All states › Pennsylvania › Elizabethtown › Emerald Nursing and Rehabilitation
320 South Market Street Elizabethtown, PA 17022 · Lancaster County
All 3 nursing homes in Elizabethtown, PA (3 take Medicaid)
CMS certification number 395469 · See this home on Medicare Care Compare
Is Emerald Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Emerald Nursing and Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Pennsylvania average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.74 hours per resident per day at Emerald Nursing and Rehabilitation, about the same as the Pennsylvania median of 3.64 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 3.32 hours, 11% below its all-week average. 73.5% of nursing staff left within a year (Pennsylvania median 44.6%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Emerald Nursing and Rehabilitation: Medicare and Medicaid
Emerald Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Pennsylvania's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 1, 2026 and found 8 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 40 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 40 citations at Emerald Nursing and Rehabilitation across 8 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 22, 2025 (complaint inspection). The most common areas cited were quality of life and care (12) and resident rights (10). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, December 22, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 1, 2026 · 8 citations
HProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure each resident receives an accurate assessment.
DProvide enough food/fluids to maintain a resident's health.
DProvide and implement an infection prevention and control program.
CPost 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.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
March 27, 2026 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DHonor 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.
February 4, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
December 22, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
July 16, 2025 · 3 citations · includes complaint inspection
EHonor 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
May 22, 2025 · 14 citations
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EObserve each nurse aide's job performance and give regular training.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DAssist a resident in gaining access to vision and hearing services.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CPost nurse staffing information every day.
May 30, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 19, 2024 · 9 citations
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EHonor 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.
ENot hire anyone with a finding of abuse, neglect, exploitation, or theft.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide enough food/fluids to maintain a resident's health.
DReasonably accommodate the needs and preferences of each resident.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Emerald Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on December 22, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 22, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 73.5% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $144,615 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 4, 2026 | Fine | $109,350 |
| Dec 22, 2025 | Fine | $13,260 |
| May 22, 2025 | Fine | $13,987 |
| Apr 19, 2024 | Fine | $8,018 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near Emerald Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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8.9 mi
Milton S Hershey Medical Center HersheyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 21m for patients treated and sent home
- 11.1 mi
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12.4 mi
Penn State Health Lancaster Medical Center LancasterEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 51m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Emerald Nursing and Rehabilitation › All nursing homes in Elizabethtown ›
Compare Emerald Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Masonic Village at Elizabethtown · Elizabethtown · 5 stars · 0.3 mi
- Mt Hope Nazarene Retirement Community · Manheim · 5 stars · 8.3 mi
- Elizabethtown Nursing and Rehabilitation · Elizabethtown · 3 stars · 2.0 mi
- Courtyard Gardens Nursing and Rehab Center · Middletown · 3 stars · 8.5 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.