| Ephrata Manor | |
| 99 Bethany Road, Ephrata, Pennsylvania 17522 | |
| (717) 738-4940 | |
| Name | Ephrata Manor |
|---|---|
| Location | 99 Bethany Road, Ephrata, Pennsylvania |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 89.75% |
| Medicare ID (CCN) | 395857 |
| Legal Business Name | United Church of Christ Homes |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1548251879 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | United Church of Christ Homes |
| Doing Business As | Ephrata Manor |
| Address | 99 Bethany Rd, Ephrata, PA 17522 |
| Phone Number | 717-738-4940 |
| 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 | 4.22 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.79 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.98 | 0.86 |
| Nurse aide hours per resident per day | 2.45 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.86 | 3.42 |
| RN hours per resident per day on the weekend | 0.63 | 0.48 |
| Physical therapist hours per resident per day | 0.04 | 0.07 |
| Total nursing staff turnover | 43.5% | 45.8% |
| Registered nurse turnover | 25% | 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 | 1 |
| Total Amount of Fines in Dollars | $13,845 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 2, 2026 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 3, 2026 |
| Sep 20, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Nov 3, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Nov 30, 2023 |
| Nov 3, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2023 |
| Nov 3, 2023 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2023 |
| Nov 3, 2023 | 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 Nov 30, 2023 |
| Nov 3, 2023 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2023 |
| Nov 3, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2023 |
| Nov 3, 2023 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Nov 30, 2023 |
| Dec 16, 2022 | 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 Jan 30, 2023 |
| Dec 16, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.99 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.45 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.66 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 4.17 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.64 | 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 | 8.92 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.43 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 51.35 | 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 | 22.23 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.02 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.36 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.18 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.77 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.4 | 15.38 |