Nursing homes › Pennsylvania › Rose City Nursing and Rehab at Lancaster
425 North Duke Street, Lancaster, PA 17602 · 7173974281 · 124 certified beds
Per CMS filings, this facility is affiliated with Lme Family Holdings, a group operating 15 facilities in 4 states. Group record: average rating 2.0/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $816,886 in federal fines. This facility rates the same as its group average (2.0/5).
Total nurse staffing: 3.35 (Pennsylvania median: 3.63). RN hours: 0.70. Weekend total: 3.15. Nursing staff turnover: 49%.
All-time on record: 47 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Health | corrected 2026-06-10 |
| 2026-05-20 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-06-10 |
| 2026-05-20 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2026-06-10 |
| 2026-05-20 | 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. | D | complaint | corrected 2026-06-10 |
| 2026-05-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-06-10 |
| 2026-05-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-06-10 |
| 2026-05-20 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2026-06-10 |
| 2026-05-20 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2026-06-10 |
| 2026-05-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-06-10 |
| 2026-05-20 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2026-06-10 |
| 2026-05-20 | Provide routine and 24-hour emergency dental care for each resident. | D | Health | corrected 2026-06-10 |
| 2026-05-20 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Health | corrected 2026-06-10 |
| 2026-05-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-06-10 |
| 2026-02-13 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2026-03-30 |
| 2025-12-18 | Ensure the activities program is directed by a qualified professional. | E | complaint | corrected 2026-01-19 |
| 2025-12-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-12-08 |
| 2025-08-06 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | complaint | corrected 2025-08-20 |
| 2025-04-25 | Observe each nurse aide's job performance and give regular training. | F | Health | corrected 2025-06-12 |
| 2025-04-25 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | Health | corrected 2025-06-12 |
| 2025-04-25 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Health | corrected 2025-06-12 |
| 2025-04-25 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-06-12 |
| 2025-04-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-06-12 |
| 2025-04-25 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2025-06-12 |
| 2025-04-25 | 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. | E | Health | corrected 2025-06-12 |
| 2025-04-25 | 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 | Health | corrected 2025-06-12 |
| 2025-04-25 | 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 2025-06-12 |
| 2025-04-25 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-06-12 |
| 2025-04-25 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-06-12 |
| 2025-04-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-12 |
| 2025-04-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-12 |
| 2025-04-25 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-06-12 |
| 2024-08-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-09-03 |
| 2024-08-12 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2024-09-03 |
| 2024-03-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-05-01 |
| 2024-03-15 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2024-05-01 |
| 2024-03-15 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2024-05-01 |
| 2024-03-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2024-05-01 |
| 2024-03-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-05-01 |
| 2024-03-15 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-05-01 |
| 2024-03-15 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-05-01 |
| Date | Type | Amount |
|---|---|---|
| 2023-12-01 | Fine | $85,790 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| UNDERSCORE HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/14/2018 |
| SAMARA HOLDINGS COMPANY LLC | 5% Or Greater Indirect Ownership Interest | Organization | 32% | since 01/28/2020 |
| STRAWBERRY HILL HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 32% | since 01/28/2020 |
| CLINICAL CONSULTING SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| PRIORITY CARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| SUMMATION FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| PEARLSTEIN, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2022 |
| SHANK, CHRISTINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/26/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395177. Corrections: data@carerecords.org.