| Elizabethtown Nursing and Rehabilitation | |
| 141 Heisey Avenue, Elizabethtown, Pennsylvania 17022 | |
| (717) 367-1831 | |
| Name | Elizabethtown Nursing and Rehabilitation |
|---|---|
| Location | 141 Heisey Avenue, Elizabethtown, Pennsylvania |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 45 |
| Occupancy Rate | 91.33% |
| Medicare ID (CCN) | 395844 |
| Legal Business Name | Et 141 Operations LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1396449831 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Et 141 Operations LLC |
| Address | 141 Heisey Ave, Elizabethtown, PA 17022 |
| Phone Number | 973-250-7500 |
| NPI Number | 1346628245 |
| Match | Possible same name, address or phone number |
| Organization Name | Rheems Operator, LLC |
| Doing Business As | Elizabethtown Nursing and Rehabilitation Center |
| Address | 141 Heisey Ave, Elizabethtown, PA 17022 |
| Phone Number | 717-367-1831 |
| NPI Number | 1740705805 |
| Match | Possible same name, address or phone number |
| Organization Name | Etown Operator LLC |
| Doing Business As | Elizabethtown Healthcare and Rehab Center |
| Address | 141 Heisey Ave, Elizabethtown, PA 17022 |
| Phone Number | 717-367-1831 |
| NPI Number | 1851990675 |
| Match | Possible same name, address or phone number |
| Organization Name | Elizabethtown Opco LLC |
| Doing Business As | Elizabethtown Nursing and Rehabilitation |
| Address | 141 Heisey Avenue, Elizabethtown, PA 17022 |
| Phone Number | 717-367-1831 |
| NPI Number | 1891810826 |
| Match | Possible same name, address or phone number |
| Organization Name | Rheems Nursing and Rehabilitation Center, LLC |
| Address | 141 Heisey Ave, Elizabethtown, PA 17022 |
| Phone Number | 717-367-1831 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.63 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.59 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.04 | 0.86 |
| Nurse aide hours per resident per day | 2 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.53 | 3.42 |
| RN hours per resident per day on the weekend | 0.39 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 50% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 18, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2025 |
| Jun 18, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 1, 2025 |
| Mar 4, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Mar 19, 2025 |
| Jul 18, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | 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. F0575, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Jul 18, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, isolated | Corrected by Aug 14, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.27 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.32 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.65 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 28.46 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 56.06 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.98 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.56 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.95 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.55 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.22 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.54 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.25 | 15.38 |
Emerald Nursing and Rehabilitation Location: 320 South Market Street, Elizabethtown, Pennsylvania 17022 Phone: (717) 367-1377 |
Masonic Village at Elizabethtown Location: One Masonic Drive, Elizabethtown, Pennsylvania 17022 Phone: (717) 367-1121 |