Mt Hope Nazarene Retirement Community

Name: Mt Hope Nazarene Retirement Community
Address: 3026 MOUNT HOPE HOME ROAD, Manheim, PA, 17545, US
Telephone: 7176656365

3026 Mount Hope Home Road, Manheim, PA 17545 · Lancaster County · 50 certified beds · avg 49 residents/day · certified since Jul 1, 2008

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.71

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: 5/5

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.

All citations in the current public record (14)

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
Sep 5, 2024	E · Potential for harm, repeated	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.
Sep 5, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Nov 2, 2023	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.
Nov 2, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 16, 2022	E · Potential for harm, repeated	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.
Nov 16, 2022	E · Potential for harm, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Nov 16, 2022	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Nov 16, 2022	E · Potential for harm, repeated	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 16, 2022	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Nov 16, 2022	E · Potential for harm, repeated	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Nov 16, 2022	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.
Nov 16, 2022	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.
Nov 16, 2022	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.
Nov 16, 2022	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2022	10	E
2023	2	D
2024	2	E

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)

No fines or payment denials in the published 3-year window.

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)	4.71	3.94	3.95	top 19% in Pennsylvania; top 18% in the U.S.
Registered Nurse hours	0.75	0.80	0.69	top 38% in Pennsylvania; top 32% in the U.S.
Weekend total nurse staffing	4.38	3.58	3.50	top 15% in Pennsylvania; top 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.56	0.48	top 46% in Pennsylvania; top 38% in the U.S.
Total nursing staff turnover (%)	40.0	44.5	45.8	top 36% in Pennsylvania; top 36% in the U.S.
RN turnover (%)	14.3	39.9	42.9	top 9% in Pennsylvania; top 7% 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 4.09, RN 0.65, weekend 3.80. Staffing rating: 5/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ephrata Church of the Nazarene	Organization	5% or Greater Direct Ownership Interest	60%	11/01/2006
Cafrelli, Steven	Individual	Corporate Officer	NOT APPLICABLE	07/01/2021
Ephrata Church of the Nazarene	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/01/2006
Ephrata Church of the Nazarene	Organization	5% or Greater Security Interest	NOT APPLICABLE	11/01/2006
Fillmore, Debbie	Individual	Corporate Director	NOT APPLICABLE	09/01/2006
Fillmore, Debbie	Individual	Corporate Officer	NOT APPLICABLE	11/01/2006
Fillmore, Debbie	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2006
Hambrick, Rocklin	Individual	Corporate Officer	NOT APPLICABLE	08/05/2013
Lovell, Susie	Individual	Corporate Director	NOT APPLICABLE	08/24/2022
Lovell, Susie	Individual	Corporate Officer	NOT APPLICABLE	08/22/2022
Lovell, Susie	Individual	ADP of the SNF	NOT APPLICABLE	08/22/2022
Lucas, Joanna	Individual	Corporate Director	NOT APPLICABLE	09/01/2006
Lucas, Joanna	Individual	Corporate Officer	NOT APPLICABLE	11/01/2006
Lucas, Joanna	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2006
Martin, Leon	Individual	Corporate Director	NOT APPLICABLE	01/08/2018
Martin, Leon	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2018
Maxim, Marina	Individual	Corporate Director	NOT APPLICABLE	05/05/2017
Maxim, Marina	Individual	Operational/Managerial Control	NOT APPLICABLE	04/26/2017
Maxim, Marina	Individual	ADP of the SNF	NOT APPLICABLE	04/26/2017
Peck, Michael	Individual	Corporate Director	NOT APPLICABLE	10/02/2022

Questions to ask on your visit

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

"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Pleasant View Communities	4.9 mi	Manheim, PA	★★★★★	4/5
Cornwall Manor	5.6 mi	Cornwall, PA	★★★★★	5/5
Elizabethtown Nursing and Rehabilitation	7.7 mi	Elizabethtown, PA	★★☆☆☆	2/5
Masonic Village at Elizabethtown	8.0 mi	Elizabethtown, PA	★★★★★	5/5
Kadima Rehabilitation & Nursing at Campbelltown	8.1 mi	Palmyra, PA	★☆☆☆☆	1/5	SFF
Lebanon Skilled Nursing and Rehabilitation Center	8.2 mi	Lebanon, PA	★☆☆☆☆	2/5
Emerald Nursing and Rehabilitation	8.3 mi	Elizabethtown, PA	★★☆☆☆	2/5
Alpine Valley Post Acute and Healthcare Center	8.4 mi	Lebanon, PA	★★★★★	4/5
United Zion Retirement Communi	8.7 mi	Lititz, PA	★★★★★	4/5
Lebanon Valley Brethren Home	8.9 mi	Palmyra, PA	★★★★★	5/5
Lebanon Valley Home the	8.9 mi	Annville, PA	★★★★★	5/5
Moravian Manor	8.9 mi	Lititz, PA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Manheim →

Facility data as of CMS processing date 2026-08-01. CCN 396119.

The Care File

Visit checklist — Mt Hope Nazarene Retirement Community

3026 Mount Hope Home Road, Manheim, PA 17545 · 7176656365

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 396119 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)