Lebanon North Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Lebanon North Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 10, 2023

  Based on interview, record review, and observation, the facility failed to have a system in place to ensure physician ordered appointments, labs, and procedures were scheduled timely resulting in an ordered mammogram and MRI for one resident (Resident #1) not to be completed for a possible breast cancer diagnosis which delayed treatment options. The facility census was 69. The Administrator and Director of Nursing (DON), were notified on 08/08/23, of the Past Non-Compliance Immediate Jeopardy which began on 03/01/23. On 08/01/23, the DON reviewed the resident's chart and began an investigation, educated the employees involved, in-serviced all facility staff, and is monitoring charts daily to ensure ordered appointments are being completed timely. […]

• Immediate jeopardy, isolatedF689Mar 22, 2022

  Based on observation, interview, and record review, the facility failed to provide protective oversight to all residents when staff failed to consistently implement elopement interventions, failed to care plan elopement interventions, failed to identify and care plan events that trigger exit seeking behaviors, and failed to monitor window stop devices, for one resident (Resident #1), with a history of exit seeking, who left the facility through a window and was later struck by a train and died . The facility census was 83. The administrator was notified on [DATE], at 5:25 P.M., of an Immediate Jeopardy (IJ) which began on [DATE]. The IJ was removed on [DATE], as confirmed by surveyor onsite verification. […]

• Actual harm, isolatedF684Apr 16, 2026

  1.Please refer to event ID 1E31E4-H3, exit date 06/05/26, for details. Complaints #2987175 and #2988229.

• Actual harm, isolatedF604Feb 10, 2026

  Based on interview and record review, the facility failed to protect the resident's right to be free from physical restraint when staff physically restrained one resident (Resident #2) while assisting him/her back to the special care unit by holding the resident's arms behind his/her back resulting in the resident being upset and crying. The facility census was 77.Review of a facility policy titled Resident Rights, undated, showed the following:-It is the intent of the facility to promote and ensure the highest standards of conduct and reliability by its employees and consultants to in turn produce environments in the facility that promote the highest standards of care and security for our residents and families we serve;-The exercise of resident rights shall be free from restraint,… […]

• Actual harm, isolatedF684Feb 10, 2026

  Based on interview and record review, the facility failed to ensure all residents received treatment and care in accordance with professional standards of practice when the facility failed to administer medications as ordered, failed to obtain ordered labs in a timely fashion, failed to timely assess and document changes of conditions, and failed to notify the physician of missed medications, out of range labs, and changes of conditions in a timely manner for one resident (Resident #1) who was hospitalized due to his/her change of condition. […]