1 out of 5 stars overall. Emerald Nursing & Rehab Lancaster LLC is a Special Focus Facility candidate with 1-star health inspection, staffing, and quality ratings, reported nurse staffing below the federal benchmark (3.65 vs 4.1 hours/resident/day), and $62,924 in fines in the last 24 months.
Last inspection: January 8, 2026Penalties, last 24 months: $62,924special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6516.
Staffing detail
Registered nurses
0.32
Licensed practical nurses
0.72
Nurse aides
2.61
Weekend nursing
3.21
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 86%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
17%21.1%Worsening
Residents with a fall causing major injury
3%5.1%Worsening
Residents with pressure ulcers (bedsores)
6.3%4%Improving
Residents with a urinary tract infection
3.1%3.9%Worsening
Residents who lost too much weight
9%9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.2%10.4%Improving
Residents whose ability to walk got worse
25.5%16%Improving
Long-stay residents on antianxiety or sleep medication
24.7%26.3%Worsening
Short-stay residents newly given an antipsychotic
0%4.9%Worsening
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
24.4%30%Worsening
Residents with depressive symptoms
1.3%0.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—77.1%—
Long-stay residents given the pneumonia vaccine
83%74.4%Worsening
Short-stay residents given the seasonal flu vaccine
—70.2%—
Short-stay residents given the pneumonia vaccine
66.3%64.3%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to properly watch nurse aides' work and provide regular training. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $51,324 was recorded.
PENALTY
A federal fine of $11,600 was recorded.
PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $79,725 in total fines · 3 payment denials.
Medicare/Medicaid payment denial
Oct 29, 2024
13 days
Federal fine
Oct 29, 2024
$51,324
Federal fine
Jul 8, 2024
$11,600
Medicare/Medicaid payment denial
May 7, 2024
16 days
Medicare/Medicaid payment denial
Jan 23, 2024
4 days
Federal fine
Jan 23, 2024
$16,801
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of EMERALD HEALTHCARE · 14 homes · 1.5 stars avg
Occupancy
165.7 residents on an average day (57% of 293 beds)
Resident voice
Resident council
Medicare history
Certified for 18 years
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.