NEFFSVILLE NURSING AND REHABILITATION
2829 LITITZ PIKE, LANCASTER, PA 17601 · CCN 395205
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 240
- Avg residents/day
- 188.2
- Phone
- 7175693211
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-15 | 11 | 10.1 | 9.5 | +0.9 worse |
| 2 | 2023-12-21 | 11 | 10.9 | 9.8 | +0.1 worse |
| 3 | 2023-03-03 | 9 | 10.5 | 9.3 | -1.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.25 | 43.4% |
| RN staffing (reported) | 0.57 | 30.0% |
| Total nurse staffing (adjusted) | 3.79 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (31)1 actual harm
- EF0584Honor 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.2025-12-03 · Health · corrected 2025-12-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-10 · Health · corrected 2025-10-07
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-10 · Health · corrected 2025-10-07
Actual harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-25 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-02 · Health · corrected 2025-01-23
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-11-15 · Health · corrected 2025-01-04
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-11-15 · Health · corrected 2025-01-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-15 · Health · corrected 2025-01-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-15 · Health · corrected 2025-01-04
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-11-15 · Health · corrected 2025-01-04
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-15 · Health · corrected 2025-01-04
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2025-01-04
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- BF0641Ensure each resident receives an accurate assessment.2023-12-21 · Health · corrected 2024-02-01
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0758Implement 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.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-12-21 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
- DF0578Honor 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.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-03-03 · Health · corrected 2023-04-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SPACEBAR OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-11-01 |
| AI ELEMENTS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2021-11-01 |
| STRAWBERRY HILL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2022-02-25 |
| TILDE PROPCO HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-01-01 |
| CLINICAL CONSULTING SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| PRIORITY CARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-11-01 |
| SUMMATION FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-11-01 |
| FISHER YOHN, CARLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-07 |
| PECK, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-01 |
Other facilities in LANCASTER
| Name | Overall | Beds |
|---|---|---|
| REHABILITATION CENTER AT BRETHREN VILLAGE LLC | ★★★★★ | 20 |
| Trillium Place | ★★★★★ | 160 |
| HOMESTEAD VILLAGE, INC | ★★★★★ | 60 |
| GLEN AT WILLOW VALLEY | ★★★★★ | 262 |
| HAMILTON ARMS CENTER | ★★★☆☆ | 94 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.