Complete Care at Lehigh LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Lehigh LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 15, 2026

  Based on facility policy review, clinical record review, facility documentation, and staff interview, it was determined that the facility failed to provide prescribed treatment for one of five sampled residents with wounds. This failure resulted in an Immediate Jeopardy situation. (Resident 1) Findings include: Review of the facility policy entitled Wound Treatment Management, last reviewed on September 4, 2025, revealed that staff were to provide wound care treatments in accordance with physicians' orders. […]

• No harm, potential for more than minimal, widespreadF812Jul 30, 2026

  Based on observation and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department.Findings include: Observations during the kitchen tour on July 26, 2026, at 10:00 a.m., revealed the following: In the walk-in freezer, there was an accumulation of ice on the floor on the left side of the entry way and on the ceiling on the right side of the fan. In a reach-in refrigerator, there were six trays of pre-poured juices that had no label or date. On July 26 2026, at 10:12 a.m., the Assistant Dietary Manager confirmed that the pre-poured juices should have been labeled and dated. 28 Pa. Code 201.14(a) Responsibility of licensee. 28 Pa. Code 201.18(b)(3) Management.

• No harm, potential for more than minimal, widespreadF812Jul 12, 2024

  Based on observation and interview, it was determined that the facility failed to maintain sanitary conditions in the kitchen. Findings include: Observation in the kitchen on July 9, 2024, at 10:48 a.m., revealed the following: The dish machine failed to achieve the appropriate concentration of sanitizer solution (50-100 parts per million) for three full cycles. There was a black substance on the walls that surrounded the dish machine. There was a back flow of water from a drain on the dish room floor. There was debris on a windowsill in the food preparation area. In an interview, dietary employee 1 stated that she did not check the concentration of the sanitizer solution during operation that morning. […]

• No harm, potential for more than minimal, patternF584Jul 30, 2026

  Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on four of four nursing units. (Units TCU, 1A, 2B and 2C) Findings include: Observations on July 26, 2026, from 10:05 a.m. to 1:35 p.m., revealed the following: The inside of the microwave in the TCU's nourishment room had food debris throughout. In room [ROOM NUMBER]-B, there was a brown stain on the ceiling tile near the window. In room [ROOM NUMBER], there were six holes in the wall and a three-foot area of baseboard missing in front of bed A. The dresser for bed A had three broken shelves that were held together with tape. In the bathroom, the wall on the right side was marred and paint was chipped away. […]

• No harm, potential for more than minimal, patternF677Jul 30, 2026

  Based on clinical record review, observation, and resident and staff interviews, it was determined that the facility failed to ensure that appropriate assistance with bathing and personal hygiene was provided to four of eight sampled residents who required assistance from staff to complete activities of daily living (ADL)s. (Resident 7, 13, 114, 121) Findings include: Clinical record review revealed that Resident 7 had diagnoses that included a bladder cancer, muscle weakness, and polyneuropathy (numbness and tingling to feet and hands due to peripheral nerve malfunction) of the body. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed that Resident 7 required assistance from staff with hygiene and self-care and had severe cognitive impairment. […]