Rose City Nursing and Rehab at Lancaster: Staffing, Turnover, and Inspection Record
Rose City Nursing and Rehab at Lancaster is a 124-bed for-profit nursing home in Lancaster, Pennsylvania, part of Lme Family Holdings. In the CMS August 2026 release it reported 2.12 nurse aide hours per resident per day, 3% below the Pennsylvania average of 2.19, and 49.4% nursing staff turnover (Pennsylvania average 44.5%).
Rose City Nursing and Rehab at Lancaster
425 North Duke StreetLancaster, PA 17602
Lancaster County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Rose City Nursing and Rehab at Lancaster, nurse aides logged 2.12 hours per resident per day, 3% below the Pennsylvania average. With about 102 residents a day, that works out to roughly 217 aide hours a day, or about 27 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Pennsylvania avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.12 | 2.19 | 2.32 |
| Licensed practical nurses | 0.52 | 0.91 | 0.86 |
| Registered nurses | 0.70 | 0.79 | 0.69 |
| All nursing staff | 3.35 | 3.89 | 3.86 |
| All nursing staff, weekends | 3.15 | 3.53 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
49.4% of nursing staff at Rose City Nursing and Rehab at Lancaster left over the year CMS measured, against a Pennsylvania average of 44.5% and a US average of 45.8%. Registered nurse turnover was 57.1%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 20, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Pennsylvania average 10.1). CMS lists 2 fines totaling $128,792 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 20, 2026 | Fine | $43,002 |
| Dec 1, 2023 | Fine | $85,790 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Rose City Nursing and Rehab at Lancaster holds 2 of 5 overall; the Pennsylvania average is 3.0.
About Rose City Nursing and Rehab at Lancaster
- Ownership: For profit - Limited Liability company
- Chain: Lme Family Holdings, 15 homes
- Legal name: Keystone Nursing and Rehab of Lancaster LLC
- Medicare and Medicaid certified since: Mar 3, 1967
- Councils: resident council
- Area: urban
Nursing homes near Rose City Nursing and Rehab at Lancaster
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lancaster Nursing and Rehabilitation Center Lancaster | 1.1 | 446 | 1.81 | 3.04 | 56.0% | 2 | None |
| Hamilton Arms Center Lancaster | 1.2 | 94 | 1.84 | 3.33 | 33.7% | 3 | $9,009 |
| Abbeyville Skilled Nursing and Rehabilitation Cent Lancaster | 1.7 | 172 | 1.99 | 3.37 | 55.1% | 3 | None |
| Homestead Village, Inc Lancaster | 2.4 | 60 | 3.19 | 5.11 | 36.2% | 5 | $12,735 |
| Trillium Place Lancaster | 2.5 | 160 | 2.79 | 4.79 | 32.9% | 5 | None |
| Glen at Willow Valley Lancaster | 3.4 | 262 | 2.69 | 4.45 | 28.9% | 5 | None |
| Neffsville Nursing and Rehabilitation Lancaster | 4.2 | 240 | 1.97 | 3.24 | 44.3% | 1 | $9,516 |
| Brethren Village Lancaster · abuse citation | 4.2 | 120 | 3.36 | 5.21 | 38.1% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.