SNF
ROSE CITY NURSING AND REHAB AT LANCASTER
CCN: 395177 · LANCASTER, PA 17602 · Lancaster County
Overview
- Address
- 425 NORTH DUKE STREET, LANCASTER, PA 17602
- Phone
- 7173974281
- Certified beds
- 124
- Avg daily residents
- 107 (86% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-03-03
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.25 | 3.06 | 4.10 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.61 | 0.53 | 0.77 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.56 | 0.68 | 0.71 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.07 | 1.84 | 2.61 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.18 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.93
hrs / resident / day
RN (weekend)
0.57
hrs / resident / day
Total nurse (adjusted, weekend)
3.71
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
51.9%
annual
RN turnover
70.6%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.08
near national average
Case-Mix Index Ratio
0.79
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-04-25 | 17 | 14 | 3 | 128 | 1 | 128 |
| Cycle 2/3 (prior) | 2024-03-15 | 16 | 8 | 8 | 150 | 3 | 255 |
Total weighted health score
159.8
lower is better
Deficiencies (38)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
36 D/E/F Actual harm — potential for minor
2 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0680 | Ensure the activities program is directed by a qualified professional. | E | 2025-12-18 | 2026-01-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-03 | 2025-12-08 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-08-06 | 2025-08-20 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-04-25 | 2025-06-12 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-04-25 | 2025-06-12 |
| 0610 | Respond appropriately to all alleged violations. | D | 2025-04-25 | 2025-06-12 |
| 0641 | Ensure each resident receives an accurate assessment. | E | 2025-04-25 | 2025-06-12 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-04-25 | 2025-06-12 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-25 | 2025-06-12 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-25 | 2025-06-12 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-04-25 | 2025-06-12 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-04-25 | 2025-06-12 |
| 0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-04-25 | 2025-06-12 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | 2025-04-25 | 2025-06-12 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2025-04-25 | 2025-06-12 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-04-25 | 2025-06-12 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2025-04-25 | 2025-06-12 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-08-12 | 2024-09-03 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-08-12 | 2024-09-03 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-03-15 | 2024-05-01 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-15 | 2024-05-01 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-15 | 2024-05-01 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-03-15 | 2024-05-01 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-03-15 | 2024-05-01 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-03-15 | 2024-05-01 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-15 | 2024-05-01 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-03-15 | 2024-05-01 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2024-01-03 | 2024-01-15 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | 2023-12-01 | 2024-01-02 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-01 | 2024-01-02 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-12-01 | 2023-10-27 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-12-01 | 2024-01-02 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2023-12-01 | 2024-01-02 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-06-02 | 2023-07-05 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-02 | 2023-07-05 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-06-02 | 2023-07-05 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | E | 2023-06-02 | 2023-07-05 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2023-06-02 | 2023-07-05 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$85,790
| Date | Type | Fine amount |
|---|---|---|
| 2023-12-01 | Fine | $85,790 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 1.4% Medicaid 96.2% Other 2.4%
Operating performance
Operating Margin
1.8%
Total Margin
2.8%
Occupancy Rate
79.3%
Revenue & costs
Net Patient Revenue
$9.9M
Total Costs
$696K
Net Income
$284K
Balance sheet
Total Assets
$4.5M
Total Liabilities
$2.6M
Fund Balance
$1.9M
Current Ratio
1.52
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LME FAMILY HOLDINGS
- Chain ID
321- Facilities in chain
- 15
- Legal business name
- KEYSTONE NURSING AND REHAB OF LANCASTER LLC
Chain-average star ratings (for peer context)
Overall
2.2
Health
2.2
Staffing
2.6
QM
3.2
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| UNDERSCORE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/14/2018 |
| LAHASKY FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/14/2018 |
| LME FAMILY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/14/2018 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| GAMZEH, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/14/2018 |
| GLATZER, AKIVA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/14/2018 |
| SEBBAG, GABRIEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/14/2018 |
| GAMZEH, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 05/14/2018 |
| BENNETT, JOSHUA | W-2 MANAGING EMPLOYEE | since 05/14/2018 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 1.52 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 96.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 1.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $283,718 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,934,068 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 79.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,517,261 | metrics.total_assets |
| Cost Report | Total Costs ($) | $695,789 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,887,834 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,629,427 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 2.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.71308 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.61488 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.77415 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.10212 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.70565 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 107.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.67804 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 1.84277 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.53445 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.05526 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.69289 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.2 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.2 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 321 | Chain ID |
| Provider Information | Chain Name | LME FAMILY HOLDINGS | Chain Name |
| Provider Information | City/Town | LANCASTER | City/Town |
| Provider Information | CMS Certification Number (CCN) | 395177 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Lancaster | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-03-03 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.0449 | Latitude |
| Provider Information | Legal Business Name | KEYSTONE NURSING AND REHAB OF LANCASTER LLC | Legal Business Name |
| Provider Information | Location | 425 NORTH DUKE STREET,LANCASTER,PA,17602 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -76.305 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 124 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 15 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.08234 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.78564 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 425 NORTH DUKE STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ROSE CITY NURSING AND REHAB AT LANCASTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 440 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 128 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 14 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-25 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 128 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 17 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-15 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 150 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 105 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 8 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 3 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 255 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 16 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.56789 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 70.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.17689 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.56428 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.06923 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04498 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.61261 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.24612 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | PA | State |
| Provider Information | Telephone Number | 7173974281 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 85790.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.93238 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 51.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 159.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 17602 | ZIP Code |