Fair Acres Geriatric Center
Nursing Home Facility
340 N. Middletown Road, Lima, PA 19037
As Delaware County's Long-Term Care Facility, Fair Acres is owned and operated by the County of Delaware. We are proud to have served this community for 200 years since we began operations in 1807. Currently, more than 1,200 team members continue to offer the highest quality long-term care for over 900 residents. These residents range in age from young adult to elderly, and anyone in need of 24-hour nursing care.
With 778 beds, Fair Acres Geriatric Center is one of the larger communities in the area, senior care communities in Delaware County average about 95 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 57% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Delaware County average of roughly 83%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Delaware County average about 3.2 stars. Its most recent standard health inspection was in February 2026 and recorded 8 deficiencies.
Residents receive about 2.8 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Communities in Delaware County average about 4.0 hours. Nursing staff turnover over the past year was about 22%.
The community is located in Delaware County, PA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 10 problems at Fair Acres Geriatric Center. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 3 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Caused harm to a resident, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
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Could cause more than minimal harm, one or a few residents
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Fair Acres Geriatric Center offers nursing home care and senior living.
Facility details
- Organization type Government - County
- Beds / units 778
- Occupancy 57%
- Nursing hours per resident/day 2.8
- Annual staff turnover 22%
- Last health inspection February 2026
Resident & family reviews
No one has shared a review of Fair Acres Geriatric Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.