HomePennsylvaniaLancaster CountyROSE CITY NURSING AND REHAB AT LANCASTER
C
Below Standard

ROSE CITY NURSING AND REHAB AT LANCASTER

425 NORTH DUKE STREET · LANCASTER, PA 17602

7173974281 · For profit - Corporation

124 beds107.1 residents157 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
B
Good
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

ROSE CITY NURSING AND REHAB AT LANCASTER receives an overall staffing grade of C (Below Standard). With 3.247 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6132 HPRD, below the recommended 0.75. It is 0.65 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.03% compared to weekdays. The facility relies heavily on temporary agency staff (22.25% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.247 HPRD — needs 0.23 more hours per resident per day.
⚠️RN staffing (0.6132 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.25% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

Strengths (2)

No days with zero registered nurse hours this quarter
Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.247hrs/resident/day 0.65
CMS benchmark: 3.48
RN HPRD
0.6132hrs/resident/day 0.07
Recommended: 0.75
Weekend Drop-off
13.03%
3.3712 weekday → 2.9319 weekend
Agency Staff
22.25%
18.85% of RN hours from contractors
High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.004hrs/resident/day
Direct care aides
LPN HPRD
0.5642hrs/resident/day
Licensed practical nurses
Consistency
0.2864std 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-1.00 HPRD
4.25
03.25 HPRD
vs. Pennsylvania State Average-0.65 HPRD
3.90
03.25 HPRD
vs. National Average-0.65 HPRD
3.90
03.25 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
ROSE CITY NURSING AND REHAB AT LANCASTER
LANCASTER · This facility
C
3.2470.6132★★☆☆☆
HAMILTON ARMS CENTER
LANCASTER
1.2 mi
C
3.35230.5289★★★☆☆
ABBEYVILLE SKILLED NURSING AND REHABILITATION CENT
LANCASTER
1.7 mi
C
3.3650.4434★★☆☆☆
NEFFSVILLE NURSING AND REHABILITATION
LANCASTER
4.2 mi
C
3.24620.5656★★☆☆☆
BRETHREN VILLAGE
LANCASTER
4.2 mi
B
4.86580.6702★★★☆☆
LUTHER ACRES MANOR
LITITZ
7.4 mi
C
3.92710.4698★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
39
Total Deficiencies
$85,790
Fines Assessed
Dec 18, 2025Health
1 deficiency cited
Dec 3, 2025Health
1 deficiency cited
Aug 6, 2025Health
1 deficiency cited
Apr 25, 2025Health
14 deficiencies cited
Aug 12, 2024Health
2 deficiencies cited
Mar 15, 2024Health
8 deficiencies cited
Jan 3, 2024Health
1 deficiency cited
Dec 1, 2023Health
5 deficiencies cited· Includes actual harm
Jun 2, 2023Health
5 deficiencies cited
Feb 16, 2023Health
1 deficiency cited

Penalty History

Dec 1, 2023Fine
$85,790
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.