Emerald Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 320 South Market Street, Elizabethtown, PA 17022
- CCN
- 395469
- Ownership type
- For-profit, limited liability company
- Certified beds
- 73
- Chain
- None in the CMS record
- Residents per day
- 67
- 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 Emerald Nursing and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 1 May 2026. The latest survey cycle has 13 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 4 fines with a total of $144,615 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 | 3 | 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) | 1 May 2026 | 13 | 8 |
| Cycle 2 | 22 May 2025 | 17 | 8 |
| Cycle 3 | No date | 10 | 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 | K0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2026 | 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. | C | Standard survey | 20 May 2026 |
| 1 May 2026 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 20 May 2026 |
| 1 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 20 May 2026 |
| 1 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 May 2026 |
| 1 May 2026 | 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. | H | Standard survey | 20 May 2026 |
| 1 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 20 May 2026 |
| 1 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 May 2026 |
| 1 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 May 2026 |
| 27 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 16 Apr 2026 |
| 27 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 16 Apr 2026 |
| 4 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Mar 2026 |
| 22 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 9 Nov 2025 |
| 22 Dec 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 12 Jan 2026 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jul 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 30 Jul 2025 |
| 16 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Jul 2025 |
| 16 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Jul 2025 |
| 22 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | 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 | 9 Jul 2025 |
| 22 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jul 2025 |
| 22 May 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 9 Jul 2025 |
Survey cycle 3: 10 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 |
|---|---|---|---|---|---|
| 30 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Jun 2024 |
| 19 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 27 May 2024 |
| 19 Apr 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 27 May 2024 |
| 19 Apr 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 27 May 2024 |
| 19 Apr 2024 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Standard survey | 27 May 2024 |
| 19 Apr 2024 | 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 | 27 May 2024 |
| 19 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 27 May 2024 |
| 19 Apr 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 27 May 2024 |
| 19 Apr 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 27 May 2024 |
| 19 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 May 2024 |
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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 4 Feb 2026 | Fine | $109,350 | |
| 22 Dec 2025 | Fine | $13,260 | |
| 22 May 2025 | Fine | $13,987 | |
| 19 Apr 2024 | Fine | $8,018 |
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 | 3.70 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.53 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 1.14 | 0.91 | |
| Nurse aides | 2.03 | 2.19 | |
| All nurse staff, weekends | 3.18 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 69.7%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 78.6%
- Administrators who left in a year
- 3
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 | 10.0% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 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 | 3.8% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.1% | 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
- Er 320 Operations LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| PA 3 Opco LLC | 5% or greater direct ownership interest | 100% | 1 Jun 2023 |
| PA 3 Holdco | 5% or greater indirect ownership interest | 1 Jun 2023 | |
| Er 320 Property LLC | Adp of the snf | 3 Apr 2025 |
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 | |
| Elizabethtown Nursing and Rehabilitation | Elizabethtown | 2 of 5 | 10 | $0 | 18 Jun 2025 | |
| Mt Hope Nazarene Retirement Community | Manheim | 5 of 5 | 2 | $0 | 5 Sep 2024 | |
| Susquehanna Health and Wellness Center | Columbia | 3 of 5 | 10 | $105,688 | 17 Jun 2026 | |
| 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 | |
| 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 | |
| Rehabilitation Center at Brethren Village LLC | Lancaster | 5 of 5 | 0 | $0 | 9 Jul 2025 |
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 Emerald Nursing and Rehabilitation (CCN 395469). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/emerald-nursing-and-rehabilitation-elizabethtown-pa-395469/
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 Emerald Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 1 May 2026. It was a standard survey. It gave 8 citations. The standard survey before the last one was on 22 May 2025.
- Who operates Emerald 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 no organisation for operational or managerial control. This site does not show the names of persons.
- Is Emerald 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.