Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lindside Healthcare Center during CMS and state inspections, most recent first.
Surveyors found that discharged residents were not given written information about their right to appeal discharge or how to contact the Ombudsman or State Agency. Review of discharge paperwork for three discharged residents showed no documentation of appeal rights or related contact information. The DON confirmed that this information was not included in the discharge documents, and the Administrator acknowledged the issue during the survey exit.
The facility failed to follow its policy for investigating abuse incidents, as seen in three separate cases where residents were either inappropriately touched or physically assaulted by other residents. Investigations were incomplete, lacking statements from staff and other residents, despite the facility's policy requiring comprehensive documentation.
The facility failed to investigate two instances of resident-to-resident sexual abuse and one instance of physical abuse thoroughly. In each case, the investigations lacked statements from other staff and did not assess or interview other residents, contrary to the facility's policy. The incidents involved inappropriate touching and physical assault, with insufficient follow-up to gather comprehensive information.
The facility failed to provide required notifications to residents, their representatives, and the Ombudsman for hospital transfers. This deficiency was identified in three out of four cases reviewed, where residents were transferred without proper documentation of a Notice of Transfer. The Administrator confirmed the oversight, indicating a systemic issue in the facility's notification process.
The facility failed to provide appropriate pain management for three residents, as identified during a survey. A resident with a broken hip received Acetaminophen without specific parameters, while another resident was given Oxycodone for low pain levels without parameters, and Acetaminophen was not administered. Additionally, a third resident received Oxycodone for mild pain levels, contrary to typical usage for severe pain. The ADON confirmed these practices did not meet nursing standards.
The facility failed to accommodate the shower preferences of two residents, impacting their right to self-determination. One resident did not receive showers as scheduled, while another, accustomed to daily showers, was limited due to facility constraints. Staff confirmed the difficulty in meeting these preferences due to limited resources.
The facility failed to notify the representative or family of two residents about their acute hospitalization. A resident, who was capable of making his own medical decisions, was transferred to the hospital without notifying his daughter, who was listed as his representative. The ADON confirmed the lack of evidence for notification, acknowledging the need to inform the representative or family of significant health changes.
The facility failed to report two separate incidents of resident abuse within the required 2-hour window. In one case, an LPN observed inappropriate touching between residents, and in another, a resident was hit multiple times by another resident. Both incidents were reported late, violating state regulations and facility policy.
A facility failed to notify a resident or their representative of the bed hold policy upon transfer to a hospital. The medical record lacked documentation of the policy being communicated, and the administrator confirmed this oversight during an interview.
A resident reported not receiving a bath or shower since admission, and records confirmed no documentation of bathing over a week. The ADON acknowledged the issue, stating efforts were being made to accommodate residents' shower preferences.
A facility failed to notify a physician of a resident's blood sugar level exceeding 400, as required by the care plan. Despite leaving a message with the nurse practitioner, there was no documentation of a response or further notification. The Assistant Director of Nursing confirmed the oversight, highlighting a deficiency in managing the resident's diabetes care.
The facility failed to implement an effective infection prevention and control program, lacking a Water Management Plan and proper laundry services. The absence of documentation for the water system and improper handling of laundry items, such as pillows on a broken washing machine, highlighted deficiencies in infection control practices.
Failure to Provide Written Appeal Rights and Ombudsman/State Agency Contact Information at Discharge
Penalty
Summary
The facility failed to provide required written documentation upon discharge regarding residents’ rights to appeal and contact information for the Ombudsman and State Agency. During document review on 02/10/26 between 10:15 a.m. and 11:15 a.m., surveyors examined discharge documentation for three discharged residents (Residents #61, #62, and #63) and found no readily available written information outlining the residents’ right to appeal their discharge or how to contact the local Ombudsman or State Agency. In an interview at 11:40 a.m. on the same day, the DON confirmed that such documentation was not present, and the Administrator also acknowledged these findings during the exit conference at approximately 12:30 p.m. on 02/10/26. The deficiency involved 3 of 3 discharged residents reviewed, with a total facility census of 58 residents at the time of the survey.
Failure to Investigate Resident Abuse Incidents
Penalty
Summary
The facility failed to implement its policy and procedure for investigating incidents of abuse, neglect, and misappropriation, as evidenced by multiple incidents involving residents. In the first incident, a Licensed Practical Nurse (LPN) witnessed one resident touching another resident inappropriately. However, the investigation did not include statements from other staff members who were present at the time, nor were other residents assessed or interviewed, contrary to the facility's policy. In another incident, a resident was found crying after another resident had been massaging her neck without consent. The investigation again lacked comprehensive statements from other staff and did not address the resident's claim that the other resident had been asking to touch her inappropriately throughout the day. The facility's policy requires obtaining statements from all relevant parties, which was not followed. A third incident involved a resident being physically assaulted by another resident. The investigation was incomplete, as it did not include statements from other staff or residents who might have witnessed the event. The Director of Social Services acknowledged the failure to adhere to the facility's policy, which mandates thorough investigation procedures, including obtaining statements from all involved parties.
