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

Lebanon Valley Brethren Home

PALMYRA, PA · 88 certified beds · Last Life Safety survey January 23, 2025

CMS Certification Number 395437 · first certified February 1979

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
1
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 0 citations; the earlier surveys in the window averaged 2. 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 (December 2025 to January 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was January 2025. 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
22023-0222024-0102025-01
Citations at each Life Safety survey
Survey dateCitations
February 9, 20232
January 11, 20242
January 23, 20250

Most-cited tags

Most-cited tags at this facility
K-09201K-01611K-03721K-02231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.12023-02-09
K-0161Use approved construction type or materials.12024-01-11
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-02-09
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-01-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 1
  • Egress Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies1
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Construction Deficiencies1

Every citation on file

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

January 11, 2024 — 2 citations

Citations issued on January 11, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 16, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (February 16, 2024)

February 9, 2023 — 2 citations

Citations issued on February 9, 2023
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 13, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 13, 2023)

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