Nursing Investigation Results -

Pennsylvania Department of Health
MANORCARE HEALTH SERVICES-KING OF PRUSSIA
Building Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations

Click here for definitions Click here for definitions Click here for definitions Click here for definitions
Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
MANORCARE HEALTH SERVICES-KING OF PRUSSIA
Inspection Results For:

There are  36 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
MANORCARE HEALTH SERVICES-KING OF PRUSSIA - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Name: - Component: -- - Tag: 0000


Based on an Emergency Preparedness Survey completed on May 21, 2019, it was determined that Manorcare Health Services-King Of Prussia had deficiencies that have the potential for minimal harm as related to the requirements of 42 CFR 483.73.






 Plan of Correction:


483.73(c)(4)-(6) REQUIREMENT Methods for Sharing Information:Least serious deficiency but was found to be widespread throughout the facility and/or has the potential to affect a large portion or all the residents. This deficiency has the potential for causing no more than a minor negative impact on the resident.
[(c) The [facility] must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.] The communication plan must include all of the following:

(4) A method for sharing information and medical documentation for patients under the [facility's] care, as necessary, with other health providers to maintain the continuity of care.

(5) A means, in the event of an evacuation, to release patient information as permitted under 45 CFR 164.510(b)(1)(ii). [This provision is not required for HHAs under 484.102(c), CORFs under 485.68(c), and RHCs/FQHCs under 491.12(c).]

(6) [(4) or (5)]A means of providing information about the general condition and location of patients under the [facility's] care as permitted under 45 CFR 164.510(b)(4).

*[For RNHCIs at 403.748(c):] (4) A method for sharing information and care documentation for patients under the RNHCI's care, as necessary, with care providers to maintain the continuity of care, based on the written election statement made by the patient or his or her legal representative.

*[For RHCs/FQHCs at 491.12(c):] (4) A means of providing information about the general condition and location of patients under the facility's care as permitted under 45 CFR 164.510(b)(4).
Observations:
Name: - Component: -- - Tag: 0033

Based on document review and interview, it was determined the facility failed develop an emergency preparedness plan, affecting the entire facility.

Findings Include:

1. Document review on May 21, 2019, at 11:00 am, revealed the facility failed to provide an emergency preparedness plan that identified a method for sharing information and medical documentation for patients under the facility's care, as necessary, with other health care providers, to maintain continuity of care.

Interview at the exit conference with the Administrator and Director of Maintenance on May 21, 2019, at 2:45 pm, confirmed the lack of documentation.





 Plan of Correction - To be completed: 07/09/2019

1. Facility Emergency Preparedness Plan with identified method of sharing information and medical documentation to patients in the facility with other health care providers to maintain continuity of care.

2. Facility Emergency Preparedness Plan will be reviewed annually

3. Results will be reported to QA committee for recommendation
Initial comments:Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0000


Facility ID# 125902
Building 01
Main & Medbridge Building

Based on a Medicare/Medicaid Recertification Survey completed on May 21, 2019, it was determined that Manorcare Health Services-King Of Prussia -Main & Medbridge Building, was not in compliance with the following requirements of the Life Safety Code for an existing Nursing health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a two-story, Type II (000), unprotected non-combustible construction, which is fully sprinklered.







 Plan of Correction:


NFPA 101 STANDARD Illumination of Means of Egress:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Illumination of Means of Egress
Illumination of means of egress, including exit discharge, is arranged in accordance with 7.8 and shall be either continuously in operation or capable of automatic operation without manual intervention.
18.2.8, 19.2.8
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0281

Based on observation and interview, it was determined the facility failed to maintain illumination of means of egress, affecting one of three stair towers within this component.

Findings include:

1. Observation made on May 21, 2019, at 1:15 pm, revealed the second floor fire exit stair tower landing by room 252, had a four foot light fixture which was not illuminated.

Interview at the exit conference with the Administrator and Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed light was not illuminated.












 Plan of Correction - To be completed: 07/09/2019

1. Light fixture on the second floor fire exit stair tower landing is illuminated.

2. Maintenance director / or designee will audit weekly to ensure stair tower landing light fixtures are illuminating

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Fire Alarm System - Testing and Maintenance:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Fire Alarm System - Testing and Maintenance
A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available.
9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0345

Based on documentation review and interview, it was determined the facility failed to ensure the fire alarm system was inspected and maintained as required, affecting 1 of two required inspections.

Findings include:

1. Document review on May 21, 2019, between 9:00 am and 11:00 am, revealed documentation of a semi-annual visual inspection of the fire alarm system was unavailable at the time of inspection.

Interview at the exit conference with the Administrator and Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the documentation was unavailable.















 Plan of Correction - To be completed: 07/09/2019

1. Documentation of semi annual visual inspection of the fire alarm system received and on file

2. Maintenance director / or designee will audit monthly to ensure all documentation from the fire alarm company is on file after completion of inspections

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Smoke Detection:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Smoke Detection
2012 EXISTING
Smoke detection systems are provided in spaces open to corridors as required by 19.3.6.1.
19.3.4.5.2
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0347

Based on documentation review and interview, it was determined the facility failed to conduct required inspection, affecting 1 of two inspections.

Findings include:

1. Review of documents on May 21, 2019, between 9:00 am and 11:00 am, revealed the facility failed to provide two year sensitivity testing documentation.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the documentation was not available.












 Plan of Correction - To be completed: 07/09/2019

1. Documentation for the sensitivity testing of smoke detection is on file

2. Maintenance director / or designee will audit monthly to ensure all documentation from the fire alarm company is on file after completion of inspections

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Sprinkler System - Maintenance and Testing:This is a less serious (but not lowest level) deficiency but was found to be widespread throughout the facility and/or has the potential to affect a large portion or all the residents.  This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
Sprinkler System - Maintenance and Testing
Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Records of system design, maintenance, inspection and testing are maintained in a secure location and readily available.
a) Date sprinkler system last checked _____________________
b) Who provided system test ____________________________
c) Water system supply source __________________________
Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system.
9.7.5, 9.7.7, 9.7.8, and NFPA 25
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0353

Based on documentation review and interview, it was determined the facility failed to ensure the automatic sprinkler system was inspected at required intervals, affecting the entire facility.

Findings include:

1. Document review on May 21, 2019, between 9:00 am and 11:00 am, revealed the first quarter automatic sprinkler system inspection information was unavailable for review.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the documentation was not available.










 Plan of Correction - To be completed: 07/09/2019


1. First quarter automatic sprinkler system inspection was missed, sprinkler system inspection completed on April 25th 2019, next sprinkler inspection scheduled for July 2019.

2. Maintenance director and assistant will be in-serviceed regarding the requirements for sprinkler system inspections to be completed on a quarter bases
utilization of the TELS system to ensure inspections listed quarterly to complete are completed and verified by documentation is on file.

3. Maintenance director / or designee will audit monthly to ensure quarterly sprinkler inspections for the remaining three quarters are completed,

3. Results will be reported to QA committee for recommendations


NFPA 101 STANDARD Corridor - Doors:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Corridor - Doors
Doors protecting corridor openings in other than required enclosures of vertical openings, exits, or hazardous areas resist the passage of smoke and are made of 1 3/4 inch solid-bonded core wood or other material capable of resisting fire for at least 20 minutes. Doors in fully sprinklered smoke compartments are only required to resist the passage of smoke. Corridor doors and doors to rooms containing flammable or combustible materials have positive latching hardware. Roller latches are prohibited by CMS regulation. These requirements do not apply to auxiliary spaces that do not contain flammable or combustible material.
Clearance between bottom of door and floor covering is not exceeding 1 inch. Powered doors complying with 7.2.1.9 are permissible if provided with a device capable of keeping the door closed when a force of 5 lbf is applied. There is no impediment to the closing of the doors. Hold open devices that release when the door is pushed or pulled are permitted. Nonrated protective plates of unlimited height are permitted. Dutch doors meeting 19.3.6.3.6 are permitted. Door frames shall be labeled and made of steel or other materials in compliance with 8.3, unless the smoke compartment is sprinklered. Fixed fire window assemblies are allowed per 8.3. In sprinklered compartments there are no restrictions in area or fire resistance of glass or frames in window assemblies.

19.3.6.3, 42 CFR Parts 403, 418, 460, 482, 483, and 485
Show in REMARKS details of doors such as fire protection ratings, automatics closing devices, etc.
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0363

Based on observation and interview, it was determined the facility failed to maintain doors protecting corridor openings to be positive latching, affecting one of two levels within this component.

Findings:

1. Observation made on May 21, 2019, at 1:25 pm, revealed the second floor room 240 corridor door failed to close completely and positively latch into the frame.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the door failed to positively latch.







 Plan of Correction - To be completed: 07/09/2019

1. Second floor room 240 corridor door will be adjusted to close and latch completely into the frame

2. Maintenance director / or designee to audit weekly to ensure corridor doors latch completely into the frame

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Subdivision of Building Spaces - Smoke Barrie:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Subdivision of Building Spaces - Smoke Barrier Construction
2012 EXISTING
Smoke barriers shall be constructed to a 1/2-hour fire resistance rating per 8.5. Smoke barriers shall be permitted to terminate at an atrium wall. Smoke dampers are not required in duct penetrations in fully ducted HVAC systems where an approved sprinkler system is installed for smoke compartments adjacent to the smoke barrier.
19.3.7.3, 8.6.7.1(1)
Describe any mechanical smoke control system in REMARKS.
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0372

Based on observation and interview, it was determined the facility failed to maintain the fire resistance rating of smoke barriers, affecting one of two levels within this component.

Findings include:

1. Observation made on May 21, 2019, at 1: 20 pm, revealed above the smoke barrier doors at room 261 there was an unsealed penetration of the smoke barrier wall inside 1" inch conduit sleeve.

Interview at the exit conference with the Administrator and Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the penetration.







 Plan of Correction - To be completed: 07/09/2019

1. Smoke barriers wall penetration will be sealed with an UL approved fire stop system and made to be smoke tight

2. Maintenance Director or designee will conduct semiannual inspections of units for penetrations.

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Maintenance, Inspection & Testing - Doors:This is a less serious (but not lowest level) deficiency but was found to be widespread throughout the facility and/or has the potential to affect a large portion or all the residents.  This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
Maintenance, Inspection & Testing - Doors
Fire doors assemblies are inspected and tested annually in accordance with NFPA 80, Standard for Fire Doors and Other Opening Protectives.
Non-rated doors, including corridor doors to patient rooms and smoke barrier doors, are routinely inspected as part of the facility maintenance program.
Individuals performing the door inspections and testing possess knowledge, training or experience that demonstrates ability.
Written records of inspection and testing are maintained and are available for review.
19.7.6, 8.3.3.1 (LSC)
5.2, 5.2.3 (2010 NFPA 80)
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0761

Based on documentation review and interview, it was determined the facility failed to maintain a required inspections of rated door openings, affecting the entire facility.

Findings include:

1. Document review on May 21, 2019, between 9:00 am and 11:00 am, revealed the facility was unable to provide annual fire rated door inspections and testing information.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the documentation was unavailable.







 Plan of Correction - To be completed: 07/09/2019

1. Fire rated door inspection and testing documentation will be completed and kept on file

2. Maintenance Director or designee will conduct semiannual audit to ensure documentation of fire rated door
inspection and testing is on file.

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Electrical Systems - Other:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
Electrical Systems - Other
List in the REMARKS section any NFPA 99 Chapter 6 Electrical Systems requirements that are not addressed by the provided K-Tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included on Form CMS-2567.
Chapter 6 (NFPA 99)
Observations:
Name: BUILDING 01 (MAIN & MEDBRIDGE BLDG) - Component: 01 - Tag: 0911

Based on observation and interview, it was determined the facility failed to protect electrical wiring, affecting one out of three smoke zones within the facility component.

Findings include:

1. Observation made on May 21, 2019, at 1:35 pm, revealed there was a junction box with exposed inner electrical wiring, due to missing cover plate, above the suspended ceiling on the 2nd floor across from room 239.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the junction box was missing a cover plate exposing internal wiring.









 Plan of Correction - To be completed: 07/09/2019

1. Junction box cover plate replaced across from room 239.

2. Maintenance Director or designee will conduct random weekly audits to ensure junction boxes have cover plates

3. Results will be reported to QA committee for recommendations

Initial comments:Name: NORTHEAST ADDITION - Component: 03 - Tag: 0000


Facility ID# 125902
Building 03
Northeast Addition

Based on a Medicare/Medicaid Recertification Survey completed on May 21, 2019, it was determined that Manorcare Health Services-King Of Prussia - Northeast Addition was in substantial compliance with the requirements of the Life Safety Code for an existing Nursing health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a two-story, Type II (111), protected non-combustible construction, which is fully sprinklered.









 Plan of Correction:


Initial comments:Name: THERAPY WING ADDITION - Component: 04 - Tag: 0000


Facility ID# 125902
Building 04
Therapy Wing Addition

Based on a Medicare/Medicaid Recertification Survey completed on May 21, 2019, it was determined that Manorcare Health Services-King Of Prussia - Therapy Wing Addition, was not in compliance with the following requirements of the Life Safety Code for an existing Nursing health care occupancy health care occupancy. Compliance with the National Fire Protection Association ' s Life Safety Code is required by 42 CFR 483.90(a).

This is a one-story, Type II (111), protected non-combustible construction, which is fully sprinklered.









 Plan of Correction:


NFPA 101 STANDARD Means of Egress - General:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Means of Egress - General
Aisles, passageways, corridors, exit discharges, exit locations, and accesses are in accordance with Chapter 7, and the means of egress is continuously maintained free of all obstructions to full use in case of emergency, unless modified by 18/19.2.2 through 18/19.2.11.
18.2.1, 19.2.1, 7.1.10.1
Observations:
Name: THERAPY WING ADDITION - Component: 04 - Tag: 0211

Based on observation and interview, it was determined the facility failed to maintain exit access to be accessible at all times, affecting one of two smoke compartments within this component.

Findings Include:

1. Observation made on May 21, 2019, at 1:45 pm, revealed the lower level horizontal emergency exit by the storage room was utilized as a storage area with a large metal utility box and other miscellaneous items.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed there were impediments to egress.












 Plan of Correction - To be completed: 07/09/2019

1. Items removed from the lower level horizontal emergency exit.

2. Maintenance director / or designee to audit weekly to ensure emergency exits are free from obstruction

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Hazardous Areas - Enclosure:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Hazardous Areas - Enclosure
Hazardous areas are protected by a fire barrier having 1-hour fire resistance rating (with 3/4 hour fire rated doors) or an automatic fire extinguishing system in accordance with 8.7.1 or 19.3.5.9. When the approved automatic fire extinguishing system option is used, the areas shall be separated from other spaces by smoke resisting partitions and doors in accordance with 8.4. Doors shall be self-closing or automatic-closing and permitted to have nonrated or field-applied protective plates that do not exceed 48 inches from the bottom of the door.
Describe the floor and zone locations of hazardous areas that are deficient in REMARKS.
19.3.2.1, 19.3.5.9

Area Automatic Sprinkler Separation N/A
a. Boiler and Fuel-Fired Heater Rooms
b. Laundries (larger than 100 square feet)
c. Repair, Maintenance, and Paint Shops
d. Soiled Linen Rooms (exceeding 64 gallons)
e. Trash Collection Rooms
(exceeding 64 gallons)
f. Combustible Storage Rooms/Spaces
(over 50 square feet)
g. Laboratories (if classified as Severe
Hazard - see K322)
Observations:
Name: THERAPY WING ADDITION - Component: 04 - Tag: 0321

Based on observation and interview, it was determined the facility failed to ensure hazardous areas doors were self-closing, affecting one of two smoke zones within this facility component.

Findings include:

1. Observation made on May 21, 2019 at 1:25 pm, revealed the 1st floor soiled utility room corridor door across from room 138, failed to close completely and positively latch into the frame.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the door failed to positively latch.










 Plan of Correction - To be completed: 07/09/2019

1. First floor soiled utility room corridor door completely latches into the frame

2. Maintenance director / or designee to audit weekly to ensure doors latch completely into the frame

3. Results will be reported to QA committee for recommendations

NFPA 101 STANDARD Gas Equipment - Cylinder and Container Storag:This is a less serious (but not lowest level) deficiency and affects more than a limited number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status. This deficiency was not found to be throughout this facility.
Gas Equipment - Cylinder and Container Storage
Greater than or equal to 3,000 cubic feet
Storage locations are designed, constructed, and ventilated in accordance with 5.1.3.3.2 and 5.1.3.3.3.
>300 but <3,000 cubic feet
Storage locations are outdoors in an enclosure or within an enclosed interior space of non- or limited- combustible construction, with door (or gates outdoors) that can be secured. Oxidizing gases are not stored with flammables, and are separated from combustibles by 20 feet (5 feet if sprinklered) or enclosed in a cabinet of noncombustible construction having a minimum 1/2 hr. fire protection rating.
Less than or equal to 300 cubic feet
In a single smoke compartment, individual cylinders available for immediate use in patient care areas with an aggregate volume of less than or equal to 300 cubic feet are not required to be stored in an enclosure. Cylinders must be handled with precautions as specified in 11.6.2.
A precautionary sign readable from 5 feet is on each door or gate of a cylinder storage room, where the sign includes the wording as a minimum "CAUTION: OXIDIZING GAS(ES) STORED WITHIN NO SMOKING."
Storage is planned so cylinders are used in order of which they are received from the supplier. Empty cylinders are segregated from full cylinders. When facility employs cylinders with integral pressure gauge, a threshold pressure considered empty is established. Empty cylinders are marked to avoid confusion. Cylinders stored in the open are protected from weather.
11.3.1, 11.3.2, 11.3.3, 11.3.4, 11.6.5 (NFPA 99)
Observations:
Name: THERAPY WING ADDITION - Component: 04 - Tag: 0923

Based on observation and interview, it was determined facility failed to maintain identification of medical gas storage cylinders, affecting one of two smoke zones within this component.

Findings include:

1. Observation made on May 21, 2019, 1:50 pm, revealed the exterior oxygen cylinder storage area was missing signage designating full and empty tank storage.

Interview at the exit conference with the Administrator and the Maintenance Manager on May 21, 2019, at 2:45 pm, confirmed the signage was missing.








 Plan of Correction - To be completed: 07/09/2019

1. Signage placed on exterior oxygen cylinder storage area designation full and empty

2. Maintenance director / or designee will audit weekly to ensure exterior oxygen cylinder storage area with signage for full and empty tanks

3. Results will be reported to QA committee for recommendations


Back to County Map


  
Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance



Copyright 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement

Visit the PA Power Port