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Crosslands

1660 East Street Road, Kennett Square, PA 19348 · Chester County · (610) 388-1441

60 certified beds, about 46 residents a day · Non profit - Corporation · Medicare since 1977

CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395388 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 20, 2026, inspectors cited 2 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 8 health citations since December 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $12,735 in the last three years; the largest was $12,735, and the latest is dated January 9, 2025.

Nurses and nurse aides worked 5.58 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.42 of those hours.

20.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to Kendal, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
February 20, 2026Standard inspection · 2 citations
  1. D
    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
    F606 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on review of facility policy, review of facility documentation, and interview with staff, it was determined that the facility failed to thoroughly screen individuals prior to hire for one of five employee records reviewed (Employee E3).
  2. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2026
    Inspectors wroteBased on review of facility policy, clinical record review, and staff interviews, it was determined that the facility failed to ensure accurate documentation was completed for the disposition of medications upon discharge for one of the three closed records reviewed. (Resident 51) Review of the facility policy titled, Disposition of Medications (Noncontrolled), revised 12/2025, revealed disposition of medications of discharged residents will require the licensed nurse to remove all of the resident's medications from the medication cart and count the amount of medications remaining. The policy further states that the licensed nurse will document the disposition of medications by printing out the residents eMAR and documenting on the printout the amount of medications returned to pharmacy. [...]
January 9, 2025Standard inspection · 3 citations
  1. G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Actual harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased upon review of clinical records, review of facility documentation, and staff interview it was determined the facility failed to follow a resident's care plan resulting in fall with subsequent actual harm of a hematoma requiring transportation to the emergency room for evaluation and treatment of a hematoma for one of three residents reviewed (Resident 52).
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased upon review of facility policy and procedure, clinical records, and review of facility documentation, it was determined the facility failed to investigate an incident that occurred as a result of possable abuse/neglect for one of one resident reviewed (Resident 52).
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2025
    Inspectors wroteBased on a review of clinical records and staff interview, it was determined that the facility failed to ensure that assessments accurately reflected the resident's status for one of 24 residents reviewed (Resident 58).
January 22, 2024Complaint inspection · 2 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on clinical record review, staff interviews, and facility policies it was determined that the facility failed to notify the physician in a timely manner of multiple medication errors experienced for 15 of 15 residents reviewed. (Residents R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14 and Resident R15).
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on clinical record review, staff interviews, and facility policies it was determined that the facility failed to identify pharmacy delivery errors that in turn caused multiple medication errors experienced by 15 of 15 residents reviewed. (Residents R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14 and Resident R15). This deficient practice has been determined to be past non compliance.
December 28, 2023Standard inspection · 1 citation
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on a review of facility policy, clinical records, and facility documentation review, and staff interview, it was determined that the facility failed to comprehensively investigate an injury of unknown origin for one of the 13 residents reviewed (Resident 42).

Fire safety inspections

4 fire safety citations on file: 3 on December 28, 2023, 1 on January 27, 2023.

Every fire safety citation4 citations
  1. E
    Use approved construction type or materials.
    K 161 · December 28, 2023 · Corrected (the home has a date of correction)
  2. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 28, 2023 · Corrected (the home has a date of correction)
  3. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 28, 2023 · Corrected (the home has a date of correction)
  4. D
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · January 27, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 9, 2025Fine $12,735

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)5.583.893.86
Registered nurses1.420.790.69
All nursing staff on weekends4.943.533.42
Nurse aides3.04
Licensed practical nurses1.12
Nursing staff turnover (share who left in a year)20.0%44.5%45.8%
Registered nurse turnover12.5%39.9%42.9%
Administrators who left1

CMS expects 3.08 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.83 on weekdays and 4.94 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.56 in April to June 2025 to 5.58 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.581.425.834.94 0.0%0 of 9046
Oct to Dec 20255.451.395.674.88 0.0%0 of 9246
Jul to Sep 20255.051.185.244.56 0.0%0 of 9250
Apr to Jun 20255.561.285.785.01 0.0%0 of 9146
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Pennsylvania

JobMedianMiddle halfEmployed
Pennsylvania, all employers
CNAs (nursing assistants)$21.44$18.88 to $22.5267,740
LPNs and LVNs$30.74$29.02 to $35.0138,260
Registered nurses$46.36$38.75 to $50.35146,520
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Crosslands. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.816.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.73.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.317.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.74.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.517.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
9.722.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.39.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Crosslands's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (27.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

27.3% this home

Worse than the national rate

US median of homes 51.5% · Pennsylvania: 100 better, 108 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 52 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Pennsylvania: 3 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 65 eligible stays.

