01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-05 | 1 | 2024-10-03 | 1 |
| Cycle 2 | 2024-10-03 | 1 | 2023-09-21 | 1 |
| Cycle 3 | 2023-09-21 | 0 | 2022-10-14 | 2 |
CMS CCN 3958322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lebanon Valley Home The
550 East Main Street · Annville, PA 17003 · Lebanon County
Certified beds55CMS provider file
Recent citation rows6current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
6 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-05 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-10-032024-10-03 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-12-022024-10-03 · FIREK0100Severity C · widespread; potential for minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2024-12-122023-09-21 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-11-012022-10-14 · FIREK0133Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2022-12-232022-10-14 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2022-12-2303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BLOSE, LEROYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/26/2018
- BOONE, REBECCAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/28/2022
- DEANER, KAYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/22/2024
- DOMINGOS, TITAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/25/2024
- FIELDS, TONYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2023
- HEIN, DWIGHTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/28/2025
- KERN, CRAIGIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/25/2025
- LYONS, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2024
- PAUL, EMERSONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2023
- PRINZ, DONNAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2023
- RANKIN, CHRISTOPHERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2024
- RIEKER, JOHNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/25/2019
- RUSSELL, GALENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2021
- WOMACK, KENNETHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/28/2022
- EYSTER, SHARONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/31/2022
- FIELDS, MEREDITHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/10/2025
- GOURLEY, RONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/13/2024
- UNITED CHURCH OF CHRIST HOMESOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/1966
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.68per resident day
RN hours1.15per resident day
Weekend nurse hours4.34per resident day
Staff turnover17.7%CMS reported field
06 / LOCAL RECORDS
Open the Pennsylvania ledger →Other published facilities nearby
No second facility in the same city met the directory rule.