Ephrata ManorCMS ratings, inspections and fines
- Address
- 99 Bethany Road, Ephrata, PA 17522
- CCN
- 395857
- Ownership type
- Non-profit, corporation
- Certified beds
- 120
- Chain
- None in the CMS record
- Residents per day
- 108
- 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 Ephrata Manor an overall rating of 4 of 5 stars. The last standard survey was on 20 Sep 2024. The latest survey cycle has 2 health citations. The median for nursing homes in Pennsylvania is 8. CMS lists 1 fine of $13,845 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 | 4 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 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) | 20 Sep 2024 | 2 | 8 |
| Cycle 2 | 3 Nov 2023 | 7 | 8 |
| Cycle 3 | No date | 2 | 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 | E0 | F0 | |
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Feb 2026 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 3 Mar 2026 |
| 20 Sep 2024 | 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 | 18 Oct 2024 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 30 Nov 2023 |
| 3 Nov 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 30 Nov 2023 |
| 3 Nov 2023 | 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 | 30 Nov 2023 |
| 3 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 30 Nov 2023 |
| 3 Nov 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 30 Nov 2023 |
| 3 Nov 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 | 30 Nov 2023 |
| 3 Nov 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 | 30 Nov 2023 |
Survey cycle 3: 2 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 |
|---|---|---|---|---|---|
| 16 Dec 2022 | 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 | 30 Jan 2023 |
| 16 Dec 2022 | 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 | 30 Jan 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 3 Nov 2023 | Fine | $13,845 |
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 | 4.22 | 3.60 | 3.89 |
| Registered nurses (RN) | 0.79 | 0.70 | 0.79 |
| Licensed practical nurses (LPN) | 0.98 | 0.91 | |
| Nurse aides | 2.45 | 2.19 | |
| All nurse staff, weekends | 3.86 | 3.30 | 3.53 |
- Nurse staff turnover in a year
- 43.5%
- Nurse staff turnover, Pennsylvania median
- 44.3%
- RN turnover in a year
- 25.0%
- 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 | 28.0% | 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 | 4.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.9% | 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 | 22.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.4% | 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
- Non-profit, corporation
- Setting
- Continuing care retirement community
- Legal business name
- United Church of Christ Homes
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| United Church of Christ Homes | 5% or greater direct ownership interest | 100% | 1 Jan 1981 |
| Cliftonlarsonallen LLP | Operational/managerial control | 1 Jan 2012 | |
| Conrad Siegel Investment Advisors, Inc | Operational/managerial control | 1 Jan 2009 | |
| Marsh and McLennan Companies, Inc | Operational/managerial control | 15 Mar 2024 | |
| Pennsylvania Association of Director of Nursing Administration (Padona | Operational/managerial control | 24 Mar 2022 | |
| Cliftonlarsonallen LLP | Adp of the snf | 7 Mar 2025 | |
| Conrad Siegel Investment Advisors, Inc | Adp of the snf | 7 Mar 2025 | |
| Fulton Bank, N.A. | Adp of the snf | 1 Oct 2015 | |
| Marsh and McLennan Companies, Inc | Adp of the snf | 7 Mar 2025 | |
| Pennsylvania Association of Director of Nursing Administration (Padona | Adp of the snf | 7 Mar 2025 | |
| RKL LLP | Adp of the snf | 1 Jan 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 | |
|---|---|---|---|---|---|---|
| Maple Farm | Akron | 5 of 5 | 1 | $0 | 4 Jun 2026 | |
| Fairmount Homes | Ephrata | 5 of 5 | 0 | $0 | 2 Jul 2025 | |
| Gardens at Stevens, The | Stevens | 2 of 5 | 11 | $55,807 | 27 Feb 2026 | |
| Landis Homes | Lititz | 5 of 5 | 1 | $0 | 26 Sep 2025 | |
| Luther Acres Manor | Lititz | 1 of 5 | 5 | $0 | 15 Nov 2024 | |
| Garden Spot Village | New Holland | 5 of 5 | 1 | $8,018 | 9 Jan 2026 | |
| Kadima Rehabilitation & Nursing at Lititz | Lititz | 1 of 5 | 21 | $0 | 18 Jul 2025 | |
| Moravian Manor | Lititz | 5 of 5 | 1 | $0 | 28 Aug 2025 | |
| United Zion Retirement Communi | Lititz | 5 of 5 | 1 | $7,443 | 8 Aug 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 | |
| Neffsville Nursing and Rehabilitation | Lancaster | 1 of 5 | 12 | $9,516 | 15 Nov 2024 |
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 Ephrata Manor (CCN 395857). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/ephrata-manor-ephrata-pa-395857/
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 Ephrata Manor last inspected?
- The latest inspection with a citation in the CMS record was on 2 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 3 Nov 2023.
- Who operates Ephrata Manor?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
- Is Ephrata Manor 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.