1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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 141st out of 207 homes in Pennsylvania for nurse hours. 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 |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 53m per day | ▲ 14% State avg: 47m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▼ 17% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 22m per day | ▼ 38% State avg: 2h 12m per day · National avg: 2h 20m per day |
|
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.
| 2h 49m per day | ▼ 20% State avg: 3h 32m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 31% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 38m per day | ▲ 15% State avg: 33m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% more staff per resident 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.
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 21 CNA Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 0 | 21 | 4,957 | 92 | 100% | 8 |
| Licensed Practical Nurse | 12 | 0 | 12 | 2,740 | 92 | 100% | 8.1 |
| Registered Nurse | 19 | 0 | 19 | 2,360 | 92 | 100% | 8.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 990 | 65 | 71% | 7.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 988 | 71 | 77% | 7.2 |
| Nurse Practitioner | 2 | 0 | 2 | 493 | 60 | 65% | 7.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 468 | 62 | 67% | 7.5 |
| Administrator | 1 | 0 | 1 | 466 | 61 | 66% | 7.6 |
| Dietitian | 1 | 0 | 1 | 385 | 51 | 55% | 7.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 373 | 52 | 57% | 7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 359 | 48 | 52% | 7.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 250 | 40 | 43% | 6.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 229 | 29 | 32% | 7.9 |
| Qualified Social Worker | 1 | 0 | 1 | 22 | 13 | 14% | 1.7 |
Includes penalties issued in 2025
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)
100% lower than Pennsylvania averagePennsylvania average: $59K
100% 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.
1 
397% more payment denials than Pennsylvania averagePennsylvania average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 29, 2025 · 6 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 29, 2025Last updated: Jan 2026
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.
16.2
48% worse than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.7
43% worse than Pennsylvania averagePennsylvania average: 22.2
Percent of long-stay residents whose need for help with daily activities has increased
27.4%
44% worse than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
35.5%
68% worse than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.2%
21% worse than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
74% better than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
10.9%
98% worse than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
6.5%
In line with Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
2.1%
62% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
11.3%
34% better than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
63.1%
27% worse than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
13% worse than Pennsylvania averagePennsylvania average: 93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.3%
56% worse than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
37% better than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.1%
39% worse 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.
40% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
42% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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 Legend of Lititz from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #203 / 209Payroll — State benchmarkedThis home is ranked 203rd out of 209 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.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #131 / 209Payroll % — State benchmarkedThis home is ranked 131st out of 209 homes in Pennsylvania. Shows payroll as a percentage of revenue versus the Pennsylvania average. Well-run Pennsylvania facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: 1 Bed / 2 Bed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (42% of admissions), and a typical Medicaid stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.7 miles from city center
Estimated distance in miles from Lititz's city center to Legend of Lititz's address, calculated via Google Maps.
Add your location
Legend of Lititz is located in Lititz, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
Legend of Lititz is in the Warwick Township neighborhood.
Legend of Lititz has a walk score of 25. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Legend of Lititz's occupancy is 95.8%.
Yes — there are 5 photos of Legend of Lititz in the photo gallery on this page.
Legend of Lititz is located at 80 W Millport Rd, Lititz, PA 17543.
(717) 723-9928 will put you in contact with the team at Legend of Lititz.
Yes — Legend of Lititz is a CMS-certified provider of Medicare and Medicaid.
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