Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ephrata Manor during CMS and state inspections, most recent first.
A resident with dementia, altered mental status, and a SLUMS score indicating severe cognitive impairment was discharged home despite documented confusion, inability to make sound medical decisions, and concerns about unsafe, unsanitary living conditions in a dilapidated trailer. The SW and rehab staff received conflicting information about the resident’s living situation from the resident and an ex-husband, but the facility did not verify the home environment or perform a home check. Although staff recognized that the resident’s cognitive impairment made a home discharge unsafe and social services reported an unsafe discharge to the Office of Aging, the resident was discharged with support services ordered and no post-discharge follow-up by social services, leading surveyors to cite a failure to provide necessary social services for a safe discharge.
A resident with delusional disorder was prescribed Quetiapine and Rexulti, but the facility failed to monitor potential side effects as required. The Medication Administration Record lacked documentation of side effects monitoring, which was confirmed by the DON. This was against the facility's policy and regulatory requirements.
Failure to Provide Adequate Social Services for Safe Discharge of Cognitively Impaired Resident
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate medically-related social services to ensure a safe discharge home for a resident with significant cognitive impairment. The resident had diagnoses including altered mental status and metabolic encephalopathy, and admission physician orders documented that the resident was not capable of understanding and exercising their own rights. Nursing notes over several days described frequent confusion and disorientation, including the resident being found in the hallway with a purse, not knowing where their room was. A nurse practitioner’s assessment documented dementia associated with alcoholism, orientation only to self, a SLUMS score of 16/30 indicating a marked severe level of impairment, tangential thought processes, and a determination that the resident was not capable of making sound medical decisions. The NP’s note also documented concern about the discharge plan because the resident lived alone in a dilapidated trailer with unsanitary living conditions and had limited support from an ex-husband who was minimally involved. Social services notes showed that when discharge planning was discussed, the resident gave inconsistent information about their living situation, alternately describing a two-story home and a manufactured home, and reporting involvement of an ex-husband and an ex-boyfriend. The social worker reported that the ex-husband expressed concerns about the home, including holes and soft spots in the floor, but also confirmed that neither the resident’s description nor the ex-husband’s report of the home environment was verified by the facility. The rehab director stated that the resident was physically cleared but had cognitive impairment making them unsafe to go home, and acknowledged that no home check was performed despite conflicting information about the residence. Despite documented concerns about the resident’s mental status, decision-making capacity, and the safety and cleanliness of the home environment, the resident was ultimately discharged home with an order stating they were stable for discharge with support services. Nursing documentation indicated that the resident was discharged home accompanied by the ex-husband, even though the facility was aware of the resident’s impaired mental status and safety concerns at the mobile home. Social services contacted the Office of Aging to report an unsafe discharge and provided information about the home conditions and the resident’s increased confusion, but there was no follow-up by social services after the resident’s discharge. A licensed social services employee later reported only hearing from the hospital that the resident had been sent back a few days after discharge. These actions and omissions led to the determination that the facility failed to ensure the resident received all necessary social services to support a safe discharge home.
Failure to Monitor Side Effects of Anti-Psychotropic Medications
Penalty
Summary
The facility failed to monitor potential side effects of anti-psychotropic medications for a resident diagnosed with delusional disorder. The resident was prescribed Quetiapine and Rexulti, both anti-psychotic medications, with specific side effects that needed monitoring. However, the Medication Administration Record did not show any documentation of side effects monitoring for these medications during August and September. An interview with the Director of Nursing confirmed the absence of documented side effects monitoring for the resident's medications. This lack of monitoring was a violation of the facility's policy, which required regular review and evaluation of potential adverse medication reactions and side effects, as well as compliance with state and federal regulations regarding psychotropic medications.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 286 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ephrata
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maple Farm | 2 mi | ★★★★★ | 0 | 0 |
| Fairmount Homes | 2.5 mi | ★★★★★ | 0 | 0 |
| Gardens At Stevens, The | 4.2 mi | ★★★★★ | 11 | 0 |
| Landis Homes | 6.2 mi | ★★★★★ | 1 | 0 |
| Luther Acres Manor | 6.4 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.