14 Best Medicaid Nursing Homes in Lancaster County, Pennsylvania

Nurse hours

4.59 /day

Staff turnover

28%

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Masonic Village at Elizabethtown runs 434 certified beds as a nonprofit, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average, and annual turnover of 27.5% is well below the 45.8% national figure, which matters because consistent caregivers know the residents. Weekend staffing does dip about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is recent, January 2026, with a 5/5 health inspection rating and only 5 deficiencies total, none at the harm or jeopardy level. Two are abuse-related, which is worth asking about directly.

Nurse hours

4.79 /day

Staff turnover

33%

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Trillium Place runs 160 certified beds as a nonprofit corporation, and the staffing numbers are the story here: 4.79 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 32.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. One deficiency on the current record, none at harm or jeopardy level, none abuse-related, with the last inspection in late November 2024.

Nurse hours

5.43 /day

Staff turnover

31%

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Landis Homes sits on 103 certified beds in Lititz, run by a nonprofit corporation. Nurse staffing averages 5.43 hours per resident day, roughly 41% above the national figure of 3.86, though weekend coverage dips about 7% below its own weekday levels. Staff turnover lands at 30.6%, noticeably under the 45.8% national average, which matters because stable caregivers tend to know residents' routines. The tradeoff is in the inspection record: just one deficiency on file, but it's flagged at the harm or jeopardy level, and the most recent inspection was September 2025. That single serious citation is worth asking about directly, even though the quality and staffing ratings both sit high.

Nurse hours

4.39 /day

Staff turnover

25%

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Fairmount Homes runs about 4.39 nurse hours per resident per day, roughly 14% above the national average, and its 25% turnover is well under the 45.8% typical elsewhere, both point to a staff that mostly stays put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean: zero deficiencies, none at the harm level, no abuse findings, and the most recent survey was July 2025. As a nonprofit with 114 beds, it isn't chasing quarterly returns, and the numbers here reflect that steadiness.

Nurse hours

5.00 /day

Staff turnover

32%

Serious cites

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Garden Spot Village runs nurse staffing at 5.00 hours per resident day, roughly 30% above the national average, and its staff turnover of 32.2% sits well below the national 45.8%, people tend to stay. Weekends dip about 14% below weekday coverage, which is worth asking about if your family visits then. The trade-off is in the inspection record: four deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $8,018. The most recent inspection was January 2026. Strong staffing and better-than-average retention are real, but four deficiencies with two at the harm level means the care isn't flawless.

Nurse hours

4.55 /day

Staff turnover

31%

Serious cites

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Maple Farm runs on a nonprofit model with 46 beds in Akron, and the numbers hold up well against national benchmarks. Nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average, with turnover at 30.5% compared to the national rate of 45.8%, meaning workers tend to stay longer here than at most homes. Weekend coverage dips about 14% below weekday levels, which is common but worth asking about. Five deficiencies on record, none at the harm level and none abuse-related, with the last inspection completed in May 2025. For a family weighing options, the pattern here is steady staffing and a clean inspection history.

Nurse hours

4.94 /day

Staff turnover

19%

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United Zion Retirement Communi runs one of the steadiest nurse staffing operations you'll find in Lancaster County, 4.94 hours per resident day against a national average of 3.86, with weekend coverage dipping only about 15% below weekday levels. Staff turnover sits at 19.2%, less than half the national figure, which matters because consistent caregivers notice changes in residents sooner. The tradeoff shows up in its inspection record: four deficiencies on file, two serious enough to reach harm or jeopardy level, plus one fine of $7,443. Federal inspectors last visited in August 2025. A nonprofit with that kind of staffing retention usually has the resources to fix what inspectors flag, the question is whether it does.

