Home / Pennsylvania / Ephrata
Ephrata Manor
99 Bethany Road, Ephrata, PA 17522 · Lancaster County · (717) 738-4940
120 certified beds, about 108 residents a day · Non profit - Corporation · Medicare and Medicaid since 1991
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395857 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 20, 2024, inspectors cited 1 health deficiency (the Pennsylvania average is 10, the national average 9.2).
Of 11 health citations since December 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $13,845 in the last three years; the largest was $13,845, and the latest is dated November 3, 2023.
Nurses and nurse aides worked 4.22 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
43.5% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
212/22
711/23
109/24
102/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
0E
0F
Potential for minimal harm
0A
0B
0C
February 2, 2026Complaint inspection · 1 citation
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on review of clinical records, hospital records, and staff interviews, it was determined that the facility failed to ensure appropriate social services were provided to ensure a safe discharge to home for one of the two residents reviewed (Resident CL1).
September 20, 2024Standard inspection · 1 citation
- D 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.
Inspectors wroteBased on a review of the facility's policy, clinical records, and staff interview, it was determined the facility failed to monitor potential side effects of anti-psychotropic medication for one of five residents reviewed (Resident 99).
November 3, 2023Standard inspection · 7 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased upon review of facility policy and procedure, clinical record review and interview it was determined the facility failed to provide interventions to prevent pressure ulcers, failed to timely identify pressure ulcers and failed to provide treatment for pressure ulcers causing harm to one of two residents reviewed (Resident 40).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased upon clinical record review and interview it was determined the facility failed to notify resident's physician regarding the development of a pressure ulcer for one of two residents reviewed (Resident 40).
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on clinical record review and interviews with staff, it was determined that the facility failed to complete a Quarterly MDS assessment at least every three months as required for one of eight residents reviewed (Resident 100).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased upon clinical record review and interview it was determined the facility failed to develop a comprehensive care plan for prevention and treatment of pressure ulcers for one of 22 residents reviewed (Resident 40).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased upon review of staffing records and performance reviews it was determined the facility failed to ensure performance reviews were completed for three of five staffing records reviewed.
- D 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.
Inspectors wroteBased upon clinical record review and staff interview, it was determined the facility failed to ensure that a clinical rationale was provided by residents' physician for not performing a Gradual Dose Reduction of an antipsychotic medication and failed to provide a clinical rationale for the continued use beyond 14 days of an as needed anti-anxiety medication for two of five residents reviewed (Resident 38 and Resident 79).
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased upon review of staffing records and inservice documentation, it was determined the facility failed to ensure nurse aides received required 12-hour annual re-training for two of five records reviewed. Findings Include: Review of five staffing records and inservice documentation revealed three nurse aides received the required 12-hour annual retraining. Further review of the staffing records and inservice documentation revealed two of the five records reviewed failed to reveal evidence of retraining. Interview with the Nursing Home Administrator and DON on November 3, 2023, at 11:27 a.m. confirmed that the nurse aides did not receive the required in-service retraining within the appropriate timeframe. 28 Pa.
December 16, 2022Standard inspection · 2 citations
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased upon clinical record review and staff interview, it was determined that the facility failed to ensure that irregularities from the monthly drug regimen review were acted upon by a physician for one of five residents reviewed (Resident 45).
- D 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.
Inspectors wroteBased on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to ensure that residents did not receive psychotropoic medications unless necessary and that non-pharmacological interventions were attempted before the use of a PRN (as needed) psychotropic medication for two of five residents reviewed (Residents 88 and 90).
Fire safety inspections
9 fire safety citations on file: 3 on September 20, 2024, 3 on November 3, 2023, 3 on December 16, 2022.
Every fire safety citation9 citations
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C Inspect, test, and maintain automatic sprinkler systems.
- C Properly select, install, inspect, or maintain portable fire extinguishes.
