Rose City Nursing and Rehab at Lancaster
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 62 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (17 vs median 8.0)
- High staff turnover (52%)
- High RN turnover (71%)
Below average in PA · Below recommended RN staffing · $85,790 in fines
What this means for your family
While recent 2026 reviews suggest a positive shift in staff morale and facility atmosphere, the history of severe safety and hygiene concerns remains a significant red flag. If you are considering this facility, I strongly recommend conducting an unannounced visit during a weekend or evening shift to verify current staffing levels and cleanliness, and specifically ask management how they track and report resident falls and medication errors.
Google Reviews
Google Reviews
62 reviews on Google“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
Tap a score for detailsStrengths
- Friendly and welcoming staff
- Effective physical and occupational therapy teams
- Recent improvements in facility cleanliness
- Responsive management team members
Concerns
- Chronic understaffing leading to neglect (mentioned by 7 reviewers)
- Unsanitary conditions and pest infestations (mentioned by 4 reviewers)
- Medication management errors (mentioned by 2 reviewers)
- Loss or theft of resident personal belongings (mentioned by 3 reviewers)
- Poor communication and lack of incident reporting (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 56 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has been working on cleanliness improvements recently; what specific protocols are now in place to ensure a consistently sanitary environment for residents?
- 2Given the feedback regarding medication management, could you walk me through your current process for verifying and administering daily medications to ensure accuracy?
- 3With the recent focus on staffing, how does your management team ensure that residents receive timely attention and assistance during peak hours?
- 4I see that you are active in responding to family feedback online; what is your standard process for communicating with families when an incident or change in a resident's health occurs?
- 5What measures do you have in place to secure personal belongings and ensure that residents' items are tracked and protected?
- 6Since therapy services are a noted strength here, how do you integrate those physical and occupational therapy sessions into the daily routine of residents?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
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 whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose bladder or bowel control 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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Feb 13, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Dec 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Dec 3, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 6, 2025Complaint1
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Apr 25, 2025Routine15
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Aug 12, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal Penalties
Fine
Dec 1, 2023
$85,790
Ownership & Operations
Who Operates This Facility
Rose City Nursing and Rehab at Lancaster
for profit
Chain Affiliation
Lme Family Holdings
15 facilities nationwide
Chain avg rating: 2.2/5 · Rank 11 of 15
Ownership & Management
Owners
Underscore Holdings LLC
Owner · Organization
Gamzeh, David
Owner
Glatzer, Akiva
Owner
Lahasky Family Trust
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
62 reviews from families & visitors
Official Website
Visit rosecitynursing.com
Medicare data downloads
Original nursing home datasets
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