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Nursing homeFAID #10774

Rose City Nursing and Rehab At Lancaster

425 NORTH DUKE STREET, LANCASTER, PA, 17602
(717) 397-4281
rosecitynursing.com
124 licensed beds
★★★★★2/5CMS Five-Star overall1/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of ROSE CITY NURSING AND REHAB AT LANCASTER
Photo via Google · Mark Katz

Public record summary

What we can show you for free.
Bed capacity
124
CMS facility ID
395177
Care type
Nursing home
County
Lancaster
Facility name
Rose City Nursing and Rehab At Lancaster
Street address
425 NORTH DUKE STREET
City / state / ZIP
Lancaster, PA 17602
Phone
(717) 397-4281
Website
rosecitynursing.com

About this facility — Rose City Nursing and Rehab At Lancaster

Rose City Nursing and Rehab At Lancaster is a Medicare/Medicaid-certified skilled nursing facility in Lancaster, Pennsylvania. It is licensed for 124 beds — close to the median for skilled nursing facilities in Pennsylvania (119 beds).

It is one of 28 senior care facilities in Lancaster and 656 skilled nursing facilities across Pennsylvania. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Rose City Nursing and Rehab At Lancaster 49 times across 14 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $128,792 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Lme Family Holdings
Ownership type
For profit - Limited Liability company

Registered owners & officers

Underscore Holdings Llc
Direct owner — 100% stake — since 2018
Samara Holdings Company Llc
Indirect owner — 32% stake — since 2020
Strawberry Hill Holdings Llc
Indirect owner — 32% stake — since 2020
Clinical Consulting Services Llc
Operational control — since 2019
Gph Lancaster Lp
Additional disclosable party — since 2018
Pearlstein, Robert
Operational control · Additional disclosable party — since 2022
Priority Care Group Llc
Operational control — since 2019
Shank, Christine
Operational control · Additional disclosable party — since 2023
Summation Financial Services Llc
Operational control — since 2019

Regulatory standing

Licensed / certified since
1967-03-03
CMS overall rating
2 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$128,792 total
Last standard inspection
2026-05-20
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$427 per day (≈ $12,980/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
96% Medicaid · 1% Medicare · 2% private/other
Occupancy
79% (fiscal year 2023)
Vs. state median
3% above the PA median of $415/day — full state cost breakdown

Services & coverage

Licensed beds
124
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-20Health inspectionComplaint-triggered13 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2026-06-10
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-10
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-10
F-0689
K · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-10
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-06-10
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-06-10
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-06-10
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2026-06-10
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2026-06-10
F-0835
D · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-06-10
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-10
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-10
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-06-10
2026-02-13Health inspectionComplaint-triggered1 citation
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-03-30
10 earlier / fire-safety inspections (35 citations)
2025-12-18Health inspectionComplaint-triggered1 citation
F-0680
E · No harm foundFrom a complaint
Ensure the activities program is directed by a qualified professional.
Corrected 2026-01-19
2025-12-03Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-08
2025-08-06Health inspectionComplaint-triggered1 citation
F-0582
D · No harm foundFrom a complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-20
2025-04-25Health inspection14 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-12
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-12
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-06-12
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-06-12
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-12
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-12
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-12
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-12
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-12
F-0730
F · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2025-06-12
F-0756
F · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-12
F-0758
E · No harm found
Implement 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.
Corrected 2025-06-12
F-0761
E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-06-12
F-0947
F · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-12
2024-08-12Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-03
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-09-03
2024-03-15Health inspection8 citations
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-05-01
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-01
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-01
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-01
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-01
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-01
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-01
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-05-01
2024-01-03Health inspectionComplaint-triggered1 citation
F-0801
D · No harm foundFood safetyFrom a complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-01-15
2023-12-01Health inspectionComplaint-triggered5 citations
F-0656
J · Immediate jeopardyFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-02
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-02
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-27
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-01-02
F-0835
E · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-01-02
2025-04-25Fire-safety inspection1 citation
E-0004
C · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-29
2024-03-15Fire-safety inspection1 citation
E-0006
C · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-05-01

Federal penalties

2026-05-20Fine$43,002
2023-12-01Fine$85,790
Total fines$128,792
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 395177.

Visitor reviews

What people say on Google.
3.261 ratings on Google
★★★★★Bridget · 2026-03-12 · via Google

“I am writing as a family member of a patient at Rose City, and I could not be more impressed. The team was incredibly caring, attentive, and professional with my loved one. Every detail was handled thoughtfully, and it was clear that the staff genuinely cared about their well-being. The environment is warm and welcoming, making it a truly positive experience. I highly recommend Rose City to anyone…”

★★★★★Beth Horning · 2026-03-24 · via Google

“Love visiting my grandmother here. Can tell the staff really have a passion for their work. I am always greeted with a smile. And my grandma absolutely adores the activity department and staff. Shout out to Jenn and Tom she speaks highly of the both of you.”

★★★★★Tiffany F · 2026-03-17 · via Google

“I recently had the opportunity to experience the care and services at this nursing home, and I can confidently say it exceeded my expectations. The staff is incredibly compassionate, attentive, and professional—they truly treat residents with dignity and respect.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 49 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered