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Rose City Nursing And Rehab At Lancaster

📍 425 North Duke Street, Lancaster, PA 17602 📞 (717) 397-4281 🛏️ 124 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $22,236

$8,037
Mar 3, 2021

Fine

$14,199
Jan 8, 2021

Fine

2020 2 penalties totaling $157,602

$154,352
Aug 14, 2020

Fine

$3,250
Jul 17, 2020

Fine

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Health Violations by Year

2025 13 violations

Tag 0580 D Apr 25, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 12, 2025
Tag 0604 D Apr 25, 2025

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jun 12, 2025
Tag 0610 D Apr 25, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Jun 12, 2025
Tag 0641 E Apr 25, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 12, 2025
Tag 0656 E Apr 25, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 12, 2025
Tag 0684 D Apr 25, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 12, 2025
Tag 0689 D Apr 25, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 12, 2025
Tag 0692 D Apr 25, 2025

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 12, 2025
Tag 0698 E Apr 25, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jun 12, 2025
Tag 0730 F Apr 25, 2025

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jun 12, 2025
Tag 0756 F Apr 25, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jun 12, 2025
Tag 0761 E Apr 25, 2025

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: Jun 12, 2025
Tag 0947 F Apr 25, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Jun 12, 2025

2024 11 violations

Tag 0686 D Aug 12, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 3, 2024
Tag 0921 D Aug 12, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Sep 3, 2024
Tag 0565 E Mar 15, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: May 1, 2024
Tag 0600 D Mar 15, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 1, 2024
Tag 0657 D Mar 15, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 1, 2024
Tag 0658 D Mar 15, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 1, 2024
Tag 0692 E Mar 15, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: May 1, 2024
Tag 0759 D Mar 15, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 1, 2024
Tag 0812 F Mar 15, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 1, 2024
Tag 0825 D Mar 15, 2024

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: May 1, 2024
Tag 0801 D Jan 3, 2024

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: Jan 15, 2024
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2023 12 violations

Tag 0656 J Dec 1, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag 0684 D Dec 1, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag 0689 J Dec 1, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 27, 2023
Tag 0760 D Dec 1, 2023

Ensure that residents are free from significant medication errors.

Tag 0835 E Dec 1, 2023

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Tag 0578 D Jun 2, 2023

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.

✓ Corrected: Jul 5, 2023
Tag 0689 D Jun 2, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 5, 2023
Tag 0690 D Jun 2, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jul 5, 2023
Tag 0692 E Jun 2, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 5, 2023
Tag 0756 E Jun 2, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jul 5, 2023
Tag 0600 D Feb 16, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 8, 2023
Tag 0684 D Jan 19, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 13, 2023

2022 7 violations

Tag 0801 D Sep 13, 2022

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: Oct 10, 2022
Tag 0563 D Jun 29, 2022

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: Jul 28, 2022
Tag 0584 D Jun 29, 2022

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: Jul 28, 2022
Tag 0684 D Jun 29, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 28, 2022
Tag 0692 D Jun 29, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 28, 2022
Tag 0761 D Jun 29, 2022

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: Jul 28, 2022
Tag 0880 E Jun 29, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 28, 2022
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2021 5 violations

Tag 0657 D May 25, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 23, 2021
Tag 0676 D Apr 12, 2021

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Apr 29, 2021
Tag 0550 D Mar 3, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 31, 2021
Tag 0689 G Mar 3, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 31, 2021
Tag 0678 J Jan 8, 2021

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

✓ Corrected: Jan 20, 2021

2020 7 violations

Tag 0584 D Sep 30, 2020

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: Oct 20, 2020
Tag 0610 E Aug 14, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Sep 14, 2020
Tag 0684 D Aug 14, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 14, 2020
Tag 0760 K Aug 14, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 14, 2020
Tag 0835 E Aug 14, 2020

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Sep 14, 2020
Tag 0880 D Jul 17, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 16, 2020
Tag 0812 E Jan 17, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 6, 2020
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2019 26 violations

