01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-15 | 12 | 2024-11-15 | 8 |
| Cycle 2 | 2023-12-21 | 12 | 2023-12-21 | 5 |
| Cycle 3 | 2023-03-03 | 9 | 2023-03-03 | 5 |
CMS CCN 3952052026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Neffsville Nursing And Rehabilitation
2829 Lititz Pike · Lancaster, PA 17601 · Lancaster County
Certified beds240CMS provider file
Recent citation rows51current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
51 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-04 · HEALTHF0689Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-02-12 · complaint2026-02-04 · HEALTHF0835Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2026-02-12 · complaint2025-12-03 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-04 · complaint2025-09-10 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-10-07 · complaint2025-09-10 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-07 · complaint2025-03-25 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-04-25 · complaint2025-01-02 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-01-23 · complaint2024-11-15 · FIREE0004Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-15 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-01-042024-11-15 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-01-042024-11-15 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-01-042024-11-15 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-01-042024-11-15 · HEALTHF0692Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-01-042024-11-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-01-04 · complaint2024-11-15 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-042024-11-15 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Waiver has been granted · 2025-02-142024-11-15 · FIREK0345Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-15 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Waiver has been granted · 2025-02-142024-11-15 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-15 · FIREK0741Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-15 · FIREK0912Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-15 · FIREK0914Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-01-032023-12-21 · HEALTHF0552Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2024-02-01 · complaint2023-12-21 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-02-0103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-01-02 | Fine | $9,516 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SPACEBAR OPCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/01/2021
- AI ELEMENTS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST33% · since 11/01/2021
- STRAWBERRY HILL HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST33% · since 02/25/2022
- TILDE PROPCO HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST33% · since 01/01/2023
- CLINICAL CONSULTING SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2019
- PRIORITY CARE GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2021
- SUMMATION FINANCIAL SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2021
- FISHER YOHN, CARLAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/07/2025
- PECK, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2023
- 2829 LITITZ PROPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2021
- CLINICAL CONSULTING SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/20/2025
- SUMMATION FINANCIAL SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/20/2025
- FISHER YOHN, CARLAIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/24/2025
- PECK, MICHAELIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/20/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.24per resident day
RN hours0.54per resident day
Weekend nurse hours2.97per resident day
Staff turnover44.3%CMS reported field
06 / LOCAL RECORDS
Open the Lancaster ledger →Other published facilities nearby
Abbeyville Skilled Nursing And Rehabilitation Cent172 beds · CMS overall 3/534 citation rowsBrethren Village120 beds · CMS overall 3/511 citation rowsGlen At Willow Valley262 beds · CMS overall 5/511 citation rowsHamilton Arms Center94 beds · CMS overall 3/522 citation rowsHomestead Village, Inc60 beds · CMS overall 5/59 citation rowsLancaster Nursing And Rehabilitation Center446 beds · CMS overall 2/557 citation rowsRehabilitation Center At Brethren Village Llc20 beds · CMS overall 5/52 citation rowsRose City Nursing And Rehab At Lancaster124 beds · CMS overall 2/549 citation rows