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Emerald Nursing and Rehabilitation, Elizabethtown, PA: 2 star rating, fined $144,615 across 4 fines

Emerald Nursing and Rehabilitation in Elizabethtown, PA is owned by Pa 3 OPCO LLC, is rated 2 of 5 stars by Medicare, and was fined $144,615 across 4 fines in the three years to October 1, 2026. CMS lists 40 health citations from inspections in that time, the latest survey on May 1, 2026, and 4 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Pennsylvania
Address
320 South Market Street, Elizabethtown, PA 17022
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
73
Residents per day
64 on average
Ownership type
For profit, limited liability company
Legal business name
Er 320 Operations LLC
Fines
$144,615 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
40, of which 4 with actual harm or immediate jeopardy
Latest survey
May 1, 2026
CMS Certification Number
395469
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 4, 2026Fine$109,350Not listeddata.cms.gov
December 22, 2025Fine$13,260Not listeddata.cms.gov
May 22, 2025Fine$13,987Not listeddata.cms.gov
April 19, 2024Fine$8,018Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 1, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.H: pattern, actual harmCorrectedMay 20, 2026data.cms.gov
May 1, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 20, 2026data.cms.gov
May 1, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 20, 2026data.cms.gov
May 1, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 20, 2026data.cms.gov
May 1, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 20, 2026data.cms.gov
May 1, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2026data.cms.gov
May 1, 2026F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C: widespread, minimal harm potentialCorrectedMay 20, 2026data.cms.gov
May 1, 2026F575Post 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.C: widespread, minimal harm potentialCorrectedMay 20, 2026data.cms.gov
March 27, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedApril 16, 2026data.cms.gov
March 27, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
February 4, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
December 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceNovember 9, 2025data.cms.gov
December 22, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 12, 2026data.cms.gov
July 16, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2025data.cms.gov
July 16, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2025data.cms.gov
July 16, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 30, 2025data.cms.gov
May 22, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 22, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2025data.cms.gov
May 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJune 26, 2024data.cms.gov
April 19, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov
April 19, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 16 individual or personal trusts (7 owners, 1 managers, 8 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Pa 3 OPCO LLCDirect owner100%June 1, 2023data.cms.gov
Pa 3 HOLDCOIndirect ownerNot listedJune 1, 2023data.cms.gov
Er 320 Property LLCAdditional disclosable partyNot listedApril 3, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.