20 Continuing Care Retirement Communities in Lancaster County, Pennsylvania
20 of the 31 Medicare-certified nursing homes in Lancaster County, Pennsylvania (65%) are CCRC, and all are listed below. 15 of the 20 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 36.9%, 4.7 points lower than the 41.6% across all homes there. Glen At Willow Valley in Lancaster grades highest at A (97 out of 100).
How CCRC homes in Lancaster County, Pennsylvania compare
This group set against every nursing home in Lancaster County, Pennsylvania, from the current CMS release.
Nursing hours per resident per day
4.73
All homes in Lancaster County, Pennsylvania: 4.31
Better than the local average
Nurse staff turnover
36.9%
All homes in Lancaster County, Pennsylvania: 41.6%
Better than the local average
Average ElderGrade score
87.4/100
All homes in Lancaster County, Pennsylvania: 80.9/100
Better than the local average
Grade spread
A
B
C
15 grade A, 2 grade B, 3 grade C,
The best-graded CCRC home in Lancaster County, Pennsylvania is
Glen At Willow Valley
in Lancaster, PA, grade A, 97/100.
Every CCRC nursing home in Lancaster County, Pennsylvania
Glen At Willow Valley runs 262 certified beds as a nonprofit, and the staffing numbers are the story here: 4.45 nurse hours per resident day, roughly 15% above the national average. Just as telling, annual turnover sits at 28.9% against a national average of 45.8%, that stability matters more than any single inspection result, because consistent staff know the residents. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Sunday afternoon. The current record shows one deficiency, none at harm level and none abuse-related, with an inspection dated December 2025. Medicare's own ratings land at five stars across health inspections, quality measures, and staffing.
Lakeside At Willow Valley runs on about 4.87 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and it holds a 5-star rating in all three CMS categories. Just one deficiency sits on its current record, none involving harm or abuse, and its most recent inspection was in January 2026. Weekend staffing dips about 10% below weekday levels, which is common but worth asking about, since that's when families often visit. Annual turnover of 36.5% is meaningfully lower than the 45.8% national figure, suggesting a steadier workforce than most. As a nonprofit with 80 beds, it's small enough that you can reasonably ask who specifically will be on duty.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
The Rehabilitation Center at Brethren Village runs just 20 certified beds in Lancaster, and the numbers behind its record are unusually steady. Nurse staffing sits at 8.52 hours per resident day, more than double the national average of 3.86, and while weekend coverage dips about 8% below its own weekday level, that floor is still far above what most homes provide. Staff turnover is 31.8% against a national 45.8%, meaning fewer caregivers cycling out the door. Its inspection record shows one deficiency total, none at harm level, none abuse-related, with the last survey in July 2025. Nonprofit ownership and a 5-star inspection and staffing rating back up what the numbers suggest.
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.
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.
Ephrata Manor runs a nonprofit shop with 120 beds, and its nurse staffing sits at 4.22 hours per resident day, roughly 9% above the national average. Weekends dip about 9% below its own weekday coverage, so if you're visiting on a Saturday, expect a slightly thinner floor than midweek. Staff turnover is 43.5%, just under the national figure, which matters because consistent caregivers know your mother's habits. Inspections in September 2024 turned up 11 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $13,845. No abuse findings. The star ratings sit at 4 out of 5 across health, quality, and staffing, solid, not perfect.
Zerbe Sisters runs nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, but the margin thins on weekends, when coverage drops about 9% below its own weekday level. Turnover sits at 52.8%, higher than the 45.8% national figure, so the faces around a resident change more often than average. The inspection record shows three deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $10,033; the most recent inspection was in April 2026. Strong staffing and quality scores sit alongside real gaps in consistency and past safety findings.
Luther Acres Manor runs 106 certified beds in Lititz under corporate for-profit ownership, and its staffing sits at 3.94 nurse hours per resident day, slightly above the national average of 3.86, though weekends dip about 6% below its own weekday level. The bigger concern is turnover: 53.8% of staff leave annually, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines and changes. Inspections in November 2024 turned up 9 deficiencies, none at harm or jeopardy level, but 3 were abuse-related, and the quality measure rating sits at 1 out of 5 stars. Families should ask how the home addresses weekend coverage and what those abuse citations involved.
Susquehanna Health and Wellness Center runs 173 certified beds in Columbia, and its nurse staffing sits at 3.03 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, right when families often visit. The inspection record is the bigger concern: 36 deficiencies, including 3 at the harm or jeopardy level and one tied to abuse, plus 10 fines totaling $117,308. Staff turnover of 47.7% runs slightly above the national 45.8%, meaning many of the people caring for residents are still learning the building. The most recent inspection was July 2025, so the record is current.
The Gardens at Stevens runs 82 certified beds in Lancaster County under for-profit LLC ownership, and its staffing sits at 3.49 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The bigger number is turnover: 70.1% annually against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Its inspection record carries 44 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus one fine of $55,807. The most recent inspection was February 27, 2026.
Frequently asked questions
How many CCRC nursing homes are there in Lancaster County, Pennsylvania?
There are 20 CCRC Medicare-certified nursing homes in Lancaster County, Pennsylvania, 65% of the 31 nursing homes there.
Are CCRC nursing homes better staffed?
In Lancaster County, Pennsylvania they average 4.73 total nursing hours per resident per day, against 4.31 for all nursing homes in Lancaster County, Pennsylvania, a difference of +0.42 hours. Staff turnover averages 36.9% against 41.6%.
Which CCRC nursing home grades best in Lancaster County, Pennsylvania?