Cycle 1
Health 2025-02-21 · Fire 2025-02-21
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lancaster, PA
Homestead Village, Inc
5-star overall rating with 4-star inspections with 2 recent health deficiencies
1800 Village Circle, Lancaster, PA
(717) 397-4831
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
47
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-10-17
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
0.78
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.16
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.04
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.76
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.61
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.84
CMS adjusted RN staffing hours
Adjusted total hours
5.40
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,264
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.28
Composite VBP score used to determine payment impact.
Payment multiplier
1.0135
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.57
Baseline 21.62% · Performance 20.24% · Measure score 2.57 · Achievement 2.57 · Improvement 2.51
Healthcare-associated infections
6.3
Baseline 9.97% · Performance 6.59% · Measure score 6.3 · Achievement 4.17 · Improvement 6.3
Total nurse turnover
7.19
Baseline 41.10% · Performance 34.29% · Measure score 7.19 · Achievement 7.19 · Improvement 3.69
Adjusted total nurse staffing
7.25
Baseline 5.62 hours · Performance 5.14 hours · Measure score 7.25 · Achievement 7.25 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.05% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 3.85% · Lower 95% interval 5.87% |
| Discharge to community | 45.76% |
50.57%
4.8 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 40.66% · Lower 95% interval 35.92% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 59 · Denominator 59 |
| Falls with major injury | 1.69% |
0.77%
0.9 pts worse
|
Numerator 1 · Denominator 59 |
| Discharge self-care score | 71.11% |
53.69%
17.4 pts better
|
Numerator 32 · Denominator 45 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 27 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 3.39% |
2.29%
1.1 pts worse
|
Numerator 2 · Denominator 59 · Adjusted rate 2.99% |
| Healthcare-associated infections requiring hospitalization | 6.59% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 69 · Observed rate 4.35% · Lower 95% interval 3.87% |
| Staff COVID-19 vaccination coverage | 5.38% |
8.2%
2.8 pts worse
|
Numerator 7 · Denominator 130 |
| Staff flu vaccination coverage | 43.07% |
42%
1.1 pts better
|
Numerator 59 · Denominator 137 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 30 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 27.59% |
25.2%
2.4 pts better
|
Numerator 8 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
86.9%
11.9 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.6% · Q4 97.4% · 4Q avg 98.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.5%
6.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.7% |
3.2%
4.5 pts worse
|
3.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 10.9% · Q3 4.9% · Q4 5.1% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
6.5%
5.1 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
6.5%
1.3 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 7.3% · Q3 10.5% · Q4 2.8% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8% |
19.9%
2.1 pts better
|
19.6%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 17.1% · Q3 20.5% · Q4 16.2% · 4Q avg 17.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.0% |
18.7%
8.3 pts worse
|
16.7%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 26.7% · Q3 34.5% · Q4 25.9% · 4Q avg 27.0% · 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 | 25.1% |
19.6%
5.5 pts worse
|
16.3%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 19.8% · 4Q avg 25.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.2% |
18.3%
2.1 pts better
|
14.9%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 15.8% · Q3 19.4% · Q4 13.9% · 4Q avg 16.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.9%
0.3 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.7%
1.1 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% |
26.4%
1.1 pts better
|
19.8%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 23.1% · Q3 20.4% · Q4 27.6% · 4Q avg 25.3% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.3%
0.1 pts better
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 6.2% · Q3 6.7% · Q4 2.8% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
68.9%
25.5 pts better
|
81.7%
12.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 94.3% · Q3 94.5% · Q4 95.5% · 4Q avg 94.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.7% |
9.8%
6.1 pts better
|
12.0%
8.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.7% · Observed 3.3% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.2% |
68.7%
27.5 pts better
|
79.7%
16.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% |
23.1%
3.5 pts better
|
23.9%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 16.4% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-01 · Fire 2024-03-01
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-06 · Fire 2023-04-06
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-21
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-21
D · Potential for more than minimal harm
2025-02-21
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-03-21
E · Potential for more than minimal harm
2024-03-01
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 2024-04-01
E · Potential for more than minimal harm
2024-03-01
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-03-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-03-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-03-01
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-04-01
Penalties and ownership
What sits behind the stars
Ownership
Boben, Joan
Operational/Managerial Control · Individual
Boben, Joan
Corporate Officer · Individual
Carson, Susan
Operational/Managerial Control · Individual
Carson, Susan
Corporate Officer · Individual
Clausen, Joel
Operational/Managerial Control · Individual
Clausen, Joel
Corporate Director · Individual
Gerfin, Michael
Operational/Managerial Control · Individual
Gerfin, Michael
Corporate Officer · Individual
Homestead Village Inc
Operational/Managerial Control · Organization
Mincin, Kathy
Operational/Managerial Control · Individual
Mincin, Kathy
Corporate Officer · Individual
Motter, Douglas
Operational/Managerial Control · Individual
Motter, Douglas
Corporate Officer · Individual
Murphy Denlinger, Krista
Operational/Managerial Control · Individual
Schmitt, John
Operational/Managerial Control · Individual
Tallarico, Laura
Operational/Managerial Control · Individual
Tearpock, Mary
Operational/Managerial Control · Individual
Tearpock, Mary
Corporate Officer · Individual
Nearby options
Other facilities in reach
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2-star overall rating with 2-star inspections with 11 recent health deficiencies
#2
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5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#3
Hamilton Arms Center
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3-star overall rating with 3-star inspections with $9,009 in total fines with 6 recent health deficiencies
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