Nursing home report
ELIZABETHTOWN, PA · Medicare-certified · 73 beds
EMERALD NURSING AND REHABILITATION in Elizabethtown, PA has a 1-out-of-5 overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It has a recent federal penalty, $34,779 in fines over the last 24 months, and reported staffing of 3.74 hours per resident day, below the 4.1-hour federal benchmark.
Health inspections
Staffing
3.7407 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7407.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited May 2023 — widespread issue, potential for harm.
F-Tag 636 — 42 CFR §483.20 — S/S: F
The nursing home failed to update each resident’s assessment at least every three months. Cited May 2023 — widespread issue, potential for harm.
F-Tag 638 — 42 CFR §483.20 — S/S: F
The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited May 2023 — widespread issue, potential for harm.
F-Tag 640 — 42 CFR §483.20 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $13,260 was recorded.
Health inspection found 2 health deficiencies.
A federal fine of $21,519 was recorded.
On record with Medicare: 3 fines · $42,797 in total fines.
Federal fine
Dec 22, 2025
Federal fine
May 22, 2025
Federal fine
Apr 19, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
