28 Nursing Homes That Accept Medicaid in Lancaster County, Pennsylvania
28 of the 31 Medicare-certified nursing homes in Lancaster County, Pennsylvania (90%) are Medicaid-certified, and all are listed below. 14 of the 28 graded homes earn an A and 2 earn a D or F. They average 4.14 nursing hours per resident per day, 0.17 hours below the 4.31 for every home in Lancaster County, Pennsylvania. Masonic Village At Elizabethtown in Elizabethtown grades highest at A (96 out of 100).
How Medicaid-certified 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
4.14
All homes in Lancaster County, Pennsylvania: 4.31
Worse than the local average
Nurse staff turnover
42.6%
All homes in Lancaster County, Pennsylvania: 41.6%
Worse than the local average
Average ElderGrade score
79.4/100
All homes in Lancaster County, Pennsylvania: 80.9/100
Worse than the local average
Grade spread
A
B
C
14 grade A, 5 grade B, 7 grade C, 2 grade D,
The best-graded Medicaid-certified home in Lancaster County, Pennsylvania is
Masonic Village At Elizabethtown
in Elizabethtown, PA, grade A, 96/100.
Every Medicaid-certified nursing home in Lancaster County, Pennsylvania
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.
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.
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.
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.
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.
Rose City Nursing And Rehab At Lancaster runs 124 beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see: 3.35 nurse hours per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday levels. Turnover is 49.4%, higher than the 45.8% national figure, so the people caring for residents change often. The inspection record is the bigger concern, 47 deficiencies, three at harm or jeopardy level, three tied to abuse, and one $85,790 fine. A recent inspection in May 2026 means the record is current, not old. Strong quality-measure scores don't outweigh a one-star health inspection history like this.
Elizabethtown Nursing and Rehabilitation runs 45 beds under for-profit LLC ownership, and its staffing sits about 6% under the national average at 3.63 nurse hours per resident per day, with weekends dipping another 3% below its own weekday levels. Annual turnover is 50%, above the 45.8% national figure, so the people caring for residents keep changing. The inspection record shows 45 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level; the last inspection was June 2025. CMS rates staffing and health inspections 2 out of 5, while quality measures score 4. The quality numbers look better than the day-to-day staffing and inspection picture.
Neffsville Nursing and Rehabilitation runs 240 certified beds in Lancaster under corporate for-profit ownership, and its inspection record is the real story here: 33 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse. CMS gives it 1 out of 5 stars for health inspections and 2 for quality measures. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends drop about 8 percent below its own weekday levels. Staff turnover is 44.3 percent, essentially in line with the national 45.8 percent. Its last inspection was November 15, 2024. If you're weighing this one, ask directly how they've addressed the harm-level findings.
Hamilton Arms Center runs 94 certified beds in Lancaster under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 8 percent below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor than midweek. Turnover is the brighter spot: 33.7 percent against a national 45.8 percent, meaning fewer caregivers cycling out than at the typical home.
The inspection record is where I'd slow down. Twenty-two deficiencies are logged, including one at the harm level and two tied to abuse, with three fines totaling $9,009. The last inspection was September 26, 2025, so that picture is current, not stale.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Lancaster County, Pennsylvania?
There are 28 Medicaid-certified Medicare-certified nursing homes in Lancaster County, Pennsylvania, 90% of the 31 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Lancaster County, Pennsylvania they average 4.14 total nursing hours per resident per day, against 4.31 for all nursing homes in Lancaster County, Pennsylvania, a difference of -0.17 hours. Staff turnover averages 42.6% against 41.6%.
Which Medicaid-certified nursing home grades best in Lancaster County, Pennsylvania?