Nursing HomeInspections

Emerald Nursing and Rehabilitation

Nursing home in Elizabethtown, PA

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
320 South Market Street, Elizabethtown, PA 17022
Phone
(717) 367-1377
Listed under
For-profit
Medicare CCN
395469
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
73
Average residents per day
64
Ownership
For-profit, limited Liability company
Legal business name
Er 320 Operations LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 19, 1980
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 395469. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 1, 2026. CMS lists 40 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 19, 2024 to May 1, 2026): 9 from complaint inspections, 4 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 1, 2026Post 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…
Resident Rights		C
Potential for minimal harm, widespread
May 1, 2026Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights		C
Potential for minimal harm, widespread
May 1, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 1, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 1, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 1, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
May 1, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 1, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		H
Actual harm, pattern
Mar 27, 2026Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 27, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Feb 4, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 22, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 40. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $144,615 in the last three years.

Feb 4, 2026Fine: $109,350
Dec 22, 2025Fine: $13,260
May 22, 2025Fine: $13,987
Apr 19, 2024Fine: $8,018

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.74 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
2.08 hours
Total nurse staffing on weekends
3.32 hours
Nursing staff turnover (yearly)
74%
RN turnover (yearly)
78%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Elizabethtown

Masonic Village at ElizabethtownOne Masonic Drive · Elizabethtown, PA 17022 · (717) 367-1121 · Nonprofit5 health citations in 3 inspection cycles · last standard inspection Jan 23, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Elizabethtown Nursing and Rehabilitation141 Heisey Avenue · Elizabethtown, PA 17022 · (717) 367-1831 · For-profit40 health citations in 3 inspection cycles · last standard inspection Jul 16, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

All 3 in Elizabethtown →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error