Infections that led to a hospital stay

6.2% this home

No different from the national rate

US median of homes 7.1% · Pennsylvania: 7 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 31 eligible stays.

Self-care and mobility at discharge

57.6% this home

Median of homes: Pennsylvania54.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 33 residents counted.

Falls with major injury

0.0% this home

Median of homes: Pennsylvania0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 33 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Pennsylvania2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 33 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Pennsylvania100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: KENDAL-CROSSLANDS COMMUNITIES. CMS links this home to Kendal, a group of 5 nursing homes averaging 4.6 stars overall.

NameRoleTypeShareSince
Citizens Bank of Pennsylvania5% or greater mortgage interestOrganization12/01/2010
Citizens Bank of Pennsylvania5% or greater security interestOrganization12/01/2010
Evans, PatriciaManaging control - governing bodyIndividual06/13/2023
Grove, DavidManaging control - governing bodyIndividual04/13/2021
Helle, JenniferManaging control - governing bodyIndividual11/12/2024
Huxtable, JonathanManaging control - governing bodyIndividual10/01/2023
Poutasse, SarahManaging control - governing bodyIndividual03/11/2025
Renz, SusanManaging control - governing bodyIndividual02/09/2021
Spackman, FrederickManaging control - governing bodyIndividual10/08/2019
Stover, AnthonyManaging control - governing bodyIndividual03/16/2021
Taylor, AndreaManaging control - governing bodyIndividual02/08/2022
Evans, PatriciaCorporate directorIndividual06/13/2023
Grove, DavidCorporate directorIndividual04/13/2021
Helle, JenniferCorporate directorIndividual11/12/2024
Homayouni, SamCorporate directorIndividual06/05/2026
Huxtable, JonathanCorporate directorIndividual10/01/2023
Petrocelli, SusanCorporate directorIndividual12/13/2022
Poutasse, SarahCorporate directorIndividual03/11/2025
Renz, SusanCorporate directorIndividual02/09/2021
Spackman, FrederickCorporate directorIndividual10/08/2019
Stover, AnthonyCorporate directorIndividual03/16/2021
Taylor, AndreaCorporate directorIndividual02/08/2022
Ward, ClareCorporate directorIndividual05/13/2025
Evans, PatriciaCorporate officerIndividual03/11/2025
Grove, DavidCorporate officerIndividual04/13/2021
Marsillo, LisaCorporate officerIndividual01/21/2020
Renz, SusanCorporate officerIndividual04/11/2023
Spackman, FrederickCorporate officerIndividual04/11/2023
Beaver, SethOperational/managerial controlIndividual01/03/2017
Berardi, MicheleOperational/managerial controlIndividual11/14/2011
Homayouni, SamOperational/managerial controlIndividual06/04/2026
Lawrence, ThomasOperational/managerial controlIndividual06/24/2005
Marsillo, LisaOperational/managerial controlIndividual01/21/2020
O'Brien, TimothyOperational/managerial controlIndividual01/02/2025
Pettiford, QuianaOperational/managerial controlIndividual08/20/2022
Taylor, DonnaOperational/managerial controlIndividual06/01/2019
Citizens Bank of PennsylvaniaAdp of the SNFOrganization06/16/2025
Beaver, SethAdp of the SNFIndividual01/03/2017
Berardi, MicheleAdp of the SNFIndividual11/14/2011
Homayouni, SamAdp of the SNFIndividual06/04/2026
Lawrence, ThomasAdp of the SNFIndividual06/24/2005
Marsillo, LisaAdp of the SNFIndividual01/21/2020
O'Brien, TimothyAdp of the SNFIndividual01/02/2025
Pettiford, QuianaAdp of the SNFIndividual08/29/2022
Taylor, DonnaAdp of the SNFIndividual06/01/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on February 20, 2026: "Not hire anyone with a finding of abuse, neglect, exploitation, or theft."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 9, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 20, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 22, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Assisted living and personal care homes in Kennett Square

Licensed assisted living residences and personal care homes in the same town or within 5 miles, each with its Pennsylvania licence record.

Assisted living and personal care homes in Pennsylvania

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Crosslands's Medicare star rating?
CMS rates Crosslands 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Crosslands get at its last inspection?
2 health deficiencies at the standard inspection on February 20, 2026. The Pennsylvania average is 10.
Has Crosslands been fined?
Yes. CMS lists 1 fine totaling $12,735 in the last three years.
Does Crosslands accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Crosslands?
CMS lists 45 owners and managers, and links the home to Kendal. Legal business name: KENDAL-CROSSLANDS COMMUNITIES.

Sources

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