The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
HAMILTON ARMS CENTER
LANCASTER, PA · Medicare-certified · 94 beds
In good standing
For-profit
Data as of July 1, 2026
3 of 5 overall
Hamilton Arms Center in Lancaster has an overall 3-star rating, with 3-star marks for health inspections, staffing, and quality measures. It reported 3.33 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent citations included accident prevention, infection control, and medication storage issues.
Facility ratings
Health inspections
Staffing
3.3305 hrs/resident/day
Quality measures
Last inspection: February 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3305.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 1.00
- Nurse aides
- 1.84
- Weekend nursing
- 3.06
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
19.2%16.7%Improving
Residents with a fall causing major injury
1.4%2.7%Worsening
Residents with pressure ulcers (bedsores)
4.5%4.6%No change
Residents with a urinary tract infection
1.4%0%Improving
Residents who lost too much weight
14.3%6.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.2%23.2%Worsening
Residents whose ability to walk got worse
6.6%38%Worsening
Long-stay residents on antianxiety or sleep medication
12.7%22.6%Worsening
Short-stay residents newly given an antipsychotic
2.9%1.1%Improving
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
29.9%30.5%Worsening
Residents with depressive symptoms
0%1.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.7%—
Long-stay residents given the pneumonia vaccine
87%93.2%Improving
Short-stay residents given the seasonal flu vaccine
—66.3%—
Short-stay residents given the pneumonia vaccine
72.7%63.1%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $9,009 in total fines.
- $2,659
Federal fine
Jan 8, 2024
- $2,117
Federal fine
Jan 2, 2024
- $4,233
Federal fine
Dec 11, 2023
Operator & ownership
Recent ownership change · May 1, 2021
Now operated by Hamilton Arms Center Opco LLC, previously 336 South West End Avenue Operations LLC.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 90.4 residents on an average day (96% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.