Inspection Reports for
Landis Homes Retirement Community
1001 EAST OREGON ROAD,, LITITZ, PA, 17543
Back to Facility Profile20 Reports
Inspection Report — Mar 18, 2026
Renewal
Date: Mar 18, 2026
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Landis Homes Retirement Community.
Findings
The facility was found to have multiple deficiencies related to safety, medication administration, documentation, and resident assessments. All deficiencies were addressed with plans of correction and re-education of staff, with no resident harm reported.
Citations (10)
The carbon monoxide alarms in the Dogwood and Birch kitchens were not properly labeled with battery installation dates and batteries were overdue for replacement.
Resident #1's bed had an uncovered enabler device creating a potential entrapment hazard.
A tube of zinc oxide ointment was found unlocked and accessible in Resident Room #44.
Resident #1's Biofreeze roll-on gel pharmacy label did not match the prescribed dosage instructions.
Blood glucose readings on the Freestyle Libre device for Resident #3 did not match the numbers documented on the Medication Administration Record.
Medication Administration Records for Residents #1, #4, and #5 lacked staff initials documenting administration of medications and treatments at the time provided.
Refusals of prescribed medications and treatments by Residents #1 and #3 were not reported to prescribers within 24 hours as required.
Resident #1 was not administered Cyclosporine eye drops on two occasions due to medication unavailability, and Resident #6's monitoring order was completed by unlicensed staff.
Resident assessments for Residents #2, #7, and #8 were not updated to reflect significant changes in condition, medication self-administration ability, or behaviors.
Persons in the Secured Dementia Care Unit without an identified need could not exit independently due to lack of conspicuous exit instructions near key-locking devices.
Report Facts
Residents Served: 88
Secured Dementia Care Unit Residents Served: 16
Hospice Current Residents: 2
Notice — Feb 13, 2026
Date: Feb 13, 2026
Visit Reason
The document serves to grant a waiver for a direct care staff member at Landis Homes Retirement Community who received their education outside the United States, waiving the requirement for a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Findings
The waiver is granted under specific conditions including documentation of education and training to be maintained by the facility and made available upon request. The Department will review this waiver annually during inspections to ensure compliance.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Theresa Hartman | Bureau Director, Human Services Licensing | Signed the waiver approval letter. |
Inspection Report — Feb 4, 2025
Date: 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
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 — Sep 30, 2024
Renewal
Date: 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.
Citations (7)
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
Residents Served: 84
Residents Served in Secured Dementia Care Unit: 16
Staffing Hours - Total Daily Staff: 100
Staffing Hours - Waking Staff: 75
Inspection Report — Aug 16, 2023
Renewal
Date: 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.
Citations (8)
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
Residents Served: 89
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
| Name | Title | Context |
|---|---|---|
| Human Resources Manager | Responsible for updating orientation checklists, conducting audits, and providing fire safety training. | |
| Personal Care Compliance LPN | Responsible for reviewing medication audits, providing education, and conducting weekly checks. | |
| Administrator | Responsible for notifying physician about medication discontinuation and providing staff education. | |
| Clinical Coordinator | Involved in medication education and coordination with pharmacy. | |
| Pharmacy RN | Responsible for conducting initial medication cart audits. | |
| LPN | Placed toilet paper in resident's room, ordered medications, updated resident support plans, and conducted audits. | |
| Clinical Supervisor | Reviewing resident support plans and educating team members. | |
| Social Worker | Working with Clinical Coordinator to educate team members on resident support plans. |
Inspection Report — Apr 12, 2023
Complaint Investigation
Date: Apr 12, 2023
Visit Reason
The inspection was conducted as a complaint investigation at Landis Homes Retirement Community on 04/12/2023.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Residents Served: 91
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 — Oct 18, 2022
Renewal
Date: 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.
Citations (2)
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
Residents Served: 91
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 — Jun 3, 2021
Date: 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
Inspection Report — May 29, 2020
Renewal
Date: May 29, 2020
Visit Reason
The inspection was conducted as part of licensing inspections on 05/29/2020, 06/10/2020, and 06/15/2020 for the Landis Homes Retirement Community.
Findings
No regulatory citations were identified as a result of these inspections.
Inspection Report — Mar 3, 2020
Renewal
Date: Mar 3, 2020
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at Landis Homes Retirement Community.
Findings
The submitted plan of correction was found to be fully implemented following the inspection. Continued compliance must be maintained. A violation was noted for failure to conduct a fire drill during sleeping hours within the required six-month interval.
Citations (1)
132e - Fire Drill Sleeping Hours: The last fire drill during sleeping hours was conducted on 12/26/2019, exceeding the required six-month interval since the previous drill in March 2019.
