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C
Below Standard

HAMILTON ARMS CENTER

336 SOUTH WEST END AVENUE · LANCASTER, PA 17603

7173930419 · For profit - Limited Liability company

94 beds90.8 residents132 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HAMILTON ARMS CENTER receives an overall staffing grade of C (Below Standard). With 3.3523 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5289 HPRD, below the recommended 0.75. It is 0.54 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.25% compared to weekdays. The facility has low agency staff usage (1.35% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3523 HPRD — needs 0.13 more hours per resident per day.
⚠️RN staffing (0.5289 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.35%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 9.25% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3523hrs/resident/day▼ 0.54
CMS benchmark: 3.48
RN HPRD
0.5289hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
9.25%
3.4422 weekday → 3.1239 weekend
Agency Staff
1.35%
3.4% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8674hrs/resident/day
Direct care aides
LPN HPRD
0.9559hrs/resident/day
Licensed practical nurses
Consistency
0.189std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lancaster County Average-0.90 HPRD
4.25
03.35 HPRD
vs. Pennsylvania State Average-0.55 HPRD
3.90
03.35 HPRD
vs. National Average-0.54 HPRD
3.90
03.35 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HAMILTON ARMS CENTER ★
LANCASTER · This facility
—
C
3.35230.5289★★★☆☆
ABBEYVILLE SKILLED NURSING AND REHABILITATION CENT
LANCASTER
0.6 mi
C
3.3650.4434★★☆☆☆
ROSE CITY NURSING AND REHAB AT LANCASTER
LANCASTER
1.2 mi
C
3.2470.6132★★☆☆☆
NEFFSVILLE NURSING AND REHABILITATION
LANCASTER
5 mi
C
3.24620.5656★★☆☆☆
BRETHREN VILLAGE
LANCASTER
5 mi
B
4.86580.6702★★★☆☆
MORAVIAN MANOR
LITITZ
8.2 mi
B
4.85810.6731★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
20
Total Deficiencies
$9,009
Fines Assessed
Sep 26, 2025Health
5 deficiencies cited· Includes actual harm
▼
Jun 5, 2025Health
1 deficiency cited
▼
Sep 6, 2024Health
7 deficiencies cited
▼
Jul 15, 2024Health
1 deficiency cited
▼
Oct 6, 2023Health
6 deficiencies cited
▼

Penalty History

Jan 8, 2024Fine
$2,659
Jan 2, 2024Fine
$2,117
Dec 11, 2023Fine
$4,233
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.