Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LANCASTER NURSING AND REHABILITATION CENTER

LANCASTER, PA · 446 certified beds · Last Life Safety survey April 11, 2025

CMS Certification Number 395774 · first certified January 1989

Ownership

Operated by IMPERIAL HEALTHCARE GROUP · For profit - Corporation

  • Ownership changed April 30, 2021 (change of ownership)from CONESTOGA VIEW NURSING LP
22
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within PA

22 citations — more than 86% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 9. 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 April 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was April 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 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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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 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 22 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility22PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility22
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
112023-0772024-0542025-04
Citations at each Life Safety survey
Survey dateCitations
July 27, 202311
May 22, 20247
April 11, 20254

Most-cited tags

Most-cited tags at this facility
K-03532K-03742K-02932K-02252K-09081K-03111K-05211K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-05-22
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22025-04-11
K-0293Have properly located and lighted "Exit" signs.22025-04-11
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.22024-05-22
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.12023-07-27
K-0311Have an enclosure around a vertical opening shaft.12023-07-27
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12023-07-27
K-0324Provide properly protected cooking facilities.12024-05-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Egress Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Construction Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Egress Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Construction Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 11, 2025 — 4 citations

Citations issued on April 11, 2025
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 18, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 18, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 18, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 18, 2025)

May 22, 2024 — 7 citations

Citations issued on May 22, 2024
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (June 25, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 25, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 25, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 25, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 25, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 25, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 25, 2024)

July 27, 2023 — 11 citations

Citations issued on July 27, 2023
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (August 29, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 29, 2023)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (August 29, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 29, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (August 29, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 29, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (August 29, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 29, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 29, 2023)
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.Deficient, Provider has date of correction (August 29, 2023)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (August 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.