ELIZABETHTOWN NURSING AND REHABILITATION
ELIZABETHTOWN NURSING AND REHABILITATION, in ELIZABETHTOWN, Pennsylvania, holds 45 certified beds and has been certified for Medicare and Medicaid since 1991-03-01, averaging 41.1 residents a day.
Has ELIZABETHTOWN NURSING AND REHABILITATION been cited for violations?
CMS lists 44 health-inspection deficiencies for ELIZABETHTOWN NURSING AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-06-18.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-06-18 | F0628, F0657, F0730 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Observe each nurse aide's job performance and give regular training. | E |
| 2025-06-18 | F0641, F0655, F0689, F0692, F0699, F0761, F0842 | Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide care or services that was trauma informed and/or culturally competent. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-03-04 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-07-18 | F0880, F0882 | Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2024-07-18 | F0578, F0585, F0812, F0881, F0883, F0887 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E |
| 2024-07-18 | F0575, F0577, F0582, F0623, F0625, F0656, F0658, F0695, F0756, F0761, F0868 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
| 2023-09-28 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D |
| 2023-08-17 | F0600, F0656, F0725, F0730, F0812, F0880 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-08-17 | F0582, F0637, F0677, F0686, F0698, F0759, F0947 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Assess the resident when there is a significant change in condition / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
How is ELIZABETHTOWN NURSING AND REHABILITATION staffed relative to the PA average?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.63153 | 3.88823 |
| Total nursing staff turnover (%) | 50.0 | 44.5 |
| Average number of residents per day | 41.1 | 104.6 |
Who owns ELIZABETHTOWN NURSING AND REHABILITATION?
ELIZABETHTOWN NURSING AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name ET 141 OPERATIONS LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PA 3 OPCO LLC | since 05/15/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | PA 3 HOLDCO, BORNSTEIN, SHLOMO, ELKOUBY, DAVID, FERZIGER, BENZION, FISHBANE, BENZION, MENDIOWITZ, CHAIM, SENDEROVITS, ELIEZER, STEINBERG, EPHRAIM, TRESS, SHMUEL | since 06/01/2023 |
| INDIRECT OWNERSHIP INTEREST | ET 141 PROPERTY LLC | since 06/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | ET 141 PROPERTY LLC, DANKENBRING, BROOKE | since 06/01/2023 |
| ADP OF THE SNF | ET 141 PROPERTY LLC, PA 3 HOLDCO, PA 3 OPCO LLC, BORNSTEIN, SHLOMO, DANKENBRING, BROOKE, ELKOUBY, DAVID, FERZIGER, BENZION, FISHBANE, BENZION, GINDER, JOHN, KIRKHAM, CATHERINE, MENDIOWITZ, CHAIM, SENDEROVITS, ELIEZER, STEINBERG, EPHRAIM, TRESS, SHMUEL | since 04/10/2025 |
Were you or a family member harmed at ELIZABETHTOWN NURSING AND REHABILITATION?