nursing home in Elizabethtown, PA

Emerald Nursing and Rehabilitation

320 South Market Street, Elizabethtown, PA 17022 · (717) 367-1377

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Emerald Nursing and Rehabilitation at a glance

Emerald Nursing and Rehabilitation is a 73-bed for-profit nursing home in Elizabethtown, Pennsylvania (Lancaster County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Pennsylvania average of 3.

Residents receive about 3.7 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.9 hours.

Its most recent standard health inspection (May 1, 2026) found 13 health citations. The Pennsylvania average is 10.

Federal regulators fined it 4 times in the past three years, totaling $144,615.

Nursing staff turnover is 69.7% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
73
Certified for
Medicare and Medicaid
Medicare-certified since
May 19, 1980
Resident/family council
Both
County
Lancaster County
CMS Certification Number
395469

Ratings

MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 53 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.6 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 53.8 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)3 / 53.3 / 53.3 / 5Average

Staffing

This facility3.70 hrsPennsylvania average3.89 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.70 hrs3.89 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.53 hrs0.79 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.03 hrs2.19 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.18 hrs3.53 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)69.7%44.5%45.8%Worse
Registered nurse turnover (yearly) (lower is better)78.6%39.9%42.9%Worse
Administrators who left in the past year (lower is better)311Worse

Inspections

This facility13Pennsylvania average10U.S. average9
Health citations in the most recent inspection: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)13109Worse
Citations from complaint investigations (latest cycle) (lower is better)533Worse
Weighted health inspection score ⓘ (lower is better)12382.480.6Worse

Penalties

This facility4Pennsylvania average1U.S. average1
Fines in the past 3 years: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$144,615$25,774$30,972Worse
All federal penalties in the past 3 years (lower is better)411Worse

Size

MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Certified beds73127107
Average residents per day6710586
Occupancy91.4%84%80.9%

Long-stay residents

This facility3.8%Pennsylvania average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.8%3.1%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)4.6%4.8%4.6%Average
Long-stay residents given antipsychotic medication (lower is better)31.1%17.7%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.5%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)2.7%0.7%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)10%16.8%13.9%Better
Long-stay residents whose walking worsened (lower is better)10.9%17%14.1%Better
Long-stay residents who lose too much weight (lower is better)13.6%6.2%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)28.5%10.8%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.2%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)45.2%20%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)34.1%25.5%19%Worse
Long-stay residents given a flu vaccine (higher is better)94.5%93.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)68.6%87.5%93.6%Worse

Short-stay residents

This facility2.7%Pennsylvania average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2.7%1.4%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)64%68.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)44%70%82%Worse

Inspection citations

State inspectors cited this home for 40 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
May 1, 2026
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected April 27, 2026
May 1, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected April 27, 2026
May 1, 2026
Fire safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies · Tag K0362
E
Potential harm, pattern
Corrected April 27, 2026
May 1, 2026
Fire safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929
E
Potential harm, pattern
Corrected April 27, 2026
May 1, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected April 27, 2026
May 1, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected April 27, 2026
May 1, 2026
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected April 27, 2026
May 1, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected April 27, 2026
May 1, 2026
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
C
No harm, widespread
Corrected April 27, 2026
May 1, 2026
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
C
No harm, widespread
Corrected April 27, 2026
May 1, 2026
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
C
No harm, widespread
Corrected April 27, 2026
May 1, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
B
No harm, pattern
Corrected April 27, 2026
May 1, 2026
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
H
Actual harm, pattern
Corrected May 20, 2026
May 1, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected May 20, 2026
May 1, 2026
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
E
Potential harm, pattern
Corrected May 20, 2026
May 1, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected May 20, 2026
May 1, 2026
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected May 20, 2026
May 1, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected May 20, 2026
May 1, 2026
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
C
No harm, widespread
Corrected May 20, 2026
May 1, 2026
Standard
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.
Resident Rights Deficiencies · Tag F0575
C
No harm, widespread
Corrected May 20, 2026
March 27, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected April 16, 2026
March 27, 2026
Complaint
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected April 16, 2026
February 4, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 10, 2026
December 22, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected November 9, 2025
December 22, 2025
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
D
Potential harm, isolated
Corrected January 12, 2026
July 16, 2025
Complaint
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected July 30, 2025
July 16, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected July 30, 2025
July 16, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected July 30, 2025
May 22, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected June 5, 2025
May 22, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected April 29, 2025
May 22, 2025
Fire safety
Provide two separate exits in rooms of more than 1000 square feet.
Egress Deficiencies · Tag K0253
F
Potential harm, widespread
Corrected April 29, 2025
May 22, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 29, 2025
May 22, 2025
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
E
Potential harm, pattern
Corrected April 29, 2025
May 22, 2025
Fire safety
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912
E
Potential harm, pattern
Corrected April 29, 2025
May 22, 2025
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
E
Potential harm, pattern
Corrected April 29, 2025
May 22, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected April 29, 2025
May 22, 2025
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
C
No harm, widespread
Corrected April 29, 2025
May 22, 2025
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
E
Potential harm, pattern
Corrected July 9, 2025
May 22, 2025
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
E
Potential harm, pattern
Corrected July 9, 2025
May 22, 2025
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
E
Potential harm, pattern
Corrected July 9, 2025
May 22, 2025
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
E
Potential harm, pattern
Corrected July 9, 2025
May 22, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 9, 2025
May 22, 2025
Standard
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected July 9, 2025
May 22, 2025
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected July 9, 2025
May 30, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected June 26, 2024
April 19, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected May 8, 2024
April 19, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected May 8, 2024
April 19, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected May 8, 2024
April 19, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 8, 2024
April 19, 2024
Fire safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies · Tag K0362
E
Potential harm, pattern
Corrected May 8, 2024
April 19, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected May 8, 2024
April 19, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
C
No harm, widespread
Corrected May 8, 2024
April 19, 2024
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
C
No harm, widespread
Corrected May 8, 2024
April 19, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected May 27, 2024
April 19, 2024
Standard
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606
E
Potential harm, pattern
Corrected May 27, 2024
April 19, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
E
Potential harm, pattern
Corrected May 27, 2024
April 19, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected May 27, 2024
April 19, 2024
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
E
Potential harm, pattern
Corrected May 27, 2024
April 19, 2024
Standard
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Tag F0773
D
Potential harm, isolated
Corrected May 27, 2024
April 19, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected May 27, 2024
April 19, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected May 27, 2024
April 19, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected May 27, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 4 federal penalties in the past three years, including $144,615 in fines.

