Legend Personal Care and Memory Care of Lancaster
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Assisted Living
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State Inspection History
State Inspections
Source: PA State Licensing Agency
Key Findings
Between 2022 and 2026, Legend Personal Care and Memory Care of Lancaster underwent 32 inspections, resulting in 9 clean reports and 66 documented violations. Findings from these inspections included issues with medication administration, failure to complete required medical evaluations, and lapses in maintaining sanitary conditions and equipment protocols.
Mar 24, 2026Routine
The exit door in the Secure Dementia Care Unit was equipped with a non-functioning code box, and the push bar failed to open the door, preventing immediate egress.
An unlocked propane tank was observed accessible to residents under a grill in the personal care courtyard.
Jan 13, 2026Other
A resident engaged in inappropriate sexual activity and physical fondling of other residents within the Secured Dementia Care Unit.
Jun 18, 2025Routine
A pungent scent of urine and body odor was detected in a resident room.
May 8, 2025Other
Two medication carts and two laptops were left unlocked, unattended, and accessible, exposing resident information.
Multiple incidents of residents being observed naked or engaging in sexualized behavior in apartments without appropriate assessments for ability to consent or one-to-one supervision.
Apr 16, 2025Other
The home failed to report two incidents (a potential physical abuse incident and a resident elopement) to the Department within the required 24-hour timeframe.
A resident eloped from the facility due to an improperly latched door, and a sexual act occurred between two residents in the SDCU without prior medical evaluation of their ability to consent.
Feb 25, 2025Other
The personal care home failed to post the current license, a copy of the inspection summary, and a copy of the regulations in a conspicuous and public place.
Dec 11, 2024Other
A preadmission screening form was completed but failed to include a determination that the resident's needs could be met by the home.
The home failed to follow prescriber's orders by not administering medications at the prescribed times for residents.
The resident's assessment and support plan were not updated to include new needs following a significant change in condition/hospital discharge.
Oct 3, 2024Other
Resident medical evaluations were missing required information such as height, weight, blood pressure, pulse, temperature, and body positioning/movement.
A resident was found on the floor with a bloody nose and diagnosed with a nasal fracture after being struck.
Three staff members (Staff A, B, and C) had not received required fire safety and emergency preparedness orientation.
Ownership & Operations
Who Operates This Facility
Lancaster Pch LLC
for profit
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References & Resources
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