Pennsylvania Department of Health
LEBANON SKILLED NURSING AND REHABILITATION CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

LEBANON SKILLED NURSING AND REHABILITATION CENTER
Inspection Results For:

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LEBANON SKILLED NURSING AND REHABILITATION CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on an Abbreviated survey in response to a complaint completed on March 15, 2024, it was determined that Lebanon Skilled Nursing and Rehabilitation Center was not in compliance with the following requirements of the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

§ 211.12(f.1)(4) LICENSURE Nursing services. :

(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.

Observations:
Based on a review of nursing time schedules, it was determined that the facility failed to meet the minimum licensed practical nurse (LPN) to resident ratio for one of three days reviewed.

Findings include:

Review of nursing schedules for three days from March 12 through March 14, 2024, revealed the following:

The facility failed to meet the minimum LPN to resident ratio of one LPN for 40 residents on night shift (11:00 p.m. to 7:00 a.m.) on March 14, 2024.

During an interview on March 15, 2024, at 1:30 p.m., the Administrator confirmed that the facility did not meet the minimum required nursing staff to resident ratio on the day identified.

Plan of Correction - To be completed: 04/05/2024

1. Identified practice is unable to be retroactively corrected.
2. LPN to resident ratio of one LPN to 40 residents will be scheduled on the night shift.
3. Nursing Scheduler will receive re-education on the LPN to resident ratio.
4. NHA/designee will conduct random audits of five shifts per week for four weeks. Results of audits will be presented to the QAPI Committee for review and recommendations as needed.

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