Nurse hours

5.21 /day

Staff turnover

38%

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Brethren Village runs a strong staffing operation: 5.21 nurse hours per resident day, roughly 35% above the national average, with turnover at 38.1% versus 45.8% nationally. Weekend coverage dips about 7% below its own weekday levels, which is worth asking about, since that's when families often visit. The trouble sits in inspections. Six deficiencies are on the current record, including three at the harm or jeopardy level and three tied to abuse. CMS gave the health inspection domain 2 out of 5 stars, even as quality measures scored 5 out of 5. That gap usually means the care itself looks fine on paper while the survey record tells a rougher story. The most recent inspection was January 30, 2026, recent enough that this reflects current conditions, not old ones.

Nurse hours

3.87 /day

Staff turnover

21%

Serious cites

0

Quarryville Presbyterian runs 130 certified beds as a church-affiliated nonprofit, and the staffing story here is mostly about retention. A 20.7% annual turnover rate is less than half the national figure of 45.8%, which matters more than the headcount itself: 3.87 nurse hours per resident day sits essentially right at the national average of 3.86, so this home isn't outstaffing anyone, it's keeping the people it hires. Weekend coverage dips about 7% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The current record shows 12 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and the last inspection was in August 2025.

Nurse hours

5.02 /day

Staff turnover

25%

Serious cites

0

St. Anne's runs on about 5 nursing hours per resident per day, roughly 30% more than the national average of 3.86, and its staff tends to stay, 25% annual turnover against a national rate near 46%. Weekend coverage dips about 18% below its own weekday level, which is worth asking about if your family visits primarily on Saturdays or Sundays. The record is otherwise clean: five deficiencies, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. Quality and inspection ratings both land at 4 out of 5, staffing at 5.

Nurse hours

4.68 /day

Staff turnover

34%

Serious cites

0

Pleasant View Communities runs 92 certified beds in Manheim under nonprofit ownership, and the staffing numbers are the story here, 4.68 nurse hours per resident day, roughly a fifth above the national average, which is why CMS gives it five stars on staffing. Weekend coverage dips about 8% below its own weekday level, so the care isn't perfectly even across the week, but the floor stays high. Turnover sits at 34.2%, well under the 45.8% national figure, which matters for residents who rely on seeing familiar faces. Six deficiencies on record, none at the harm level, none abuse-related, and the last inspection was July 2025. Quality measures come in at three stars, the softer spot, so there's room to improve on clinical outcomes even with strong hands on deck.

Nurse hours

4.09 /day

Staff turnover

40%

Serious cites

0

Mt Hope Nazarene in Manheim runs about 50 certified beds as a nonprofit, and the numbers behind its record are steady rather than flashy. Nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, though weekend coverage dips about 7% below its own weekday level. Staff turnover is 40%, better than the 45.8% national figure. Inspectors logged 14 deficiencies on the current record, but none at the harm or jeopardy level and none abuse-related, with the last inspection in September 2024. That mix, adequate staffing, below-average turnover, and a clean harm record, is what separates this home from the pack.

Nurse hours

5.11 /day

Staff turnover

36%

Serious cites

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Homestead Village sits in Lancaster with 60 certified beds and a nonprofit owner, and the numbers behind its grade are mostly about consistency. Nurse staffing runs 5.11 hours per resident day, roughly a third above the national average of 3.86, and weekend coverage dips only about 4% below weekdays, so care doesn't thin out when families tend to visit. Staff turnover is 36.2%, meaningfully lower than the 45.8% national figure, which matters for residents who need familiar faces. The tradeoff is a record of 9 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was March 2026, so the picture is current.

Nurse hours

4.90 /day

Staff turnover

52%

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0

Moravian Manor is a 119-bed nonprofit in Lititz, and the first thing that stands out is nurse staffing: 4.90 hours per resident day, roughly 27% above the national average of 3.86. That matters, though weekends run about 7% thinner than weekdays, so coverage isn't perfectly even. Turnover sits at 51.5%, higher than the 45.8% national figure, which means familiar faces aren't guaranteed. The inspection record is strong, five stars and only 10 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. Last inspection was August 2025, so the picture is current.