LAKESIDE AT WILLOW VALLEY

300 WILLOW VALLEY LAKES DRIVE, WILLOW STREET, PA 17584 (717) 464-9542
Non profit - Corporation 80 Beds Independent Data: November 2025
Trust Grade
85/100
#64 of 653 in PA
Last Inspection: December 2024

Within standard 12-15 month inspection cycle. Federal law requires annual inspections.

Overview

Lakeside at Willow Valley has a Trust Grade of B+, which means it is above average and recommended for families considering their options. It ranks #64 out of 653 facilities in Pennsylvania, placing it in the top half, and #6 out of 31 in Lancaster County, indicating that only a few local options are better. The facility is newly opened, with its first inspection showing one minor concern regarding food storage and sanitation practices, which could pose a potential risk to residents. Staffing is a strength here, earning a perfect 5/5 rating, but the turnover rate of 58% is concerning as it exceeds the state average. On a positive note, there have been no fines reported, and there is more registered nurse coverage than 86% of Pennsylvania facilities, ensuring better oversight of resident care.

Trust Score
B+
85/100
In Pennsylvania
#64/653
Top 9%
Safety Record
Low Risk
No red flags
Inspections
Too New
0 → 1 violations
Staff Stability
⚠ Watch
58% turnover. Above average. Higher turnover means staff may not know residents' routines.
Penalties
✓ Good
No fines on record. Clean compliance history, better than most Pennsylvania facilities.
Skilled Nurses
✓ Good
Each resident gets 80 minutes of Registered Nurse (RN) attention daily — more than 97% of Pennsylvania nursing homes. RNs are the most trained staff who catch health problems before they become serious.
Violations
✓ Good
Only 1 deficiencies on record. Cleaner than most facilities. Minor issues only.
★★★★★
5.0
Overall Rating
★★★★★
5.0
Staff Levels
★★★☆☆
3.0
Care Quality
★★★★★
5.0
Inspection Score
Stable
: 0 issues
2024: 1 issues

The Good

  • 5-Star Staffing Rating · Excellent nurse staffing levels
  • Full Sprinkler Coverage · Fire safety systems throughout facility
  • No fines on record

Facility shows strength in staffing levels, fire safety.

The Bad

Staff Turnover: 58%

12pts above Pennsylvania avg (46%)

Frequent staff changes - ask about care continuity

Staff turnover is elevated (58%)

10 points above Pennsylvania average of 48%

The Ugly 1 deficiencies on record

Dec 2024 1 deficiency
CONCERN (E)

Potential for Harm - no one hurt, but risky conditions existed

Food Safety (Tag F0812)

Could have caused harm · This affected multiple residents

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility policy, review of facility documentation, observations, and interview with staff, it was determined ...

Read full inspector narrative →
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 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. Sanitizing solutions will be kept in clearly labeled red buckets of sufficient size and quantity to insure effective use. Review of the Three-Compartment Sink, Sink & Surface Cleaner & Sanitizer Concentration Log revealed that the concentration levels (ppm-parts per million) normal range is between [PHONE NUMBER] ppm. Observations on December 2, 2024, at 9:40 a.m. in presence of Employee E3 revealed three bags of pasta, one bag of mixed vegetables, two packages of chicken, and an opened bag containing cookie dough in the walk-in freezer. All had been removed from the shipping box and had no label or date. Observation on December 2, 2024, at 9:50 a.m. in presence of Employee E3 revealed the sanitizer concentration level in a red bucket was 170 ppm. An additional observation of the sanitizing solution received directly from the dispenser at the three-compartment sink revealed a concentration level of 170 ppm. Interview with Employee E3 confirmed that all items should be labeled and dated. Additionally, Employee E3 confirmed that the sanitizer concentration level did not meet the recommended range. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1) Management 28 Pa Code 201.18(b)(3) Management
Understanding Severity Codes (click to expand)
Life-Threatening (Immediate Jeopardy)
J - Isolated K - Pattern L - Widespread
Actual Harm
G - Isolated H - Pattern I - Widespread
Potential for Harm
D - Isolated E - Pattern F - Widespread
No Harm (Minor)
A - Isolated B - Pattern C - Widespread

Questions to Ask on Your Visit

  • "Why is there high staff turnover? How do you retain staff?"
  • "Can I speak with families of current residents?"
  • "What's your RN coverage like on weekends and overnight?"

