EMERALD NURSING AND REHABILITATION

CCN 395469 · ER 320 OPERATIONS LLC · For profit - Limited Liability company · 73 certified beds · Lancaster · PA


EMERALD NURSING AND REHABILITATION is a 73-bed nursing home in ELIZABETHTOWN, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1980-05-19. It averages 66.7 residents a day.

What harm was found in the violations cited at EMERALD NURSING AND REHABILITATION?

CMS lists 40 health-inspection deficiencies for EMERALD NURSING AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-01.

Survey dateTagDeficiencySeverity
2026-05-01F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.H
2026-05-01F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-05-01F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E
2026-05-01F0641, F0692, F0880Ensure each resident receives an accurate assessment. / Provide enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program.D
2026-05-01F0575, F0577Post 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.C
2026-03-27F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2026-03-27F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D
2026-02-04F0880Provide and implement an infection prevention and control program.D
2025-12-22F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-12-22F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D
2025-07-16F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2025-07-16F0658, F0677Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-05-22F0698, F0730, F0756, F0812, F0868Provide safe, appropriate dialysis care/services for a resident who requires such services. / Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE
2025-05-22F0550, F0607, F0628, F0685, F0689, F0692, F0755, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Assist a resident in gaining access to vision and hearing services. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2025-05-22F0732Post nurse staffing information every day.C
2024-05-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-04-19F0561, F0584, F0606, F0684, F0692Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health.E
2024-04-19F0558, F0657, F0773, F0842Reasonably accommodate the needs and preferences of each resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was EMERALD NURSING AND REHABILITATION fined 4 times?

DateTypeAmount
2026-02-04Fine$109,350
2025-12-22Fine$13,260
2025-05-22Fine$13,987
2024-04-19Fine$8,018

How is EMERALD NURSING AND REHABILITATION staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.700713.88823
Total nursing staff turnover (%)69.744.5
Average number of residents per day66.7104.6

Who owns EMERALD NURSING AND REHABILITATION?

EMERALD NURSING AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name ER 320 OPERATIONS LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPA 3 OPCO LLCsince 06/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTPA 3 HOLDCO, BORNSTEIN, SHLOMO, ELKOUBY, DAVID, FERZIGER, BENZION, FISHBANE, BENZION, MENDIOWITZ, CHAIM, SENDEROVITS, ELIEZER, STEINBERG, EPHRAIMsince 06/01/2023
OPERATIONAL/MANAGERIAL CONTROLBORNSTEIN, SHLOMOsince 08/30/2023
ADP OF THE SNFER 320 PROPERTY LLC, BORNSTEIN, SHLOMO, ELKOUBY, DAVID, FERZIGER, BENZION, FISHBANE, BENZION, FOWLER, ELIZABETH, MENDIOWITZ, CHAIM, SENDEROVITS, ELIEZER, STEINBERG, EPHRAIMsince 04/03/2025

Were you or a family member harmed at EMERALD NURSING AND REHABILITATION?