Tag 0553 D Apr 16, 2019

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Jun 4, 2019
Tag 0565 D Apr 16, 2019

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Jun 4, 2019
Tag 0580 D Apr 16, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 4, 2019
Tag 0582 D Apr 16, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 4, 2019
Tag 0610 D Apr 16, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jun 4, 2019
Tag 0622 E Apr 16, 2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Jun 4, 2019
Tag 0623 E Apr 16, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jun 4, 2019
Tag 0625 E Apr 16, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Jun 4, 2019
Tag 0657 D Apr 16, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 4, 2019
Tag 0684 E Apr 16, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 4, 2019
Tag 0689 E Apr 16, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 4, 2019
Tag 0690 D Apr 16, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 4, 2019
Tag 0730 E Apr 16, 2019

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jun 4, 2019
Tag 0744 D Apr 16, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Jun 4, 2019
Tag 0745 D Apr 16, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Jun 4, 2019
Tag 0756 E Apr 16, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jun 4, 2019
Tag 0757 D Apr 16, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jun 4, 2019
Tag 0761 E Apr 16, 2019

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: Jun 4, 2019
Tag 0801 D Apr 16, 2019

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: Jun 4, 2019
Tag 0812 D Apr 16, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 4, 2019

2018 28 violations

Tag 0550 D Nov 29, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Dec 14, 2018
Tag 0742 D Nov 29, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

✓ Corrected: Dec 19, 2018
Tag 0919 D Nov 29, 2018

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Dec 19, 2018
Tag 0689 E Nov 18, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 4, 2018
Tag 0740 D Sep 20, 2018

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Nov 5, 2018
Tag 0550 E May 14, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 15, 2018
Tag 0561 D May 14, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Jun 15, 2018
Tag 0565 E May 14, 2018

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Jun 15, 2018
Tag 0569 D May 14, 2018

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Jun 15, 2018
Tag 0582 D May 14, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 15, 2018
Tag 0583 D May 14, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jun 15, 2018
Tag 0584 E May 14, 2018

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: Jun 15, 2018
Tag 0607 D May 14, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 15, 2018
Tag 0655 D May 14, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 15, 2018
Tag 0657 E May 14, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 15, 2018
Tag 0679 E May 14, 2018

Provide activities to meet all resident's needs.

✓ Corrected: Jun 15, 2018
Tag 0689 D May 14, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 15, 2018
Tag 0690 D May 14, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 15, 2018
Tag 0692 D May 14, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 15, 2018
Tag 0695 D May 14, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 15, 2018
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2017 18 violations

Tag 0686 D Dec 26, 2017

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 11, 2018
Tag 0241 D Nov 20, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Dec 5, 2017
Tag 0253 D Nov 20, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Dec 12, 2017
Tag 0221 D Oct 3, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

✓ Corrected: Nov 9, 2017
Tag 0224 D Oct 3, 2017

Protect each resident from mistreatment, neglect and misappropriation of personal property.

✓ Corrected: Nov 9, 2017
Tag 0225 D Oct 3, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Nov 9, 2017
Tag 0309 D Oct 3, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Nov 9, 2017
Tag 0323 D Oct 3, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Nov 9, 2017
Tag 0425 D Oct 3, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Nov 9, 2017
Tag 0226 E Jun 27, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Aug 11, 2017
Tag 0278 D Jun 27, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Aug 11, 2017
Tag 0279 D Jun 27, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 11, 2017
Tag 0284 D Jun 27, 2017

Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.

✓ Corrected: Aug 11, 2017
Tag 0313 D Jun 27, 2017

Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

✓ Corrected: Aug 11, 2017
Tag 0315 D Jun 27, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Aug 11, 2017
Tag 0323 D Jun 27, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Aug 11, 2017
Tag 0371 E Jun 27, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Aug 11, 2017
Tag 0309 D May 7, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: May 19, 2017
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