Our Honest Assessment

Strengths
  • • Grade B+ (85/100). Above average facility, better than most options in Pennsylvania.
  • • No major safety red flags. No abuse findings, life-threatening violations, or SFF status.
  • • No fines on record. Clean compliance history, better than most Pennsylvania facilities.
  • • Only 1 deficiencies on record. Cleaner than most facilities. Minor issues only.
Concerns
  • • 58% turnover. Above average. Higher turnover means staff may not know residents' routines.
Bottom line: Generally positive indicators. Standard due diligence and a personal visit recommended.

About This Facility

What is Lakeside At Willow Valley's CMS Rating?

CMS assigns LAKESIDE AT WILLOW VALLEY an overall rating of 5 out of 5 stars, which is considered much above average nationally. Within Pennsylvania, this rating places the facility higher than 99% of the state's 100 nursing homes. This rating reflects solid performance across the metrics CMS uses to evaluate nursing home quality.

How is Lakeside At Willow Valley Staffed?

CMS rates LAKESIDE AT WILLOW VALLEY's staffing level at 5 out of 5 stars, which is much above average compared to other nursing homes. Staff turnover is 58%, which is 12 percentage points above the Pennsylvania average of 46%. High turnover can affect care consistency as new staff learn residents' individual needs.

What Have Inspectors Found at Lakeside At Willow Valley?

State health inspectors documented 1 deficiencies at LAKESIDE AT WILLOW VALLEY during 2024. These included: 1 with potential for harm.

Who Owns and Operates Lakeside At Willow Valley?

LAKESIDE AT WILLOW VALLEY is owned by a non-profit organization. Non-profit facilities reinvest revenue into operations rather than distributing to shareholders. The facility operates independently rather than as part of a larger chain. With 80 certified beds and approximately 45 residents (about 56% occupancy), it is a smaller facility located in WILLOW STREET, Pennsylvania.

How Does Lakeside At Willow Valley Compare to Other Pennsylvania Nursing Homes?

Compared to the 100 nursing homes in Pennsylvania, LAKESIDE AT WILLOW VALLEY's overall rating (5 stars) is above the state average of 3.0, staff turnover (58%) is significantly higher than the state average of 46%, and health inspection rating (5 stars) is much above the national benchmark.

What Should Families Ask When Visiting Lakeside At Willow Valley?

Based on this facility's data, families visiting should ask: "How do you ensure continuity of care given staff turnover, and what is your staff retention strategy?" "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?" These questions are particularly relevant given the facility's high staff turnover rate.

Is Lakeside At Willow Valley Safe?

Based on CMS inspection data, LAKESIDE AT WILLOW VALLEY has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 5-star overall rating and ranks #1 of 100 nursing homes in Pennsylvania. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.

Do Nurses at Lakeside At Willow Valley Stick Around?

Staff turnover at LAKESIDE AT WILLOW VALLEY is high. At 58%, the facility is 12 percentage points above the Pennsylvania average of 46%. High turnover means new staff may not know residents' individual needs, medications, or preferences. It can also be disorienting for residents, especially those with dementia who rely on familiar faces. Families should ask: What is causing the turnover? What retention programs are in place? How do you ensure care continuity during staff transitions?

Was Lakeside At Willow Valley Ever Fined?

LAKESIDE AT WILLOW VALLEY has no federal fines on record. CMS issues fines when nursing homes fail to meet care standards or don't correct problems found during inspections. The absence of fines suggests the facility has either maintained compliance or corrected any issues before penalties were assessed. This is a positive indicator, though families should still review recent inspection reports for the full picture.

Is Lakeside At Willow Valley on Any Federal Watch List?

LAKESIDE AT WILLOW VALLEY is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.