Nursing home report
ELIZABETHTOWN, PA · Medicare-certified · 73 beds
EMERALD NURSING AND REHABILITATION (Elizabethtown, PA) has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating; reported nurse staffing is 3.70 hours per resident per day versus the 4.1-hour federal benchmark, and it had $27,247 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.7007 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7007.
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 home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2026 — limited pattern, actual harm.
F-Tag 690 — 42 CFR §483.25(e) — S/S: H
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 home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited May 2026 — limited pattern, potential for harm.
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 8 health deficiencies.
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 $13,987 was recorded.
A federal fine of $21,519 was recorded.
On record with Medicare: 3 fines · $35,265 in total fines.
Federal fine
Dec 22, 2025
Federal fine
May 22, 2025
Federal fine
Apr 19, 2024
Now operated by Emerald Nursing and Rehabilitation, previously Emerald Rehab and Healthcare Center.
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.