- D Use approved construction type or materials.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 3, 2023 | Fine | $13,845 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.22 | 3.89 | 3.86 |
| Registered nurses | 0.79 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.86 | 3.53 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 43.5% | 44.5% | 45.8% |
| Registered nurse turnover | 25.0% | 39.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.53 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.36 on weekdays and 3.86 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.07 in April to June 2025 to 4.22 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.22 | 0.79 | 4.36 | 3.86 | 0.0% | 0 of 90 | 108 |
| Oct to Dec 2025 | 4.05 | 0.75 | 4.25 | 3.56 | 0.0% | 0 of 92 | 108 |
| Jul to Sep 2025 | 3.97 | 0.76 | 4.14 | 3.54 | 0.0% | 0 of 92 | 112 |
| Apr to Jun 2025 | 4.07 | 0.76 | 4.18 | 3.79 | 0.0% | 0 of 91 | 114 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.0 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.2 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.4 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.2 | 1.8 |
Owners and operators
Legal business name: UNITED CHURCH OF CHRIST HOMES.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| United Church of Christ Homes | 5% or greater direct ownership interest | Organization | 100% | 01/01/1981 |
| Blose, Leroy | Managing control - governing body | Individual | 04/26/2018 | |
| Boone, Rebecca | Managing control - governing body | Individual | 04/23/2020 | |
| Deaner, Kay | Managing control - governing body | Individual | 04/27/2023 | |
| Domingos, Tita | Managing control - governing body | Individual | 07/25/2024 | |
| Fields, Tony | Managing control - governing body | Individual | 04/27/2023 | |
| Hein, Dwight | Managing control - governing body | Individual | 04/28/2025 | |
| Kern, Craig | Managing control - governing body | Individual | 04/25/2025 | |
| Lyons, James | Managing control - governing body | Individual | 04/25/2024 | |
| Paul, Emerson | Managing control - governing body | Individual | 04/28/2022 | |
| Prinz, Donna | Managing control - governing body | Individual | 04/27/2023 | |
| Rankin, Christopher | Managing control - governing body | Individual | 04/27/2023 | |
| Rieker, John | Managing control - governing body | Individual | 04/26/2018 | |
| Russell, Galen | Managing control - governing body | Individual | 04/22/2021 | |
| Womack, Kenneth | Managing control - governing body | Individual | 04/28/2022 | |
| Eyster, Sharon | Corporate officer | Individual | 10/31/2022 | |
| Fields, Meredith | Corporate officer | Individual | 02/10/2025 | |
| Gourley, Ronald | Corporate officer | Individual | 12/13/2024 | |
| Cliftonlarsonallen LLP | Operational/managerial control | Organization | 01/01/2012 | |
| Conrad Siegel Investment Advisors, Inc | Operational/managerial control | Organization | 01/01/2009 | |
| Marsh and McLennan Companies, Inc | Operational/managerial control | Organization | 03/15/2024 | |
| Pennsylvania Association of Director of Nursing Administration (padona | Operational/managerial control | Organization | 03/24/2022 | |
| Chmielewski, Jamie | Operational/managerial control | Individual | 12/31/2025 | |
| Connelly, Crystal | Operational/managerial control | Individual | 12/31/2025 | |
| Costanzo, Amanda | Operational/managerial control | Individual | 03/01/2010 | |
| Dierolf, Lori | Operational/managerial control | Individual | 06/16/2022 | |
| Eyster, Sharon | Operational/managerial control | Individual | 10/31/2022 | |
| Fields, Meredith | Operational/managerial control | Individual | 02/10/2025 | |
| Gagnon, Tempest | Operational/managerial control | Individual | 02/03/2023 | |
| Gourley, Ronald | Operational/managerial control | Individual | 12/13/2024 | |
| Harlan, Shaun | Operational/managerial control | Individual | 12/31/2025 | |
| Loretan, William | Operational/managerial control | Individual | 01/01/1998 | |
| Shelly, Craig | Operational/managerial control | Individual | 05/12/2025 | |
| Troutman, Christopher | Operational/managerial control | Individual | 06/02/2025 | |
| Velez, Victoria | Operational/managerial control | Individual | 03/01/1995 | |
