Elizabethtown Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 141 Heisey Avenue, Elizabethtown, PA 17022
- CCN
- 395844
- Ownership type
- For-profit, limited liability company
- Certified beds
- 45
- Chain
- None in the CMS record
- Residents per day
- 41
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Elizabethtown Nursing and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 18 Jun 2025. The latest survey cycle has 10 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Pennsylvania (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lancaster County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 31 homes in the county, 656 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Pennsylvania median |
|---|---|---|---|
| Cycle 1 (latest) | 18 Jun 2025 | 10 | 8 |
| Cycle 2 | 18 Jul 2024 | 20 | 8 |
| Cycle 3 | No date | 14 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 1 Aug 2025 |
| 18 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Aug 2025 |
Survey cycle 2: 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Mar 2025 |
| 18 Jul 2024 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 14 Aug 2024 |
| 18 Jul 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 14 Aug 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Sep 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 9 Oct 2023 |
| 17 Aug 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Sep 2023 |
| 17 Aug 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 29 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Pennsylvania median | Pennsylvania average (CMS) |
|---|---|---|---|
| All nurse staff | 3.63 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.59 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 1.04 | 0.91 | |
| Nurse aides | 2.00 | 2.19 | |
| All nurse staff, weekends | 3.53 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 50.0%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.3% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.6% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.3% | 17.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Et 141 Operations LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| PA 3 Opco LLC | 5% or greater direct ownership interest | 100% | 15 May 2023 |
| PA 3 Holdco | 5% or greater indirect ownership interest | 1 Jun 2023 | |
| Et 141 Property LLC | Indirect ownership interest | 1 Jun 2023 | |
| Et 141 Property LLC | Operational/managerial control | 1 Jun 2023 | |
| Et 141 Property LLC | Adp of the snf | 1 Jun 2023 | |
| PA 3 Holdco | Adp of the snf | 1 Jun 2013 | |
| PA 3 Opco LLC | Adp of the snf | 1 Jun 2013 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lancaster County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Masonic Village at Elizabethtown | Elizabethtown | 5 of 5 | 2 | $0 | 23 Jan 2026 | |
| Emerald Nursing and Rehabilitation | Elizabethtown | 2 of 5 | 13 | $144,615 | 1 May 2026 | |
| Susquehanna Health and Wellness Center | Columbia | 3 of 5 | 10 | $105,688 | 17 Jun 2026 | |
| Mt Hope Nazarene Retirement Community | Manheim | 5 of 5 | 2 | $0 | 5 Sep 2024 | |
| St Anne's Retirement Community | Columbia | 5 of 5 | 3 | $0 | 24 Dec 2025 | |
| Pleasant View Communities | Manheim | 5 of 5 | 1 | $0 | 24 Jul 2025 | |
| Trillium Place | Lancaster | 5 of 5 | 1 | $0 | 26 Nov 2024 | |
| Homestead Village, Inc | Lancaster | 5 of 5 | 2 | $12,735 | 5 Mar 2026 | |
| Moravian Manor | Lititz | 5 of 5 | 1 | $0 | 28 Aug 2025 | |
| Abbeyville Skilled Nursing and Rehabilitation Cent | Lancaster | 3 of 5 | 11 | $0 | 2 Apr 2026 | |
| Kadima Rehabilitation & Nursing at Lititz | Lititz | 1 of 5 | 21 | $0 | 18 Jul 2025 | |
| Brethren Village | Lancaster | 3 of 5 | 3 | $0 | 30 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Elizabethtown Nursing and Rehabilitation (CCN 395844). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/elizabethtown-nursing-and-rehabilitation-elizabethtown-pa-395844/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Elizabethtown Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 18 Jun 2025. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 18 Jul 2024.
- Who operates Elizabethtown Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names Et 141 Property LLC for operational or managerial control. This site does not show the names of persons.
- Is Elizabethtown Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Pennsylvania as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.