Lebanon Valley Brethren Home.

“The home failed to post required Clean Indoor Air Act signs at entrances stating 'Smoking Permitted in Designated Areas Only' or 'No Smoking.'”

“The home did not have a working, non-coin-operated landline telephone accessible in emergencies and to individuals with disabilities.”

“A gate locked with a non-magnetic and non-electronic locking device blocked egress from the home's secured courtyard, creating an obstruction to emergency exit routes. This was a repeated violation.”

“The exit door from the lounge/dining area leading to the courtyard was equipped with a locking device requiring a key, preventing residents from easily opening it from the inside.”

“Emergency procedures for the local municipality were not posted in a conspicuous and public place in the home. This was a repeated violation.”

“There was no fire extinguisher in the home's attic, which was accessible by pull-down steps, failing to meet the requirement of at least one operable fire extinguisher per floor.”

“Directions for operating the home's locking mechanisms were not conspicuously posted near the door by the entrance lounge area leading to the secured dementia care unit courtyard or by the courtyard gate.”

“Staff Person A has been volunteering at the home but does not have a Pennsylvania State Police criminal background check on file.”

“Staff Person A and Staff Person B did not receive required orientation on first work day covering evacuation procedures, staff duties during fire drills and emergency evacuation, designated meeting places, smoking safety, fire extinguishers, smoke detectors and fire alarms, and telephone use for emergency services.”

“Staff Person A and Staff Person B have not received required annual training during 2022, 2023, and 2024 in fire safety, emergency preparedness, resident rights, Older Adult Protective Services Act, falls and accident prevention, and new population groups.”

“The exit door labeled #35 by the dining room had two cardboard boxes and a rollator walker blocking the egress route.”

“The home's emergency procedures are not posted in a conspicuous and public place in the home as required.”

“Staff reported the home re-does fire drills that exceed the maximum safe evacuation time specified by a fire safety expert and fails to document failed drills. A failed fire drill was reported in December 2024 that was re-done rather than documented, and documentation for a 09/24/2024 fire drill contained discrepancies.”

“A staff member entered a resident's room and, when questioned, got in the resident's face. After the resident pushed them away, the staff member pinched the resident on the forearm, causing a bruise. This constitutes physical abuse and mistreatment of the resident.”

“During all fire drills conducted from January 2023 through March 2024, the same exit routes labeled "A, B, C" were used for each fire drill instead of alternating exit routes as required by regulation.”

“During the fire drill on 05/15/2023 at 7:00PM, 8 residents did not evacuate to a designated meeting place away from the building or within the fire-safe area, as they stayed in their rooms due to being past their bedtime.”

“Discrepancies were observed between the readings on Resident 3's glucometer and the readings documented on Resident 3's medication administration record (MAR), indicating failure to properly implement safe storage, access, security, distribution and use of medical equipment by trained staff.”

“Resident 1's preadmission screening form does not include a determination that the needs of the resident can be met by the services provided by the home.”

“The assessor participated in the development of Resident 2's support plan on 02/26/2024, but did not sign and date the support plan as required.”