Hamilton Arms Center

Name: Hamilton Arms Center
Address: 336 SOUTH WEST END AVENUE, Lancaster, PA, 17603, US
Telephone: 7173930419

336 South West End Avenue, Lancaster, PA 17603 · Lancaster County · 94 certified beds · avg 90 residents/day · certified since Dec 15, 1967

3/5

Health inspection rating (on-site)

Serious findings on record

$9,009

Fines, last 3 years

3.36

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 26, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 11, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 25, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Feb 25, 2026	D · Potential for harm, one-off	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
Sep 26, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 5, 2025	D · Potential for harm, one-off	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
Sep 6, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 6, 2024	D · Potential for harm, one-off	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.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 6, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Jul 15, 2024	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Oct 6, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 6, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 6, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 6, 2023	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Oct 6, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 6, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	0	E
2024	8	0	E
2025	6	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.

Fines and enforcement (last 3 years)

3 fines totaling $9,009.

Date	Type	Amount / length
Jan 8, 2024	Fine	$2,659
Jan 2, 2024	Fine	$2,117
Dec 11, 2023	Fine	$4,233

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.36	3.94	3.95	bottom 32% in Pennsylvania; bottom 29% in the U.S.
Registered Nurse hours	0.50	0.80	0.69	bottom 25% in Pennsylvania; bottom 38% in the U.S.
Weekend total nurse staffing	3.08	3.58	3.50	bottom 34% in Pennsylvania; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.56	0.48	bottom 20% in Pennsylvania; bottom 31% in the U.S.
Total nursing staff turnover (%)	33.7	44.5	45.8	top 22% in Pennsylvania; top 21% in the U.S.
RN turnover (%)	30.8	39.9	42.9	top 33% in Pennsylvania; top 30% in the U.S.

Hours are per resident per day, 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 3.33, RN 0.49, weekend 3.06. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Hachc LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2021
SMR 2021 Family Trust	Organization	5% or Greater Indirect Ownership Interest	100%	05/01/2021
Mandel, Avital	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2021
O'Leary, Donna	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2021
O'Leary, Donna	Individual	ADP of the SNF	NOT APPLICABLE	03/25/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Abbeyville Skilled Nursing and Rehabilitation Cent	0.6 mi	Lancaster, PA	★★★☆☆	3/5
Rose City Nursing and Rehab at Lancaster	1.2 mi	Lancaster, PA	★★☆☆☆	1/5
Homestead Village, INC	1.6 mi	Lancaster, PA	★★★★★	5/5
Lancaster Nursing and Rehabilitation Center	2.1 mi	Lancaster, PA	★★☆☆☆	3/5
Trillium Place	2.3 mi	Lancaster, PA	★★★★★	5/5
Glen at Willow Valley	3.3 mi	Lancaster, PA	★★★★★	5/5
Lakeside at Willow Valley	4.5 mi	Willow Street, PA	★★★★★	5/5
Neffsville Nursing and Rehabilitation	5.0 mi	Lancaster, PA	★☆☆☆☆	1/5
Brethren Village	5.0 mi	Lancaster, PA	★★★☆☆	2/5	abuse
Rehabilitation Center at Brethren Village LLC	5.0 mi	Lancaster, PA	★★★★★	5/5
Landis Homes	6.1 mi	Lititz, PA	★★★★★	4/5
St Anne's Retirement Community	6.6 mi	Columbia, PA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Lancaster →

Facility data as of CMS processing date 2026-08-01. CCN 395224.

The Care File

Visit checklist — Hamilton Arms Center

336 South West End Avenue, Lancaster, PA 17603 · 7173930419

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $9,009

Most serious findings on record:

▲ Sep 26, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

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 395224 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)