PennsylvaniaEphrata

Ephrata Manor

99 Bethany Road, Ephrata, PA 17522 · Lancaster County · 120 certified beds · avg 108 residents/day · certified since Aug 7, 1991

4/5
Health inspection rating (on-site)
1
Serious findings on record
$13,845
Fines, last 3 years
4.58
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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)

▲ Actual harm, one-off · Nov 3, 2023 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Nov 30, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Feb 2, 2026D · Potential for harm, one-offThe facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Sep 20, 2024D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 3, 2023▲ G · Actual harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Nov 3, 2023D · Potential for harm, one-offThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Nov 3, 2023D · Potential for harm, one-offThe facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Nov 3, 2023D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 3, 2023D · Potential for harm, one-offThe facility did not observe each nurse aide's job performance or provide regular training as required.
Nov 3, 2023D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 3, 2023D · Potential for harm, one-offThe facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Dec 16, 2022D · Potential for harm, one-offThe 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.
Dec 16, 2022D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 1).

YearCitationsSerious (G–L)Worst severity that year
202220D
202371G ▲
202410D
202610D

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)

1 fine totaling $13,845.

DateTypeAmount / length
Nov 3, 2023Fine$13,845

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityPennsylvania avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.583.943.95top 21% in Pennsylvania; top 21% in the U.S.
Registered Nurse hours0.850.800.69top 30% in Pennsylvania; top 24% in the U.S.
Weekend total nurse staffing4.193.583.50top 20% in Pennsylvania; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)0.630.560.48top 28% in Pennsylvania; top 21% in the U.S.
Total nursing staff turnover (%)43.544.545.8top 48% in Pennsylvania; top 46% in the U.S.
RN turnover (%)25.039.942.9top 21% in Pennsylvania; top 20% 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 4.22, RN 0.79, weekend 3.86. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / managerTypeRoleStakeSince
United Church of Christ HomesOrganization5% or Greater Direct Ownership Interest100%01/01/1981
Blose, LeroyIndividualManaging Control - Governing BodyNOT APPLICABLE04/26/2018
Blose, LeroyIndividualADP of the SNFNOT APPLICABLE04/26/2018
Boone, RebeccaIndividualManaging Control - Governing BodyNOT APPLICABLE04/23/2020
Boone, RebeccaIndividualADP of the SNFNOT APPLICABLE04/27/2023
Chmielewski, JamieIndividualOperational/Managerial ControlNOT APPLICABLE12/31/2025
Chmielewski, JamieIndividualADP of the SNFNOT APPLICABLE12/31/2025
Cliftonlarsonallen LLPOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2012
Cliftonlarsonallen LLPOrganizationADP of the SNFNOT APPLICABLE03/07/2025
Connelly, CrystalIndividualOperational/Managerial ControlNOT APPLICABLE12/31/2025
Connelly, CrystalIndividualADP of the SNFNOT APPLICABLE12/31/2025
Conrad Siegel Investment Advisors, INCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2009
Conrad Siegel Investment Advisors, INCOrganizationADP of the SNFNOT APPLICABLE03/07/2025
Costanzo, AmandaIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2010
Costanzo, AmandaIndividualADP of the SNFNOT APPLICABLE03/01/2010
Deaner, KayIndividualManaging Control - Governing BodyNOT APPLICABLE04/27/2023
Deaner, KayIndividualADP of the SNFNOT APPLICABLE04/27/2023
Dierolf, LoriIndividualOperational/Managerial ControlNOT APPLICABLE06/16/2022
Dierolf, LoriIndividualADP of the SNFNOT APPLICABLE06/16/2022
Domingos, TitaIndividualManaging Control - Governing BodyNOT APPLICABLE07/25/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

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Facility data as of CMS processing date 2026-08-01. CCN 395857.