Ellen Memorial Rehabilitation and Healthcare CenteCMS ratings, inspections and fines
- Address
- 23 Ellen Memorial Lane, Honesdale, PA 18431
- CCN
- 395357
- Ownership type
- For-profit, corporation
- Certified beds
- 128
- Chain
- None in the CMS record
- Residents per day
- 116
- CMS flags
- CMS abuse icon
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 Ellen Memorial Rehabilitation and Healthcare Cente an overall rating of 2 of 5 stars. The last standard survey was on 10 Jan 2025. The latest survey cycle has 7 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 | Wayne County median | Pennsylvania median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 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: 3 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) | 10 Jan 2025 | 7 | 8 |
| Cycle 2 | 15 Mar 2024 | 7 | 8 |
| Cycle 3 | No date | 17 | 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 | 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): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | Past Non-Compliance |
| 10 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 8 Jan 2026 |
| 10 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Jan 2026 |
| 10 Dec 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 8 Jan 2026 |
| 10 Jan 2025 | 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 | 18 Feb 2025 |
| 10 Jan 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 18 Feb 2025 |
| 10 Jan 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 18 Feb 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 May 2025 |
| 15 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 14 May 2024 |
| 15 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 14 May 2024 |
| 15 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 14 May 2024 |
| 15 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 14 May 2024 |
| 15 Mar 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 14 May 2024 |
| 15 Mar 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 14 May 2024 |
Survey cycle 3: 17 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 |
|---|---|---|---|---|---|
| 5 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 31 Oct 2023 |
| 29 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Oct 2023 |
| 17 Mar 2023 | 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 | 13 Apr 2023 |
| 17 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 13 Apr 2023 |
| 17 Mar 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. | D | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | 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. | E | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 13 Apr 2023 |
| 17 Mar 2023 | F0888 | Ensure staff are vaccinated for COVID-19 | D | Standard survey | 13 Apr 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 | 3.57 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.44 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.87 | 0.91 | |
| Nurse aides | 2.25 | 2.19 | |
| All nurse staff, weekends | 3.26 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 55.4%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 46.2%
- Administrators who left in a year
- 1
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 | 8.2% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.4% | 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, corporation
- Setting
- Continuing care retirement community
- Legal business name
- Legal Business Name Not Available
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Wayne County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Wayne Woodlands Manor | Waymart | 2 of 5 | 6 | $77,800 | 22 May 2026 | |
| Julia Ribaudo Extended Care Center | Lake Ariel | 2 of 5 | 13 | $0 | 16 Jun 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 Ellen Memorial Rehabilitation and Healthcare Cente (CCN 395357). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/ellen-memorial-rehabilitation-and-healthcare-cente-honesdale-pa-395357/
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 Ellen Memorial Rehabilitation and Healthcare Cente last inspected?
- The latest inspection with a citation in the CMS record was on 31 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 15 Mar 2024.
- Who operates Ellen Memorial Rehabilitation and Healthcare Cente?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Ellen Memorial Rehabilitation and Healthcare Cente 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.