Rose City Rehabilitation Center

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

  Severity K of L: immediate jeopardy, patternCorrected Jun 10, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 10, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 10, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 10, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 10, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 10, 2026

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 10, 2026

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 10, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 10, 2026

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 10, 2026

• Provide routine and 24-hour emergency dental care for each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 10, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 10, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 10, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 30, 2026

• Ensure the activities program is directed by a qualified professional.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 19, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 8, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 20, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 12, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 12, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 12, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 12, 2025

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 12, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 12, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 12, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 12, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2025

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 29, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 3, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 3, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 1, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 1, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 1, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2024

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2024

• Conduct risk assessment and an All-Hazards approach.

  Severity C of L: potential for minimal harm, widespreadCorrected May 1, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 15, 2024

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 2, 2024

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Oct 27, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 2, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 2, 2024

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 2, 2024

Rose City Rehabilitation Center offers Skilled Nursing / Long Term Care.

Rose City Rehabilitation Center is located at 425 North Duke Street in Lancaster, Pennsylvania.

Reviews for Rose City Rehabilitation Center are sharply divided: many family members and visitors praise the warmth and dedication of individual staff members, while a substantial number of reviewers describe serious lapses in cleanliness, staffing, and basic care. Several reviewers note that conditions and management have improved noticeably since a leadership change around 2023, though complaints about understaffing and neglect continue to appear in more recent reviews as well.

Rose City Rehabilitation Center had 11 government inspection visits in the last three years, with 49 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Rose City Rehabilitation Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.