21 Reports
Inspection Report — Aug 20, 2026
Date: Aug 20, 2026
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Residents Served: 56
Current Hospice Residents: 1
Residents Age 60 or Older: 56
Residents with Mobility Need: 7
Residents with Physical Disability: 2
Notice — Jun 16, 2026
Date: Jun 16, 2026
Visit Reason
The document serves as a response to a request for a waiver of Pennsylvania Code § 2600 related to medication administration training to allow unlicensed direct care staff to administer subcutaneous injections of GLP-1 agonist medications.
Findings
The waiver is granted with specific conditions including required training, monitoring, documentation, and availability of a licensed clinical contact. The Department will review compliance annually during inspections.
Inspection Report — Apr 14, 2026
Renewal
Date: Apr 14, 2026
Visit Reason
The inspection was conducted as a renewal and incident review of the facility's compliance with licensing requirements.
Findings
The facility had multiple deficiencies related to administrator annual training, sanitary conditions, medication labeling, medication storage procedures, and following prescriber's orders. All deficiencies had plans of correction accepted and were implemented by mid-May 2026.
Citations (5)
64c Annual Training: The home's administrator completed only 13.5 hours of Department-approved training in training year 2025, less than the required 24 hours.
85a Sanitary Conditions: On 4/14/26, a pungent odor of urine was detected in resident room #213 due to soiled clothing in the bathroom laundry basket.
184a Resident's Meds Labeled: The pharmacy label for Resident #1's MiraLAX powder did not reflect a change from as needed to daily or contain a change in direction sticker.
185a Implement Storage Procedures: Resident #2's prescribed Ipratropium-Albuterol as needed was not available in the home on 4/14/26.
187d Follow Prescriber's Orders: Resident #3 was administered Midodrine despite systolic blood pressure readings above 140 on multiple days, contrary to prescriber directions.
Report Facts
Residents Served: 59
Staffing: 67
Waking Staff: 50
Administrator Training Hours: 13.5
Inspection Report — Nov 6, 2024
Renewal
Date: Nov 6, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of the facility to assess compliance with licensing requirements and submitted plans of correction.
Findings
The inspection identified multiple deficiencies including breaches in resident record confidentiality, privacy violations, improper bedside mobility device documentation, unsecured medications, incomplete medication administration training, and incomplete emergency procedure postings. Plans of correction were accepted and implemented by early December 2024.
Citations (11)
Medication cart was unattended with unlocked computer screen exposing confidential medication records and resident information.
Staff member took a picture of a resident on personal cell phone prior to hospital transfer, violating privacy.
Bedside mobility devices for residents were not securely attached, posing risk of entrapment.
Emergency procedures were not posted in a conspicuous and public place in the home.
Fire department notification lacked description of residents' mobility needs for evacuation.
Resident self-administered medications without physician assessment to approve self-administration.
Prescription medications and syringes were found unlocked and accessible in multiple resident rooms.
Medication administration record for a resident incorrectly stated frequency of patch application.
Several staff members had incomplete or outdated medication administration training and observations.
Staff members had not completed Department-approved diabetes education program but administered insulin.
Resident support plans did not document specific needs, risks, or device identification for bedside mobility devices.
Report Facts
Residents Served: 54
Current Hospice Residents: 3
Residents Age 60 or Older: 54
Residents with Mobility Need: 9
Residents Requiring Assistance for Evacuation: 7
Total Daily Staff: 63
Waking Staff: 47
Inspection Report — Apr 2, 2024
Complaint Investigation
Date: Apr 2, 2024
Visit Reason
The inspection visit occurred as a complaint investigation to review compliance following a complaint at the facility.
Complaint Details
The visit was complaint-related, with a follow-up type of Plan of Correction (POC) submission. The plan of correction was accepted and implemented with training and audits to prevent medication errors.
Findings
The submitted plan of correction was determined to be fully implemented. The report details medication administration errors where residents were not given prescribed medications as ordered, followed by corrective actions including staff training and audits.
