Emerald Nursing and Rehabilitation
320 South Market Street, Elizabethtown, PA 17022 · Lancaster County · 73 certified beds · avg 67 residents/day · certified since May 19, 1980
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 22, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 9, 2025 (Past Non-Compliance)
▲ Actual harm, repeated · May 1, 2026 · F-0690
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: May 20, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 27, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 16, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 30, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 26, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (40)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 1, 2026 | ▲ H · Actual harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| May 1, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 1, 2026 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| May 1, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 1, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 1, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2026 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| May 1, 2026 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Mar 27, 2026 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 27, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Feb 4, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Dec 22, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 22, 2025 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jul 16, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jul 16, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jul 16, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 22, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 22, 2025 | E · Potential for harm, repeated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 22, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 30, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 19, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Apr 19, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 19, 2024 | E · Potential for harm, repeated | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. |
| Apr 19, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 19, 2024 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 10 | 1 | G ▲ |
| 2025 | 19 | 1 | J ▲ |
| 2026 | 11 | 2 | H ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
4 fines totaling $144,615.
| Date | Type | Amount / length |
|---|---|---|
| Feb 4, 2026 | Fine | $109,350 |
| Dec 22, 2025 | Fine | $13,260 |
| May 22, 2025 | Fine | $13,987 |
| Apr 19, 2024 | Fine | $8,018 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.59 | 3.94 | 3.95 | bottom 47% in Pennsylvania; bottom 41% in the U.S. |
| Registered Nurse hours | 0.51 | 0.80 | 0.69 | bottom 29% in Pennsylvania; bottom 40% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.58 | 3.50 | bottom 34% in Pennsylvania; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.56 | 0.48 | top 49% in Pennsylvania; top 40% in the U.S. |
| Total nursing staff turnover (%) | 69.7 | 44.5 | 45.8 | bottom 4% in Pennsylvania; bottom 6% in the U.S. |
| RN turnover (%) | 78.6 | 39.9 | 42.9 | bottom 3% in Pennsylvania; bottom 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.70, RN 0.53, weekend 3.18. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 |
| Pa 3 Opco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 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 | Operational/Managerial Control | NOT APPLICABLE | 08/30/2023 |
| Bornstein, Shlomo | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
| Elkouby, David | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
| Er 320 Property LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/03/2025 |
| Ferziger, Benzion | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
| Fishbane, Benzion | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
| Fowler, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
| Mendiowitz, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
| Senderovits, Eliezer | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
| Steinberg, Ephraim | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Masonic Village at Elizabethtown | 0.3 mi | Elizabethtown, PA | ★★★★★ | 5/5 | |
| Elizabethtown Nursing and Rehabilitation | 2.0 mi | Elizabethtown, PA | ★★☆☆☆ | 2/5 | |
| Oak Hill Center for Rehabilitation and Nursing | 8.1 mi | Middletown, PA | ★★☆☆☆ | 1/5 | |
| Mt Hope Nazarene Retirement Community | 8.3 mi | Manheim, PA | ★★★★★ | 4/5 | |
| Courtyard Gardens Nursing and Rehab Ctr | 8.5 mi | Middletown, PA | ★★★★☆ | 4/5 | |
| Susquehanna Health and Wellness Center | 8.7 mi | Columbia, PA | ★★★☆☆ | 3/5 | |
| Kadima Rehabilitation & Nursing at Campbelltown | 9.0 mi | Palmyra, PA | ★☆☆☆☆ | 1/5 | SFF |
| Lebanon Valley Brethren Home | 10.8 mi | Palmyra, PA | ★★★★★ | 5/5 | |
| St Anne's Retirement Community | 11.2 mi | Columbia, PA | ★★★★★ | 4/5 | |
| Kadima Rehabilitation & Nursing at Palmyra | 11.4 mi | Palmyra, PA | —/5 | SFF | |
| Pleasant View Communities | 12.2 mi | Manheim, PA | ★★★★★ | 4/5 | |
| Pleasant Acres Rehabilitation and Nursing Center | 12.6 mi | York, PA | ★★☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 395469.