Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
BRETHREN VILLAGE
LANCASTER, PA · 120 certified beds · Last Life Safety survey March 21, 2025
CMS Certification Number 395328 · first certified May 1975
Ownership
Independently operated (no chain recorded by CMS) · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within PA
5 citations — more than 26% of the 656 certified nursing homes in PA. Compared within PA 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 on file averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (February 2026 to March 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in PA are typically surveyed 11–12 months after the last one (median 11), measured over 1,101 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 about three years in Virginia. How the window is measured
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How that compares
Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 5 |
| Median facility in PA | 10 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 6, 2023 | 1 |
| February 23, 2024 | 2 |
| March 21, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0541 | Install properly constructed and protected linen or trash chutes. | 2 | 2025-03-21 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-02-23 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2024-02-23 |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | 1 | 2025-03-21 |
What the citations cover
- Services Deficiencies 3
- Smoke Deficiencies 2
| Category | Citations |
|---|---|
| Services Deficiencies | 3 |
| Smoke Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 21, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0531 | Have elevators that firefighters can control in the event of a fire. | Deficient, Provider has date of correction (April 4, 2025) |
| K-0541 | Install properly constructed and protected linen or trash chutes. | Deficient, Provider has date of correction (April 4, 2025) |
February 23, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 18, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (March 18, 2024) |
April 6, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0541 | Install properly constructed and protected linen or trash chutes. | Deficient, Provider has date of correction (May 12, 2023) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.