Emerald Nursing and Rehabilitation
320 South Market Street · Elizabethtown, PA · 17022 · 7173671377
73 certified beds For profit - Limited Liability company
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $27,247 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 3 · $35,265 |
Inspection citations (40 in the current record)
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Actual harm · H May 1, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · E May 1, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D May 1, 2026
Ensure each resident receives an accurate assessment.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D May 1, 2026
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · F May 1, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
Potential for harm · D May 1, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
-
No harm found · C May 1, 2026
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.
Deficient, Provider has no plan of correction · Resident Rights
-
No harm found · C May 1, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has no plan of correction · Resident Rights
-
Actual harm · G March 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D March 27, 2026 · found via complaint
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.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D February 4, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 10, 2026 · Infection Control
-
Immediate jeopardy · J December 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 9, 2025 · Quality of Life and Care
-
Potential for harm · D December 22, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 12, 2026 · Administration
-
Potential for harm · E July 16, 2025 · found via complaint
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.
Corrected July 30, 2025 · Resident Rights
-
Potential for harm · D July 16, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 16, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 30, 2025 · Quality of Life and Care
-
Potential for harm · D May 22, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 9, 2025 · Resident Rights
-
Potential for harm · D May 22, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 22, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 9, 2025 · Resident Rights
-
Potential for harm · D May 22, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected July 9, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 9, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 9, 2025 · Quality of Life and Care
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Potential for harm · E May 22, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 9, 2025 · Quality of Life and Care
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Potential for harm · E May 22, 2025
Observe each nurse aide's job performance and give regular training.
Corrected July 9, 2025 · Nursing and Physician Services
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Potential for harm · D May 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 9, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 22, 2025 | Fine | $13,260 |
| May 22, 2025 | Fine | $13,987 |
| April 19, 2024 | Fine | $8,018 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395469 · certified since May 19, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.