SNF
EPHRATA MANOR
CCN: 395857 · EPHRATA, PA 17522 · Lancaster County
CCRC
Overview
- Address
- 99 BETHANY ROAD, EPHRATA, PA 17522
- Phone
- 7177384940
- Certified beds
- 120
- Avg daily residents
- 112 (93% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1991-08-07
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.97 | 3.60 | 4.26 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.76 | 0.63 | 0.82 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.64 | 0.80 | 0.69 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.57 | 2.17 | 2.76 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.40 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.54
hrs / resident / day
RN (weekend)
0.59
hrs / resident / day
Total nurse (adjusted, weekend)
3.80
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
29.2%
annual
RN turnover
17.4%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.28
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-09-20 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2023-11-03 | 7 | 7 | 0 | 44 | 1 | 44 |
Total weighted health score
14.0
lower is better
Deficiencies (10)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
9 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0758 | 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. | D | 2024-09-20 | 2024-10-18 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-03 | 2023-11-30 |
| 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2023-11-03 | 2023-11-30 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-11-03 | 2023-11-30 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-11-03 | 2023-11-30 |
| 0730 | Observe each nurse aide's job performance and give regular training. | D | 2023-11-03 | 2023-11-30 |
| 0758 | 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. | D | 2023-11-03 | 2023-11-30 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2023-11-03 | 2023-11-30 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-12-16 | 2023-01-30 |
| 0758 | 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. | D | 2022-12-16 | 2023-01-30 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$13,845
| Date | Type | Fine amount |
|---|---|---|
| 2023-11-03 | Fine | $13,845 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 6.1% Medicaid 39.4% Other 54.5%
Operating performance
Operating Margin
-11.0%
Total Margin
8.9%
Occupancy Rate
88.6%
Cost per Resident Day
$26
Revenue & costs
Net Patient Revenue
$16.4M
Total Costs
$1.4M
Net Income
$1.8M
Balance sheet
Total Assets
$22.3M
Total Liabilities
$5.5M
Fund Balance
$16.8M
Current Ratio
9.22
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| UNITED CHURCH OF CHRIST HOMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/1981 |
| CLIFTONLARSONALLEN LLP | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2012 |
| CONRAD SIEGEL INVESTMENT ADVISORS, INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2009 |
| MARSH AND MCLENNAN COMPANIES, INC | OPERATIONAL/MANAGERIAL CONTROL | since 03/15/2024 |
| PENNSYLVANIA ASSOCIATION OF DIRECTOR OF NURSING ADMINISTRATION (PADONA | OPERATIONAL/MANAGERIAL CONTROL | since 03/24/2022 |
Owner / manager individuals (18)
| Name | Role | Association |
|---|---|---|
| CHMIELEWSKI, JAMIE | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2025 |
| CONNELLY, CRYSTAL | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2025 |
| COSTANZO, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/2010 |
| DIEROLF, LORI | OPERATIONAL/MANAGERIAL CONTROL | since 06/16/2022 |
| EYSTER, SHARON | OPERATIONAL/MANAGERIAL CONTROL | since 10/31/2022 |
| FIELDS, MEREDITH | OPERATIONAL/MANAGERIAL CONTROL | since 02/10/2025 |
| GAGNON, TEMPEST | OPERATIONAL/MANAGERIAL CONTROL | since 02/03/2023 |
| GOURLEY, RONALD | OPERATIONAL/MANAGERIAL CONTROL | since 12/13/2024 |
| HARLAN, SHAUN | OPERATIONAL/MANAGERIAL CONTROL | since 12/31/2025 |
| LORETAN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/1998 |
| SHELLY, CRAIG | OPERATIONAL/MANAGERIAL CONTROL | since 05/12/2025 |
| TROUTMAN, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | since 06/02/2025 |
| VELEZ, VICTORIA | OPERATIONAL/MANAGERIAL CONTROL | since 03/01/1995 |
| WEISER, NEIL | OPERATIONAL/MANAGERIAL CONTROL | since 06/24/2019 |
| YODER, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | since 01/05/2022 |
| EYSTER, SHARON | CORPORATE OFFICER | since 10/31/2022 |
| FIELDS, MEREDITH | CORPORATE OFFICER | since 02/10/2025 |
| GOURLEY, RONALD | CORPORATE OFFICER | since 12/13/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $26 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 9.22 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 39.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 6.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,768,152 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $16,372,313 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 88.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -11.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $22,320,834 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,438,580 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $16,781,681 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $5,539,153 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 8.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.68561 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.75720 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.81837 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.26118 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.79577 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 112.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.79889 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.17120 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.62970 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.59979 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.17283 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | EPHRATA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 395857 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Lancaster | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1991-08-07 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.1647 | Latitude |
| Provider Information | Legal Business Name | UNITED CHURCH OF CHRIST HOMES | Legal Business Name |
| Provider Information | Location | 99 BETHANY ROAD,EPHRATA,PA,17522 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -76.172 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.27524 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.92567 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 99 BETHANY ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | EPHRATA MANOR | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 440 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 4 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-09-20 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-11-03 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 44 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 44 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.59410 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 17.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.40226 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.63924 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.57071 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04134 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.76302 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.97297 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | PA | State |
| Provider Information | Telephone Number | 7177384940 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 13845.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.53904 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 29.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 14.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 17522 | ZIP Code |