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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 61 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 93% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 17 findings, above the PA average of 10.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Rose City Nursing and Rehab presents a deeply divided experience for families. While recent reviews from 2025 and 2026 highlight a more compassionate, attentive staff and a cleaner environment, many long-term and past reviewers report severe neglect, understaffing, and unsanitary conditions including pest infestations. Families should be aware that while some visitors report positive interactions, others have documented serious concerns regarding medication errors, resident safety, and the loss of personal belongings.
Quality Themes
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Concerns
Rating Trends
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Distribution · 57 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“The staff are more efficient and really seem to care. The halls are cleaner and the smell is gone.”
“I’ve seen roaches on the walls. Your shoes stick to floor. Staffing like a revolving door, and never enough people on staff.”
“He had pt and ot and the therapy team was so friendly and helpful with him. The floor staff always made sure he had everything he needed.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
3
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaint reports against this facility, triggering 11 deficiencies across areas including medication management, care planning, and safety hazards. The facility shows persistent issues with medication errors, accident prevention, and providing adequate nutrition and fluids to residents, with these problems recurring across multiple surveys from 2023 to 2025, though the provider has provided correction dates for all deficiencies.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Federal Penalties
Fine
Dec 1, 2023
$85,790
Rose City Nursing and Rehab at Lancaster
for profit
Lme Family Holdings
15 facilities nationwide
Chain avg rating: 2.2/5 · Rank 11 of 15
Owners
Underscore Holdings LLC
Owner · Organization
Samara Holdings Company LLC
Owner (parent company) · Organization
Strawberry Hill Holdings LLC
Owner (parent company) · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
61 reviews from families & visitors
Official Website
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Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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