Mt Hope Nazarene Retirement Community
Manheim, Lancaster County, Pennsylvania · CCN 396119 · Non-profit (Corporation) · not part of a chain
CMS rates Mt Hope Nazarene Retirement Community 5 of 5 overall as of August 2026. 50 certified beds, 49 residents a day on average. 14 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / — of 5 |
Staffing
| Total nurse staffing | 4.09122 hours per resident per day |
|---|---|
| Registered nurses | 0.64804 hours per resident per day |
| Weekend total | 3.80488 hours per resident per day |
| Nursing staff turnover | 40% (registered nurses 14.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-09-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-04 |
| 2024-09-05 | 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-04 |
| 2023-11-02 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-05 |
| 2023-11-02 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-05 |
| 2022-11-16 | 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. Resident Rights Deficiencies · tag F0575 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-20 |
| 2022-11-16 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-30 |
| 2022-11-16 | 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. Resident Rights Deficiencies · tag F0585 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-20 |
| 2022-11-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-15 |
| 2022-11-16 | 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. Quality of Life and Care Deficiencies · tag F0700 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-30 |
| 2022-11-16 | 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. Environmental Deficiencies · tag F0909 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-22 |
| 2022-11-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-20 |
| 2022-11-16 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-05 |
| 2022-11-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-14 |
| 2022-11-16 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-24 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ephrata Church Of The Nazarene Organization | 5% or greater direct ownership interest | 60% | 2006-11-01 |
| Ephrata Church Of The Nazarene Organization | 5% or greater mortgage interest | — | 2006-11-01 |
| Ephrata Church Of The Nazarene Organization | 5% or greater security interest | — | 2006-11-01 |
| Fillmore, Debbie Individual | adp of the snf | — | 2006-01-01 |
| Lovell, Susie Individual | adp of the snf | — | 2022-08-22 |
| Lucas, Joanna Individual | adp of the snf | — | 2006-09-01 |
| Martin, Leon Individual | adp of the snf | — | 2018-01-08 |
| Maxim, Marina Individual | adp of the snf | — | 2017-04-26 |
| Peck, Michael Individual | adp of the snf | — | 2022-10-02 |
| Snyder, Charlyn Individual | adp of the snf | — | 2021-01-01 |
| Snyder, Kevin Individual | adp of the snf | — | 2025-04-11 |
| Stehr, Joanne Individual | adp of the snf | — | 2024-12-01 |
| Sterner, Jeff Individual | adp of the snf | — | 2022-06-01 |
| Tornabe, Michele Individual | adp of the snf | — | 2011-04-07 |
| Wickenheiser, Thomas Individual | adp of the snf | — | 2024-02-29 |
| Fillmore, Debbie Individual | corporate director | — | 2006-09-01 |
| Lovell, Susie Individual | corporate director | — | 2022-08-24 |
| Lucas, Joanna Individual | corporate director | — | 2006-09-01 |
| Martin, Leon Individual | corporate director | — | 2018-01-08 |
| Maxim, Marina Individual | corporate director | — | 2017-05-05 |
| Peck, Michael Individual | corporate director | — | 2022-10-02 |
| Snyder, Charlyn Individual | corporate director | — | 2021-01-01 |
| Snyder, Kevin Individual | corporate director | — | 2025-04-11 |
| Stehr, Joanne Individual | corporate director | — | 2024-12-01 |
| Sterner, Jeff Individual | corporate director | — | 2022-06-01 |
| Tornabe, Michele Individual | corporate director | — | 2012-03-12 |
| Wickenheiser, Thomas Individual | corporate director | — | 2024-02-29 |
| Cafrelli, Steven Individual | corporate officer | — | 2021-07-01 |
| Fillmore, Debbie Individual | corporate officer | — | 2006-11-01 |
| Hambrick, Rocklin Individual | corporate officer | — | 2013-08-05 |
| Lovell, Susie Individual | corporate officer | — | 2022-08-22 |
| Lucas, Joanna Individual | corporate officer | — | 2006-11-01 |
| Snyder, Charlyn Individual | corporate officer | — | 2020-07-07 |
| Sterner, Jeff Individual | corporate officer | — | 2022-02-09 |
| Maxim, Marina Individual | operational/managerial control | — | 2017-04-26 |
| Peck, Michael Individual | operational/managerial control | — | 2022-10-02 |
| Tornabe, Michele Individual | operational/managerial control | — | 2011-04-07 |
| Wickenheiser, Thomas Individual | operational/managerial control | — | 2024-02-29 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Mt Hope Nazarene Retirement Community.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lancaster County.