Rose City Nursing And Rehab At Lancaster
425 North Duke Street, Lancaster, PA, 17602
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Lme Family Holdings
- Certified beds
- 124 · avg 106 residents/day
- Total nursing staff turnover
- 46.7% — near the Pennsylvania averagePennsylvania avg: 45.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Pennsylvania nursing homesPennsylvania avg: 41.0% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Pennsylvania averagePennsylvania avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $85,790 total
Medicare certification
- CMS Certification Number
- 395177
- Certified beds
- 124 beds · avg 106 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Keystone Nursing And Rehab Of Lancaster Llc
- Chain affiliation
- Lme Family Holdings
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Lme Family Holdings chain — 15 facilities across 4 states. Chain-wide average overall rating 2.1 / 5.
Disclosed owners (11 on record)
- Christine Shank
Operational/managerial Control · since 2023
- Robert j Pearlstein
Operational/managerial Control · since 2022
- Samara Holdings Company Llc
5% or Greater Indirect Ownership Interest · 32% · since 2020
- Strawberry Hill Holdings Llc
5% or Greater Indirect Ownership Interest · 32% · since 2020
- Clinical Consulting Services Llc
Operational/managerial Control · since 2019
- Priority Care Group Llc
Operational/managerial Control · since 2019
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 39)
- D0740·Feb 13, 2026Complaint
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E0680·Dec 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
- D0684·Dec 3, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0582·Aug 6, 2025Complaint
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F0947·Apr 25, 2025
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E0761·Apr 25, 2025
Pharmacy Service Deficiencies
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.
- E0758·Apr 25, 2025
Pharmacy Service Deficiencies
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 li…
- F0756·Apr 25, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Federal penalties
By year
- 20231 fine · $86K
Most recent events
- Dec 1, 2023Fine · $86K
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Apr 25, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Rose City Nursing And Rehab At Lancasterinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.