Ephrata Manor
99 Bethany Road, Ephrata, PA 17522 · Lancaster County · 120 certified beds · avg 108 residents/day · certified since Aug 7, 1991
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 2, 2026 | D · Potential for harm, one-off | The 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, 2024 | D · Potential for harm, one-off | The 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-off | 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. |
| Nov 3, 2023 | D · Potential for harm, one-off | The 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, 2023 | D · Potential for harm, one-off | The 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, 2023 | D · Potential for harm, one-off | The 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, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Nov 3, 2023 | D · Potential for harm, one-off | The 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 | D · Potential for harm, one-off | The 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, 2022 | D · Potential for harm, one-off | 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. |
| Dec 16, 2022 | D · Potential for harm, one-off | The 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).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2023 | 7 | 1 | G ▲ |
| 2024 | 1 | 0 | D |
| 2026 | 1 | 0 | D |
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.
| Date | Type | Amount / length |
|---|---|---|
| Nov 3, 2023 | Fine | $13,845 |
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) | 4.58 | 3.94 | 3.95 | top 21% in Pennsylvania; top 21% in the U.S. |
| Registered Nurse hours | 0.85 | 0.80 | 0.69 | top 30% in Pennsylvania; top 24% in the U.S. |
| Weekend total nurse staffing | 4.19 | 3.58 | 3.50 | top 20% in Pennsylvania; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.56 | 0.48 | top 28% in Pennsylvania; top 21% in the U.S. |
| Total nursing staff turnover (%) | 43.5 | 44.5 | 45.8 | top 48% in Pennsylvania; top 46% in the U.S. |
| RN turnover (%) | 25.0 | 39.9 | 42.9 | top 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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| United Church of Christ Homes | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1981 |
| Blose, Leroy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/26/2018 |
| Blose, Leroy | Individual | ADP of the SNF | NOT APPLICABLE | 04/26/2018 |
| Boone, Rebecca | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/23/2020 |
| Boone, Rebecca | Individual | ADP of the SNF | NOT APPLICABLE | 04/27/2023 |
| Chmielewski, Jamie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2025 |
| Chmielewski, Jamie | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2025 |
| Cliftonlarsonallen LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2025 |
| Connelly, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2025 |
| Connelly, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2025 |
| Conrad Siegel Investment Advisors, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2009 |
| Conrad Siegel Investment Advisors, INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2025 |
| Costanzo, Amanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2010 |
| Costanzo, Amanda | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2010 |
| Deaner, Kay | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/27/2023 |
| Deaner, Kay | Individual | ADP of the SNF | NOT APPLICABLE | 04/27/2023 |
| Dierolf, Lori | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/16/2022 |
| Dierolf, Lori | Individual | ADP of the SNF | NOT APPLICABLE | 06/16/2022 |
| Domingos, Tita | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/25/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who provides social services here, and how would they support my family member's emotional and social needs?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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 |
|---|---|---|---|---|---|
| Maple Farm | 2.0 mi | Akron, PA | ★★★★★ | 5/5 | |
| Fairmount Homes | 2.5 mi | Ephrata, PA | ★★★★★ | 5/5 | |
| Gardens at Stevens, the | 4.2 mi | Stevens, PA | ★★☆☆☆ | 2/5 | |
| Landis Homes | 6.2 mi | Lititz, PA | ★★★★★ | 4/5 | |
| Luther Acres Manor | 6.4 mi | Lititz, PA | ★☆☆☆☆ | 2/5 | abuse |
| Garden Spot Village | 6.7 mi | New Holland, PA | ★★★★★ | 4/5 | |
| Kadima Rehabilitation & Nursing at Lititz | 7.2 mi | Lititz, PA | ★☆☆☆☆ | 2/5 | |
| Moravian Manor | 7.4 mi | Lititz, PA | ★★★★★ | 5/5 | |
| United Zion Retirement Communi | 7.8 mi | Lititz, PA | ★★★★★ | 4/5 | |
| Brethren Village | 8.1 mi | Lancaster, PA | ★★★☆☆ | 2/5 | abuse |
| Rehabilitation Center at Brethren Village LLC | 8.1 mi | Lancaster, PA | ★★★★★ | 5/5 | |
| Neffsville Nursing and Rehabilitation | 8.1 mi | Lancaster, PA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395857.