With a score of 83/100 and a B grade, Ephrata Manor is a well-regarded option in Ephrata, Pennsylvania. The facility performs above average in most CMS categories, placing it in the 80th percentile statewide.
Staffing at Ephrata Manor is near the national average, with 3.97 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 10 deficiencies at Ephrata Manor. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.97 | 3.8 | Average |
| Registered Nurses (RN) | 0.76 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.64 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.57 | 2.4 | Average |
| Weekend Total Nursing | 3.54 | 3.8 | Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0758 Severity DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psySep 19, 2024 · Pharmacy Service Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Nov 2, 2023 · Quality of Life and Care Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Nov 2, 2023 · Resident Rights Deficiencies
- Tag 0638 Severity DAssure that each resident’s assessment is updated at least once every 3 months.Nov 2, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Nov 2, 2023 · Resident Assessment and Care Planning 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 | 4.5% | 4.5% | Average |
| Falls with major injury | 6.9% | 3.0% | Worse |
| On antipsychotic medication | 6.8% | 14.5% | Better |
| Urinary tract infections | 3.5% | 2.5% | Worse |
| ADL decline (daily activities) | 27.8% | 14.0% | Worse |
| Excessive weight loss | 6.7% | 7.5% | Better |
| New/worsened incontinence | 33.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $13,845
How This Grade Was Calculated
This facility's grade of B is based on a score of 83 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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