Inspection Reports for Landis Homes Retirement Community

1001 EAST OREGON ROAD,, PA, 17543

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 3.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

28% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 77% occupied

Based on a February 2025 inspection.

Census over time

60 80 100 120 140 Oct 2022 Apr 2023 Aug 2023 Sep 2024 Feb 2025
Inspection Report Census: 95 Capacity: 124 Deficiencies: 0 Feb 4, 2025
Visit Reason
The inspection was conducted as a licensing inspection due to an incident at the facility.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Report Facts
Residents Served: 95 License Capacity: 124 Secured Dementia Care Unit Capacity: 16 Secured Dementia Care Unit Residents Served: 16 Hospice Current Residents: 2 Residents Age 60 or Older: 95 Residents with Mobility Need: 16 Residents with Physical Disability: 1
Inspection Report Renewal Census: 84 Capacity: 124 Deficiencies: 7 Sep 30, 2024
Visit Reason
The inspection was conducted as a renewal and incident review of the Landis Homes Retirement Community, including unannounced full inspections on 09/30/2024, 10/01/2024, and 10/02/2024.
Findings
The inspection identified multiple deficiencies including failure to report suspected resident abuse timely, breaches in resident record confidentiality, neglect in protecting a resident's safety in a secured dementia care unit, incomplete medical evaluations, and staff training deficiencies. Plans of correction were accepted and implemented by mid-November 2024.
Deficiencies (7)
Description
Failure to immediately report suspected abuse incidents involving residents, including physical abuse and inappropriate touching.
Resident records and narcotic records were left unlocked, unattended, and accessible to unauthorized persons.
Neglect in protecting Resident #3's safety by not removing hazardous items and providing adequate supervision in the secured dementia care unit.
Initial medical evaluations for Residents #2 and #9 did not include dietary needs as required.
Staff Member E transported a resident without completing required direct care training and competency testing.
Resident #1's annual assessment and support plan did not reflect the resident's needs related to inappropriate touching behaviors and use of hearing aids.
Resident #3's medical evaluation was completed after admission to the secured dementia care unit, not within the required timeframe.
Report Facts
License Capacity: 124 Residents Served: 84 Secured Dementia Care Unit Capacity: 16 Residents Served in Secured Dementia Care Unit: 16 Staffing Hours - Total Daily Staff: 100 Staffing Hours - Waking Staff: 75
Inspection Report Renewal Census: 89 Capacity: 124 Deficiencies: 8 Aug 16, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the Landis Homes Retirement Community to review compliance with licensing requirements.
Findings
The inspection found multiple deficiencies related to staff orientation and training, medication storage and labeling, availability of medications, resident support plans, and provision of supplies such as toilet paper. Plans of correction were submitted and determined to be fully implemented by the time of the report.
Deficiencies (8)
Description
Staff Members A, B, and C did not receive required fire safety orientation on their first day of work.
Staff Members A and D did not complete required training on resident rights, emergency medical plan, and mandatory reporting within 40 hours.
Staff person E did not receive required annual training in fire safety, emergency preparedness, resident rights, Older Adult Protective Services Act, and falls prevention during the 2022 training year.
No toilet paper was provided in Resident #3's bathroom on 8/17/2023.
A resident's Omega 3-6-9 medication bottle had a broken lid exposing capsules to unsanitary conditions.
Resident #1's Novolog insulin pharmacy label instructions did not match current physician orders.
Discrepancies in blood glucose readings and MAR documentation; missing medications including PRN bowel protocols and ear drops for several residents.
Resident #3's support plan inaccurately documented toileting and bladder management needs and lacked access to toilet paper.
Report Facts
License Capacity: 124 Residents Served: 89 Secured Dementia Care Unit Capacity: 16 Secured Dementia Care Unit Residents Served: 15 Residents with Mobility Need: 17 Residents with Physical Disability: 1 Staffing Hours: 106 Waking Staff: 80
Employees Mentioned
NameTitleContext
Human Resources ManagerResponsible for updating orientation checklists, conducting audits, and providing fire safety training.
Personal Care Compliance LPNResponsible for reviewing medication audits, providing education, and conducting weekly checks.
AdministratorResponsible for notifying physician about medication discontinuation and providing staff education.
Clinical CoordinatorInvolved in medication education and coordination with pharmacy.
Pharmacy RNResponsible for conducting initial medication cart audits.
LPNPlaced toilet paper in resident's room, ordered medications, updated resident support plans, and conducted audits.
Clinical SupervisorReviewing resident support plans and educating team members.
Social WorkerWorking with Clinical Coordinator to educate team members on resident support plans.
Inspection Report Complaint Investigation Census: 91 Capacity: 124 Deficiencies: 0 Apr 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Landis Homes Retirement Community on 04/12/2023.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 124 Residents Served: 91 Secured Dementia Care Unit Capacity: 16 Secured Dementia Care Unit Residents Served: 16 Resident Support Staff: 0 Total Daily Staff: 120 Waking Staff: 90 Residents Age 60 or Older: 91 Residents with Supplemental Security Income: 1 Residents Diagnosed with Mental Illness: 1 Residents Diagnosed with Intellectual Disability: 0 Residents with Mobility Need: 29 Residents with Physical Disability: 1 Current Hospice Residents: 0
Inspection Report Renewal Census: 91 Capacity: 124 Deficiencies: 2 Oct 18, 2022
Visit Reason
The inspection was conducted as a renewal review of the Landis Homes Retirement Community facility on 10/18/2022 and 10/19/2022 to determine compliance with licensing requirements.
Findings
The inspection identified two main deficiencies: lack of carbon monoxide detectors near fuel-burning appliances and inadequate monthly fire drills that did not ensure full resident evacuation within the approved 11-minute timeframe. Plans of correction were accepted and implemented promptly.
Deficiencies (2)
Description
No carbon monoxide detectors located near the boilers in the basements of both Birch and Lititz neighborhoods or near the gas stove in the main kitchen.
Monthly fire drills were not conducted in all living areas with full resident evacuation; only one area evacuated residents monthly while others were put on alert, failing to meet the required evacuation time of 11 minutes.
Report Facts
License Capacity: 124 Residents Served: 91 Secure Dementia Care Unit Capacity: 16 Secure Dementia Care Unit Residents Served: 15 Current Hospice Residents: 2 Residents with Mobility Need: 17 Residents Age 60 or Older: 91 Residents Diagnosed with Mental Illness: 1 Residents Receiving Supplemental Security Income: 1
Notice Capacity: 124 Deficiencies: 0 Jun 3, 2021
Visit Reason
The document serves as a certificate of compliance granting Landis Homes Retirement Community the authority to operate as a Personal Care Home and includes a renewal notice indicating that the Department will conduct an annual inspection within the next twelve months.
Findings
No inspection findings are reported in this document; it confirms issuance of a regular license following the renewal application and advises of upcoming annual inspection requirements.
Report Facts
Maximum capacity: 124 Secure Dementia Care Unit capacity: 16

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