Emerald Nursing And Rehabilitation
EMERALD NURSING AND REHABILITATION in ELIZABETHTOWN, PA — inspection on December 22, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
November 9, 2025.
The facility failed to ensure appropriate supervision of a resident, exhibiting exit
jeopardy to resident health or family member's home.
Facility staff were unaware of resident's elopement until the family member safety contacted the facility.
The deficient practice is being cited as past non compliance. 28 Pa.
Code 201.14(a) Responsibility of licensee28 Pa.
Code 201.18(b)(1) Management28 Pa.
Code 201.18(e)(1)
services28 Pa.
Code 211.12(d)(2) Nursing services
395469 12/22/2025
Emerald Nursing and Rehabilitation 320 South Market Street Elizabethtown, PA 17022
(NHA) and the Director of Nursing (DON) did not effectively manage the facility to ensure the safety of
facility.
This failure resulted in an Immediate Jeopardy situation for Resident R1. (Resident R1)Findings Include:
Review of the job description for the Nursing Home Administrator (NHA) states, Position Summary-this position is responsible to establish and maintain systems that are efficient and effective to operate the nursing home in a manner to safely meet resident's needs in accordance with federal, state and local regulations.
Also, develop and maintain systems that are effective and efficient to operate the facility in a financially sound manner.Further review of the NHA job description revealed, Essential Duties and Responsibilities-.
Develop, maintain and implement operational policies and procedures to meet residents need in compliance with federal, state and local requirements.
Determine the personnel requirements of the facility in collaboration with Department Managers and hire or arrange for sufficient staff to provide for sound resident care and implement the facility policies and procedures.
Review of the job description for the Director of Nursing (DON) states, Position Summary- The Director of Nursing functions as the administrative authority for the Department of Nursing.
This Director will be responsible for the organization and oversight of all nursing operations and for the supervision of care for all residents at the facility.
Further review of the DON job essential requirements revealed, must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality of care.The findings in this report identified the facility failed to maintain the safety of the residents from elopement by ensuring elopement assessments were completed correctly and residents exhibiting behaviors for elopement were prevented from leaving the facility without proper supervision.Refer to F68928 Pa Code 201.14(a) Responsibility of licensee28 Pa.
Code 201.18(b)(1) Management28 Pa.
Code 201.18(b)(3) Management
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.