A list of the most recent deficiencies for Lebanon Valley Home The. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-07 | 2023-11-01 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-10-24 | 2022-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-24 | 2022-12-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-10 | 2022-01-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-10 | 2022-01-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-11-10 | 2022-01-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-11-10 | 2022-01-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-11-18 | 2022-01-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-18 | 2022-01-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-18 | 2022-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-18 | 2022-01-07 | N |
