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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 17th out of 167 homes in Pennsylvania.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 1m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
28% of new residents, usually for short-term rehab.
72% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 169Payroll — state benchmarkedThis home is ranked 1st out of 169 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to 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.
The data displayed corresponds to the last 6 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
1 with citations
0 without citations
Pennsylvania average: 4 complaint visits
Pennsylvania average: 8 inspections with citations
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Pennsylvania average: 4 complaints
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Pennsylvania average: 63 citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Pennsylvania average: 59 deficiencies
A waiver is a formal permission granted by the PA Department of Human Services allowing a facility to deviate from a specific state regulation under defined conditions. Waivers are not penalties — they are approved exemptions, most commonly issued for staff qualification requirements. A higher number of waivers may indicate a facility relies on staff who don't fully meet standard credential requirements, which is worth noting but is common in facilities with diverse or foreign-educated workforces. Waivers are reviewed annually and can be revoked if conditions aren't met.
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.
Pennsylvania average: 0.9 waivers
The most recent inspection of The Glen at Willow Valley on September 24, 2024, found no deficiencies. Earlier inspections mostly showed compliance, though the June 8, 2022, inspection cited issues with food labeling and dating, lint accumulation in dryer traps, and incomplete medication documentation. No fines, enforcement actions, or complaint investigations were listed in the available reports. Prior complaints were not noted, and no substantiated complaint investigations appeared. The facility’s record shows improvement, with recent inspections free of deficiencies after earlier minor issues.
Pennsylvania average 6.7
Last Health inspection on Nov 2023
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.
All 2 citations resulted from standard inspections.
100% better than Pennsylvania averagePennsylvania average: 0.3
1
67% worse than Pennsylvania averagePennsylvania average: 0.6
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 02, 2021
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
The Glen at Willow Valley is located in LANCASTER, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
4.4 miles from city center
Estimated distance in miles from LANCASTER's city center to The Glen at Willow Valley's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
16% worse than Pennsylvania averagePennsylvania average ratio: 1.94:1
0% compared with Pennsylvania averagePennsylvania average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Total hours from contractors
189 contractor hours this quarter
| Certified Nursing Assistant | 167 | 0 | 167 | 54,168 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 75 | 0 | 75 | 21,119 | 91 | 100% | 7.8 |
| Registered Nurse | 47 | 0 | 47 | 10,151 | 91 | 100% | 7.9 |
| Clinical Nurse Specialist | 18 | 0 | 18 | 6,504 | 71 | 78% | 7.8 |
| Other Dietary Services Staff | 17 | 0 | 17 | 5,477 | 91 | 100% | 7.8 |
| Mental Health Service Worker | 5 | 0 | 5 | 2,057 | 68 | 75% | 8.3 |
| Physical Therapy Assistant | 12 | 0 | 12 | 1,478 | 71 | 78% | 5 |
| Respiratory Therapy Technician | 16 | 0 | 16 | 1,472 | 73 | 80% | 5.9 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,302 | 66 | 73% | 6.4 |
| Nurse Aide in Training | 18 | 0 | 18 | 1,273 | 37 | 41% | 7.6 |
| Qualified Social Worker | 6 | 0 | 6 | 944 | 69 | 76% | 5.3 |
| Administrator | 2 | 0 | 2 | 656 | 64 | 70% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 459 | 50 | 55% | 7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 159 | 58 | 64% | 2.7 |
| Medical Director | 0 | 1 | 1 | 31 | 13 | 14% | 2.3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
241Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, 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.
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.
8.5
22% better than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.8
20% better than Pennsylvania averagePennsylvania average: 22.2
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
In line with Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
11.1%
47% better than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
12% better than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
78% worse than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
3.3%
40% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.8%
52% better than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
3.9%
41% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.1%
98% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
12.3%
28% better than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
14% better than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
5% better than Pennsylvania averagePennsylvania average: 93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
35% better than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
65% better than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.9%
22% 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.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| The Glen at Willow Valley |
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. | Lancaster | 76 | 86.5% | +10% | 5.63 | +1% | +36% | 0 | 2 | 1.0 | 1 | 228 | 6 | Donegan, Margaret | $190.0M | $53.4M | 28.1% | 395956 | ||||
| Abington Manor at Morgan Hill | - |
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. | Easton | 75 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | 5 | - | - | - | - | - |
| Abode Care of Monroeville | - |
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. | Monroeville | 66 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | 49 | - | - | - | - | - |
| Adult Living at Rosebrook | - |
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. | Sarver | 100 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | 21 | - | - | - | - | - |
| Alexandria Manor II | - |
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. | Bath | 78 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | 77 | - | - | - | - | - |
Historical financial and operational data for The Glen at Willow Valley based on CMS SNF Cost Reports.
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The legal owner and operator of The Glen at Willow Valley is Willow Valley Communities.
The Glen at Willow Valley has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to PA state health department records, The Glen at Willow Valley's license number is 321910.
According to PA state health department records, The Glen at Willow Valley's license expires on 19/02/2026.
The Glen at Willow Valley is registered as a non-profit in PA.
The Glen at Willow Valley has 76 beds.
The Glen at Willow Valley has had 3 recently reported deficiencies.
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