Deficiency Index

Fairmount Homes

Ephrata, Pennsylvania · CCN 395805

12 surveys since 2011. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
43
Surveys
12
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/12

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
114
Ownership
Non profit - Corporation
Chain
FRIENDS SERVICES FOR THE AGING
County
Lancaster
Medicare-certified since
1989

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=4, floor 20).

Last survey on record

—

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.394.12
Registered-nurse hours per resident day0.77—
Annual nurse turnover25.0%40.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

In the surveyor’s words

From the most serious findings on record at Fairmount Homes, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF605Aug 7, 2026

    Based on observations, review of the facility's policy and clinical records, and staff interviews, it was determined that the facility failed to consistently and closely monitor a resident exhibiting psychotropic medication side effects and failed to provide a rationale for extended use of an antianxiety medication for two of five residents reviewed (Resident 42 and 79). Findings include: A review of the facility's policy titled Psychotropic Medication/Behavioral Management Policy, last reviewed in March 2026, revealed that PRN (as needed) orders are limited to 14 days for all psychotropic medications (Any medication that affects the brain activity associated with mental processes and behaviors). […]

  • No harm, potential for more than minimal, isolatedF657Aug 7, 2026

    Based on observations, review of the facility's policy and clinical records, and staff interviews, it was determined that the facility failed to revise a care plan for psychotropic medication side effects for one of five residents reviewed (Resident 42). Findings: A review of the facility's policy titled Psychotropic Medication/Behavioral Management Policy, last reviewed in March 2026, revealed Revise the care plan as needed. Review the interventions for effectiveness and change as needed. Care plans should include all target behaviors, expressions of distress, non-pharmacological interventions, and desired outcomes. A review of Resident 42's current care plan revealed a care plan for High Risk Medication-potential for side effects, developed on February 14, 2025. […]

  • No harm, potential for more than minimal, isolatedF684Sep 10, 2021

    Based on review of facility policy, clinical record review, and staff interview, it was determined that the facility failed to follow physician's orders for one of 20 residents reviewed (Resident 6.) Findings include: Review of facility policy, Bowel Management Program, dated November 2017, revealed On day three, if no bowel movement occurs, give [MEDICATION(S)] in the evening. If resident refuses, document bowel assessment and continue to day four interventions. On day four, if no bowel movement occurs, insert a [MEDICATION(S)] Suppository rectally in the morning. […]

  • No harm, potential for more than minimal, isolatedF686Sep 10, 2021

    Based on clinical record review and staff interview it was determined the facility failed to develop interventions to prevent pressure ulcers and follow a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] Findings Include: Review of Resident diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident 44's Admission Minimum Data Set (periodic assessment to determine residents needs) dated April 29, 2021 revealed the resident required extensive assist of two staff member for bed mobility. Review of resident 44's Braden Scale for Predicting Pressure Ulcer Risk Assessment, dated May 20, 2021 determined the resident was at risk for developing pressure ulcers. Review of Resident 44's progress notes revealed a nursing entry on June 1, 2021 at 3:43 p.m. […]

Read 20 findings in full →The most serious and the most recent: 20 of 43 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 7, 2026Standard2 findings
  • Sep 10, 2021Standard2 findings
  • Dec 8, 2016Standard4 findings
  • Jun 20, 2016Standard2 findings
  • Dec 11, 2015Standard16 findings · 1 harm
  • Jan 20, 2015Standard4 findings
  • Nov 3, 2014Complaint1 finding
  • Dec 16, 2013—3 findings
Show the 4 earlier surveys
  • Jan 7, 2013—3 findings
  • May 23, 2012—2 findings
  • Dec 15, 2011—2 findings
  • Jan 13, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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