Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ELDERWOOD AT LANCASTER
LANCASTER, NY · 96 certified beds · Last Life Safety survey November 22, 2024
CMS Certification Number 335577 · first certified January 1977
Ownership
Operated by ELDERWOOD · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within NY
5 citations — more than 10% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: May 2026 to January 2027. This facility’s last Life Safety survey was November 2024. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
2 of the 5 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 5 |
| Median facility in NY | 13 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 20, 2019 | 3 |
| December 6, 2022 | 0 |
| November 22, 2024 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2019-12-20 |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | 1 | 2024-11-22 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2019-12-20 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2019-12-20 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2024-11-22 |
What the citations cover
- Emergency Preparedness Deficiencies 2
- Smoke Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 2 |
| Smoke Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 22, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (January 10, 2025) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (January 10, 2025) |
December 20, 2019 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (February 6, 2020) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (February 6, 2020) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (February 6, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.