Annville, PA

Lebanon Valley Home The

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

550 East Main Street, Annville, PA

(717) 867-4467

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

55

Certified beds

Average residents

49

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.08

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.87

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.83

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.96

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

4.36

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.85

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.14

CMS adjusted RN staffing hours

Adjusted total hours

5.09

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

13%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

550

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

67.77

Composite VBP score used to determine payment impact.

Payment multiplier

1.0212

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.62

Baseline 17.52% · Performance 18.83% · Measure score 5.62 · Achievement 5.62 · Improvement 0

Healthcare-associated infections

5.31

Baseline 5.88% · Performance 6.25% · Measure score 5.31 · Achievement 5.31 · Improvement 0

Total nurse turnover

8.74

Baseline 47.37% · Performance 27.94% · Measure score 8.74 · Achievement 8.74 · Improvement 8.13

Adjusted total nurse staffing

7.43

Baseline 4.30 hours · Performance 5.19 hours · Measure score 7.43 · Achievement 7.43 · Improvement 5.53

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.76%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 76 · Observed rate 6.58% · Lower 95% interval 6.49%
Discharge to community	46.44%	50.57% 4.1 pts worse	No Different than the National Rate · Eligible stays 70 · Observed rate 38.57% · Lower 95% interval 37.24%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 45 · Denominator 45
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 45
Discharge self-care score	25.81%	53.69% 27.9 pts worse	Numerator 8 · Denominator 31
Discharge mobility score	38.71%	50.94% 12.2 pts worse	Numerator 12 · Denominator 31
Pressure ulcers or injuries, new or worsened	11.11%	2.29% 8.8 pts worse	Numerator 5 · Denominator 45 · Adjusted rate 9.56%
Healthcare-associated infections requiring hospitalization	6.25%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 45 · Observed rate 2.22% · Lower 95% interval 3.34%
Staff COVID-19 vaccination coverage	3.68%	8.2% 4.5 pts worse	Numerator 5 · Denominator 136
Staff flu vaccination coverage	41.09%	42% 0.9 pts worse	Numerator 53 · Denominator 129
Discharge function score	29.03%	56.45% 27.4 pts worse	Numerator 9 · Denominator 31
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	48.39%	25.2% 23.2 pts better	Numerator 15 · Denominator 31

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.7 About the same	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	1.2 0.8 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.7%	86.9% 6.8 pts better	93.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.6% · Q3 93.0% · Q4 86.0% · 4Q avg 93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.3%	93.5% 0.2 pts worse	95.5% 2.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3%
Percentage of long-stay residents experiencing one or more falls with major injury	6.9%	3.2% 3.7 pts worse	3.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.7% · Q3 7.0% · Q4 7.0% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.6%	6.5% 5.9 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight	5.2%	6.5% 1.3 pts better	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.6% · Q3 2.6% · Q4 10.0% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.6%	19.9% 2.7 pts worse	19.6% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 23.1% · Q3 24.4% · Q4 25.0% · 4Q avg 22.6%
Percentage of long-stay residents who received an antipsychotic medication	5.9%	18.7% 12.8 pts better	16.7% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.5% · Q3 8.8% · Q4 2.8% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	26.8%	19.6% 7.2 pts worse	16.3% 10.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 29.9% · 4Q avg 26.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	29.5%	18.3% 11.2 pts worse	14.9% 14.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 47.2% · Q2 18.9% · Q3 28.2% · Q4 24.3% · 4Q avg 29.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.9% 0.5 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	11.1%	1.7% 9.4 pts worse	1.7% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 13.3% · Q3 9.8% · Q4 11.6% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.8%	26.4% 1.4 pts worse	19.8% 8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 32.8% · Q3 22.4% · Q4 29.9% · 4Q avg 27.8%
Percentage of long-stay residents with pressure ulcers	6.4%	5.3% 1.1 pts worse	5.1% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.6% · Q3 6.9% · Q4 3.2% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.0%	68.9% 11.1 pts better	81.7% 1.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 71.0% · Q2 85.7% · Q3 84.0% · Q4 80.6% · 4Q avg 80.0%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	9.8% 3.4 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 5.3% · Expected 9.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.7%	68.7% 17 pts better	79.7% 6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.4%	23.1% 2.3 pts worse	23.9% 1.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 21.1% · Expected 19.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-05 · Fire 2024-10-03

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

1 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-10-03 · Fire 2023-09-21

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-09-21 · Fire 2022-10-14

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2024-10-03

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-12-12

E · Potential for more than minimal harm 2023-09-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-01

F · Potential for more than minimal harm 2022-10-14

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-12-23

E · Potential for more than minimal harm 2022-10-14

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2022-12-23

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-05

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-03

D · Potential for more than minimal harm 2024-10-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-12-02

Penalties and ownership