Nursing HomeInspections

Ephrata Manor

Nursing home in Ephrata, PA

Medicare & Medicaid certified4★ overall (CMS)

Call (717) 738-4940Send a messageMap ↗

Public-record details

Address
99 Bethany Road, Ephrata, PA 17522
Phone
(717) 738-4940
Listed under
Nonprofit, 4–5 star overall rating, Part of a retirement community
Medicare CCN
395857
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
108
Ownership
Nonprofit, corporation
Legal business name
United Church of Christ Homes
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 7, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 395857. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 20, 2024. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 16, 2022 to Feb 2, 2026): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 2, 2026Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 20, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 3, 2023Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 3, 2023Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 3, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 3, 2023Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Nov 3, 2023Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 3, 2023Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Nov 3, 2023Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated
Dec 16, 2022Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 16, 2022Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service		D
Potential for more than minimal harm, isolated

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 Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $13,845 in the last three years.

Nov 3, 2023Fine: $13,845

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

Staffing

Total nurse staffing per resident per day
4.22 hours
Registered nurse (RN) time per resident per day
0.79 hours
Nurse aide time per resident per day
2.45 hours
Total nurse staffing on weekends
3.86 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
25%
Administrators who left in the past year
2

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 Ephrata

Fairmount Homes333 Wheat Ridge Drive · Ephrata, PA 17522 · (717) 354-1800 · Nonprofit0 health citations in 3 inspection cycles · last standard inspection Jul 2, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Ephrata →