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Glen at Willow Valley

675 Willow Valley Square, Lancaster, PA 17602 · Lancaster County · (717) 464-6161

262 certified beds, about 232 residents a day · Non profit - Corporation · Medicare since 1995

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395956 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 0 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 1 health citation since November 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.45 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.

28.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

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 1 health citation on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
0D
1E
0F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 0 citations
October 18, 2024Standard inspection · 0 citations
November 17, 2023Standard inspection · 1 citation
  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 · Corrected (the home has a date of correction) January 16, 2024
    Inspectors wroteBased on clinical record review and staff interview it was determined the facility failed to obtain or follow physician orders for four of 40 residents reviewed. (Residents 19, 72, 134, and Resident 156)

Fire safety inspections

10 fire safety citations on file: 3 on December 4, 2025, 5 on October 18, 2024, 2 on November 17, 2023.

Every fire safety citation10 citations
  1. D
    Have properly located and lighted "Exit" signs.
    K 293 · December 4, 2025 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 4, 2025 · Corrected (the home has a date of correction)
  3. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 4, 2025 · Corrected (the home has a date of correction)
  4. E
    Install a two-hour-resistant firewall separation.
    K 133 · October 18, 2024 · Corrected (the home has a date of correction)
  5. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · October 18, 2024 · Corrected (the home has a date of correction)
  6. 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 · October 18, 2024 · Corrected (the home has a date of correction)
  7. E
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · October 18, 2024 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 18, 2024 · Corrected (the home has a date of correction)
  9. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · November 17, 2023 · Corrected (the home has a date of correction)
  10. E
    Have elevators that firefighters can control in the event of a fire.
    K 531 · November 17, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)4.453.893.86
Registered nurses0.700.790.69
All nursing staff on weekends4.113.533.42
Nurse aides2.69
Licensed practical nurses1.07
Nursing staff turnover (share who left in a year)28.9%44.5%45.8%
Registered nurse turnover38.8%39.9%42.9%
Administrators who left1

CMS expects 3.01 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 4.59 on weekdays and 4.11 on weekends, 10% 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 4.50 in April to June 2025 to 4.45 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.450.704.594.11 0.0%0 of 90232
Oct to Dec 20254.630.704.764.28 0.0%0 of 92225
Jul to Sep 20254.530.784.694.12 0.0%0 of 92217
Apr to Jun 20254.500.804.694.02 0.0%0 of 91228
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.

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
20.216.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.33.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.717.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.14.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.917.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.922.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.19.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.21.8

Owners and operators

Legal business name: WILLOW VALLEY COMMUNITIES.

NameRoleTypeShareSince
Willow Valley Communities5% or greater direct ownership interestOrganization100%12/06/1982
Donegan, MargaretW-2 managing employeeIndividual11/27/2002
Hunsicker, KendallW-2 managing employeeIndividual11/09/1999
Allmond, SusanCorporate directorIndividual05/01/2022
Kemrer, JohnCorporate directorIndividual05/01/2022
Barley, JaneCorporate officerIndividual04/19/2012
Brant, LeslieCorporate officerIndividual04/24/2019
Gerner, ElricCorporate officerIndividual05/01/2022
Gilbert, JillCorporate officerIndividual04/24/2019
Grant, GeraldCorporate officerIndividual05/01/2022
Mashner, MarvinCorporate officerIndividual05/01/2022

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 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 November 17, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

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 Glen at Willow Valley's Medicare star rating?
CMS rates Glen at Willow Valley 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Glen at Willow Valley get at its last inspection?
0 health deficiencies at the standard inspection on December 4, 2025. The Pennsylvania average is 10.
Has Glen at Willow Valley been fined?
CMS lists no fines in the last three years.
Does Glen at Willow Valley accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Glen at Willow Valley?
CMS lists 11 owners and managers. Legal business name: WILLOW VALLEY COMMUNITIES.

Sources

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