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Nursing HomeMedicaid Investigative

Emerald Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

320 South Market Street, Elizabethtown, PA 1702273 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 136 Google reviews

5
4
3
2
1
Emerald Nursing and Rehabilitation Nursing Home in Elizabethtown, PA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (19 vs median 8.0)
  • High staff turnover (78%)
  • High RN turnover (86%)

Bottom 25% in PA · Below recommended RN staffing · Very high staff turnover · $29,537 in fines

Source: Medicare data

What this means for your family

While the facility offers an excellent activities program and some very dedicated staff, the reports of neglected call bells and hygiene issues are critical red flags. We strongly recommend that you visit at unannounced times and ask specifically about their current nurse-to-patient ratios and how they handle call bell response times during night shifts.

Google Reviews

Google Reviews

136 reviews on Google
Emerald Nursing and Rehabilitation receives highly polarized feedback, with some families praising the dedicated nursing staff and engaging activities, while others report severe neglect and hygiene issues. Critical concerns include reports of call bells being ignored, poor sanitation, and inadequate staffing levels, particularly during off-hours. Families considering this facility should be aware of these significant inconsistencies in care quality.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean3.0Activities9.0Meds2.0Memory5.0Comms3.0ValueN/A

Strengths

  • Engaging and fun activities program
  • Friendly and helpful concierge staff
  • Clean and welcoming common areas
  • Attentive physical therapy team

Concerns

  • Neglect and slow response to call bells (mentioned by 9 reviewers)
  • Poor cleanliness and hygiene standards (mentioned by 7 reviewers)
  • Understaffing and reliance on agency workers (mentioned by 5 reviewers)
  • Inadequate communication from management (mentioned by 4 reviewers)
  • Poor quality or cold food (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'21(1)'23(7)'25(50)'26(23)

Distribution · 126 analyzed

5
74
4
13
3
5
2
0
1
34
10 reviews posted between Mar 12, 2024Mar 16, 2024 · 9 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed the activities program is highly praised; could you walk me through a typical week of social events and how you encourage residents to participate?
  • 2With the current staffing levels, what is your facility's protocol for ensuring call bells are answered promptly, especially during evening and night shifts?
  • 3I see that you have a dedicated physical therapy team; how do you coordinate their care with the nursing staff to ensure consistent support for residents throughout the day?
  • 4Could you explain your current process for maintaining cleanliness in resident rooms and common areas, and how often are deep-cleaning schedules reviewed?
  • 5Given the reliance on agency staff, what steps are you taking to ensure these temporary workers are fully integrated into your care standards and familiar with individual resident needs?
  • 6How does your management team approach communication with families, and what is the best way for us to receive regular updates regarding our loved one's health and well-being?

Personalized based on this facility's data


Key Review Excerpts

The residents ring for hours! They just shut the call bell off and don’t assist the residents. They are rough with the residents, rude and negligent.

Local Guide · 2025☆☆☆☆

The nurses don't get her dressed in time for appointments so she misses her physical therapy often. She is bedridden and they don't make sure she has what she needs.

Long-term resident's family · 2023☆☆☆☆

My wife has been there for about two months. So far so good. I can always find something to complain about. That’s with anywhere. But, the nurses there seem to be very patient with her.

Long-term resident's family · 2025☆☆☆☆
Source: 136 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
79%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
78%
Lower is better (< 30% = good)
RN Turnover
85%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

3

measures

Worse Than Avg

12

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility66.0%
Worse than Avg
Here
66.0%
US
93.4%
PA
87.1%
Lancaster
91.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility37.1%
Worse than Avg
Here
37.1%
US
19.5%
PA
19.9%
Lancaster
20.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.7%
Worse than Avg
Here
32.7%
US
15.5%
PA
17.7%
Lancaster
18.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.6%
Worse than Avg
Here
31.6%
US
19.4%
PA
26.0%
Lancaster
27.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
14.4%
PA
17.5%
Lancaster
20.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.0%
Worse than Avg
Here
14.0%
US
12.1%
PA
8.3%
Lancaster
3.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility47.7%
Worse than Avg
Here
47.7%
US
81.8%
PA
69.2%
Lancaster
76.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility64.0%
Worse than Avg
Here
64.0%
US
79.8%
PA
68.7%
Lancaster
76.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
PA
1.4%
Lancaster
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
3penalties
Well above state avg (10.1)
9 complaint-triggered
$29,537 in fines

Emerald Nursing has faced repeated safety concerns, with families filing complaints about accident prevention and living conditions. The facility shows persistent problems across accident prevention, fire safety systems, and resident assessments spanning multiple years. While deficiencies appear corrected each time, recurring issues with safety hazards, building systems, and care planning suggest ongoing operational challenges that families should carefully evaluate during visits.

May 1, 2026Routine
20
0690Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0575Minimal · WidespreadCorrected

Resident Rights Deficiencies

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.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0004Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0291Minimal · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0324Minimal · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Mar 27, 2026Complaint
2
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Feb 4, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 22, 2025Complaint
2
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0835Potential for harm · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Jul 16, 2025Complaint
3
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

May 22, 2025Routine
23
0253Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide two separate exits in rooms of more than 1000 square feet.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0868Potential for harm · PatternCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0346Potential for harm · PatternCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

Federal Penalties

Fine

Dec 22, 2025

$13,260

Fine

May 22, 2025

$13,987

Fine

Apr 19, 2024

$8,018

Ownership & Operations

Who Operates This Facility

Owner / Operator

Emerald Nursing and Rehabilitation

Organization Type

for profit

Ownership & Management

Owners

Pa 3 Opco LLC

Owner · Organization

100%

Pa 3 Holdco

Owner (parent company) · Organization

Bornstein, Shlomo

Owner (parent company)

Elkouby, David

Owner (parent company)

Ferziger, Benzion

Owner (parent company)

Fishbane, Benzion

Owner (parent company)

Mendiowitz, Chaim

Owner (parent company)

Senderovits, Eliezer

Owner (parent company)

Steinberg, Ephraim

Owner (parent company)

Key personnel

Bornstein, ShlomoManagerEr 320 Property LLCAdp of the SnfBornstein, ShlomoAdp of the SnfElkouby, DavidAdp of the SnfFerziger, BenzionAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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