DatePenaltyAmount / length
February 4, 2026Fine$109,350
December 22, 2025Fine$13,260
May 22, 2025Fine$13,987
April 19, 2024Fine$8,018

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
PA 3 OPCO LLC
Organization
5% or greater direct ownership interest100%06/01/2023
BORNSTEIN, SHLOMO
Individual
5% or greater indirect ownership interest—08/30/2023
ELKOUBY, DAVID
Individual
5% or greater indirect ownership interest—06/01/2023
FERZIGER, BENZION
Individual
5% or greater indirect ownership interest—06/01/2023
FISHBANE, BENZION
Individual
5% or greater indirect ownership interest—06/01/2023
MENDIOWITZ, CHAIM
Individual
5% or greater indirect ownership interest—06/01/2023
PA 3 HOLDCO
Organization
5% or greater indirect ownership interest—06/01/2023
SENDEROVITS, ELIEZER
Individual
5% or greater indirect ownership interest—08/30/2023
STEINBERG, EPHRAIM
Individual
5% or greater indirect ownership interest—06/01/2023
BORNSTEIN, SHLOMO
Individual
adp of the snfNOT APPLICABLE08/23/2023
ELKOUBY, DAVID
Individual
adp of the snfNOT APPLICABLE08/23/2023
ER 320 PROPERTY LLC
Organization
adp of the snfNOT APPLICABLE04/03/2025
FERZIGER, BENZION
Individual
adp of the snfNOT APPLICABLE08/23/2023
FISHBANE, BENZION
Individual
adp of the snfNOT APPLICABLE08/23/2023
FOWLER, ELIZABETH
Individual
adp of the snfNOT APPLICABLE08/23/2023
MENDIOWITZ, CHAIM
Individual
adp of the snfNOT APPLICABLE08/23/2023
SENDEROVITS, ELIEZER
Individual
adp of the snfNOT APPLICABLE08/23/2023
STEINBERG, EPHRAIM
Individual
adp of the snfNOT APPLICABLE08/23/2023
BORNSTEIN, SHLOMO
Individual
operational/managerial controlNOT APPLICABLE08/30/2023

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Frequently asked questions

What is Emerald Nursing and Rehabilitation's rating?

Emerald Nursing and Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.

How many inspection citations did Emerald Nursing and Rehabilitation receive?

Its most recent standard health inspection found 13 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.

Does Emerald Nursing and Rehabilitation accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Emerald Nursing and Rehabilitation?

It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.

Where is Emerald Nursing and Rehabilitation and how do I contact it?

Emerald Nursing and Rehabilitation is at 320 South Market Street, Elizabethtown, PA 17022. Phone: (717) 367-1377.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.