| Weiser, Neil | Operational/managerial control | Individual | 06/24/2019 | |
| Yoder, Jessica | Operational/managerial control | Individual | 01/05/2022 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Organization | 03/07/2025 | |
| Conrad Siegel Investment Advisors, Inc | Adp of the SNF | Organization | 03/07/2025 | |
| Fulton Bank, N.a. | Adp of the SNF | Organization | 10/01/2015 | |
| Marsh and McLennan Companies, Inc | Adp of the SNF | Organization | 03/07/2025 | |
| Pennsylvania Association of Director of Nursing Administration (padona | Adp of the SNF | Organization | 03/07/2025 | |
| Rkl LLP | Adp of the SNF | Organization | 01/01/2025 | |
| Blose, Leroy | Adp of the SNF | Individual | 04/26/2018 | |
| Boone, Rebecca | Adp of the SNF | Individual | 04/27/2023 | |
| Chmielewski, Jamie | Adp of the SNF | Individual | 12/31/2025 | |
| Connelly, Crystal | Adp of the SNF | Individual | 12/31/2025 | |
| Costanzo, Amanda | Adp of the SNF | Individual | 03/01/2010 | |
| Deaner, Kay | Adp of the SNF | Individual | 04/27/2023 | |
| Dierolf, Lori | Adp of the SNF | Individual | 06/16/2022 | |
| Domingos, Tita | Adp of the SNF | Individual | 07/25/2024 | |
| Eyster, Sharon | Adp of the SNF | Individual | 10/31/2022 | |
| Fields, Meredith | Adp of the SNF | Individual | 02/10/2025 | |
| Fields, Tony | Adp of the SNF | Individual | 04/27/2023 | |
| Gagnon, Tempest | Adp of the SNF | Individual | 02/03/2023 | |
| Gourley, Ronald | Adp of the SNF | Individual | 12/13/2024 | |
| Harlan, Shaun | Adp of the SNF | Individual | 12/31/2025 | |
| Hein, Dwight | Adp of the SNF | Individual | 04/28/2025 | |
| Kern, Craig | Adp of the SNF | Individual | 04/25/2025 | |
| Loretan, William | Adp of the SNF | Individual | 01/01/1998 | |
| Lyons, James | Adp of the SNF | Individual | 04/25/2024 | |
| Paul, Emerson | Adp of the SNF | Individual | 04/28/2022 | |
| Prinz, Donna | Adp of the SNF | Individual | 04/27/2023 | |
| Rankin, Christopher | Adp of the SNF | Individual | 04/27/2023 | |
| Rieker, John | Adp of the SNF | Individual | 04/26/2018 | |
| Russell, Galen | Adp of the SNF | Individual | 04/22/2021 | |
| Shelly, Craig | Adp of the SNF | Individual | 05/12/2025 | |
| Troutman, Christopher | Adp of the SNF | Individual | 06/02/2025 | |
| Velez, Victoria | Adp of the SNF | Individual | 03/01/1995 | |
| Weiser, Neil | Adp of the SNF | Individual | 06/24/2019 | |
| Womack, Kenneth | Adp of the SNF | Individual | 04/28/2022 | |
| Yoder, Jessica | Adp of the SNF | Individual | 01/05/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on September 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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 2, 2026: "Provide medically-related social services to help each resident achieve the highest possible quality of life."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on November 3, 2023: "Assure that each resident’s assessment is updated at least once every 3 months."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on November 3, 2023: "Observe each nurse aide's job performance and give regular training."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Maple Farm Akron, 2 mi · 5 of 5 stars · 5 citations
- Fairmount Homes Ephrata, 2.5 mi · 5 of 5 stars · 0 citations
- Gardens at Stevens, the Stevens, 4.2 mi · 2 of 5 stars · 41 citations
- Landis Homes Lititz, 6.2 mi · 5 of 5 stars · 1 citation
- Luther Acres Manor Lititz, 6.4 mi · 1 of 5 stars · 10 citations
- Garden Spot Village New Holland, 6.7 mi · 5 of 5 stars · 4 citations
- Kadima Rehabilitation & Nursing at Lititz Lititz, 7.2 mi · 1 of 5 stars · 33 citations
- Moravian Manor Lititz, 7.4 mi · 5 of 5 stars · 10 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Ephrata Manor's Medicare star rating?
- CMS rates Ephrata Manor 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ephrata Manor get at its last inspection?
- 1 health deficiency at the standard inspection on September 20, 2024. The Pennsylvania average is 10.
- Has Ephrata Manor been fined?
- Yes. CMS lists 1 fine totaling $13,845 in the last three years.
- Does Ephrata Manor accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Ephrata Manor?
- CMS lists 72 owners and managers. Legal business name: UNITED CHURCH OF CHRIST HOMES.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.