Citations (1)
Resident was not administered prescribed medications as ordered on multiple occasions.
Report Facts
Residents Served: 58
Current Residents in Hospice: 2
Residents 60 Years or Older: 58
Residents Diagnosed with Mental Illness: 1
Residents with Mobility Need: 7
Residents with Physical Disability: 1
Total Daily Staff: 65
Waking Staff: 49
Resident Support Staff: 0
Medication Audit Population Percentage: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DL | Employee | Performed training on Avoiding Common Medication Errors |
| Director of Wellness | Director of Wellness | Responsible for completing monthly medication audits |
| ED | Executive Director | Completed audit of resident MAR/TAR for February, March, and April |
Inspection Report — Dec 20, 2023
Renewal
Date: Dec 20, 2023
Visit Reason
The inspection was conducted as a full, unannounced visit for renewal and complaint purposes on 12/20/2023 and 12/21/2023.
Findings
The facility was found to have multiple deficiencies including medication administration errors, failure to report incidents timely, incomplete criminal background checks, improper storage of poisonous materials, fire drill deficiencies, incomplete medical evaluations, staff training gaps, medication labeling errors, and incomplete preadmission screening documentation. Plans of correction were accepted and implemented with follow-up audits scheduled.
Citations (11)
Failure to report medication incident to the Department within 24 hours.
Staff member hired without required State Police Criminal Background Check.
Poisonous materials stored in unlabeled or improperly labeled containers.
Fire drill not conducted during sleeping hours as required every 6 months.
Resident's medical evaluation did not include Medical Professional License Number.
Staff member providing transportation without completing required direct care staff training.
Prescription medications not properly labeled with current administration instructions.
Medication administration records inaccurately indicated medications were given when they were not.
Failure to follow prescriber's medication orders, including administering discontinued medications.
Preadmission screening forms completed after resident admission dates.
Resident support plan did not reflect alternate sleeping arrangements for a resident using a recliner due to CHF.
Report Facts
Residents Served: 57
Total Daily Staff: 67
Waking Staff: 50
Residents with Mobility Need: 10
Residents with Physical Disability: 1
Residents Diagnosed with Mental Illness: 1
Residents 60 Years or Older: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Named in multiple findings related to education, audits, and plan of correction implementation. | |
| Medical Concierge | Involved in training and medication administration oversight. | |
| LPN | Involved in medication administration training and audits. | |
| HR Employee | Conducted audits of staff background checks. | |
| EVS Director | Involved in fire drill scheduling and education. | |
| Medication Administration Trainer | Conducted hands-on training with medication technicians. | |
| Driver | Completed direct caregiver course as part of staff training. |
Inspection Report — May 2, 2023
Complaint Investigation
Date: May 2, 2023
Visit Reason
The inspection was conducted as a complaint investigation following an unannounced partial inspection on 05/02/2023.
Complaint Details
The visit was complaint-related as indicated by the inspection reason. The plan of correction was accepted and fully implemented.
Findings
A deficiency was found related to unsanitary conditions where Resident #1's nebulizer mouthpiece and tubing were observed to be unclean and appeared to contain mold or mildew. The submitted plan of correction was determined to be fully implemented.
Citations (1)
Resident #1's nebulizer mouthpiece and tubing were unclean and appeared to contain mold or mildew.
Report Facts
Residents Served: 51
Current Hospice Residents: 2
Residents Age 60 or Older: 50
Residents Diagnosed with Mental Illness: 7
Residents with Mobility Need: 6
Residents with Physical Disability: 1
Inspection Report — Aug 23, 2022
Renewal
Date: Aug 23, 2022
Visit Reason
The inspection was an unannounced full renewal inspection conducted to review compliance with licensing requirements and regulations.
