Cycle 1
Health 2025-09-26 · Fire 2024-09-06
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lancaster, PA
Hamilton Arms Center
3-star overall rating with 3-star inspections with $9,009 in total fines with 6 recent health deficiencies
336 South West End Avenue, Lancaster, PA
(717) 393-0419
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
94
Certified beds
Average residents
91
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-12-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.53
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.87
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.12
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,523
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.45
Composite VBP score used to determine payment impact.
Payment multiplier
0.9842
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.42
Baseline 19.62% · Performance 20.77% · Measure score 1.42 · Achievement 1.42 · Improvement 0
Healthcare-associated infections
3.84
Baseline 5.53% · Performance 6.69% · Measure score 3.84 · Achievement 3.84 · Improvement 0
Total nurse turnover
3.82
Performance 48.05% · Measure score 3.82 · Achievement 3.82 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.50
Baseline 3.42 hours · Performance 3.50 hours · Measure score 1.50 · Achievement 1.50 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.67% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 119 · Observed rate 12.61% · Lower 95% interval 8.42% |
| Discharge to community | 38.9% |
50.57%
11.7 pts worse
|
Worse than the National Rate · Eligible stays 115 · Observed rate 32.17% · Lower 95% interval 31.81% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.32% |
95.27%
3 pts better
|
Numerator 117 · Denominator 119 |
| Falls with major injury | 1.68% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 119 |
| Discharge self-care score | 43.75% |
53.69%
9.9 pts worse
|
Numerator 35 · Denominator 80 |
| Discharge mobility score | 41.25% |
50.94%
9.7 pts worse
|
Numerator 33 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 6.72% |
2.29%
4.4 pts worse
|
Numerator 8 · Denominator 119 · Adjusted rate 6.35% |
| Healthcare-associated infections requiring hospitalization | 6.69% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 5.81% · Lower 95% interval 4.26% |
| Staff COVID-19 vaccination coverage | 10.94% |
8.2%
2.7 pts better
|
Numerator 14 · Denominator 128 |
| Staff flu vaccination coverage | 35.29% |
42%
6.7 pts worse
|
Numerator 66 · Denominator 187 |
| Discharge function score | 47.5% |
56.45%
9 pts worse
|
Numerator 38 · Denominator 80 |
| Transfer of health information to provider | 92.31% |
95.95%
3.6 pts worse
|
Numerator 36 · Denominator 39 |
| Transfer of health information to patient | 96.43% |
96.28%
0.2 pts better
|
Numerator 54 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 13.33% |
25.2%
11.9 pts worse
|
Numerator 10 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.4% |
86.9%
1.5 pts better
|
93.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 86.1% · Q3 87.0% · Q4 91.9% · 4Q avg 88.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.7% |
93.5%
1.2 pts better
|
95.5%
0.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
3.2%
2.5 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
6.5%
5 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 0.0% · Q4 2.9% · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
6.5%
About the same
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.8% · Q3 14.3% · Q4 1.5% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.7% |
19.9%
6.2 pts better
|
19.6%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 16.9% · Q3 12.7% · Q4 13.4% · 4Q avg 13.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.1% |
18.7%
0.6 pts better
|
16.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 16.0% · Q3 20.0% · Q4 20.3% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.7% |
19.6%
5.9 pts better
|
16.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 6.6% · Q4 3.9% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.8% |
18.3%
2.5 pts better
|
14.9%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 18.3% · Q3 10.2% · Q4 7.7% · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.9%
0.1 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.7%
0.5 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.0% · Q3 1.4% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.4% |
26.4%
2 pts worse
|
19.8%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 27.3% · Q3 29.9% · Q4 31.3% · 4Q avg 28.4% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
5.3%
1.6 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 7.7% · Q3 4.5% · Q4 6.2% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.3% |
68.9%
0.6 pts worse
|
81.7%
13.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.3% · Q2 56.3% · Q3 72.7% · Q4 73.0% · 4Q avg 68.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
9.8%
4.1 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 13.1% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.5%
0.4 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 2.9% · Q4 3.3% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.3% |
68.7%
2.4 pts worse
|
79.7%
13.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.6% |
23.1%
2.5 pts worse
|
23.9%
1.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.6% · Observed 23.8% · Expected 22.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-06 · Fire 2023-10-06
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-10-06 · Fire 2022-11-04
6 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
G · Actual harm
2025-09-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-11
D · Potential for more than minimal harm
2025-09-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-11-11
D · Potential for more than minimal harm
2025-09-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-11-11
D · Potential for more than minimal harm
2025-09-26
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-11-11
D · Potential for more than minimal harm
2025-09-26
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-11
D · Potential for more than minimal harm
2025-06-05
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-02
E · Potential for more than minimal harm
2024-09-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-09-06
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-09-06
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-09-06
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-09-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-09-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-09-06
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-07-15
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-08-26
E · Potential for more than minimal harm
2023-10-06
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-11-29
E · Potential for more than minimal harm
2023-10-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-29
D · Potential for more than minimal harm
2023-10-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-29
D · Potential for more than minimal harm
2023-10-06
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-11-29
D · Potential for more than minimal harm
2023-10-06
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-29
D · Potential for more than minimal harm
2023-10-06
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-11-29
Penalties and ownership
What sits behind the stars
$2,659
2024-01-08
Fine
Fine · fine $2,659
Fine
$2,117
2024-01-02
Fine
Fine · fine $2,117
Fine
$4,233
2023-12-11
Fine
Fine · fine $4,233
Fine
Ownership
Hachc LLC
5% Or Greater Direct Ownership Interest · Organization
Mandel, Avital
5% Or Greater Indirect Ownership Interest · Individual
Mandel, Avital
Operational/Managerial Control · Individual
O'leary, Donna
Operational/Managerial Control · Individual
Smr 2021 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Abbeyville Skilled Nursing And Rehabilitation Cent
Lancaster, PA
2-star overall rating with 2-star inspections with 11 recent health deficiencies
#2
Rose City Nursing And Rehab At Lancaster
Lancaster, PA
2-star overall rating with 1-star inspections with $85,790 in total fines with 17 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Homestead Village, Inc
Lancaster, PA
5-star overall rating with 4-star inspections with 2 recent health deficiencies
Jump out