Total staff
71
Employees
71
Contractors
0
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Legend of Lititz
Nursing Home, Assisted Living & Memory Care · Pennsylvania, PA
CMS overall rating
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.
Legend of Lititz
Nursing Home, Assisted Living & Memory Care · Pennsylvania, PA
CMS overall rating
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.
Legend of Lititz accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 138th 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.
This home is ranked 138th 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.
3h 57m per day
Rank #138 / 203Nurse hours — State benchmarkedThis home is ranked 138th out of 203 homes in Pennsylvania. Shows adjusted nurse hours per resident per day benchmarked to the Pennsylvania average, with a ranking across 203 Pennsylvania SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Pennsylvania avg
-5%
| 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.
| 3h 1m per day | ▼ 15% State avg: 3h 32m per day · National avg: 3h 25m per day |
Types of Care at Legend of Lititz
Assisted Living
Memory Care
Capacity and availability
This home is often near full
Occupancy rate
95.8%
Rank #13 / 511Occupancy rate — State benchmarkedThis home is ranked 13th out of 511 homes in Pennsylvania. Shows this facility's occupancy rate versus the Pennsylvania average, with its Statewide rank out of 511. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
145 days
Walk Score: 25 / 100 Rank #501 / 668Walk Score — State benchmarkedThis home is ranked 501st out of 668 homes in Pennsylvania. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Pennsylvania SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.92:1
5% better than Pennsylvania average
Avg staff/day
21
Average shift
7.8 hours
0% compared with Pennsylvania average
Total staff hours (quarter)
15,079
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 19 RN Staff are full-time employees. No contractors work on this role.
19
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 21 CNA Staff are full-time employees. No contractors work on this role.
21
All 21 CNA Staff are full-time employees. No contractors work on this role.
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0% — all staff are direct employees this quarter
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
21 Certified Nursing Assistant
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
19 Registered Nurse
% of Days
100%
3 Physical Therapy Aide
% of Days
71%
3 Speech Language Pathologist
% of Days
77%
2 Nurse Practitioner
% of Days
65%
1 Other Dietary Services Staff
% of Days
67%
1 Administrator
% of Days
66%
1 Dietitian
% of Days
55%
3 Physical Therapy Assistant
% of Days
57%
1 Clinical Nurse Specialist
% of Days
52%
2 Respiratory Therapy Technician
% of Days
43%
1 Mental Health Service Worker
% of Days
32%
1 Qualified Social Worker
% of Days
14%
Penalties and fines
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)
Total fines amount
$0 Rank #1 / 206Federal fines — State benchmarkedThis home is ranked 1st out of 206 homes in Pennsylvania. Shows this facility's cumulative CMS federal fine dollars versus the Pennsylvania average among facilities with fines, and where it ranks among 206 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% lower than Pennsylvania averagePennsylvania average: $59K
Number of fines
0
100% fewer fines than Pennsylvania averagePennsylvania average: 2.1
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
Fines amount comparison
This facility
$0
Pennsylvania average
$59K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 29, 2025 · 6 days
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 29, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 29, 2025
6 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.2
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.7
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.4%
Percent of long-stay residents whose need for help with daily activities has increased
27.4%
44% worse than Pennsylvania averagePennsylvania average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
35.5%
Percent of long-stay residents whose ability to move independently worsened
35.5%
68% worse than Pennsylvania averagePennsylvania average: 21.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.2%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
74% better than Pennsylvania averagePennsylvania average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.9%
Percent of long-stay high risk residents with pressure ulcers
10.9%
98% worse than Pennsylvania averagePennsylvania average: 5.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Pennsylvania averagePennsylvania average: 1.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.5%
Percent of long-stay residents who lose too much weight
6.5%
In line with Pennsylvania averagePennsylvania average: 6.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
62% better than Pennsylvania averagePennsylvania average: 5.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.3%
Percent of long-stay residents who received an antipsychotic medication
11.3%
34% better than Pennsylvania averagePennsylvania average: 17.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
63.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
63.1%
27% worse than Pennsylvania averagePennsylvania average: 86.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
81.8%
13% worse than Pennsylvania averagePennsylvania average: 93.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.3%
56% worse than Pennsylvania averagePennsylvania average: 68.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
37% better than Pennsylvania averagePennsylvania average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.1%
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.
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
18% of new residents, often for short stays.
Typical stay
9 - 10 months
Medicaid
42% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37
Medicare
12
32.4% of residents
Medicaid
19
51.4% of residents
Private pay or other
6
16.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Legend of Lititz based on CMS SNF Cost Reports.
Occupancy Rate
95.8%
↑ 2.8pp vs 2022
Net Income
$71.4K
↑ ~$180.9K vs 2022
Total Payroll
$3.2M
↑ ~$258.7K vs 2022
Profit Margin
1.0%
↑ 2.4pp vs 2022
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$7.5M
Profit
$71.4K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$7.5M Rank #191 / 205Revenue — State benchmarkedThis home is ranked 191st out of 205 homes in Pennsylvania. Shows this facility's annual revenue compared to the Pennsylvania SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$71.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #199 / 205Payroll — State benchmarkedThis home is ranked 199th 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.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #199 / 205Payroll — State benchmarkedThis home is ranked 199th 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.4M
What does this home offer?
Housing Options: 1 Bed / 2 Bed
Building Type: Single-story
Transportation Services
Fitness and Recreation
1 / 4
1 Bed
1
425 - 610 sq. ft
1 / 4
2 Bed
1
775 sq. ft
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Legend of Lititz
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.
— 0.34 miles to nearest hospital (Lancaster General Health Kissel Hill)
Calculate Travel Distance to Legend of Lititz
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Financial Assistance for
Nursing Home in Pennsylvania
Legend of Lititz is located in Lititz, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
Compare Nursing Home around Lititz
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
Filter by care type
| Moravian 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 | 40 | 72.5% | -8% | 5.71 | -54% | +38% | $0 | 9 | 3.0 | - | 29 | 91 | Unitas Communities | $36.5M | $15.5M | 42.5% | 395325 | ||||
| Legend of Lititz |
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. | Lititz (Warwick Township) | 42 | - | - | 3.95 | +124% | -5% | $0 | 30 | 5.0 | 1 | 38 | 25 | Shannon Kidd | $7.5M | $3.2M | 43.4% | 395590 |
Frequently Asked Questions about Legend of Lititz
What neighborhood is Legend of Lititz in?
Legend of Lititz is in the Warwick Township neighborhood.
Is Legend of Lititz in a walkable area?
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.
Are there photos of Legend of Lititz?
Yes — there are 5 photos of Legend of Lititz in the photo gallery on this page.
What is the phone number of Legend of Lititz?
(717) 723-9928 will put you in contact with the team at Legend of Lititz.
Is Legend of Lititz Medicare or Medicaid certified?
Yes — Legend of Lititz is a CMS-certified provider of Medicare and Medicaid.
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