Emerald Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Emerald Nursing and Rehabilitation is a 73-bed for-profit nursing home in Elizabethtown, Pennsylvania. In the CMS August 2026 release it reported 2.03 nurse aide hours per resident per day, 7% below the Pennsylvania average of 2.19, and 69.7% nursing staff turnover (Pennsylvania average 44.5%).
Emerald Nursing and Rehabilitation
320 South Market StreetElizabethtown, PA 17022
Lancaster County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Emerald Nursing and Rehabilitation, nurse aides logged 2.03 hours per resident per day, 7% below the Pennsylvania average. With about 67 residents a day, that works out to roughly 135 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Pennsylvania avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.03 | 2.19 | 2.32 |
| Licensed practical nurses | 1.14 | 0.91 | 0.86 |
| Registered nurses | 0.53 | 0.79 | 0.69 |
| All nursing staff | 3.70 | 3.89 | 3.86 |
| All nursing staff, weekends | 3.18 | 3.53 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
69.7% of nursing staff at Emerald Nursing and Rehabilitation left over the year CMS measured, against a Pennsylvania average of 44.5% and a US average of 45.8%. Registered nurse turnover was 78.6%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 1, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Pennsylvania average 10.1). CMS lists 4 fines totaling $144,615 in the last three years.
| Inspection date | Penalty | 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 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Emerald Nursing and Rehabilitation holds 2 of 5 overall; the Pennsylvania average is 3.0.
About Emerald Nursing and Rehabilitation
- Ownership: For profit - Limited Liability company
- Legal name: Er 320 Operations LLC
- Medicare and Medicaid certified since: May 19, 1980
- Councils: resident and family councils
- Area: urban
Nursing homes near Emerald Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Masonic Village at Elizabethtown Elizabethtown | 0.3 | 434 | 2.86 | 4.59 | 27.5% | 5 | None |
| Elizabethtown Nursing and Rehabilitation Elizabethtown | 2.0 | 45 | 2.00 | 3.63 | 50.0% | 2 | None |
| Oak Hill Center for Rehabilitation and Nursing Middletown | 8.1 | 136 | 1.94 | 3.26 | 58.8% | 2 | $61,932 |
| Mt Hope Nazarene Retirement Community Manheim | 8.3 | 50 | 2.30 | 4.09 | 40.0% | 5 | None |
| Courtyard Gardens Nursing and Rehab Ctr Middletown | 8.5 | 102 | 2.30 | 3.84 | 42.0% | 4 | None |
| Susquehanna Health and Wellness Center Columbia | 8.7 | 173 | 1.83 | 3.03 | 47.7% | 3 | $105,688 |
| Kadima Rehabilitation & Nursing at Campbelltown Palmyra · SFF candidate | 9.0 | 53 | 1.91 | 3.32 | 84.1% | 1 | None |
| Lebanon Valley Brethren Home Palmyra | 10.8 | 88 | 2.99 | 5.10 | 26.1% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.