Provider Name: LEBANON VALLEY BRETHREN HOME
Address: 1200 GRUBB STREET, PALMYRA, PA 17078
Phone: (717) 838-5406
County: Lebanon (460)
Ownership Type: Non profit - Corporation
Certified Beds: 88
Average Residents Per Day: 68.7 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LEBANON VALLEY BRETHREN HOME
First Approved Date: February 23, 1979
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.71759, LPN Staff Hours Per Day: 0.9742, RN Staff Hours Per Day: 0.6778, Licensed Staff Hours Per Day: 1.6520
Total Nurse Staff Hours Per Day, per resident: 4.36961
Weekend Nurse Staff Hours: 3.94805, Weekend RN Staff Hours: 0.4103
PT Staff Hours Per Day, per resident: 0.0623
Nurse Staff Turnover: 29.7, Nurse Turnover Note:
RN Turnover: 20.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1405, Case Mix LPN Hours Per Day: 0.7245, Case Mix RN Hours Per Day: 0.3495
Adjusted Nurse Aide Hours Per Day, per resident: 2.58640, Adjusted LPN Hours Per Day: 0.9922, Adjusted RN Hours Per Day: 0.7306
Total Adjusted Nurse Hours Per Day, per resident: 4.28436
Adjusted Weekend Nurse Hours Per Day, per resident: 3.87103
Health Survey Dates and Scores: Cycle 1: 2024-01-11 (Score: 4), Cycle 2: 2023-02-09 (Score: 0), Cycle 3: 2022-03-24 (Score: 8)
Total Weighted Health Score: 3.333
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1200 GRUBB STREET,PALMYRA,PA,17078 (40.3030, -76.576)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide safe, appropriate pain management for a resident who requires such services.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-02-02
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-07-09
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-08
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0161, Version: New
Description: Use approved construction type or materials.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-02-16
Type: Fire Safety, Tag: 0223, Version: New
Description: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-02-16
Type: Fire Safety, Tag: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-03-13
Type: Fire Safety, Tag: 0920, Version: New
Description: Ensure proper usage of power strips and extension cords.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-03-13
Type: Fire Safety, Tag: 0325, Version: New
Description: Have properly installed hallway dispensers for alcohol-based hand rub.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-28