Lebanon Valley Home the

In the surveyor’s words

From the most serious findings on record at Lebanon Valley Home the, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 21, 2026

  Based on review of facility policy, clinical record, facility documentation, and staff interviews, it was determined the facility failed to implement interventions to prevent an accident during a transfer for one of four sampled residents (Resident 1), which resulted in actual harm (fractures of the leg). The incident has been identified as past non-compliance. Findings include: Review of the facility policy titled, Freedom from Abuse, Neglect, and Exploitation of Residents and Misappropriation of Resident Property last reviewed January 22, 2026, revealed a resident had the right to be free from neglect. Staff were to provide goods and services to a resident that were necessary to avoid physical harm, pain, mental anguish, or emotional distress. […]

• No harm, potential for more than minimal, patternF628Sep 5, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to notify the Office of the State Long-Term Care Ombudsman in writing of a transfer from the facility for three of three sampled residents who were transferred to the hospital. (Residents 2, 3, 6)Findings include: Clinical record review revealed that Resident 2 was transferred to the hospital on March 29 and April 20, 2025, after changes in condition. There was no documented evidence that the Ombudsman's office was informed of the transfers to the hospital. Clinical record review revealed that Resident 3 was transferred to the hospital on March 14 and April 20, 2025, after changes in condition. […]

• No harm, potential for more than minimal, isolatedF550Oct 3, 2024

  Based on clinical record review and observation, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity for one of 13 residents in one of two dining rooms (Main Dining Room). (Resident 8) Findings include: Clinical record review revealed that Resident 8 had diagnoses that included vascular dementia, anemia, and chronic fatigue. Review of the Minimum Data Set (MDS) assessment, dated July 2, 2024, revealed that the resident had cognitive impairment. Review of Resident 8's care plan revealed that staff was to encourage oral intake and assist with dining. On October 1, 2024, from 11:55 a.m. […]

• No harm, potential for more than minimal, isolatedF558Nov 10, 2021

  Based on clinical record review, observation, and resident and staff interviews it was determined that the facility failed to ensure that a call bell was accessible for one of 14 sampled residents. (Resident 5) Findings include: Clinical record review revealed that Resident 5 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set assessment, dated August 16, 2021, revealed that the resident had no functional limitation with her range of motion and required extensive assistance from staff with activities of daily living, including bed mobility, dressing, and hygiene. Review of Resident 5's current care profile revealed interventions for a soft touch call bell and to have her call bell within reach. On November 8, 2021, at 10:44 a.m. […]

• No harm, potential for more than minimal, isolatedF580Nov 10, 2021

  Based on clinical record review and review of facility documentation, it was determined that the facility failed to notify a resident's physician in a timely manner of an accident for one of 14 sampled residents. (Resident 49) Findings include: Review of the facility's Physician Notification Guidelines, revealed that when a resident experienced any head injury with a change in mental status the physician was to be notified immediately. Immediate notification usually meant the physician would be informed within one hour or as soon as practicable due to resident safety, but no later than the end of the business day. Clinical record review revealed that Resident 49 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]