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MT HOPE NAZARENE RETIREMENT COMMUNITY

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MT HOPE NAZARENE RETIREMENT COMMUNITY is a non profit - corporation facility in MANHEIM, PA with 50 certified beds and a 5-star overall CMS rating. The facility has 14 deficiency records on file.

3026 MOUNT HOPE HOME ROAD, MANHEIM, PA 17545

Phone: 7176656365

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
396119
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
50
Residents
49
In Hospital
No
County
Lancaster
Last Inspection
Sep 5, 2024

Staffing Data

RN Hours
0.66 (nat'l avg: 0.68)
LPN Hours
1.05
CNA Hours
2.15
Total Nursing Hours
3.86 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
33.9%
RN Turnover
30.0%

What the CMS Record Reveals About MT HOPE NAZARENE RETIREMENT COMMUNITY

MT HOPE NAZARENE RETIREMENT COMMUNITY operates 50 certified beds in MANHEIM, PA with approximately 49 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). 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.

The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.86 total nursing hours per resident day (national average 3.89), with RN coverage at 0.66 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, MT HOPE NAZARENE RETIREMENT COMMUNITY falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 33.9%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (14 most recent)

D — Isolated - Minimal harm Sep 5, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2024

E — Pattern - Minimal harm Sep 5, 2024 Tag: 0657

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: Oct 4, 2024

D — Isolated - Minimal harm Nov 2, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 5, 2023

D — Isolated - Minimal harm Nov 2, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 5, 2023

E — Pattern - Minimal harm Nov 16, 2022 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Dec 22, 2022

D — Isolated - Minimal harm Nov 16, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 24, 2022

D — Isolated - Minimal harm Nov 16, 2022 Tag: 0755

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: Jan 14, 2023

E — Pattern - Minimal harm Nov 16, 2022 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2022

E — Pattern - Minimal harm Nov 16, 2022 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: Dec 15, 2022

D — Isolated - Minimal harm Nov 16, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 5, 2023

E — Pattern - Minimal harm Nov 16, 2022 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Dec 20, 2022

E — Pattern - Minimal harm Nov 16, 2022 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Dec 30, 2022

E — Pattern - Minimal harm Nov 16, 2022 Tag: 0575

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: Dec 20, 2022

D — Isolated - Minimal harm Nov 16, 2022 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 20, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 1.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for MT HOPE NAZARENE RETIREMENT COMMUNITY?
MT HOPE NAZARENE RETIREMENT COMMUNITY has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at MT HOPE NAZARENE RETIREMENT COMMUNITY?
MT HOPE NAZARENE RETIREMENT COMMUNITY reports 3.86 total nursing hours per resident day (national average: 3.89). RN hours are 0.66 per resident day (national average: 0.68). Nursing staff turnover is 33.9%.
How many beds does MT HOPE NAZARENE RETIREMENT COMMUNITY have?
MT HOPE NAZARENE RETIREMENT COMMUNITY has 50 certified beds with approximately 49 residents. The facility is located at 3026 MOUNT HOPE HOME ROAD, MANHEIM, PA 17545.
Does MT HOPE NAZARENE RETIREMENT COMMUNITY have any deficiencies on record?
Yes, MT HOPE NAZARENE RETIREMENT COMMUNITY has 14 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has MT HOPE NAZARENE RETIREMENT COMMUNITY received any fines or penalties?
No, MT HOPE NAZARENE RETIREMENT COMMUNITY has no fines or penalties on record.
Who owns MT HOPE NAZARENE RETIREMENT COMMUNITY?
MT HOPE NAZARENE RETIREMENT COMMUNITY is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was MT HOPE NAZARENE RETIREMENT COMMUNITY last inspected?
The most recent health inspection for MT HOPE NAZARENE RETIREMENT COMMUNITY was on Sep 5, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for MT HOPE NAZARENE RETIREMENT COMMUNITY?
MT HOPE NAZARENE RETIREMENT COMMUNITY 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial