EMERALD NURSING AND REHABILITATION – ELIZABETHTOWN, PA

CMS Verified | 2026-03-01

Emerald Nursing And Rehabilitation

320 SOUTH MARKET STREET, Elizabethtown, PA 17022
(717) 367-1377
73 beds
All Elizabethtown facilities
1.0*
Overall
2.0*
Health Inspection
2.0*
Quality Care
1.0*
Staffing
51.82
Score /100
#13798
National Rank

#13798
of 14703 facilities
National
6.2% position
#612
of 657 in PA
State Rank
#29
of 31 in Lancaster
County Rank
#3
City Rank
#3
of 3 in ZIP 17022
ZIP Rank






About Emerald Nursing And RehabilitationEmerald Nursing And Rehabilitation is located at 320 South Market Street, Elizabethtown, PA, reachable at (717) 367-1377. This For profit – Limited Liability company facility operates 73.0 certified beds and serves an average of 65 residents per day. Medicare and Medicaid services have been provided since 1980-05-19. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Emerald Nursing And Rehabilitation

Address

320 South Market Street, Elizabethtown, PA 17022

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 73 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 8 fine(s) over 5 years
5-Year Trend
Declining over 5 years
51.82
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#13798 of 14703 nationally – #612 of 657 in Pennsylvania

Who Is This Facility Best For?

Emerald Nursing And Rehabilitation may be considered for families with limited options in Elizabethtown, PA, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

2 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightEmerald Nursing And Rehabilitation currently provides 3 hours 25 minutes of total nurse staffing per resident per day, including 38 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 78.0%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 25 minutes
Nurse Aide Hours1 hour 50 minutes
Licensed Practical Nurse (LPN) Hours57 minutes
Registered Nurse (RN) Hours38 minutes
Physical Therapist Hours4 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 3 minutes
Weekend Registered Nurse (RN) Hours31 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $29,537. 36 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $29537.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 105.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#13,798
of 14,703
National
Bottom 10%
#612
of 657
PA State
Bottom 10% in PA
#29
of 31
️ Lancaster County
#29 of 31
#3
of 3
️ Elizabethtown
#3 of 3
#3
of 3
ZIP 17022
#3 of 3

Nationally, Emerald Nursing And Rehabilitation ranks 13798th out of 14,703 facilities (composite score: 51.8/100), placing it in the bottom 25% nationwide. Within PA, it ranks 612th out of 657 nursing homes. In Elizabethtown, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #9,851 nationally and RN hours rank #6,001 nationally (#338 in PA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank PA State Rank Note
2022 4.30 #2,849 / 14,703 #96 / 657 Top 25%
2023 3.38 #8,934 / 14,703 #348 / 657 Below average
2024 4.07 #3,847 / 14,703 #171 / 657 Above average
2025 3.68 #7,142 / 14,703 #307 / 657 Above average
2026 3.42 #9,851 / 14,703 #460 / 657 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank PA State Rank Note
2022 0.73 #4,776 / 14,703 #296 / 657 Above average
2023 0.51 #7,878 / 14,703 #482 / 657 Below average
2024 0.64 #5,518 / 14,703 #363 / 657 Above average
2025 0.71 #4,571 / 14,703 #285 / 657 Above average
2026 0.64 #6,001 / 14,703 #338 / 657 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Emerald Nursing And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1980-05-19. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (717) 367-1377 or your local Medicaid office to verify current eligibility.

Emerald Nursing And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 51.8/100, placing it #13798 of 14703 facilities nationally and #612 of 657 in Pennsylvania. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Emerald Nursing And Rehabilitation receives a reported average of 3 hours 25 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 38 minutes; Licensed Practical Nurse (LPN) — 57 minutes; Nurse Aide — 1 hour 50 minutes. On weekends, total nurse staffing is 3 hours 3 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 78.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $29,537. 36 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $29,537, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 105.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Emerald Nursing And Rehabilitation ranks 13798th out of 14,703 facilities (composite score: 51.8/100), placing it in the bottom 25% nationwide. Within PA, it ranks 612th out of 657 nursing homes. In Elizabethtown, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #9,851 nationally and RN hours rank #6,001 nationally (#338 in PA). Our composite quality score of 51.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Elizabethtown, visit: https://nursinghomesnearme.org/pennsylvania/elizabethtown/

Contact and Location

ADR
Address

320 SOUTH MARKET STREET, Elizabethtown, PA 17022
Get directions on Google Maps

TEL
LLC
Legal Name

ER 320 OPERATIONS LLC

MAP

Facility Details

Number of Certified Beds 73
Average Residents / Day 65 (89% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Lancaster County, PA
City Elizabethtown, PA
ZIP Code 17022
Approved Since May 19, 1980
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 395469
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org