Failure to Investigate Resident-to-Resident Abuse
Penalty
Summary
The facility failed to thoroughly investigate two instances of resident-to-resident sexual abuse and one instance of resident-to-resident physical abuse. In the first case, a Licensed Practical Nurse (LPN) witnessed a resident touching another resident inappropriately. However, the investigation did not include statements from other staff members who were present at the time, nor were other residents assessed or interviewed. The facility's policy requires obtaining statements from all relevant parties, but this was not followed. In the second case, a resident was seen massaging another resident's neck, and the latter reported unwanted touching throughout the day. The investigation again lacked statements from other staff and did not address all allegations made by the resident. The facility's policy mandates comprehensive interviews and assessments, which were not conducted. In the third case, a resident was physically assaulted by another resident. The investigation included statements from the victim and a witness but failed to gather input from other staff or residents who might have been involved. The facility's policy requires a thorough investigation involving all potential witnesses, which was not adhered to in this instance.
Failure to Provide Transfer Notifications
Penalty
Summary
The facility failed to provide timely notification to residents, their representatives, and the Ombudsman regarding hospital transfers, as required by regulations. This deficiency was identified during a review of medical records and staff interviews, where it was found that three out of four hospital transfers lacked proper documentation of a Notice of Transfer. Specifically, Resident #29 was discharged to the hospital without evidence of a Notice of Transfer being provided to the resident's representative or the Ombudsman. Similarly, Resident #20 was transferred to the hospital without the correct Notice of Transfer being issued, and Resident #38's transfer also lacked documentation of notification to both the resident's representative and the Ombudsman. The Administrator confirmed during interviews that the necessary notifications were not completed for these transfers. The failure to provide these notices was consistent across multiple cases, indicating a systemic issue within the facility's process for handling hospital transfers. This oversight had the potential to affect all residents being transferred or discharged, as it was not limited to isolated incidents but rather a broader failure in compliance with notification requirements.
Inadequate Pain Management Practices Identified
Penalty
Summary
The facility failed to provide safe and appropriate pain management for three residents, as identified during a long-term care survey. Resident #29, who had a broken hip, was prescribed Acetaminophen for pain management. However, the medication administration record showed that the resident received the medication without specific parameters, and the Assistant Director of Nursing (ADON) confirmed that the resident was not receiving pain medication according to nursing standards. Similarly, Resident #26 had orders for both Acetaminophen and Oxycodone HCl for pain management, but the records indicated that Oxycodone was administered for low pain levels without parameters, and Acetaminophen was not given at all. The ADON acknowledged that the pain management for this resident was not in line with nursing standards. Resident #157 was receiving PRN Oxycodone for pain management, but the medication was administered for pain levels ranging from 0 to 2, which are considered mild according to the Numeric Pain Rating Scale. The ADON stated that Oxycodone is typically used for more severe pain and that the nurses should have consulted the physician for alternative medication for lower pain levels. The lack of specific parameters for administering pain medication and the failure to adhere to professional standards of practice were identified as deficiencies in the facility's pain management practices.
Failure to Accommodate Resident Shower Preferences
Penalty
Summary
The facility failed to honor the residents' right to make choices about aspects of their lives that are important to them, specifically regarding their shower schedules. Resident #35 expressed that she was not receiving showers when she preferred, despite having a scheduled shower routine. The Assistant Director of Nursing confirmed that Resident #35 was not getting her showers as scheduled, indicating a failure in accommodating the resident's preferences. Similarly, Resident #19, who had a lifelong habit of taking daily showers, was limited to a shower schedule that did not meet her preferences. Despite expressing her desire for daily showers and having her Medical Power of Attorney advocate on her behalf, the facility's constraints, such as having only one shower room and staffing issues, prevented the accommodation of her request. Nursing Assistants acknowledged the difficulty in meeting all residents' preferences due to these limitations, further highlighting the facility's failure to support resident choice in personal care routines.
Failure to Notify Family of Hospitalization
Penalty
Summary
The facility failed to notify the representative or family of an acute hospitalization for two out of three residents reviewed for hospitalization during the Long-Term Care Survey process. Specifically, Resident #20, who had the capacity to make his own medical decisions, was transferred to the hospital after informing the nurse of feeling unwell. The physician was notified, and orders were received to send the resident to the emergency room for evaluation. However, there was no evidence that the resident's daughter, who was listed as the resident's representative, was notified of the transfer. The Assistant Director of Nursing confirmed that the facility could not provide evidence of notification to the resident's daughter, acknowledging that even though the resident was mentally competent, his representative or family should have been informed of significant changes in his health status.
Failure to Timely Report Resident Abuse Incidents
Penalty
Summary
The facility failed to timely report allegations of suspected abuse between residents to the appropriate State Agency within the required 2-hour window. This deficiency was identified for two out of five residents reviewed for abuse. In the first case, a Licensed Practical Nurse (LPN) observed an incident on the morning of June 13, 2024, where one resident appeared to be touching the private area of another resident. The incident was categorized as sexual abuse, which mandates reporting within 2 hours according to the Office of Health Facility Licensure and Certification Long Term Care Nursing Home Program. However, the report was not submitted until June 18, 2024, which is outside the required timeframe. The facility's policy also mandates immediate reporting, but this was not adhered to. In the second case, an LPN documented an incident on the evening of October 20, 2024, where a resident was hit multiple times on the face by another resident. The Adult Protective Services Mandated Reporting Form was not faxed to the appropriate authorities until several hours later, missing the 2-hour reporting window. The Director of Social Services confirmed that the resident-to-resident abuse occurred and acknowledged the delay in reporting. These incidents highlight the facility's failure to comply with mandatory reporting requirements for abuse allegations, as outlined by both state regulations and the facility's internal policies.
Failure to Notify Resident of Bed Hold Policy
Penalty
Summary
The facility failed to provide the required notification of the bed hold policy to a resident or their representative upon transfer to a hospital. This deficiency was identified during a medical record review and staff interview, which revealed that a resident was discharged to a hospital without documentation of the bed hold policy being communicated. Specifically, the medical record lacked evidence that the resident or their representative received a copy of the bed hold policy at the time of transfer, nor was there any documentation of contact regarding the policy. The facility's administrator confirmed the absence of such documentation during an interview.
Failure to Assist Resident with ADLs
Penalty
Summary
The facility failed to assist a dependent resident with activities of daily living (ADLs) according to the resident's assessed needs. Specifically, Resident #108 reported during an interview that she had not received a bath or shower, nor had her hair washed since her admission to the facility. A review of the records confirmed that there was no documentation of bathing for Resident #108 from August 14, 2024, through August 21, 2024. During an interview, the Assistant Director of Nursing (ADON) acknowledged that Resident #108 was not receiving her scheduled showers and stated that efforts were being made to accommodate residents' preferences for shower times.
Failure to Notify Physician of Abnormal Blood Sugar Levels
Penalty
Summary
The facility failed to adhere to a physician's order regarding the notification of blood sugar levels for a resident with diabetes. Specifically, the order required that the physician be notified if the resident's blood glucose levels were less than 60 or greater than 400. On one occasion, the resident's blood sugar was recorded at 455, and although a message was left with the nurse practitioner, there was no documentation indicating that the physician or nurse practitioner was notified or responded to the message. This oversight was confirmed during an interview with the Assistant Director of Nursing, who acknowledged that the physician or nurse practitioner had not been informed of the blood sugar level outside the specified parameters. The resident involved had a care plan that included monitoring for signs and symptoms of hyperglycemia and hypoglycemia, as well as obtaining and reporting abnormal blood sugar levels to the medical provider. Despite these directives, the facility did not follow through with the necessary communication to the medical provider when the resident's blood sugar exceeded the threshold. This lapse in communication and adherence to the care plan and physician's orders represents a deficiency in the facility's management of the resident's diabetes care.
Infection Control Deficiencies in Water Management and Laundry Services
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by the absence of a Water Management Plan. During a review of the facility's water management, it was discovered that there was no documentation detailing the water system, including control points for Legionella control measures. The Executive Director was unaware of the requirement for such documentation, and the Regional Director of Clinical Operations incorrectly assumed that this information was included in the Emergency Management Plan. Upon review, no such plan or description was found, confirming the deficiency. Additionally, the facility's laundry services were found to be lacking in proper infection control practices. During an inspection of the laundry room, a washing machine was found with pillows piled on top of it, and the machine was not in use due to a breakdown. The Laundry Aide expressed confusion about the presence of the pillows and confirmed that all items in the soiled laundry room should be in bins. This indicates a failure to maintain proper separation and handling of soiled and clean laundry, further contributing to the facility's infection control deficiencies.
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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.
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Nursing homes near Lindside
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Hall-rich Creek | 11.2 mi | — | 0 | 0 |
| Summers Healthcare Center | 13.3 mi | — | 0 | 0 |
| Main Street Care | 18 mi | — | 7 | 0 |
| Lewisburg Healthcare Center | 21.9 mi | — | 11 | 1 |
| Seneca Trail Healthcare Center | 23.1 mi | — | 18 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.