Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alpine Valley Post Acute And Healthcare Center during CMS and state inspections, most recent first.
A facility failed to follow physician's orders for a resident with skin cancer and chronic kidney disease, requiring daily dressing changes for a chest wound. Treatment records showed missing entries for specific dates, and an observation revealed the wound was uncovered with visible drainage. Interviews with an LPN and the DON confirmed the dressing was not applied as ordered.
The facility failed to supervise two residents with severe cognitive impairments and risks for choking and pica during meals. Despite care plans requiring supervision, both residents were observed eating in their rooms without staff oversight, leading to a choking incident for one resident. The administrator confirmed the need for supervision, highlighting a lapse in adherence to care plans.
A facility failed to maintain accurate clinical records for a resident with heart disease and hypertension. Despite a physician's order to withhold propranolol if the resident's systolic blood pressure was below 130 mmHg, staff administered the medication nine times when the blood pressure was below the set parameters. The administrator confirmed the lack of proper documentation.
The facility did not provide written notification to the representatives of two residents who were transferred to the hospital after a change in condition. The Administrator confirmed that the required information, including reasons for the transfer, was not given.
The facility failed to assess and address urinary incontinence for a resident with dementia and hypertension. Required assessments and a toileting program were not completed, and the care plan lacked specific interventions for the resident's incontinence.
Failure to Implement Physician's Orders for Wound Care
Penalty
Summary
The facility failed to implement physician's orders for a resident diagnosed with skin cancer and chronic kidney disease. The physician's orders, dated June 26, 2024, required staff to apply a dressing to the resident's chest wound site twice daily, which was later changed to a daily dressing change on September 12, 2024. However, the Treatment Administration Records for August and September 2024 showed no evidence of the treatment being done or refused on the morning of August 3, 2024, and the evening of September 5, 2024. On September 17, 2024, an observation revealed that the resident's chest wound was not covered with a dressing, and yellow and red drainage was visible on the resident's shirt. Interviews with a Licensed Practical Nurse and the Director of Nursing confirmed that the dressing was not applied as ordered, indicating a failure to follow the physician's instructions.
Failure to Supervise Residents at Risk for Choking and Pica
Penalty
Summary
The facility failed to adequately supervise two residents who were at risk for choking and eating non-edible items. Resident 25, diagnosed with Alzheimer's disease, dementia, dysphagia, and muscle weakness, was identified as having severe cognitive impairment and required supervision during meals. Despite a care plan indicating the need for staff to observe for signs of dysphagia, such as choking and coughing, the resident experienced a choking episode on June 9, 2024, which required mechanical assistance. Observations on multiple occasions in September 2024 revealed that Resident 25 was eating lunch in his room without supervision, contrary to the registered dietitian's recommendation for dining room supervision. Similarly, Resident 235, also diagnosed with Alzheimer's disease and a cognitive communication deficit, was noted to have severe cognitive impairment and a history of pica, necessitating meal supervision. The care plan highlighted the risk of nutritional problems due to pica and the need for staff to monitor for dysphagia symptoms. However, observations in September 2024 showed that Resident 235 was eating lunch in her room without supervision. The facility administrator confirmed that both residents should have been supervised during meals, indicating a failure to adhere to the care plans and ensure resident safety.
Failure to Adhere to Blood Pressure Medication Parameters
Penalty
Summary
The facility failed to maintain accurate and complete clinical records for a resident with heart disease and hypertension. A physician's order required the administration of propranolol, a blood pressure medication, once daily, with instructions to withhold the medication if the resident's systolic blood pressure was below 130 mmHg. However, the resident reported that staff frequently administered the medication even when her blood pressure was outside the specified parameters. A review of the medication administration records for August and September 2024 confirmed that the medication was given nine times when the resident's blood pressure was below 130 mmHg. The facility administrator acknowledged that staff did not properly document the withholding of the medication in the clinical record.
Failure to Notify Representatives of Hospital Transfers
Penalty
Summary
The facility failed to provide timely written notification to the residents' representatives regarding the transfer of two residents to the hospital. Resident 29 was transferred to the hospital on July 28, 2024, following a change in condition, but there was no evidence that the responsible party received written information about the transfer. Similarly, Resident 83 was transferred to the hospital on June 28, 2024, after a change in condition, and again, there was no evidence of written notification to the responsible party. The Administrator confirmed in an interview that the required written transfer information, including the reasons for the move, was not provided to the residents' representatives.
Failure to Assess and Address Urinary Incontinence
Penalty
Summary
The facility failed to assess bladder incontinence and provide services to restore bladder function for Resident CL1. According to the facility's policy, an incontinence assessment should be completed within seven days of admission, using an admission nursing assessment, incontinence risk assessment, and a three-day bowel/bladder pattern record. However, for Resident CL1, who was admitted with diagnoses including dementia and hypertension, there was no documented evidence that these assessments were completed. The Minimum Data Set assessment indicated that the resident needed assistance with toileting and was incontinent of urine, but no toileting program was in place, and the care plan did not identify the type of urinary incontinence or specific interventions to address it. In an interview, the Nursing Home Administrator confirmed the lack of documented evidence for the required assessments. This failure to follow the facility's policy resulted in the absence of a proper incontinence program for Resident CL1, which is a deficiency in providing appropriate care for residents who are incontinent of bowel/bladder.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 289 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lebanon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lebanon Skilled Nursing And Rehabilitation Center | 0.4 mi | ★★★★★ | 15 | 0 |
| Cedar Haven Healthcare Center | 1.6 mi | ★★★★★ | 4 | 1 |
| Cornwall Manor | 3.7 mi | ★★★★★ | 0 | 0 |
| Lebanon Valley Home The | 4.3 mi | ★★★★★ | 4 | 0 |
| Myerstown Nursing And Rehab Llc | 7.2 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Alpine Valley Post Acute And Healthcare Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.