Lakeside at Willow Valley — nursing home in Willow Street, PA

Facility type: Skilled nursing facility · Medicare only
CMS provider type: Medicare · part of a continuing care retirement community (CCRC)
Certified beds: 80 CMS-certified beds (not state-licensed beds)
Licensed beds: State license not yet ingested for this state
State license: 233602 active
Average residents per day: 50.7 CMS, MDS-derived
CMS Certification Number: 395771
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1989
Ownership type: Non profit - Corporation
Operator (legal business name): Willow Valley Communities
CMS chain: Not part of a CMS-reported chain
Phone: (717) 464-9542
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jan 16, 2026

Citations

4

1 health · 3 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D·	E3	F·
Minimal	A·	B·	C1

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 395771
Program: Medicare
Medicare (SNF): Certified
Medicaid (NF): No
Certified beds: 80
First approved: Jan 1, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

Authority: Pennsylvania Department of Health
License number: 233602
State facility ID: 233602
License type: Nursing home (PA Department of Health)
License status: active
Link to CMS record: Linked by exact street address + ZIP Inferred
As of: Sep 17, 2026
Evidence: Inferred source ↗

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 16, 2026	Health	Health Standard	0	No citations	—	Open →
Dec 4, 2024	Fire safety	Fire Safety Standard	1	Minimal	—	Open →
Dec 4, 2024	Health	Health Standard	1	Potential harm	—	Open →
Jan 5, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jan 5, 2024	Health	Health Standard	0	No citations	—	Open →
Mar 17, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D·	E3	F·
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Dec 4, 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 29, 2025
Dec 4, 2024	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jan 31, 2025
Jan 5, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 7, 2024
Mar 17, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 1, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.1

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing5.19

State avg 3.90US avg 3.90

Registered nurse (RN)1.33

State avg 0.78US avg 0.69

Licensed practical nurse0.74

State avg 0.90US avg 0.86

Nurse aide3.11

State avg 2.22US avg 2.35

Weekend total nurse4.55

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.28 (case-mix index 1.16).

Staff turnover

Total nursing staff turnover29.7%

State avg 44.6%US avg 45.3%

Registered nurse turnover18.8%

State avg 39.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 16, 2026
Cycle 1 health score: 0
Total weighted score: 2

Operating entity

Willow Valley Communities

CMS legal business name of the certified provider. Operates 2 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

10

Organizations

1

Individuals

9

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Willow Valley Communities	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 22, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Willow Valley Communities	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 22, 2013
Susan Allmond	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2022
John Kemrer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2009
Jane Barley	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 19, 2012
Leslie Brant	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 24, 2019
Elric Gerner	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2022
Jill Gilbert	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 24, 2019
Gerald Grant	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2022
Marvin Mashner	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2022
Kristen Loose	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Oct 17, 2016

Other facilities operated by Willow Valley Communities

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Glen at Willow Valley 675 Willow Valley Square, Lancaster, PA 17602 CCN 395956	262		Dec 4, 2025	11	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 300 Willow Valley Lakes Drive, Willow Street, PA 17584
ZIP: 17584
County: Lancaster County FIPS 42071
State: Pennsylvania
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Glen at Willow Valley 675 Willow Valley Square, Lancaster, PA 17602 CCN 395956	1.9 km	262	Dec 4, 2025	11	—
Lancaster Nursing and Rehabilitation Center 900 East King Street, Lancaster, PA 17602 CCN 395774	6.4 km	446	Jun 30, 2026	57	—
Hamilton Arms Center 336 South West End Avenue, Lancaster, PA 17603 CCN 395224Abuse icon	7.2 km	94	Jul 20, 2026	232 harm	$36k
Rose City Nursing and Rehab at Lancaster 425 North Duke Street, Lancaster, PA 17602 CCN 395177	7.4 km	124	May 20, 2026	493 IJ	$129k
Abbeyville Skilled Nursing and Rehabilitation Cent 100 Abbeyville Road, Lancaster, PA 17603 CCN 395199	7.9 km	172	Apr 2, 2026	33	—
Homestead Village, Inc 1800 Village Circle, Lancaster, PA 17604 CCN 395720	9.6 km	60	Mar 5, 2026	91 harm	$8,278
Trillium Place 1520 Harrisburg Pike, Lancaster, PA 17601 CCN 395559	10.9 km	160	Apr 20, 2026	9	—
Quarryville Presbyterian Retirement Community 625 Robert Fulton Highway, Quarryville, PA 17566 CCN 395336	14.4 km	130	Aug 12, 2026	193 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	395771	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	395771	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	233602	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

Record-level source links for CCN 395771

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction