Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MASONIC VILLAGE AT ELIZABETHTOWN

ELIZABETHTOWN, PA · 434 certified beds · Last Life Safety survey December 5, 2024

CMS Certification Number 395560 · first certified March 1983

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within PA

23 citations — more than 88% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (October 2025 to December 2025), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was December 2024. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility23PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0272024-0192024-12
Citations at each Life Safety survey
Survey dateCitations
February 10, 20237
January 25, 20247
December 5, 20249

Most-cited tags

Most-cited tags at this facility
K-09203K-05112K-03532K-03552K-03452K-05412K-02252K-05311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32024-12-05
K-0511Have properly installed electrical wiring and gas equipment.22024-12-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-12-05
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22024-12-05
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-12-05
K-0541Install properly constructed and protected linen or trash chutes.22024-12-05
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.22024-12-05
K-0531Have elevators that firefighters can control in the event of a fire.12024-01-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Services Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Services Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies4

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 5, 2024 — 9 citations

Citations issued on December 5, 2024
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (February 1, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 1, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 1, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 1, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 1, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 1, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 1, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (February 1, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 1, 2025)

January 25, 2024 — 7 citations

Citations issued on January 25, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 16, 2024)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (February 16, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 16, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 16, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 16, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (February 16, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 16, 2024)

February 10, 2023 — 7 citations

Citations issued on February 10, 2023
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (March 3, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 3, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 3, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 3, 2023)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (March 3, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 3, 2023)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (March 3, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.