Every one of the 31 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
17 of these hold the top CMS rating of five. 3 sit at one. Registered nurse cover averages 0.83 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| REHABILITATION CENTER AT BRETHREN VILLAGE LLC | Lancaster | 5 | 5 | 5 | 3.31 | 20 | $0 |
| LAKESIDE AT WILLOW VALLEY | Willow Street | 5 | 5 | 5 | 1.42 | 80 | $0 |
| st anne's retirement community | Columbia | 5 | 4 | 5 | 1.25 | 119 | $0 |
| LANDIS HOMES | Lititz | 5 | 4 | 5 | 1.24 | 103 | $0 |
| MAPLE FARM | Akron | 5 | 4 | 5 | 1.21 | 46 | $0 |
| UNITED ZION RETIREMENT COMMUNI | Lititz | 5 | 4 | 5 | 1.03 | 59 | $7,443 |
| GARDEN SPOT VILLAGE | New Holland | 5 | 4 | 5 | 0.88 | 73 | $8,018 |
| QUARRYVILLE PRESBYTERIAN RETIREMENT COMMUNITY | Quarryville | 5 | 3 | 5 | 0.83 | 130 | $0 |
| MASONIC VILLAGE AT ELIZABETHTOWN | Elizabethtown | 5 | 5 | 5 | 0.78 | 434 | $0 |
| FAIRMOUNT HOMES | Ephrata | 5 | 5 | 5 | 0.77 | 114 | $0 |
| MORAVIAN MANOR | Lititz | 5 | 5 | 4 | 0.71 | 119 | $0 |
| HOMESTEAD VILLAGE, INC | Lancaster | 5 | 5 | 5 | 0.71 | 60 | $0 |
| GLEN AT WILLOW VALLEY | Lancaster | 5 | 5 | 5 | 0.70 | 262 | $0 |
| Trillium Place | Lancaster | 5 | 5 | 5 | 0.69 | 160 | $0 |
| PLEASANT VIEW COMMUNITIES | Manheim | 5 | 4 | 5 | 0.69 | 92 | $0 |
| MT HOPE NAZARENE RETIREMENT COMMUNITY | Manheim | 5 | 4 | 5 | 0.65 | 50 | $0 |
| ZERBE SISTERS NURSING CENTER, | Narvon | 5 | 5 | 4 | 0.59 | 87 | $10,033 |
| Ephrata Manor | Ephrata | 4 | 4 | 4 | 0.79 | 120 | $13,845 |
| BRETHREN VILLAGE ⚑ | Lancaster | 3 | 2 | 4 | 0.78 | 120 | $0 |
| HAMILTON ARMS CENTER | Lancaster | 3 | 3 | 3 | 0.49 | 94 | $9,009 |
| LUTHER ACRES MANOR | Lititz | 3 | 4 | 3 | 0.46 | 106 | $0 |
| ABBEYVILLE SKILLED NURSING AND REHABILITATION CENT | Lancaster | 3 | 3 | 2 | 0.39 | 172 | $0 |
| NEWPORT MEADOWS HEALTH AND REHABILITATION CENTER | Christiana | 3 | 3 | 2 | 0.29 | 139 | $42,912 |
| GARDENS AT STEVENS, THE | Stevens | 2 | 2 | 3 | 0.95 | 82 | $55,807 |
| ROSE CITY NURSING AND REHAB AT LANCASTER | Lancaster | 2 | 1 | 3 | 0.70 | 124 | $85,790 |
| ELIZABETHTOWN NURSING AND REHABILITATION | Elizabethtown | 2 | 2 | 2 | 0.59 | 45 | $0 |
| SUSQUEHANNA HEALTH AND WELLNESS CENTER | Columbia | 2 | 2 | 3 | 0.44 | 173 | $117,308 |
| LANCASTER NURSING AND REHABILITATION CENTER | Lancaster | 2 | 3 | 1 | 0.34 | 446 | $0 |
| KADIMA REHABILITATION & NURSING AT LITITZ | Lititz | 1 | 2 | 1 | 1.05 | 42 | $0 |
| NEFFSVILLE NURSING AND REHABILITATION | Lancaster | 1 | 1 | 3 | 0.54 | 240 | $0 |
| EMERALD NURSING AND REHABILITATION | Elizabethtown | 1 | 1 | 2 | 0.53 | 73 | $35,265 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| Non profit - Corporation | 17 |
| For profit - Limited Liability company | 9 |
| For profit - Corporation | 4 |
| Non profit - Church related | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.