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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 15th 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 |
|---|---|---|
|
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.
| 43m per day | ▼ 9% 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.
| 1h 24m per day | ▲ 53% State avg: 55m 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.
| 3h 11m per day | ▲ 45% 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.
| 4h 47m per day | ▲ 36% State avg: 3h 31m per day · National avg: 3h 26m 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.
| 3m per day | ▼ 50% 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.
| 27m per day | ▼ 18% State avg: 33m per day · National avg: 28m per day |
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.
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.
| 12 | 63 | This facility has 81% fewer total citations than a typical Pennsylvania nursing home (12 vs. PA avg 63).↓ 81% better |
|
Citations per year
Average citations per year since 2021.
| 2.4 | 12.6 | This facility has 81% fewer citations per year than a typical Pennsylvania nursing home (2.4 vs. PA avg 12.6).↓ 81% better |
|
Citations per inspection
Average citations per inspection.
| 2 | 5.7 | This facility has 65% fewer citations per inspection than a typical Pennsylvania nursing home (2 vs. PA avg 5.7).↓ 65% better |
Inspections
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 6 | 11 | This facility has 45% fewer total inspections than a typical Pennsylvania nursing home (6 vs. PA avg 11).↓ 45% 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.
| 33% | 73% | This facility has 40 percentage points lower inspection citation rate than a typical Pennsylvania nursing home (33% vs. PA avg 73%).↓ 40% 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 January 22, 2025, identified several deficiencies related to refunds, bathroom ventilation, refrigerator temperatures, medication self-administration assessments, and adherence to prescriber's orders. Earlier inspections showed a pattern of issues with environmental safety, medication management, and emergency preparedness, with some deficiencies corrected through accepted plans of correction. Complaint investigations were not noted in the available reports. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The inspection history shows ongoing challenges with regulatory compliance, though corrective actions have been implemented following citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsReporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% 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.
8.5 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
7,352 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 97 | 24 | 121 | 35,417 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 41 | 55 | 96 | 15,337 | 92 | 100% | 8 |
| Registered Nurse | 23 | 4 | 27 | 5,987 | 92 | 100% | 8.5 |
| Other Dietary Services Staff | 10 | 0 | 10 | 4,110 | 92 | 100% | 7.9 |
| Mental Health Service Worker | 5 | 0 | 5 | 1,905 | 64 | 70% | 8.2 |
| Clinical Nurse Specialist | 9 | 2 | 11 | 1,844 | 74 | 80% | 6.5 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,228 | 72 | 78% | 5.8 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,221 | 64 | 70% | 7.8 |
| RN Director of Nursing | 3 | 0 | 3 | 1,023 | 63 | 68% | 7.2 |
| Speech Language Pathologist | 0 | 8 | 8 | 856 | 81 | 88% | 5.2 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 0 | 6 | 6 | 470 | 67 | 73% | 5 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Physical Therapy Assistant | 0 | 8 | 8 | 431 | 68 | 74% | 5.1 |
| Dietitian | 1 | 0 | 1 | 421 | 60 | 65% | 7 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 389 | 68 | 74% | 4.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 74 | 28 | 30% | 2.6 |
| Medical Director | 0 | 1 | 1 | 45 | 33 | 36% | 1.4 |
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.
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.
14.6
33% worse than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.6
42% worse than Pennsylvania averagePennsylvania average: 22.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
29.6%
56% worse than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
31.7%
50% worse than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.7%
26% worse than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
24% worse than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.5%
19% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.9%
49% better than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
3.1%
54% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
1.7%
69% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
17.8%
In line with Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
15% better than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
In line with Pennsylvania averagePennsylvania average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
0.58
65% better than Pennsylvania averagePennsylvania average: 1.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.29
76% better than Pennsylvania averagePennsylvania average: 1.20
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
42% better than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
In line with Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.2%
18% better than Pennsylvania averagePennsylvania average: 68.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.4%
16% better than Pennsylvania averagePennsylvania average: 23.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
39% better than Pennsylvania averagePennsylvania average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Pennsylvania averagePennsylvania average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.3%
21% worse than Pennsylvania averagePennsylvania average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.8%
12% better than Pennsylvania averagePennsylvania average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
57% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
138Part 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 Trillium Place 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 #11 / 205Payroll — State benchmarkedThis home is ranked 11th 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
2.2 miles from city center
Estimated distance in miles from Lancaster's city center to Trillium Place's address, calculated via Google Maps.
Add your location
Trillium Place is located in LANCASTER, 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 | ||||
| Trillium Place |
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 | 85 | 58.1% | -26% | 5.87 | -28% | +42% | $0 | - | - | - | 133 | - | 52 | Robert Bomberger | $62.0M | $23.9M | 38.5% | 395559 | ||||
| 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 | ||||
| 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 Trillium Place is The Mennonite Home.
Trillium Place has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to PA state health department records, Trillium Place's license number is 321780.
Trillium Place's occupancy is 76%.
Trillium Place is registered as a non-profit in PA.
Trillium Place has 85 beds.
Trillium Place has had 12 recently reported deficiencies.
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