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BRETHREN VILLAGE

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BRETHREN VILLAGE is a non profit - corporation facility in LANCASTER, PA with 120 certified beds and a 3-star overall CMS rating. The facility has 7 deficiency records on file. Total penalties: $8K.

3001 LITITZ PIKE, LANCASTER, PA 17606

Phone: 7175692657

Overall Rating

3/5

Health Inspection

2/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
395328
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
120
Residents
116
In Hospital
No
County
Lancaster
Last Inspection
Mar 21, 2025
Abuse citation on record

Staffing Data

RN Hours
0.67 (nat'l avg: 0.68)
LPN Hours
1.10
CNA Hours
3.09
Total Nursing Hours
4.87 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
27.6%
RN Turnover
39.1%

What the CMS Record Reveals About BRETHREN VILLAGE

BRETHREN VILLAGE operates 120 certified beds in LANCASTER, PA with approximately 116 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 7 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $8K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.87 total nursing hours per resident day (national average 3.89), with RN coverage at 0.67 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, BRETHREN VILLAGE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 27.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

G — Isolated - Actual harm Aug 26, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 15, 2025

G — Isolated - Actual harm Feb 6, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 13, 2025

D — Isolated - Minimal harm Feb 6, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 13, 2025

G — Isolated - Actual harm Feb 6, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 13, 2025

G — Isolated - Actual harm Apr 6, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 20, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: May 20, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: May 20, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 28.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 83.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 38.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 7.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 25.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 80.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 35.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.1% Yes

Penalty History 1 penalties totaling $8K

Date Type Amount
Apr 6, 2023 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for BRETHREN VILLAGE?
BRETHREN VILLAGE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at BRETHREN VILLAGE?
BRETHREN VILLAGE reports 4.87 total nursing hours per resident day (national average: 3.89). RN hours are 0.67 per resident day (national average: 0.68). Nursing staff turnover is 27.6%.
How many beds does BRETHREN VILLAGE have?
BRETHREN VILLAGE has 120 certified beds with approximately 116 residents. The facility is located at 3001 LITITZ PIKE, LANCASTER, PA 17606.
Does BRETHREN VILLAGE have any deficiencies on record?
Yes, BRETHREN VILLAGE has 7 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has BRETHREN VILLAGE received any fines or penalties?
Yes, BRETHREN VILLAGE has received 1 penalties totaling $8K.
Who owns BRETHREN VILLAGE?
BRETHREN VILLAGE is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was BRETHREN VILLAGE last inspected?
The most recent health inspection for BRETHREN VILLAGE was on Mar 21, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for BRETHREN VILLAGE?
BRETHREN VILLAGE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial