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Deficiency Category | Inspection Date: 9/10/24 Complaint Reporting Period: 4/1/24 - 3/31/25 | Inspection Date: 9/18/23 Complaint Reporting Period: 4/1/23 - 3/31/24 | Inspection Date: 11/15/22 Complaint Reporting Period: 4/1/22 - 3/31/23 |
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Emergency Preparedness Deficiencies | |||
Automatic Sprinkler Systems Deficiencies | |||
Building Construction Deficiencies | |||
Services Deficiencies | |||
Corridor Walls and Doors Deficiencies | |||
Egress Deficiencies | |||
Electrical Deficiencies | |||
Emergency Plans and Fire Drills Deficiencies | |||
Fire Alarm Systems Deficiencies | |||
Smoke Deficiencies | |||
Interior Finish Deficiencies | |||
Gas, Vacuum, and Electrical Systems Deficiencies | |||
Hazardous Area Deficiencies | |||
Illumination and Emergency Power Deficiencies | |||
Laboratories Deficiencies | |||
Medical Gases and Anesthetizing Areas Deficiencies | |||
Smoking Regulations Deficiencies | |||
Miscellaneous Deficiencies |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Pennsylvania: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | 9/10/24 | 10/15/24 | 1 - Potential for minimal harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Meet other general requirements. | 9/10/24 | 10/15/24 | 1 - Potential for minimal harm | Many |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
No Egress Deficiencies were found during this inspection period. |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide properly protected cooking facilities. | 9/10/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Some |
Inspect, test, and maintain automatic sprinkler systems. | 9/10/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Some |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 9/10/24 | 10/15/24 | 1 - Potential for minimal harm | Many |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Pennsylvania: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Meet other general requirements. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Provide properly protected cooking facilities. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have power receptacles that are properly grounded. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 9/18/23 | 11/1/23 | 1 - Potential for minimal harm | Many |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide properly sized and located linen or trash receptacles. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Have simulated fire drills held at unexpected times. | 9/18/23 | 11/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Pennsylvania: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Address subsistence needs for staff and patients. | 11/15/22 | 12/20/22 | 1 - Potential for minimal harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Properly select, install, inspect, or maintain portable fire extinguishes. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | 12/13/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Have approved installation, maintenance and testing program for fire alarm systems. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Install a fire alarm system that can be heard throughout the facility. | 12/13/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | 12/13/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Few |
Install an approved automatic sprinkler system. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Provide properly protected cooking facilities. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Meet requirements for the use of electrical equipment. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Have generator or other power source capable of supplying service within 10 seconds. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Ensure proper usage of power strips and extension cords. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Some |
Meet requirements for the installation and maintenance of electrical systems. | 11/15/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Some |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Properly install and monitor supervisory attachments on automatic sprinkler systems. | 12/13/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Install a fire alarm system that can be heard throughout the facility. | 12/13/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Few |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | 12/13/22 | 12/20/22 | 2 - Minimal harm or potential for actual harm | Few |