SNF
MT HOPE NAZARENE RETIREMENT COMMUNITY
CCN: 396119 · MANHEIM, PA 17545 · Lancaster County
Overview
- Address
- 3026 MOUNT HOPE HOME ROAD, MANHEIM, PA 17545
- Phone
- 7176656365
- Certified beds
- 50
- Avg daily residents
- 49 (99% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2008-07-01
- 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 | 3.86 | 3.42 | 4.35 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.66 | 0.60 | 0.74 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.05 | 0.76 | 1.18 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.15 | 2.07 | 2.43 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.71 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
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)
3.66
hrs / resident / day
RN (weekend)
0.47
hrs / resident / day
Total nurse (adjusted, weekend)
4.13
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
33.9%
annual
RN turnover
30.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.21
higher acuity than avg
Case-Mix Index Ratio
0.88
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) | 2024-09-05 | 2 | 2 | 0 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2023-11-02 | 2 | 2 | 0 | 8 | 1 | 8 |
Total weighted health score
11.0
lower is better
Deficiencies (14)
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).
14 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-09-05 | 2024-10-04 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-09-05 | 2024-10-04 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-02 | 2023-12-05 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-11-02 | 2023-12-05 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-11-16 | 2022-12-20 |
| 0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | E | 2022-11-16 | 2022-12-20 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2022-11-16 | 2022-12-30 |
| 0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2022-11-16 | 2022-12-20 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2022-11-16 | 2023-01-05 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-11-16 | 2022-12-15 |
| 0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2022-11-16 | 2022-12-30 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-11-16 | 2023-01-14 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-11-16 | 2022-12-24 |
| 0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2022-11-16 | 2022-12-22 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 0.4% Medicaid 78.8% Other 20.8%
Operating performance
Operating Margin
-16.3%
Total Margin
-2.1%
Occupancy Rate
95.6%
Revenue & costs
Net Patient Revenue
$5.2M
Total Costs
$238K
Net Income
-$122K
Balance sheet
Total Assets
$3.3M
Total Liabilities
$1.9M
Fund Balance
$1.4M
Current Ratio
1.99
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| EPHRATA CHURCH OF THE NAZARENE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/01/2006 |
| EPHRATA CHURCH OF THE NAZARENE | 5% OR GREATER SECURITY INTEREST | since 11/01/2006 |
| EPHRATA CHURCH OF THE NAZARENE | 5% OR GREATER MORTGAGE INTEREST | since 11/01/2006 |
Owner / manager individuals (23)
| Name | Role | Association |
|---|---|---|
| MAXIM, MARINA | OPERATIONAL/MANAGERIAL CONTROL | since 04/26/2017 |
| PECK, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | since 10/02/2022 |
| TORNABE, MICHELE | OPERATIONAL/MANAGERIAL CONTROL | since 04/07/2011 |
| WICKENHEISER, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | since 02/29/2024 |
| FILLMORE, DEBBIE | CORPORATE DIRECTOR | since 09/01/2006 |
| LOVELL, SUSIE | CORPORATE DIRECTOR | since 08/24/2022 |
| LUCAS, JOANNA | CORPORATE DIRECTOR | since 09/01/2006 |
| MARTIN, LEON | CORPORATE DIRECTOR | since 01/08/2018 |
| MAXIM, MARINA | CORPORATE DIRECTOR | since 05/05/2017 |
| PECK, MICHAEL | CORPORATE DIRECTOR | since 10/02/2022 |
| SNYDER, CHARLYN | CORPORATE DIRECTOR | since 01/01/2021 |
| SNYDER, KEVIN | CORPORATE DIRECTOR | since 04/11/2025 |
| STEHR, JOANNE | CORPORATE DIRECTOR | since 12/01/2024 |
| STERNER, JEFF | CORPORATE DIRECTOR | since 06/01/2022 |
| TORNABE, MICHELE | CORPORATE DIRECTOR | since 03/12/2012 |
| WICKENHEISER, THOMAS | CORPORATE DIRECTOR | since 02/29/2024 |
| CAFRELLI, STEVEN | CORPORATE OFFICER | since 07/01/2021 |
| FILLMORE, DEBBIE | CORPORATE OFFICER | since 11/01/2006 |
| HAMBRICK, ROCKLIN | CORPORATE OFFICER | since 08/05/2013 |
| LOVELL, SUSIE | CORPORATE OFFICER | since 08/22/2022 |
| LUCAS, JOANNA | CORPORATE OFFICER | since 11/01/2006 |
| SNYDER, CHARLYN | CORPORATE OFFICER | since 07/07/2020 |
| STERNER, JEFF | CORPORATE OFFICER | since 02/09/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- 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 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 2024, 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 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 1.99 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 78.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 0.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-121,541 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $5,160,316 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 95.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -16.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,345,987 | metrics.total_assets |
| Cost Report | Total Costs ($) | $237,627 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,405,531 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,940,456 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -2.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.18326 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.42815 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.74148 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.35288 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.12760 | 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 | 49.4 | 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 | 0.75986 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.06513 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.59894 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.42393 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.01783 | 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 | MANHEIM | City/Town |
| Provider Information | CMS Certification Number (CCN) | 396119 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Lancaster | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2008-07-01 | 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 | 40.206 | Latitude |
| Provider Information | Legal Business Name | MT. HOPE NAZARENE RETIREMENT COMMUNITY | Legal Business Name |
| Provider Information | Location | 3026 MOUNT HOPE HOME ROAD,MANHEIM,PA,17545 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -76.466 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 50 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.21294 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.88045 | 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 | 3026 MOUNT HOPE HOME ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | MT HOPE NAZARENE RETIREMENT COMMUNITY | 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 | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 12 | 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 | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-09-05 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-11-02 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 8 | 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 | 8 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.47072 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 30.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.70688 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.04933 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.15332 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01722 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.65755 | 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 | 3.86020 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | PA | State |
| Provider Information | Telephone Number | 7176656365 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.66042 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 33.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 11.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 17545 | ZIP Code |