Emerald Nursing and Rehabilitation
320 South Market Street, Elizabethtown, PA 17022
Emerald Nursing and Rehabilitation, a 73-bed for profit - limited liability company nursing facility in Elizabethtown, PA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #494 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7173671377
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #494 of 652
- In-state rank among rated PA homes
- 3.70
- About average · nurse hrs/day · nat'l 3.86
- 40
- Inspection findings · 4 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Emerald Nursing and Rehabilitation, a 73-bed for profit - limited liability company nursing facility in Elizabethtown, PA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #494 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #494 of 652
- In-state rank among rated PA homes
- 3.70
- Nurse hrs/resident-day · national 3.86
- 40
- Inspection findings · 4 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 656 PA nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 395469
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 73
- Residents
- 67
- In Hospital
- No
- County
- Lancaster
- Last Inspection
- May 1, 2026
Staffing Data
How the 3.70 total nursing hours per resident-day are staffed:
- RN Hours
- 0.53 (nat'l avg: 0.69)
- LPN Hours
- 1.14
- CNA Hours
- 2.03
- Total Nursing Hours
- 3.70 (nat'l avg: 3.86)
- PT Hours
- 0.07
- Nursing Turnover
- 69.7%
- RN Turnover
- 78.6%
What the CMS Record Reveals About Emerald Nursing and Rehabilitation
According to CMS Nursing Home Compare, Emerald Nursing and Rehabilitation ranks #494 of 652 rated nursing homes in PA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Emerald Nursing and Rehabilitation operates 73 certified beds in Elizabethtown, PA with approximately 67 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 3★).
The inspection file contains 40 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 4 penalties totaling $145K levied against this facility. Reported nurse staffing runs 3.70 total hours per resident day (national average 3.86); RN hours specifically are 0.53 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Emerald Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 69.7% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (40 most recent)
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Category: Resident Rights Deficiencies
Corrected: May 20, 2026
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.
Category: Resident Rights Deficiencies
Corrected: May 20, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 20, 2026
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2026
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 20, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: May 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 20, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Apr 16, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 16, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 10, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: Jan 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 9, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 30, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 30, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Jul 30, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 9, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 9, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jul 9, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 9, 2025
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 9, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Jul 9, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 9, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jul 9, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: Jul 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 9, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Jul 9, 2025
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 9, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 26, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 27, 2024
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: May 27, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 27, 2024
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: May 27, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: May 27, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: May 27, 2024
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 27, 2024
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.
Category: Resident Rights Deficiencies
Corrected: May 27, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: May 27, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 13.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 28.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 68.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 45.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 94.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 34.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 44.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 64.0% | No |
Penalty History 4 penalties totaling $145K
| Date | Type | Amount |
|---|---|---|
| Feb 4, 2026 | Fine | $109K |
| Dec 22, 2025 | Fine | $13K |
| May 22, 2025 | Fine | $14K |
| Apr 19, 2024 | Fine | $8K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Emerald Nursing and Rehabilitation, both outside PA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside PA (73 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside PA (3.59 here).
Nearby Nursing Homes in PA
655 other nursing homes are on record in PA; 6 are shown here.
Abbeyville Skilled Nursing and Rehabilitation Cent
Lancaster, PA
Abington Manor
Clarks Summit, PA
Acadia Nursing and Rehab Center
Aliquippa, PA
Accela Rehab and Care Center at Somerton
Philadelphia, PA
Accela Rehab and Care Center at Springfield
Glenside, PA
Advanced Health Care Of Hanover
Bethlehem, PA
Understanding Nursing Home Data
What the CMS records show for Emerald Nursing and Rehabilitation
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The PA registry aggregates state averages and the highest-rated homes in this cohort. View PA registry
- Peer homes near 73 beds show how CMS stars vary at a similar scale in PA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Emerald Nursing and Rehabilitation?
Where does Emerald Nursing and Rehabilitation rank among nursing homes in PA?
What are the staffing levels at Emerald Nursing and Rehabilitation?
How many beds does Emerald Nursing and Rehabilitation have?
Does Emerald Nursing and Rehabilitation have any deficiencies on record?
Has Emerald Nursing and Rehabilitation received any fines or penalties?
Who owns Emerald Nursing and Rehabilitation?
When was Emerald Nursing and Rehabilitation last inspected?
What quality measures are tracked for Emerald Nursing and Rehabilitation?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
