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Hamilton Arms Center

336 South West End Avenue, Lancaster, PA 17603 · Lancaster County · (717) 393-0419

94 certified beds, about 90 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395224 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 26, 2025, inspectors cited 5 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 23 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 5 fines totaling $36,454 in the last three years; the largest was $14,380, and the latest is dated July 20, 2026.

Nurses and nurse aides worked 3.33 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

33.7% 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 23 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
18D
3E
0F
Potential for minimal harm
0A
0B
0C
July 20, 2026Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased upon review of facility policy and procedure, review of facility documentation and clinical record review, it was determined that the facility failed to ensure residents were free from abuse and neglect resulting in actual harm to one resident (Resident R1). This was identified as past non-compliance for Resident R1.
February 25, 2026Complaint inspection · 2 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on review of clinical records and healthcare insurance documents and staff interviews, it was determined that the facility failed to ensure that the resident's appointed representative was notified of a healthcare insurance coverage change for one of three residents reviewed (Resident 1).
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 31, 2026
    Inspectors wroteBased on clinical records review and staff interview, it was determined that the facility failed to follow a physician's order for a cardiology (A specialized physician who diagnoses, treats, and prevents diseases of heart and blood vessels) consult for one of the three residents reviewed. (Resident CL1).
September 26, 2025Standard inspection · 5 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) November 11, 2025
    Inspectors wroteBased on review of clinical record, facility documentation, hospital record review and staff interviews, it was determined that the facility failed to ensure one of three residents reviewed received adequate supervision during care resulting in actual harm causing a right ankle nondisplaced fracture for Resident 14.
  2. 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) November 11, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure accurate assessments for two of 24 residents reviewed (Residents 6 and 57).
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2025
    Inspectors wroteBased on review of facility policy, clinical record review, hospice records and staff interview, it was determined that the facility failed to ensure that the clinical record accurately reflected the assessment and treatment of a pressure ulcer for one of four residents reviewed (Resident 14). Review of the facility's policy titled Pressure Ulcers/ Skin Breakdowns-Clinical Protocol last reviewed April 2018 stated that '1. The nursing staff and practitioner will assess and document an individual's significant risk factors for developing pressure ulcers. 2. In addition, the nurse shall describe and document/report the following: [...]
  4. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2025
    Inspectors wroteBased on facility policy and procedure review, observations, clinical documentation review and staff interview it was determined the facility failed to label and store medications appropriately for one of three medication rooms and one of seven medication carts. (2 low and 2 high)
  5. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2025
    Inspectors wroteBased on observations, interviews with staff and record reviews it was determined that the facility failed to ensure food was stored and maintained in accordance with professional standards for food safety for five of five personal refrigerators. Findings Include:Observations of all days of the survey revealed that five residents had personal refrigerators in their rooms. Observations revealed they were no temperature logs or any evidence for monitoring or cleaning refrigerators. Interview with Nursing Home Administrator (NHA) on September 26, 2025, confirmed facility did not have a written policy for personal refrigerators. NHA stated that no education had been provided to residents or their families regarding safe food storage, refrigerator cleaning or temperature monitoring.28 Pa.
June 5, 2025Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on review facility policy clinical records, as well as staff interviews, it was determined that the facility failed to follow the physician's orders for blood sugar checks for two of 8 residents reviewed (Residents 8,9), and failed to follow physician's orders for blood pressure checks for one of 8 residents reviewed (Resident 7).
September 6, 2024Standard inspection · 7 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 23, 2024
    Inspectors wroteBased on observations and staff interviews, it was determined the facility failed to establish effective Enhanced Barrier Precautions on two of two nursing floors observed. (First Floor and Second Floor)
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2024
    Inspectors wroteBased on review of documentation and staff interview, it was determined the facility failed to ensure residents were provided a Notification of Medicare Non-coverage (NOMNC) for one resident and failed to provide Advanced Beneficiary Notice of Non-coverage (ABN) for three of three residents reviewed (Resident 18, Resident 191, Resident 192).
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2024
    Inspectors wroteBased on clinical record review and interview, it was determined the facility failed to report an allegation of abuse for one of 18 residents reviewed (Resident 13).
  4. 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) October 23, 2024
    Inspectors wroteBased on clinical record review and interviews, it was determined the facility failed to investigate an allegation of abuse for one of 18 residents reviewed (Resident 13).
  5. 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) October 23, 2024
    Inspectors wroteBased on clinical record review and staff interviews it was determined the facility failed to accurately complete Minimum Data Set (MDS) assessments for two of 18 residents reviewed (Resident 13 and Resident 57).
  6. D
    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, isolated · Corrected (the home has a date of correction) October 23, 2024
    Inspectors wroteBased on resident and staff interviews and clinical record review, it was determined that the facility failed to clarify and implement physician's orders for one of 18 residents reviewed (Resident 14).
  7. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2024
    Inspectors wroteBased on resident interview, clinical record review and staff interview, it was determined that the facility failed to ensure dental services were timely provided for one of 18 residents reviewed (Resident 44).
July 15, 2024Complaint inspection · 1 citation
  1. D
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 26, 2024
    Inspectors wroteBased on clinical record review, staff and resident interviews it was determined that [NAME] Arms Center failed to provide appropriate preparation of the resident prior to transfer and discharge for one of one resident reviewed (Resident R3).
October 6, 2023Standard inspection · 6 citations
  1. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased upon observation, it was determined the facility failed to adequately label and store medication on two of three medication carts observed (second floor - low cart and second floor - long hall cart).
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased upon review of facility policies and procedures and observation, it was determined the facility failed to provide appropriate infection control and failed to follow appropriate transmission-based precautions during medication administration and food delivery for two of two nursing units (first floor nursing unit and second floor nursing unit).
  3. D
    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, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on observations, clinical record review, and interviews with staff it was determined that the facility failed to follow physician orders regarding breakfast during dialysis days for one of two residents reviewed (Resident 34) and monitor weights for one out of 24 residents reviewed (Resident 48).
  4. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on record review and staff interviews, it was determined that sufficient and competent nursing staff were engaged to review resident charts and ensure labs were drawn for one of one resident reviewed (Resident 24).
  5. D
    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, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased upon clinical record review, it was determined the facility failed to provide medications as ordered by the physician and failed to coordinate with pharmacy services to find an alternative medication for unavailable medications for one of 18 residents reviewed (Resident 83).
  6. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2023
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to ensure residents were free from significant medication errors for one of three residents reviewed (Resident 33).

