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Complaint Investigation

Emerald Nursing And Rehabilitation

March 27, 2026 · Elizabethtown, PA · 320 South Market Street
Citations 2
CMS Rating 1/5
Beds 73
Provider ID 395469
Healthcare Facility
Emerald Nursing And Rehabilitation
Elizabethtown, PA  ·  View full profile →
Inspection Summary

EMERALD NURSING AND REHABILITATION in ELIZABETHTOWN, PA — inspection on March 27, 2026.

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.

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Inspection Findings

FF0584
Resident Rights Deficiencies

The facility failed to ensure Resident 2's bathroom was maintained clean. 28 Pa.

Code 201.18(b)(1)(3)(e)(1) Management Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

395469 03/27/2026

Emerald Nursing and Rehabilitation 320 South Market Street Elizabethtown, PA 17022

Review of Resident 3's history and physical dated December 19, 2025, revealed the resident had a lower left leg wound with hematomas (bruise), which required surgical intervention of incision and drainage.

The resident was also diagnosed with Cellulitis and Lymphedema (chronic condition that causes swelling in the body's tissue).

Review of Resident 3's wound physician consult dated December 24, 2025, revealed the resident had an unstageable wound (obscured full-thickness skin and tissue loss) to the left calf that measures 4.3 x 4.8 x 0.2 cm with 11 o'clock 1.1 cm. tunneling (deep wound that develops narrow, channel-like pathways beneath the skin surface), with moderate serosanguinous drainage.

The treatment order was to cleanse the wound with normal saline, apply Wound Vac (NPTW-Negative Pressure Wound Therapy- therapeutic technique using a vacuum dressing system to promote healing in acute or chronic wounds) at 125 mmHg (millimeters of mercury) continuous three times per week and as needed.

Review of Resident 3's nursing progress notes dated December 30, 2026, 2:36 p.m., revealed resident came back from a wound center appointment with an order to discontinue the wound vac.

Review of Resident 3's physician order dated January 2, 2026, revealed a new wound treatment order to cleanse left lower leg with soap and water, apply Prisma (sterile wound dressing composed of collagen, oxidized regenerated cellulose and silver) and Calcium alginate (biodegradable wound treatment derived from brown seaweed) every Tuesday and Friday then apply Profore (multi-layer compression bandage)from toes to knees.

Review of Resident 3's weekly skin assessment dated [DATE], and January 7, 2026, revealed: Skin intact- No.

However, further review of the same skin assessments failed to reveal an assessment was completed on resident 3's left calf wound.

Review of Resident 3's clinical record failed to reveal documentation of a weekly skin assessment on the resident's left calf wound was done on January 14 and January 21, 2026.

Interview with the Director of Nursing on March 27, 2026, confirmed Resident 3's left calf wound was not assessed from December 31, 2025, until January 21, 2026. 28 Pa.

Code 211.12(d)(1)(5) Nursing Services.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ELIZABETHTOWN, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EMERALD NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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