PlainNursing
CMS Nursing Home Compare · August 2026

Ephrata Manor

99 Bethany Road, Ephrata, PA 17522

Ephrata Manor, a 120-bed non profit - corporation nursing facility in Ephrata, PA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #169 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding 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: 7177384940

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4 / 5
Above average · CMS overall · nat'l 3.0
#169 of 652
In-state rank among rated PA homes
4.22
Above average · nurse hrs/day · nat'l 3.86
11
Inspection findings · 1 serious

The verdict

Ephrata Manor, a 120-bed non profit - corporation nursing facility in Ephrata, PA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #169 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#169 of 652
In-state rank among rated PA homes
4.22
Nurse hrs/resident-day · national 3.86
11
Inspection findings · 1 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 Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

2/5

Facility Information

Provider Number
395857
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
120
Residents
108
In Hospital
No
County
Lancaster
Last Inspection
Sep 20, 2024

Staffing Data

How the 4.22 total nursing hours per resident-day are staffed:

RN Hours
0.79 (nat'l avg: 0.69)
LPN Hours
0.98
CNA Hours
2.45
Total Nursing Hours
4.22 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
43.5%
RN Turnover
25.0%

What the CMS Record Reveals About Ephrata Manor

According to CMS Nursing Home Compare, Ephrata Manor ranks #169 of 652 rated nursing homes in PA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Ephrata Manor operates 120 certified beds in Ephrata, PA with approximately 108 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 4★).

The inspection file contains 11 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $14K. Reported nurse staffing runs 4.22 total hours per resident day (national average 3.86); RN hours specifically are 0.79 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Ephrata Manor falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 43.5% (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 (11 most recent)

D - Isolated - Minimal harm Feb 2, 2026 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 3, 2026

D - Isolated - Minimal harm Sep 20, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 18, 2024

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 30, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 30, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 30, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 30, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 30, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Nov 30, 2023

G - Isolated - Actual harm Nov 3, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 30, 2023

D - Isolated - Minimal harm Dec 16, 2022 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 30, 2023

D - Isolated - Minimal harm Dec 16, 2022 Tag: 0756

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: Jan 30, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 28.0% 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 4.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 8.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.6% 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 88.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 31.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 51.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 74.4% No

Penalty History 1 penalties totaling $14K

Date Type Amount
Nov 3, 2023 Fine $14K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Ephrata Manor, both outside PA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Ephrata Manor

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 120 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 Ephrata Manor?
Ephrata Manor has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
Where does Ephrata Manor rank among nursing homes in PA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Ephrata Manor ranks 169th among 652 rated nursing homes in PA (#169 of 652). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Ephrata Manor?
Ephrata Manor reports 4.22 total nursing hours per resident day (national average: 3.86). RN hours are 0.79 per resident day (national average: 0.69). Nursing staff turnover is 43.5%.
How many beds does Ephrata Manor have?
Ephrata Manor has 120 certified beds with approximately 108 residents. The facility is located at 99 Bethany Road, Ephrata, PA 17522.
Does Ephrata Manor have any deficiencies on record?
Yes, Ephrata Manor has 11 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Ephrata Manor received any fines or penalties?
Yes, Ephrata Manor has received 1 penalties totaling $14K.
Who owns Ephrata Manor?
Ephrata Manor is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Ephrata Manor last inspected?
The most recent health inspection for Ephrata Manor was on Sep 20, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Ephrata Manor?
Ephrata Manor is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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