Nursing Investigation Results -

Pennsylvania Department of Health
CUMBERLAND CROSSINGS RETIREMENT COMMUNITY
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
CUMBERLAND CROSSINGS RETIREMENT COMMUNITY
Inspection Results For:

There are  35 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.
CUMBERLAND CROSSINGS RETIREMENT COMMUNITY - 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 June 30, 2022, at Cumberland Crossings Retirement Community, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.



 Plan of Correction:


Initial comments:Name: MAIN BUILDING - Component: 01 - Tag: 0000


Facility ID# 016502
Component 01
Main Building

Based on a Medicare/Medicaid Recertification Survey completed on June 30, 2022, it was determined that Cumberland Crossings Retirement Community was not in compliance with the following requirements of the Life Safety Code for an existing 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 noncombustible structure, with an attic, which is fully sprinklered.



 Plan of Correction:


NFPA 101 STANDARD Corridor - Doors: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.
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: MAIN BUILDING - Component: 01 - Tag: 0363

Based on observation and interview, it was determined the facility failed to maintain the positive latching of corridor doors, affecting one of seven smoke compartments within the component.

Findings include:

1. Observation on June 30, 2022, at 11:26 AM, revealed the 1st floor door to the Transportation Office failed to positively latch within the door frame.

Interview with the Maintenance Director and Maintenance Technician on June 30, 2022, at 11:26 AM, confirmed the door did not latch within the frame.




 Plan of Correction - To be completed: 08/09/2022

Correction does not constitute an admission of or agreement with the facts and conclusions set forth on the survey report. Our plan of correction is prepared and executed as a means to
continually improve the quality of care and to comply with all applicable state and federal regulatory requirements.

1. Corridor doors will positively latch when closed.

2. Doors were adjusted on 6/30/2022 and were able to positively latch.

3. Education provided to maintenance staff on NFPA regulation on fire door closure.

4. Door in question will be audited daily by maintenance director or their designee for full closure for one week. After one week maintenance director or their designee will audit 25% of facility fire doors once per week for one month for positive closure. After one month maintenance director or their designee will audit 25% of facility fire doors once per month for on an ongoing basis for positive closure or until substantial compliance is achieved. The results will be reported to the Quality Assurance Process Improvement committee for review and recommendation.
Initial comments:Name: 02 COMPONENT - Component: 02 - Tag: 0000


Facility ID #016502
Component 02
Therapy Addition

Based on a Medicare/Medicaid Recertification Survey completed on June 30, 2022, at Cumberland Crossings Retirement Community, it was determined there were no deficiencies identified under the requirements of the Life Safety Code for an existing 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 noncombustible structure, which is fully sprinklered.



 Plan of Correction:



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