Federal inspection record · CMS data as of October 1, 2026
Emerald Nursing And Rehabilitation
320 South Market Street, Elizabethtown, PA · (717) 367-1377
- Certified beds
- 73
- Residents per day
- 64
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 19, 1980
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Emerald Nursing And Rehabilitation carries 123 inspection points. That is fewer than 21% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
H
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights10E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
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.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
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.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
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.
- D
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care8E
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration3E
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2E
- E
Observe each nurse aide's job performance and give regular training.
- C
Post nurse staffing information every day.
Pharmacy Service2E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspection history
2026-05-01
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-05-22
17 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-04-19
10 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 44 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 78% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$144,615 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-04 | Fine | $109,350 |
| 2025-12-22 | Fine | $13,260 |
| 2025-05-22 | Fine | $13,987 |
| 2024-04-19 | Fine | $8,018 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.6 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 1.5 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine17.5 pts worse | 70.3% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 96.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.8% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms30.2 pts worse | 44.0% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight7 pts worse | 13.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication30.2 pts worse | 50.3% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.3 pts worse | 27.9% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 12.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better | 13.1% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.5 pts worse | 3.1% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.1 pts worse | 31.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 3.1% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.8 pts worse | 41.0% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 8.1% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.4 pts worse | 50.5% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5 pts better | 17.0% | 22.0% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pa 3 Opco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Bornstein, Shlomo | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Bornstein, Shlomo | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Bornstein, Shlomo | Adp Of The SNF · Individual | 0% | 3 facilities |
| Elkouby, David | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Elkouby, David | Adp Of The SNF · Individual | 0% | 3 facilities |
| Er 320 Property LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ferziger, Benzion | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Ferziger, Benzion | Adp Of The SNF · Individual | 0% | 3 facilities |
| Fishbane, Benzion | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Fishbane, Benzion | Adp Of The SNF · Individual | 0% | 3 facilities |
| Fowler, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mendiowitz, Chaim | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Mendiowitz, Chaim | Adp Of The SNF · Individual | 0% | 3 facilities |
| Pa 3 Holdco | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Senderovits, Eliezer | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Senderovits, Eliezer | Adp Of The SNF · Individual | 0% | 3 facilities |
| Steinberg, Ephraim | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Steinberg, Ephraim | Adp Of The SNF · Individual | 0% | 3 facilities |
·
Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- B
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems9F
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Have power receptacles that are properly grounded.
- E
Ensure proper usage of power strips and extension cords.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress4F
- C
Install emergency lighting that can last at least 1 1/2 hours.
- C
Have properly located and lighted "Exit" signs.
- F
Provide two separate exits in rooms of more than 1000 square feet.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness2C
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Develop and maintain an Emergency Preparedness Program (EP).
Construction1C
- C
Meet other general requirements.
·
Other homes nearby
-
Masonic Village At Elizabethtown
Elizabethtown, PA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 33 min
- Fines
- $0
-
Elizabethtown Nursing And Rehabilitation
Elizabethtown, PA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0
-
Oak Hill Center For Rehabilitation And Nursing
Middletown, PA · Mordechai Weisz
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 9 min
- Fines
- $61,932