Neffsville Nursing and Rehabilitation

2829 Lititz Pike · Lancaster, PA · 17601 · 7175693211

240 certified beds For profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 64
Staffing 20% 63
Federal penalties 15% 100
Trend 10% 25
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.560.55–0.75
Weekend hours / resident-day3.01≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (33 in the current record)

  • Immediate jeopardy · K February 4, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · E February 4, 2026 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected February 12, 2026 · Administration

  • Potential for harm · E December 3, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected December 4, 2025 · Resident Rights

  • Actual harm · G September 10, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 7, 2025 · Quality of Life and Care

  • Potential for harm · D September 10, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 7, 2025 · Quality of Life and Care

  • Potential for harm · F March 25, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 25, 2025 · Nutrition and Dietary

  • Potential for harm · D January 2, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 23, 2025 · Quality of Life and Care

  • Potential for harm · D November 15, 2024

    Ensure each resident receives an accurate assessment.

    Corrected January 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected January 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 4, 2025 · Quality of Life and Care

  • Potential for harm · E November 15, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected January 4, 2025 · Quality of Life and Care

  • Potential for harm · F November 15, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 4, 2025 · Infection Control

  • Potential for harm · E November 15, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 4, 2025 · Nutrition and Dietary

  • Potential for harm · D December 21, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 1, 2024 · Resident Rights

  • Potential for harm · D December 21, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 21, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E December 21, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 1, 2024 · Quality of Life and Care

  • Potential for harm · E December 21, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 1, 2024 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 1, 2024 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

    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.

    Corrected February 1, 2024 · Pharmacy Service

  • Potential for harm · D December 21, 2023

    Ensure that residents are free from significant medication errors.

    Corrected February 1, 2024 · Pharmacy Service

  • Potential for harm · D December 21, 2023 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 1, 2024 · Pharmacy Service

  • Potential for harm · E December 21, 2023 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 1, 2024 · Resident Rights

  • No harm found · B December 21, 2023

    Ensure each resident receives an accurate assessment.

    Corrected February 1, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395205 · certified since October 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.