C

BRETHREN VILLAGE

3001 LITITZ PIKE, LANCASTER, PA 17606
Score: 61 / 100

With a score of 61 out of 100, Brethren Village earns a C grade — placing it near the middle of Pennsylvania nursing facilities. Families should review the detailed metrics below when considering this Lancaster location.

Brethren Village provides above-average staffing with 4.87 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 7 deficiencies at Brethren Village. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.87 3.8 Above Average
Registered Nurses (RN) 0.67 0.7 Average
Licensed Practical Nurses (LPN) 1.10 0.7 Above Average
Certified Nursing Assistants (CNA) 3.09 2.4 Above Average
Weekend Total Nursing 4.45 3.8 Above Average
Weekend RN Hours 0.48 0.7 Below Average

🔍 Inspection & Deficiency History

7
Total Deficiencies
Aug 25, 2025
Most Recent Inspection
🟠 7 Moderate
View recent deficiencies (5 shown)
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Aug 25, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Feb 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Feb 5, 2025 · Quality of Life and Care Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Feb 5, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Apr 5, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.8% 4.5% Better
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 19.1% 14.5% Worse
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 28.4% 14.0% Worse
Excessive weight loss 2.2% 7.5% Better
New/worsened incontinence 35.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $8,190

How This Grade Was Calculated

This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 20, 2025
Deficiencies (Cycle 1)
1