All 10 Medicare-certified nursing homes in Lancaster,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
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.
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.
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.
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.
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.
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.
Lancaster Nursing and Rehabilitation Center is a 446-bed for-profit home, and its biggest issue is staffing. At 3.04 nurse hours per resident day, it runs about 21% below the national average of 3.86, and weekends are roughly 8% thinner than its own weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 56%, well above the 45.8% national figure, meaning the people caring for your relative are often new. The current record shows 34 deficiencies, none at the harm level but one abuse-related, with an inspection dated May 2026. The one-star staffing rating tells you where the pressure is.
Abbeyville runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends dip another 8% below its own weekday coverage. Staff turnover sits at 55.1% against a national 45.8%, which means the people caring for residents are, more often than not, still learning the building. The current record carries 34 deficiencies, two tied to abuse, though none reached the harm or jeopardy level CMS tracks most closely. A for-profit limited liability company owns the 172 beds, and the most recent inspection was April 2026. Three stars for health inspections, two for quality measures, two for staffing.