| 2024-11-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-01-04 |
| 2023-12-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Health | corrected 2024-02-01 |
| 2023-12-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-02-01 |
| 2023-12-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-02-01 |
| 2023-12-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-02-01 |
| 2023-12-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-02-01 |
| 2023-12-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-02-01 |
| 2023-12-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-02-01 |
| 2023-12-21 | 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. | D | Health | corrected 2024-02-01 |
| 2023-12-21 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-02-01 |
| 2023-12-21 | Ensure each resident receives an accurate assessment. | B | Health | corrected 2024-02-01 |
| 2023-12-21 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | complaint | corrected 2024-02-01 |
| 2023-03-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-04-18 |
| 2023-03-03 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2023-04-18 |
| 2023-03-03 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2023-04-18 |
| 2023-03-03 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2023-04-18 |
| 2023-03-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-04-18 |
| 2023-03-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-04-18 |
| 2023-03-03 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-04-18 |
| 2023-03-03 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-04-18 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SPACEBAR OPCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/01/2021 |
| AI ELEMENTS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 33% | since 11/01/2021 |
| STRAWBERRY HILL HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 33% | since 02/25/2022 |
| TILDE PROPCO HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 33% | since 01/01/2023 |
| CLINICAL CONSULTING SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2019 |
| PRIORITY CARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2021 |
| SUMMATION FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2021 |
| FISHER YOHN, CARLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/07/2025 |
| PECK, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395205. Corrections: data@carerecords.org.