Report Facts
Residents Served: 92
Secured Dementia Care Unit Residents Served: 15
Hospice Current Residents: 2
Notice — Feb 14, 2020
Date: Feb 14, 2020
Visit Reason
The document serves as a renewal notification and license issuance for Landis Homes Retirement Community Personal Care Home, confirming the renewal application received on February 13, 2020, and advising of a required annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It is a license renewal notice with no deficiencies or compliance issues mentioned.
Report Facts
Inspection Report — Apr 22, 2019
Renewal
Date: Apr 22, 2019
Visit Reason
The inspection was a renewal visit conducted by the Department’s Bureau of Human Services Licensing on April 22 and 23, 2019 to assess compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Findings
Violations of 55 Pa.Code Ch. 2600 were found during the inspection, including deficiencies in staff training on mental health and intellectual disabilities, fire safety and resident rights training, medication storage, and cognitive preadmission screening for the Secure Dementia Care Unit.
Citations (4)
2600 65f. Staff Person A did not receive training in care for residents with mental health/intellectual disabilities for the 2018 training year. The home serves one resident with a primary mental health diagnosis.
2600 65g. Staff Member A did not receive training in fire safety or resident rights during the 2018 training year.
2600 183e. On 4/23/19, two loose pills were found in the medication cart in the home's secure dementia care unit, Lititz House. One pill was identified as Vitamin D; the other was unidentified.
2600 231c. Resident #1 was admitted to the Secure Dementia Care Unit on 8/14/18 without a completed cognitive preadmission screening within 72 hours prior to admission, and the screening did not verify the need for secure care.
Report Facts
Residents Served: 95
Secure Dementia Care Unit Residents Served: 16
Current Hospice Residents: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Susan W. Paul | PEHA/LPN | Signed as Legal Entity Representative approving plans of correction |
Notice — Feb 14, 2019
Date: Feb 14, 2019
Visit Reason
This document serves as a renewal notification for the Personal Care Home license of Landis Homes Retirement Community and informs about the requirement for an annual onsite inspection within the next twelve months.
Findings
No inspection findings are reported in this document. It only confirms the issuance of a regular license renewal and outlines the Department's obligation to conduct an annual inspection.
Report Facts
Inspection Report — Apr 16, 2018
Annual Inspection
Date: Apr 16, 2018
Visit Reason
The visit was the Department of Human Services' annual licensing inspection of Landis Homes Retirement Community conducted on April 16 and April 17, 2018.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes.
Notice — Mar 14, 2018
Date: Mar 14, 2018
Visit Reason
The document is a response to a waiver request concerning qualifications for direct care staff persons under 55 Pa.Code § 2600.54(a).
Findings
The Department of Human Services determined that a waiver is not needed for the individual with a diploma in Community Health Nursing from Kenya Medical Training College, as the educational requirement is met.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Kachmar | Regulatory Licensing Manager | Signed the waiver response letter |
Inspection Report — Feb 15, 2018
Renewal
Date: Feb 15, 2018
Visit Reason
The document is a renewal notification and license issuance for Landis Homes Retirement Community's Personal Care Home. It informs the facility of the requirement for an annual onsite inspection within the next twelve months as part of the renewal process.
Findings
The document does not report inspection findings but confirms the issuance of a regular license following the renewal application. It states that the Department will conduct an inspection within the next twelve months and take enforcement action if noncompliance is found.
Report Facts
Inspection Report — May 2, 2017
Annual Inspection
Date: May 2, 2017
Visit Reason
The visit was the Department of Human Services' annual licensing inspection of Landis Homes Retirement Community conducted on May 2 and May 3, 2017.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the annual licensing inspection.
Report Facts
Code compliance reference: 2600
Inspection Report — Feb 15, 2017
Renewal
Date: Feb 15, 2017
Visit Reason
The document is a renewal license issued in response to the facility's February 10, 2017 renewal application to operate a Personal Care Home. It notifies the facility 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 certificate and notification of upcoming annual inspection requirements.
Report Facts
Inspection Report — May 9, 2016
Annual Inspection
Date: May 9, 2016
Visit Reason
The inspection was conducted as part of the Department of Human Services' annual licensing inspections for the Landis Homes Retirement Community.
Findings
The facility was found to be in compliance with 55 Pa.Code Ch. 2600 relating to Personal Care Homes during the inspections on May 9 and May 10, 2016.
Inspection Report — Feb 23, 2016
Renewal
Date: Feb 23, 2016
Visit Reason
This document is a renewal license issued to Landis Homes Retirement Community to operate a Personal Care Home. The Department will conduct an onsite inspection 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
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