Fines and payment denials

DatePenaltyAmount or length
July 20, 2026Fine $14,380
September 26, 2025Fine $13,065
January 8, 2024Fine $2,659
January 2, 2024Fine $2,117
December 11, 2023Fine $4,233

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)3.333.893.86
Registered nurses0.490.790.69
All nursing staff on weekends3.063.533.42
Nurse aides1.84
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)33.7%44.5%45.8%
Registered nurse turnover30.8%39.9%42.9%
Administrators who left0

CMS expects 3.80 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 3.44 on weekdays and 3.06 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.33 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.330.493.443.06 1.0%0 of 9090
Oct to Dec 20253.300.503.383.09 0.2%0 of 9292
Jul to Sep 20253.350.533.443.12 1.3%0 of 9291
Apr to Jun 20253.370.593.463.13 0.9%0 of 9190
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 Hamilton Arms Center. 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
14.816.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.73.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.41.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.817.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.04.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.817.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.222.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.89.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hamilton Arms Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (38.9% 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

38.9% 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. 115 eligible stays.

Potentially preventable readmissions

11.7% 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. 119 eligible stays.

Infections that led to a hospital stay

6.7% 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. 86 eligible stays.

Self-care and mobility at discharge

59.7% 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. 119 residents counted.

Falls with major injury

1.2% 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. 164 residents counted.

New or worsened pressure ulcers

4.5% 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. 164 residents counted.

Medication list given at discharge

95.9% this home

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. 73 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: HAMILTON ARMS CENTER OPCO LLC.

NameRoleTypeShareSince
Hachc LLC5% or greater direct ownership interestOrganization100%05/01/2021
Smr 2021 Family Trust5% or greater indirect ownership interestOrganization100%05/01/2021
Mandel, AvitalOperational/managerial controlIndividual05/01/2021
O'Leary, DonnaOperational/managerial controlIndividual05/01/2021
O'Leary, DonnaAdp of the SNFIndividual03/25/2025

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 7 problems in this area, most recently on February 25, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on September 26, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  3. 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 July 20, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 25, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Pennsylvania average of 3.53.

Other nursing homes nearby

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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 Hamilton Arms Center's Medicare star rating?
CMS rates Hamilton Arms Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hamilton Arms Center get at its last inspection?
5 health deficiencies at the standard inspection on September 26, 2025. The Pennsylvania average is 10.
Has Hamilton Arms Center been fined?
Yes. CMS lists 5 fines totaling $36,454 in the last three years.
Does Hamilton Arms Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Hamilton Arms Center?
CMS lists 5 owners and managers. Legal business name: HAMILTON ARMS CENTER OPCO LLC.

Sources

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