Lakeside at Willow Valley
Willow Street, Pennsylvania · CCN 395771
10 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 24
- Surveys
- 10
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 80
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Lancaster
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=2, floor 20).
Last survey on record
Dec 4, 2024
705 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.87 | 4.44 |
| Registered-nurse hours per resident day | 1.42 | — |
| Annual nurse turnover | 36.5% | 37.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D— | E1100.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at Lakeside at Willow Valley, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF812Dec 4, 2024
Based on review of facility policy, review of facility documentation, observations, and interview with staff, it was determined that the facility failed to store food and maintain appropriate sanitation in accordance with professional standards for food service safety. Findings included: Review of facility policy, Food Storage, reviewed January 2024, indicated that all food items should be labeled, dated, and rotated to insure FIFO (first in, first out) method of storing and use and to prevent outdated food from being used. Review of facility policy, Sanitation Process, revealed that sanitizer must be mixed at the proper concentration and checked at regular intervals with a test kit and logged on sanitizer log. […]
- No harm, potential for more than minimal, patternF880Mar 1, 2022
Based upon observation it was determined that the facility failed to screen visitors for COVID 19 [CONDITION(S)] symptoms prior to entering the facility for 4 out of 4 days of the survey. Findings include: Observation on February 24, 2022 at 9:00 a.m., February 25, 2022 at 11:00 a.m., February 28, 2022 at 8:30 a.m. and March 1, 2022 at 9:00 a.m. revealed that surveyors entered the facility without prior screening for the COVID 19 virus symptoms. Observation at the reception desk revealed that a sign-in form was provided to visitors. The sign-in form indicated that visitors were to either be screened at the entrance or confirm that the visitor had no signs/symptoms of COVID-19. Interview with the Nursing Home Administrator on February 28, 2022 at 11:00 a.m. […]
Read 20 findings in full →The most serious and the most recent: 20 of 24 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 4, 2024Standard1 finding
- Mar 1, 2022Standard1 finding
- Mar 30, 2018Standard5 findings
- May 17, 2016Standard and complaint3 findings
- Nov 2, 2015Complaint1 finding · 1 harm
- Mar 23, 2015Standard3 findings
- Apr 7, 2014Standard1 finding
- Feb 22, 2013—2 findings
Show the 2 earlier surveys
- Mar 20, 2012—3 findings
- Feb 7, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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