F

EMERALD NURSING AND REHABILITATION

320 SOUTH MARKET STREET, ELIZABETHTOWN, PA 17022
Score: 16 / 100

With a score of 16/100, Emerald Nursing And Rehabilitation ranks in the bottom tier of Pennsylvania nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Emerald Nursing And Rehabilitation is near the national average, with 3.42 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 40 deficiencies at Emerald Nursing And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.42 3.8 Average
Registered Nurses (RN) 0.64 0.7 Average
Licensed Practical Nurses (LPN) 0.95 0.7 Above Average
Certified Nursing Assistants (CNA) 1.84 2.4 Below Average
Weekend Total Nursing 3.05 3.8 Below Average
Weekend RN Hours 0.52 0.7 Below Average

🔍 Inspection & Deficiency History

40
Total Deficiencies
Dec 21, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 38 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0835 Severity D
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    Dec 21, 2025 · Administration Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jul 15, 2025 · Resident Rights Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jul 15, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jul 15, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.9% 4.5% Average
Falls with major injury 4.9% 3.0% Worse
On antipsychotic medication 35.2% 14.5% Worse
Urinary tract infections 2.1% 2.5% Better
ADL decline (daily activities) 10.3% 14.0% Better
Excessive weight loss 11.3% 7.5% Worse
New/worsened incontinence 31.4% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $29,537

How This Grade Was Calculated

This facility's grade of F is based on a score of 16 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
73
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 21, 2025
Deficiencies (Cycle 1)
19