01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-09-05 | 2 | 2024-09-05 | 0 |
| Cycle 2 | 2023-11-02 | 2 | 2023-11-02 | 0 |
| Cycle 3 | 2022-11-16 | 10 | 2022-11-16 | 0 |
CMS CCN 3961192026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mt Hope Nazarene Retirement Community
3026 Mount Hope Home Road · Manheim, PA 17545 · Lancaster County
Certified beds50CMS provider file
Recent citation rows14current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
14 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-09-05 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-10-042024-09-05 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-042023-11-02 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-12-052023-11-02 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-12-052022-11-16 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2022-12-202022-11-16 · HEALTHF0575Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-12-202022-11-16 · HEALTHF0582Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2022-12-302022-11-16 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-12-202022-11-16 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-01-052022-11-16 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2022-12-152022-11-16 · HEALTHF0700Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-12-302022-11-16 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-01-142022-11-16 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2022-12-242022-11-16 · HEALTHF0909Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-12-2203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EPHRATA CHURCH OF THE NAZARENEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST60% · since 11/01/2006
- EPHRATA CHURCH OF THE NAZARENEOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 11/01/2006
- EPHRATA CHURCH OF THE NAZARENEOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 11/01/2006
- FILLMORE, DEBBIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2006
- LOVELL, SUSIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/24/2022
- LUCAS, JOANNAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2006
- MARTIN, LEONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/08/2018
- MAXIM, MARINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/05/2017
- PECK, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/02/2022
- SNYDER, CHARLYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- SNYDER, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/11/2025
- STEHR, JOANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2024
- STERNER, JEFFIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2022
- TORNABE, MICHELEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/12/2012
- WICKENHEISER, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/29/2024
- CAFRELLI, STEVENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2021
- FILLMORE, DEBBIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2006
- HAMBRICK, ROCKLINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/05/2013
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.09per resident day
RN hours0.65per resident day
Weekend nurse hours3.80per resident day
Staff turnover40.0%CMS reported field
06 / LOCAL RECORDS
Open the Manheim ledger →