Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LEBANON VALLEY HOME THE

ANNVILLE, PA · 55 certified beds · Last Life Safety survey October 3, 2024

CMS Certification Number 395832 · first certified September 1990

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

4
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within PA

4 citations — more than 22% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (August 2025 to October 2025), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was October 2024. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility4PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility4
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-1012023-0912024-10
Citations at each Life Safety survey
Survey dateCitations
October 14, 20222
September 21, 20231
October 3, 20241

Most-cited tags

Most-cited tags at this facility
K-01331K-01001K-03531K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0133Install a two-hour-resistant firewall separation.12022-10-14
K-0100Meet other general requirements.12024-10-03
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-09-21
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-10-14

What the citations cover

Citations by CMS category
  • Construction Deficiencies 2
  • Smoke Deficiencies 2
Citations by CMS category
CategoryCitations
Construction Deficiencies2
Smoke Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

October 3, 2024 — 1 citation

Citations issued on October 3, 2024
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (December 12, 2024)

September 21, 2023 — 1 citation

Citations issued on September 21, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 1, 2023)

October 14, 2022 — 2 citations

Citations issued on October 14, 2022
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (December 23, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 23, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.