Complaint Investigation

Brethren Village

August 26, 2025 · Lancaster, PA · 3001 Lititz Pike

Citations 1

CMS Rating 3/5

Beds 120

Provider ID 395328

Healthcare Facility

Brethren Village

Lancaster, PA · View full profile →

Inspection Summary

BRETHREN VILLAGE in LANCASTER, PA — inspection on August 26, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Actual Harm

August 1, 2025, at 11:20 a.m. indicated, I asked her exactly what happened.

She stated, ‘I bear hugged [resident] and transferred [resident] alone.' ‘I am so sorry [resident] got hurt.' ‘She didn't tell me she hurt [resident].

Further review of the facility investigation of the injury revealed the facility substantiated the allegation of neglect for not following the care plan for the resident to have the assistance of two staff members while transferring the resident.

Interview with the Nursing Home Administrator and the Director of Nursing on August 26, 2025, at 1:30 p.m. confirmed Resident 1 was not transferred according to resident's individual care plan causing actual harm to Resident 1 when Resident 1 sustained a fractured humerus as a result of the improper transfer. 28 Pa.

Code 201.14(a) Responsibility of licensee 28 Pa.

Code 201.18(b)(1)(3)(e)(1) Management 28 Pa.

Code 211.10(d) Resident care policies 28 Pa.

Code 211.12(c)(d)(1)(5) Nursing services

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LANCASTER, PA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRETHREN VILLAGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Brethren Village

Inspection Findings

Frequently Asked Questions

More Reports