0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Lititz, PA
5-star overall rating with 5-star inspections with $7,443 in total fines with 4 fire-safety deficiencies in the latest cycle
722 Furnace Hill Pike, Lititz, PA
(717) 626-2071
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
59
Certified beds
Average residents
56
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1984-02-01
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
RN hours / resident day
0.92
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.76
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.83
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
2.07
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.15
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.80
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.06
CMS adjusted RN staffing hours
Adjusted total hours
5.57
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
22%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
662
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.74
Composite VBP score used to determine payment impact.
Payment multiplier
1.0199
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.09
Baseline 16.00% · Performance 17.68% · Measure score 8.09 · Achievement 8.09 · Improvement 0
Healthcare-associated infections
5.65
Baseline 5.50% · Performance 6.15% · Measure score 5.65 · Achievement 5.65 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.98
Baseline 4.66 hours · Performance 4.78 hours · Measure score 5.98 · Achievement 5.98 · Improvement 0.57
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.71% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 120 · Observed rate 5.83% · Lower 95% interval 6.57% |
| Discharge to community | 46.03% |
50.57%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 109 · Observed rate 43.12% · Lower 95% interval 38.63% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 94.74% |
95.27%
0.5 pts worse
|
Numerator 54 · Denominator 57 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 57 |
| Discharge self-care score | 54.9% |
53.69%
1.2 pts better
|
Numerator 28 · Denominator 51 |
| Discharge mobility score | 49.02% |
50.94%
1.9 pts worse
|
Numerator 25 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 1.75% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 57 · Adjusted rate 2.07% |
| Healthcare-associated infections requiring hospitalization | 6.15% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 68 · Observed rate 2.94% · Lower 95% interval 3.3% |
| Staff COVID-19 vaccination coverage | 5.29% |
8.2%
2.9 pts worse
|
Numerator 11 · Denominator 208 |
| Staff flu vaccination coverage | 55.82% |
42%
13.8 pts better
|
Numerator 139 · Denominator 249 |
| Discharge function score | 60.78% |
56.45%
4.3 pts better
|
Numerator 31 · Denominator 51 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 39.29% |
25.2%
14.1 pts better
|
Numerator 11 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.2 |
1.7
1.5 pts better
|
1.9
1.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 2.2 · 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 0.5 · Expected 1.9 · 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 | 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 | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 pts better
|
Long 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 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 | 4.6% |
6.5%
1.9 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.1% · Q3 0.0% · Q4 2.9% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.5% |
19.9%
12.6 pts worse
|
19.6%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 33.3% · Q3 26.3% · Q4 35.1% · 4Q avg 32.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
18.7%
3.3 pts better
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 11.4% · Q3 12.9% · Q4 20.6% · 4Q avg 15.4% · 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 | 25.8% |
19.6%
6.2 pts worse
|
16.3%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 27.3% · Q3 24.9% · Q4 23.3% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.9% |
18.3%
9.6 pts worse
|
14.9%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.9% · Q2 27.8% · Q3 26.5% · Q4 17.6% · 4Q avg 27.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.9%
0.5 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 31.7% |
26.4%
5.3 pts worse
|
19.8%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.6% · Q2 29.4% · Q3 33.2% · Q4 24.6% · 4Q avg 31.7% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
5.3%
0.6 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.4% · Q3 4.4% · Q4 5.4% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.6% |
68.9%
12.7 pts better
|
81.7%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.4% · Q2 70.4% · Q3 86.9% · Q4 93.0% · 4Q avg 81.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
9.8%
1.1 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 7.8% · Expected 10.0% · 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 | 94.5% |
68.7%
25.8 pts better
|
79.7%
14.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
23.1%
1.7 pts worse
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 19.6% · Expected 18.9% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-10-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-05
Fire Safety
Use approved construction type or materials.
Corrected 2024-09-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-15
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2024-09-15
Fire Safety
Use approved construction type or materials.
Corrected 2023-10-10
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-10
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2023-10-10
Inspection history
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-08-19
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 2024-08-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-23
Penalties and ownership
Fine · fine $7,443
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Lititz, PA
1-star overall rating with 1-star inspections with 25 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Lititz, PA
3-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Manheim, PA
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out