Findings
Multiple deficiencies were identified including expired carbon monoxide alarm batteries, missing resident-home contracts, lack of CPR/First Aid certified staff during night shifts, incomplete staff orientation and training records, unsafe resident personal equipment, unsanitary conditions, exterior hazards, medication record inaccuracies, unlabeled medications, improper medication storage procedures, missing preadmission screening forms, and incomplete resident support plans. Plans of correction were accepted and implemented with specified completion dates.
Citations (13)
Carbon monoxide alarms had batteries dated 10/2019 and were not replaced timely.
Resident 1 did not have a resident-home contract completed coinciding with admission date.
No staff certified in CPR and first aid were present during multiple night shifts when 45-47 residents were present.
Staff Member A lacked documentation of first day direct care orientation training in fire safety and emergency preparedness.
Staff Member A lacked training record for Rights/Abuse 40 Hours training.
Resident personal equipment (bed enabler bars) posed potential limb or head entrapment risks due to gaps and unsecured fastenings.
Glucometer was observed stained with blood and sanitation practices were not consistently maintained.
Exterior west emergency exit ramp was covered with slippery green moss and wet leaves, presenting a hazard.
Resident 4's medication administration record (MAR) included medications not found in resident's room and vice versa.
Over-the-counter (OTC) medications and complementary and alternative medicine (CAM) were found in medication carts not labeled with resident names.
Medication storage devices were not calibrated to correct date and time, causing discrepancies with MAR documentation.
Resident 1's preadmission screening form was missing, so determination of service needs was not documented.
Resident 1's initial support plan was not completed within 30 days of admission.
Report Facts
Residents present during inspection: 45
Staff present: 48
Waking staff: 36
Deficiency completion dates: Oct 1, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erin Garcia | Executive Director | Named in relation to training and education plans for CPR/First Aid and other compliance requirements. |
| Bonnie Fulk | Director of Wellness (DOW) | Named in relation to medication audits, staff education, and compliance monitoring. |
Notice — Jul 22, 2021
Date: Jul 22, 2021
Visit Reason
The document serves as a waiver approval for a direct care staff member at Juniper Village at Lebanon to obtain additional time to provide proof of a high school diploma or equivalent as required by regulation.
Findings
The waiver is granted with conditions including the expectation that the staff member will obtain transcripts by August 14, 2021, and documentation will be kept on file. The Department will review compliance annually and may terminate the waiver or take licensing action if conditions are not met.
Notice — Mar 14, 2021
Date: Mar 14, 2021
Visit Reason
The document serves as a certificate of compliance and a renewal notice for the Personal Care Home license of Juniper Village at Lebanon I. It also informs the facility that an annual onsite inspection will be conducted within the next twelve months as required by state regulations.
Findings
The Department has issued a regular license in response to the renewal application and advises that an annual inspection will be conducted to ensure compliance with applicable laws and regulations.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed the renewal notice letter |
Inspection Report — Oct 19, 2020
Renewal
Date: Oct 19, 2020
Visit Reason
The inspection was conducted as part of the licensing inspections by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing, over multiple days in October 2020.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report — Dec 26, 2019
Annual Inspection
Date: Dec 26, 2019
Visit Reason
The inspection was conducted as part of the Pennsylvania Department of Human Services Bureau of Human Services Licensing annual licensing inspections.
Findings
The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.
Inspection Report — Nov 21, 2019
Renewal
Date: Nov 21, 2019
Visit Reason
The document is a renewal application response and license issuance for Juniper Village at Lebanon I Personal Care Home. The Department advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal notification and certificate of compliance for the facility.
Inspection Report — Sep 19, 2019
Complaint Investigation
Date: Sep 19, 2019
Visit Reason
The inspection was conducted as a complaint investigation due to an incident involving alleged verbal and physical abuse by a staff member to a resident.
Complaint Details
The complaint was substantiated based on reports from the resident, two staff witnesses, and multiple staff with consistent descriptions. Staff Member A was witnessed repeatedly telling Resident #1 she is crazy, calling her 'Crazy Pants', blocking her exit, holding her walker to prevent exit, holding her arms tightly, and pushing her away from the door.
