Londonderry Village (LVBH)

Nursing care in 2022, the nursing center of the Lebanon Valley Brethren Home (d/b/a Londonderry Village) experienced a long-awaited transition as the covid-19 pandemic finally started to wane. At the beginning of the year, the nursing center struggled to deal with a staff exodus that had occurred in late 2021 due to the government mandate on covid-19 vaccinations for staff. As the year progressed, the facility was able to hire more nursing aides and nurses onto the payroll, and simultaneously we were able to greatly reduce our utilization of agency nursing staff, which was a boon for both quality and expense control. Despite the staffing challenges, our nursing facility retained its #1 position in the Lebanon county rankings for staffing (as measured by department of health formulas). Because of the improvements in hiring nursing personnel, the board of directors authorized the removal of a moratorium on outside admissions to nursing care, and we were able to once again consider referrals (who were not lv residents) from our neighboring hospitals. As the months went by, the nursing care center experienced fewer cases of covid-19 (in both residents and staff), and the severity of those cases also decreased. Beginning in 2022, the organization embarked on a series of renovations to its original four green houses, all of whom were over fifteen years in age. The nursing census was intentionally reduced as we took individual green houses off-line to accomplish the renovations. As in 2021, the annual pa department of health inspection of the nursing care facility was very positive, with just a few minor deficiencies and with the retention of our 5-star cms quality rating. Our goal for 2023 will be to complete our renovations and return to having all six of our green houses fully occupied. Personal care - in the personal care unit, the ongoing pandemic continued to affect everyday life for the pc residents during 2022. Visitation restrictions were removed as the pandemic started to ebb, but residents were still required to adhere to social distancing regulations in the dining room. Following the trend from 2021, the demand for personal care services improved and stayed strong for most of the year. The annual inspection by the department of human services went very well, with just a few minor paperwork corrections. Management began intensive planning to renovate and expand the capacity of the personal care unit; architectural drawings should be completed in 2023 and construction is likely to commence by early 2024. Most of the pc rooms will be expanded from studio units to one bedroom suites. Independent living the independent living community is not subject to the same kind of regulatory oversight as our nursing and personal care units, and it therefore was able to start recovering from the pandemic restrictions much earlier. Throughout 2022, resident activities and interactions were on the rise, and this momentum accelerated in the third quarter of 2022 as required "masking" in common areas was discontinued. As in our health care units, the prevalence and severity of covid-19 cases decreased among the independent living community during 2022. New admissions and future sales remained strong as a vibrant real estate market aided our prospects in selling their homes for record-high prices. The community "turned-over" more than 50 housing units during the year a record for the organization. Londonderry Village continued its pursuit of land development approvals for our new "fox run" expansion on our south campus. At this time, it appears that both the approvals and the start of construction will take place by midyear of 2023. Fox run sales interest remains very high, with the majority of phase 1 carriage homes and townhomes already reserved. Given its strong history of operations, Londonderry Village retained its bbb investment rating through the fitch ratings service, which is a rare honor that only about 10% of all retirement communities could qualify for.