Public Record
Ephrata Manor
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 120
- Avg. residents per day
- 107.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 11
- Fire safety findings
- 9
- Inspections on file
- 7
- Last inspection
- 2026-02-02
*CMS
*CMS
*CMS
*CMS
Citations
11 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0745Generalpotential for harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 0758Generalpotential for harm
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.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0730Generalpotential for harm
Observe each nurse aide's job performance and give regular training.
- 0758Generalpotential for harm
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.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0758Generalpotential for harm
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.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection1 deficiency
395857 02/02/2026 Ephrata Manor 99 Bethany Road Ephrata, PA 17522 F 0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO…
Read full statement of deficiencies - View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety3 deficiencies
- View inspection reportInspectionFire Safety3 deficiencies
- Inspection7 deficiencies
395857 11/03/2023 Ephrata Manor 99 Bethany Road Ephrata, PA 17522 F 0580 Level of Harm - Minimal harm or potential for actual harm Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Based upon clinical…
Read full statement of deficiencies - Inspection2 deficiencies
395857 12/16/2022 Ephrata Manor 99 Bethany Road Ephrata, PA 17522 F 0756 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
FAQ
Questions and answers
- What is Ephrata Manor?
- Ephrata Manor is a Medicare- and Medicaid-certified nursing home in Ephrata, PA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 395857.
- What is the CMS rating for Ephrata Manor?
- Ephrata Manor has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Ephrata Manor have?
- Ephrata Manor is certified for 120 beds. It serves an average of 107.5 residents per day.
- How many citations does Ephrata Manor have?
- Ephrata Manor has 11 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Ephrata Manor last inspected?
- Ephrata Manor was last inspected on February 2, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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