Legend of Lititz

Overview of Legend of Lititz

Located in Warwick Township near Lititz, Pennsylvania, Legend of Lititz is a 42-bed skilled nursing facility owned by Shannon Kidd and operated by Legend SL, a network of 23 senior living communities across multiple states. The facility is classified as a nursing home with integrated assisted living and memory care services, accepting Medicare short-term residents and longer-stay Medicaid and private-pay admissions. Lancaster General Health’s Kissel Hill campus stands less than half a mile away.

The census runs at 37 residents, with admission patterns heavily weighted toward Medicaid (42%) and Medicare (40%), and typical stays averaging 145 days. At 95.8% occupancy, the facility is among the state’s highest-demand communities, ranking 13th in Pennsylvania by occupancy rate.

The facility’s 1-star CMS rating reflects documented, substantial quality of care deficiencies across multiple measures. Long-stay residents show alarming rates of pressure ulcer development; 10.9% of high-risk residents, or nearly double Pennsylvania’s average, suggesting systemic failures in skin care or repositioning protocols.

Walking ability deteriorated in more than one-third of long-stay residents (35.5%), substantially worse than state experience, indicating inadequate mobility programming or therapeutic attention.

High-risk clinical event scoring reaches 16.2, nearly 50% worse than state average, and functional decline indicators are correspondingly poor.

Vaccination compliance lags significantly: only 63% of residents received appropriate pneumococcal vaccine and 82% received flu vaccine, both well below state targets.

Positive quality outcomes include an exceptionally low major injury fall rate (0.8%) and zero urinary tract infections, suggesting some care protocols function well.

Staffing combines 71 full-time employees with no temporary or contract labor, yielding a resident-to-staff ratio slightly above state average. Yet payroll consumption of 43.4% of revenue ranks lowest among Pennsylvania facilities, 199th of 205, suggesting wage constraints or insufficient care-delivery staffing despite favorable ratios on paper. The facility reported $71,400 in profit against $7.5 million revenue in 2023, a razor-thin 1.0% margin.

A six-day payment denial occurred in April 2025, marking the facility’s first recent CMS enforcement action. This represents 397% higher payment denial frequency than the Pennsylvania average, signaling current-year compliance problems not reflected in the no-fine historical record.

The facility’s 1-star rating and recent payment denial reflect ongoing quality and compliance challenges that extend beyond financial or occupancy trends.

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