All citations for Ephrata Manor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

September 20, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 20 of 20 citations

  1. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  2. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  3. No harm, with potential for more than minimal harm

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of February 2, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 3, 2026).

  4. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  5. No harm, with potential for more than minimal harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

  6. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

  7. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

  8. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  9. No harm, with potential for more than minimal harm

    Assure that each resident’s assessment is updated at least once every 3 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  10. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  11. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  12. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2023).

  15. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of December 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2023).

  16. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of December 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2023).

  17. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2023).

  18. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 16, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2023).

  19. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  20. No harm, with potential for minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.