19 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Elizabethtown, PA
1-star overall rating with 2-star inspections with $29,537 in total fines with 19 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
320 South Market Street, Elizabethtown, PA
(717) 367-1377
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
73
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1980-05-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.64
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.05
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.30
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
86%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
5,820
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.91
Composite VBP score used to determine payment impact.
Payment multiplier
0.9887
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.96
Baseline 17.08% · Performance 20.06% · Measure score 2.96 · Achievement 2.96 · Improvement 0
Healthcare-associated infections
7.99
Baseline 7.78% · Performance 5.45% · Measure score 7.99 · Achievement 7.99 · Improvement 7.88
Total nurse turnover
1.05
Baseline 86.49% · Performance 76.92% · Measure score 1.05 · Achievement 0 · Improvement 1.05
Adjusted total nurse staffing
1.96
Baseline 3.82 hours · Performance 3.64 hours · Measure score 1.96 · Achievement 1.96 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.08% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 9.87% · Lower 95% interval 7.83% |
| Discharge to community | 52.55% |
50.57%
2 pts better
|
No Different than the National Rate · Eligible stays 133 · Observed rate 45.86% · Lower 95% interval 41.52% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 95.33% |
95.27%
0.1 pts better
|
Numerator 102 · Denominator 107 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 107 |
| Discharge self-care score | 45.31% |
53.69%
8.4 pts worse
|
Numerator 29 · Denominator 64 |
| Discharge mobility score | 35.94% |
50.94%
15 pts worse
|
Numerator 23 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 6.54% |
2.29%
4.2 pts worse
|
Numerator 7 · Denominator 107 · Adjusted rate 5.75% |
| Healthcare-associated infections requiring hospitalization | 5.45% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 2.6% · Lower 95% interval 3.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 128 |
| Staff flu vaccination coverage | 11.89% |
42%
30.1 pts worse
|
Numerator 17 · Denominator 143 |
| Discharge function score | 48.44% |
56.45%
8 pts worse
|
Numerator 31 · Denominator 64 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 59 · Denominator 59 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 20 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 1.52% |
25.2%
23.7 pts worse
|
Numerator 1 · Denominator 66 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.7
0.6 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.2
1 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.9% |
86.9%
22 pts worse
|
93.4%
28.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 74.5% · Q2 72.0% · Q3 63.5% · Q4 50.0% · 4Q avg 64.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.5% |
93.5%
1 pts better
|
95.5%
1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.2%
1.7 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.0% · Q3 5.8% · Q4 3.8% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.9% |
6.5%
0.4 pts worse
|
11.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 7.3% · Q3 2.3% · Q4 15.2% · 4Q avg 6.9% |
| Percentage of long-stay residents who lose too much weight | 11.3% |
6.5%
4.8 pts worse
|
5.4%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 11.4% · Q3 14.3% · Q4 12.8% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.0% |
19.9%
8.1 pts worse
|
19.6%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 26.2% · Q3 27.9% · Q4 35.6% · 4Q avg 28.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.2% |
18.7%
16.5 pts worse
|
16.7%
18.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 34.6% · Q3 32.1% · Q4 34.2% · 4Q avg 35.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.1% |
19.6%
10.5 pts better
|
16.3%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.3% |
18.3%
8 pts better
|
14.9%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 7.5% · Q3 9.5% · Q4 11.9% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
0.9%
1.4 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 2.2% · Q4 3.1% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
1.7%
0.4 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 6.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.4% |
26.4%
5 pts worse
|
19.8%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.2% · Q2 23.1% · Q3 39.7% · Q4 24.9% · 4Q avg 31.4% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.3%
0.4 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.2% · Q3 7.2% · Q4 2.9% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.2% |
68.9%
22.7 pts worse
|
81.7%
35.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 41.3% · Q2 50.8% · Q3 43.1% · Q4 49.1% · 4Q avg 46.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
9.8%
3.6 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 14.8% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.5%
0.8 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.9% · Q4 3.6% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.0% |
68.7%
4.7 pts worse
|
79.7%
15.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.3% |
23.1%
8.8 pts better
|
23.9%
9.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 14.8% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Provide two separate exits in rooms of more than 1000 square feet.
Corrected 2025-04-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-05
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-29
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-04-29
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-29
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-04-29
Fire Safety
Meet other general requirements.
Corrected 2025-04-29
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-08
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-05-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-05-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-08
Fire Safety
Meet other general requirements.
Corrected 2023-06-07
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-06-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-07
Fire Safety
Meet other general requirements.
Corrected 2023-06-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-07
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-09
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-01-12
Health
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.
Corrected 2025-07-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-30
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-07-09
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-07-09
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-07-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-09
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-07-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-07-09
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-09
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-07-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-09
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-09
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-09
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-09
Health
Post nurse staffing information every day.
Corrected 2025-07-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-26
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-05-27
Health
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.
Corrected 2024-05-27
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-05-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-27
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-05-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-27
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-06-26
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-06-26
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-06-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-26
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2023-06-26
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-26
Health
Assess the resident when there is a significant change in condition
Corrected 2023-06-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-26
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-06-26
Penalties and ownership
Fine · fine $21,519
Fine
Fine · fine $8,018
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Elizabethtown, PA
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Elizabethtown, PA
1-star overall rating with 1-star inspections with $88,614 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Middletown, PA
2-star overall rating with 1-star inspections with abuse icon flag with $85,005 in total fines with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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