Cycle 1
Health 2025-09-26 · Fire 2024-09-13
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Lititz, PA
Landis Homes
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1001 East Oregon Road, Lititz, PA
(717) 569-3271
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
103
Certified beds
Average residents
97
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-07-01
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
1.14
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.90
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.15
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.25
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.67
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.84
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
94
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
86.38
Composite VBP score used to determine payment impact.
Payment multiplier
1.0269
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.63% · Performance 16.83% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
9.15
Baseline 5.45% · Performance 5.10% · Measure score 9.15 · Achievement 9.15 · Improvement 7.18
Total nurse turnover
8.96
Baseline 32.23% · Performance 27.05% · Measure score 8.96 · Achievement 8.96 · Improvement 6.52
Adjusted total nurse staffing
6.44
Baseline 4.52 hours · Performance 4.91 hours · Measure score 6.44 · Achievement 6.44 · Improvement 2.58
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.72% |
10.72%
3 pts better
|
No Different than the National Rate · Eligible stays 161 · Observed rate 1.86% · Lower 95% interval 5.26% |
| Discharge to community | 55.24% |
50.57%
4.7 pts better
|
No Different than the National Rate · Eligible stays 151 · Observed rate 53.64% · Lower 95% interval 47.51% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.59% |
95.27%
2.3 pts better
|
Numerator 81 · Denominator 83 |
| Falls with major injury | 1.2% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 83 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 36 · Denominator 72 |
| Discharge mobility score | 44.44% |
50.94%
6.5 pts worse
|
Numerator 32 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 2.41% |
2.29%
0.1 pts worse
|
Numerator 2 · Denominator 83 · Adjusted rate 2.59% |
| Healthcare-associated infections requiring hospitalization | 5.1% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 0% · Lower 95% interval 2.64% |
| Staff COVID-19 vaccination coverage | 3.91% |
8.2%
4.3 pts worse
|
Numerator 17 · Denominator 435 |
| Staff flu vaccination coverage | 96.3% |
42%
54.3 pts better
|
Numerator 469 · Denominator 487 |
| Discharge function score | 52.78% |
56.45%
3.7 pts worse
|
Numerator 38 · Denominator 72 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 31 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 55.81% |
25.2%
30.6 pts better
|
Numerator 24 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.4 |
1.7
1.3 pts better
|
1.9
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.2
0.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
86.9%
13.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
93.5%
5.5 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% |
3.2%
1.4 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.7% · Q3 4.6% · Q4 2.4% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 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 who lose too much weight | 3.2% |
6.5%
3.3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.4% · Q3 1.5% · Q4 1.4% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
19.9%
2 pts better
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 14.7% · Q3 17.6% · Q4 21.4% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
18.7%
4 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 15.7% · Q3 12.5% · Q4 16.4% · 4Q avg 14.7% · 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 | 22.9% |
19.6%
3.3 pts worse
|
16.3%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 16.4% · Q3 25.4% · Q4 23.7% · 4Q avg 22.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.4% |
18.3%
3.1 pts worse
|
14.9%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 34.5% · Q3 8.9% · Q4 15.5% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.9%
0.7 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.7%
0.6 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 1.2% · Q4 4.8% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.8% |
26.4%
6.4 pts worse
|
19.8%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 32.2% · Q3 35.6% · Q4 41.6% · 4Q avg 32.8% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
5.3%
2.7 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.7% · Q3 2.8% · Q4 1.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
68.9%
28.4 pts better
|
81.7%
15.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 94.7% · Q3 98.8% · Q4 100.0% · 4Q avg 97.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
9.8%
4 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 4.8% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.5% |
68.7%
28.8 pts better
|
79.7%
17.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.4% |
23.1%
10.7 pts better
|
23.9%
11.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 9.5% · Expected 18.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-13 · Fire 2023-10-13
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-10-13 · Fire 2022-12-01
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-13
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-10-08
E · Potential for more than minimal harm
2023-10-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-01
E · Potential for more than minimal harm
2023-10-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-01
E · Potential for more than minimal harm
2022-12-01
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-12-24
E · Potential for more than minimal harm
2022-12-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-24
C · Minimal harm
2022-12-01
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-12-24
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 2025-11-10
Penalties and ownership
What sits behind the stars
Ownership
Landis Communities
5% Or Greater Direct Ownership Interest · Organization
Allison, Tammy
Operational/Managerial Control · Individual
Antes, Josh
Operational/Managerial Control · Individual
Antes, Josh
Corporate Director · Individual
Bergey, Evon
Operational/Managerial Control · Individual
Bergey, Evon
Corporate Officer · Individual
Book, Miriam
Operational/Managerial Control · Individual
Clark, Lisa
Operational/Managerial Control · Individual
Covenant Alliance Rehab East LLC
Operational/Managerial Control · Organization
Davis, William
Operational/Managerial Control · Individual
Davis, William
Corporate Director · Individual
Hamilton, Corey
Operational/Managerial Control · Individual
Hamilton, Corey
Corporate Officer · Individual
Horst, Gerald
Operational/Managerial Control · Individual
Horst, Gerald
Corporate Director · Individual
Landis Communities
Operational/Managerial Control · Organization
Lingenfelter, Sherwood
Operational/Managerial Control · Individual
Lingenfelter, Sherwood
Corporate Director · Individual
Lownsbery, Linda
Operational/Managerial Control · Individual
Lownsbery, Linda
Corporate Director · Individual
Moffett, Glen
Operational/Managerial Control · Individual
Moffett, Glen
Corporate Director · Individual
Moore, Ken
Operational/Managerial Control · Individual
Moore, Ken
Corporate Director · Individual
Parasol Alliance LLC
Operational/Managerial Control · Organization
Peace Church Risk Retention Group
Operational/Managerial Control · Organization
Rkl Llp
Operational/Managerial Control · Organization
Schoener, Lori
Operational/Managerial Control · Individual
Stoltzfus, George
Operational/Managerial Control · Individual
Stoltzfus, George
Corporate Director · Individual
Zook, Larry
Operational/Managerial Control · Individual
Zook, Larry
Corporate Director · Individual
Zook, Larry
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Brethren Village
Lancaster, PA
3-star overall rating with 2-star inspections with abuse icon flag with $8,190 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Rehabilitation Center At Brethren Village LLC
Lancaster, PA
5-star overall rating with 5-star inspections
#3
Neffsville Nursing And Rehabilitation
Lancaster, PA
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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