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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 54th out of 203 homes in Pennsylvania. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 13m per day |
Lower than the Pennsylvania average: 78.7%In Pennsylvania, the Department of Human Services (for assisted living facilities) and the Department of Health (for nursing homes) conduct unannounced inspections to verify adherence to state regulations.
A higher number of waivers may indicate the facility relies on staff who don't fully meet standard credential requirements. A lower number may suggest the facility meets staffing qualification standards without exemptions.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Pennsylvania state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 63 | This facility has 83% fewer total citations than a typical Pennsylvania nursing home (11 vs. PA avg 63).↓ 83% better |
|
Citations per year
Average citations per year since 2021.
| 2.2 | 12.6 | This facility has 83% fewer citations per year than a typical Pennsylvania nursing home (2.2 vs. PA avg 12.6).↓ 83% better |
|
Citations per inspection
Average citations per inspection.
| 2.2 | 5.7 | This facility has 61% fewer citations per inspection than a typical Pennsylvania nursing home (2.2 vs. PA avg 5.7).↓ 61% better |
Inspections
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 11 | This facility has 55% fewer total inspections than a typical Pennsylvania nursing home (5 vs. PA avg 11).↓ 55% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 8 | This facility has 75% fewer inspections with citations than a typical Pennsylvania nursing home (2 vs. PA avg 8).↓ 75% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 40% | 73% | This facility has 33 percentage points lower inspection citation rate than a typical Pennsylvania nursing home (40% vs. PA avg 73%).↓ 33% better |
Complaints & Investigations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 0 | 4 | This facility has 100% fewer total complaints than a typical Pennsylvania nursing home (0 vs. PA avg 4).↓ 100% better |
|
Complaints per year
Average complaints per year since 2021.
| 0 | 0.8 | This facility has 100% fewer complaints per year than a typical Pennsylvania nursing home (0 vs. PA avg 0.8).↓ 100% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 4, 2024, identified several deficiencies including incomplete criminal background checks, unsecured mobility devices, discontinued medications in carts, medication administration errors, and unsecured resident medical information on a laptop. Earlier inspections showed a mixed pattern, with the prior unannounced inspection in 2023 finding no deficiencies, while the June 2022 renewal inspection cited multiple issues related to medication management, safety hazards, and documentation. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not noted in any of the reports. The inspection history shows some recurring concerns with medication administration and safety, with recent efforts to implement corrective actions.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPennsylvania average 6.7
Last Health inspection on Aug 2025
Pennsylvania average 31.3
Pennsylvania average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 8 citations resulted from standard inspections; 4 of 8 resulted from complaint investigations; and 1 of 8 came from combined inspections (standard and complaint).
100% better than Pennsylvania averagePennsylvania average: 0.3
567% worse than Pennsylvania averagePennsylvania average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
50% better than Pennsylvania average
0% compared with Pennsylvania average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12,935 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 77 | 83 | 160 | 33,904 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 24 | 38 | 62 | 10,355 | 92 | 100% | 8 |
| Registered Nurse | 12 | 18 | 30 | 5,580 | 92 | 100% | 8 |
| Other Dietary Services Staff | 10 | 0 | 10 | 3,162 | 92 | 100% | 7.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,395 | 65 | 71% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 968 | 63 | 68% | 7.9 |
| RN Director of Nursing | 6 | 0 | 6 | 940 | 63 | 68% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 464 | 58 | 63% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 427 | 63 | 68% | 4.7 |
| Administrator | 1 | 0 | 1 | 339 | 57 | 62% | 5.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 337 | 64 | 70% | 4.2 |
| Qualified Social Worker | 0 | 1 | 1 | 281 | 63 | 68% | 4.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 172 | 60 | 65% | 2.6 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 155 | 59 | 64% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 112 | 23 | 25% | 4.8 |
| Qualified Activities Professional | 0 | 1 | 1 | 27 | 6 | 7% | 4.6 |
| Medical Director | 0 | 1 | 1 | 6 | 11 | 12% | 0.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
86% lower than Pennsylvania averagePennsylvania average: $59K
52% fewer fines than Pennsylvania averagePennsylvania average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Pennsylvania averagePennsylvania average: 0.2
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
8% better than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.1
13% worse than Pennsylvania averagePennsylvania average: 22.2
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
29% worse than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
20.0%
5% better than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.0%
16% worse than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
40% better than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.4%
56% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.5%
73% better than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
1.9%
72% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
20.2%
18% worse than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
In line with Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
In line with Pennsylvania averagePennsylvania average: 93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
39.6%
42% worse than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
7.9%
414% worse than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.9%
18% better than Pennsylvania averagePennsylvania average: 68.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
74% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
107Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brethren Village – Village Manor based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #15 / 205Payroll — State benchmarkedThis home is ranked 15th out of 205 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Lititz's city center to Brethren Village – Village Manor's address, calculated via Google Maps.
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Brethren Village – Village Manor is located in LITITZ, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| Kirkland Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Bethlehem | 64 | 69.0% | -12% | 4.30 | +46% | +4% | $0 | 8 | 4.0 | - | 41 | A+ | 12 | Presbyterian Homes, Inc. | $29.5M | $9.2M | 31.2% | 395916 | ||||
| Homestead Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lancaster (Rohrerstown) | 100 | 55.2% | -30% | 5.33 | -23% | +29% | $0 | 7 | 3.5 | - | 47 | - | 16 | Douglas Motter | $33.3M | $13.1M | 39.3% | 395720 | ||||
| Homeland Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Harrisburg (Midtown) | 56 | 84.1% | +7% | 4.93 | -46% | +19% | $0 | 9 | 3.0 | - | 93 | - | 75 | Evelyn Fry | $41.5M | $25.2M | 60.7% | 395475 | ||||
| Brethren Village – Village Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lititz | 114 | 92.6% | +18% | 4.84 | -15% | +17% | $8.2k | 8 | 2.0 | 4 | 115 | - | 91 | Brethren Village | $63.1M | $22.1M | 35% | 395328 | ||||
| Seneca Place Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Verona | 100 | 76.7% | -3% | 3.95 | +55% | -5% | $7.4k | 65 | 6.5 | 1 | 143 | - | 20 | Seneca Place Holdings LLC | $19.9M | $12.4M | 62.5% | 395790 |
The legal owner and operator of Brethren Village – Village Manor is Brethren Village.
Brethren Village – Village Manor has a walk score of 91. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to PA state health department records, Brethren Village – Village Manor's license number is 321750.
Brethren Village – Village Manor's occupancy is 65%.
Brethren Village – Village Manor is registered as a non-profit in PA.
Brethren Village – Village Manor has 114 beds.
Brethren Village – Village Manor has had 11 recently reported deficiencies.
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