Findings
The investigation found that Staff Member A was verbally and physically abusive to Resident #1 on September 1, 2019. The staff member was suspended pending investigation and subsequently terminated, but the abuse was not reported to the local Area Agency on Aging as required.
Citations (1)
On September 1, 2019, Staff Member A was verbally and physically abusive to Resident #1. The incident was not reported to the local Area Agency on Aging as required.
Report Facts
Residents Served: 48
Current Hospice Residents: 2
Staff Total Daily: 54
Waking Staff: 41
Residents Age 60 or Older: 47
Residents with Mobility Need: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joan-Marie Norman | Ex Director | Signed plan of correction and legal entity representative |
Inspection Report — Feb 27, 2019
Annual Inspection
Date: Feb 27, 2019
Visit Reason
The visit was the Department's Bureau of Human Services Licensing annual inspection of Juniper Village at Lebanon I.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline L. Rowe | Director | Signed the letter reporting inspection results. |
Notice — Nov 27, 2018
Date: Nov 27, 2018
Visit Reason
This document serves as a renewal notice and certificate of compliance for Juniper Village at Lebanon I to operate as a Personal Care Home. It informs the facility of the renewal of their license and the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.
Inspection Report — Feb 27, 2018
Annual Inspection
Date: Feb 27, 2018
Visit Reason
The document reports the results of the Department of Human Services' annual licensing inspection conducted on February 27 and 28, 2018, for Juniper Village at Lebanon.
Findings
The facility was found to be in compliance with 55 Pa.Code Chapter 2600 relating to Personal Care Homes during the annual licensing inspection.
Notice — Nov 29, 2017
Date: Nov 29, 2017
Visit Reason
The document serves as a renewal notification for the Personal Care Home license and informs the facility of the Department's requirement to conduct an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is an administrative notice regarding license renewal and inspection requirements.
Report Facts
Inspection Report — Feb 22, 2017
Renewal
Date: Feb 22, 2017
Visit Reason
The inspection was conducted as a renewal licensing inspection of Juniper Village at Lebanon I on February 22 and 23, 2017.
Findings
Violations of 55 Pa.Code Chapter 2600 related to Personal Care Homes were found, including incomplete fire drill records, fire drills not held every six months during sleeping hours, and medication administration record errors.
Citations (3)
55 Pa.Code §2600.132(c) - The fire drill record for 2/22/16 at 3:15 pm did not include the number of residents in the home or the number of residents evacuated.
55 Pa.Code §2600.132(e) - Fire drills held during sleeping hours were conducted on 5/20/16 and 12/17/16, more than six months apart, not meeting the requirement for drills every six months.
55 Pa.Code §2600.187(a) - Medication administration records for two residents were not checked or initialed for the date and time medications were administered on 2/14/17 and 2/7/17.
Report Facts
Number of Residents Served: 53
Total Daily Staff: 54
Waking Staff: 41
Number of Hospice Residents in past year: 5
Number of Residents with Mental Illness: 2
Number of Residents 60 Years or Older: 53
Number of Residents with Mobility Need: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joan-Marie Norman | Administrator | Named as legal entity representative and signer of plan of correction |
| Douglas Hoover | Department representative conducting inspection | |
| Laura Heemer | Department representative conducting inspection |
Inspection Report — Dec 1, 2016
Renewal
Date: Dec 1, 2016
Visit Reason
The document is a renewal license issued in response to the November 30, 2016 renewal application to operate the Personal Care Home Juniper Village at Lebanon I. The Department advises that an annual onsite inspection will be conducted within the next twelve months as required by regulation.
Findings
No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.
Report Facts
Inspection Report — Feb 24, 2016
Annual Inspection
Date: Feb 24, 2016
Visit Reason
The Department of Human Services conducted annual licensing inspections on February 24 and 25, 2016 to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
The facility was found to be in compliance with the applicable regulations during the annual licensing inspections.
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