Health inspection·January 30, 2026

F 0605 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Based upon clinical record review and staff interview, it was determined that the facility failed to ensure non-pharmacological interventions were completed prior to the administration of as needed anti-anxiety medication for one of five residents reviewed (Resident 51).Findings include:Review of Resident 51's physician's orders revealed an order for Ativan (anti-anxiety medication) 0.5 milligrams (mg) to be administered every four hours as needed for anxiety/restlessness.Review of Resident 51's January Medication Administration Record (MAR) revealed Resident 51 received Ativan 0.5 mg on January 1, January 2, January 3, January 5, January 6, January 8, January 9, January 10, January 11, January 21, January 22, January 26 and January 27, 2026.Review of Resident 51's clinical record failed to reveal evidence that non-pharmacological interventions were attempted prior to the administration of as needed Ativan on the above-mentioned dates.Interview with the Nursing Home Administrator and Director of Nursing on January 30, 2026, at 10:50 a.m. confirmed that no non-pharmacological interventions were attempted prior to the administration of the as needed Ativan. 28 Pa. Code 211.12(c)(d)(1)(2)(5) Nursing Services Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 395328 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395328 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/30/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brethren Village 3001 Lititz Pike Lancaster, PA 17606 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)