Lebanon Skilled Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lebanon Skilled Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 17, 2026

  Based on facility policy review and observation, it was determined that the facility failed to store food in a sanitary manner in the dietary department.Findings include: Review of the facility's policy entitled, Personal Hygiene, dated February 2, 2026, revealed that all staff must wear hair restraints to effectively keep hair from contacting exposed food. Observation during the lunch meal service tray line on April 15, 2026, from 11:30 a.m., to 12:03 p.m., revealed Dietary Employee (DE) 1 and DE 2 were observed working the meal tray line directly over uncovered food with mustaches that were not covered. The window frame above the shelf where a large mixer with an uncovered bowl, the Robot-coupe mixer, and a blender were stored had paint peeling off of it. […]

• No harm, potential for more than minimal, widespreadF812Mar 26, 2025

  Based on facility policy review, observation, and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department. Findings include: Review of the facility policy entitled, Food Handling, dated February 24, 2025, revealed that staff were to label food items with the date prepared or opened and then discard after seven days after opening an item or three days after a food was prepared. Observations during the kitchen tour on [DATE], at 9:30 a.m., revealed the following: In the walk-in cooler, there was an opened bag of shredded mozzarella that was dated [DATE], and a pan of ham salad that was dated [DATE]. There was a pan of egg salad, a bag of lettuce, and a pan of raw pork cubes that were not dated. […]

• No harm, potential for more than minimal, widespreadF880Mar 26, 2025

  Based on a review of facility policy, review of facility documentation, and staff interview, it was determined that the facility failed to perform infection surveillance in accordance with facility policy. Findings include: Review of the facility policy entitled, Infection Control Outcome and Process Surveillance and Reporting, last reviewed February 24, 2025, revealed that the Infection Preventionist would conduct regular surveillance related to infections. During the review of the facility infection control program on March 26, 2025, there was no documented evidence of any infection surveillance since January 2025. […]

• No harm, potential for more than minimal, patternF628Apr 17, 2026

  Based on clinical record review and staff interview, it was determined the facility failed to notify the resident and/or resident's representative(s) of transfer(s), and failed to notify a representative of the Office of the Long-Term Care Ombudsman, including the reasons for the moves, in writing upon transfer for six of six residents who were transferred out of the facility. (Residents 2, 7, 14, 42, 149, and 151) Findings include: Clinical record review revealed that Resident 2 was transferred to the hospital on December 26, 2025, after a change in condition. […]

• No harm, potential for more than minimal, patternF801Mar 26, 2025

  Based on staff interview, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian. Findings include: During an interview on March 23, 2025, at 10:30 a.m., the Dietary Manager stated the facility did not employ a certified dietary manager. In an interview conducted on March 25, 2025, at 12:05 p.m., the Administrator confirmed that there was not a full-time dietitian employed onsite at the facility and that the facility did not employ a qualified certified dietary manager in the absence of a full-time dietitian. 28 Pa. Code 201.18(b)(3) Management.