Nursing homes across Lancaster County, Pennsylvania, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
Newport Meadows runs a for-profit operation with 139 beds, and the numbers show a building leaning on a thin nursing floor. At 3.19 nurse hours per resident day, staffing sits about 17% under the national average, and weekends drop roughly 5% below its own weekday coverage. Turnover of 40.2% is better than the 45.8% national figure, so retention isn't the problem here, hours are. Inspections from September 2025 turned up 26 deficiencies, two serious enough to involve harm or jeopardy, drawing five fines totaling $42,912. No abuse citations appear on the current record, which matters. Still, a 2-out-of-5 staffing rating paired with that deficiency history is what pushes this one toward the bottom.
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.
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.
Emerald Nursing and Rehabilitation runs 73 beds in Elizabethtown under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.70 hours per resident day, under the national average, and weekends drop roughly 14 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 69.7 percent against a 45.8 percent national rate, which means caregivers are cycling out faster than most homes can replace them. Forty deficiencies sit on the current record, including four at harm or jeopardy level and two tied to abuse, with $35,265 in fines across three penalties. The last inspection was May 2026.
Kadima Rehabilitation & Nursing At Lititz runs 42 beds, and the numbers behind its standing are worth knowing before you visit. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, when coverage drops roughly 11% below the home's own weekday level. Staff turnover is the starkest figure: 82.1% annually against a national rate near 46%, meaning most of the people caring for residents are relatively new to the building. The current inspection record carries 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Inspectors last visited on July 18, 2025.