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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D23 | E12 | F7 |
| Minimal | A· | B1 | C6 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 4, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 10, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 15, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Nov 15, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Dec 21, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 21, 2023 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Mar 3, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 3, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 2, 2026 | Civil money penalty (fine) | $9,516 | — | 395205|Fine|138257 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D23 | E12 | F7 |
| Minimal | A· | B1 | C6 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 4, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Feb 12, 2026 | Complaint |
| Feb 4, 2026 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 12, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Spacebar Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2021 |
| Ai Elements LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Nov 1, 2021 |
| Strawberry Hill Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Feb 25, 2022 |
| Tilde Propco Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Spacebar Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2021 |
| Ai Elements LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Nov 1, 2021 |
| Strawberry Hill Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Feb 25, 2022 |
| Tilde Propco Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | Jan 1, 2023 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Brethren Village 3001 Lititz Pike, Lancaster, PA 17606 CCN 395328 | 0.1 km | 120 | Jan 30, 2026 | 113 harm | — | |
| Rehabilitation Center at Brethren Village LLC 3001 Lititz Pike, Lancaster, PA 17606 CCN 396140 | 0.1 km | 20 | Aug 28, 2026 | 1 | — | |
| The Short Term Rehabilitation Center at Brethren Village, LLC 3001 Lititz Pike, Lititz, PA 17543 State license only | 0.7 km | — | Not CMS rated | — | No inspections in window | — |
| Brethren Village 3001 Lititz Pike, Lititz, PA 17543 State license only | 0.7 km | — | Not CMS rated | — | No inspections in window | — |
| Landis Homes 1001 East Oregon Road, Lititz, PA 17543 CCN 395797 | 3.2 km | 103 | Sep 26, 2025 | 71 harm | — | |
| Luther Acres Manor 400 Saint Luke Dr, Lititz, PA 17543 CCN 395406Abuse icon | 5.3 km | 106 | Jun 29, 2026 | 281 harm | — | |
| Moravian Manor 300 West Lemon Street, Lititz, PA 17543 CCN 395325 | 5.4 km | 119 | Aug 20, 2026 | 101 harm | $22k | |
| Kadima Rehabilitation & Nursing at Lititz 125 South Broad Street, Lititz, PA 17543 CCN 395590Abuse icon | 5.5 km | 42 | Aug 28, 2026 | 601 harm14 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 395205 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 395205 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Pennsylvania DOH Nursing Homes PA | 120302 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Sep 17, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 3, 2025 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 4, 2025 | Complaint |
| Sep 10, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 7, 2025 | Complaint |
| Sep 10, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 7, 2025 | Complaint |
| Mar 25, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 25, 2025 | Complaint |
| Jan 2, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2025 | Complaint |
| Nov 15, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Feb 14, 2025 |
| Nov 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 14, 2025 |
| Nov 15, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 3, 2025 |
| Nov 15, 2024 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Nov 15, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 4, 2025 |
| Nov 15, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 4, 2025 |
| Nov 15, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 4, 2025 |
| Nov 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 4, 2025 |
| Nov 15, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 4, 2025 |
| Nov 15, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 4, 2025 | Complaint |
| Nov 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 4, 2025 |
| Nov 15, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 3, 2025 |
| Nov 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 3, 2025 |
| Nov 15, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 3, 2025 |
| Nov 15, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 3, 2025 |
| Dec 21, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 3, 2024 |
| Dec 21, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 3, 2024 |
| Dec 21, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 3, 2024 |
| Dec 21, 2023 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 3, 2024 |
| Dec 21, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 1, 2024 | Complaint |
| Dec 21, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Dec 21, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Dec 21, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Dec 21, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 1, 2024 |
| Dec 21, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 1, 2024 |
| Dec 21, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Dec 21, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 1, 2024 | Complaint |
| Dec 21, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Dec 21, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 3, 2024 |
| Dec 21, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Feb 1, 2024 |
| Mar 3, 2023 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 18, 2023 |
| Mar 3, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 18, 2023 |
| Mar 3, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 18, 2023 |
| Mar 3, 2023 | K-0932 | Meet other general requirements. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0578 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 18, 2023 |
| Mar 3, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 18, 2023 |
| Mar 3, 2023 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 18, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.74 (case-mix index 1.24).
| Clinical Consulting Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2019 |
| Priority Care Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2021 |
| Summation Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2021 |
| Carla Fisher Yohn | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 7, 2025 |
| Michael Peck | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2023 |
| 2829 Lititz Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2021 |
| Clinical Consulting Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 20, 2025 |
| Summation Financial Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 20, 2025 |
| Carla Fisher Yohn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Michael Peck | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 20, 2025 |