Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
Part of chain: KENDAL (5 facilities, chain avg rating 4.4★)
4/5
Health inspection rating (on-site)
inspected Feb 20, 2026
1
Serious findings on record
most recent Jan 9, 2025
$12,735
Fines, last 3 years
6.94
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Mar 7, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. F-0606
D · Potential for more than minimal harm, isolated
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). F-0628
G · Actual harm, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. F-0656
View all 8 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Feb 20, 2026
D · Potential for more than minimal harm, isolated
The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · F-0606
Feb 20, 2026
D · Potential for more than minimal harm, isolated
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Jan 9, 2025
▲ G · Actual harm, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jan 9, 2025
D · Potential for more than minimal harm, isolated
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jan 9, 2025
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jan 22, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jan 22, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Dec 28, 2023
D · Potential for more than minimal harm, isolated
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
1
Serious citations (G–L):
0
2024
All citations:
2
Serious citations (G–L):
0
2025
All citations:
3
Serious citations (G–L):
1
2026
All citations:
2
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
1
0
D
2024
2
0
E
2025
3
1
G ▲
2026
2
0
D
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Jan 9, 2025
Fine
$12,735
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityPennsylvania averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
6.94
Pennsylvania average:
3.94
U.S. average:
3.95
Registered Nurse hours
This facility:
1.77
Pennsylvania average:
0.80
U.S. average:
0.69
Weekend total nurse staffing
This facility:
6.15
Pennsylvania average:
3.58
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Pennsylvania avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
6.94
3.94
3.95
top 2% in Pennsylvania; top 2% in the U.S.
Registered Nurse hours
1.77
0.80
0.69
top 5% in Pennsylvania; top 3% in the U.S.
Weekend total nurse staffing
6.15
3.58
3.50
top 2% in Pennsylvania; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.82
0.56
0.48
top 16% in Pennsylvania; top 11% in the U.S.
Total nursing staff turnover (%)
20.0
44.5
45.8
top 2% in Pennsylvania; top 3% in the U.S.
RN turnover (%)
12.5
39.9
42.9
top 6% in Pennsylvania; top 6% in the U.S.
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.58, RN 1.42, weekend 4.94.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.58 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Crosslands. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Showing 20 of 45 parties CMS has on file for this facility; 25 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Kendal — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Chester, PA — 20 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 395388.
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The Care File
Visit checklist — Crosslands
1660 East Street Road, Kennett Square, PA 19348 · (610) 388-1441
Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $12,735
Most serious findings on record:
▲ Jan 9, 2025 (F-0656, Actual harm, isolated): The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Questions for the administrator:
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you screen job applicants for past findings of abuse, neglect, or theft before hiring?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 20% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 45 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
While you're there, notice:
☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)
Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395388 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)