Deficiency Index

Trillium Place

Lancaster, Pennsylvania · CCN 395559

14 surveys since 2011, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
36
Surveys
14
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
160
Ownership
Non profit - Corporation
Chain
Independent
County
Lancaster
Medicare-certified since
1983

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=1, floor 20).

Last survey on record

Apr 20, 2026

203 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.793.91
Registered-nurse hours per resident day0.69—
Annual nurse turnover32.9%39.5%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 1 of the 36 citations on record.

In the surveyor’s words

From the most serious findings on record at Trillium Place, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF684Apr 20, 2026

    Based on a review of facility policy, clinical records and staff interviews, it was determined that the facility failed to properly follow physician orders for one resident reviewed (Resident 1). Review of facility policy titled Medication Administration-General Guidelines, last revised July 1. 2025, documents medications are administered as prescribed, in accordance with good nursing principles and practices and only by persons legally authorized to do so. Medications are administered in accordance with written orders of the attending physician. […]

Read 21 findings in full →The most serious and the most recent: 21 of 36 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 20, 2026Complaint1 finding
  • Oct 30, 2020Complaint1 finding
  • Mar 12, 2020Standard1 finding
  • Oct 28, 2019Complaint1 finding · 1 harm
  • Apr 11, 2019Complaint1 finding
  • Feb 26, 2019Standard2 findings
  • Oct 27, 2017Standard3 findings
  • Apr 17, 2017Standard and complaint3 findings
Show the 6 earlier surveys
  • May 17, 2016Standard3 findings
  • Mar 26, 2015Standard5 findings
  • Feb 25, 2014Standard2 findings
  • Mar 4, 2013—6 findings · 1 harm
  • Feb 16, 2012—3 findings
  • Mar 24, 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction