Pennsylvania Department of Health
BARNES-KASSON COUNTY HOSPITAL SNF
Building Inspection Results

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BARNES-KASSON COUNTY HOSPITAL SNF
Inspection Results For:

There are  38 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.
BARNES-KASSON COUNTY HOSPITAL SNF - 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 March 27, 2024, at Barnes-Kasson County Hospital SNF, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.




 Plan of Correction:


Initial comments:Name: BUILDING 01 - Component: 02 - Tag: 0000


Facility ID #020502
Component 02
Building 02

Based on a Medicare/Medicaid Recertification Survey completed on March 27, 2024, it was determined that Barnes-Kasson County Hospital SNF 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 483.70(a).

This is a two story, Type II (000), unprotected, noncombustible structure which is fully sprinklered.




 Plan of Correction:


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 - Component: 02 - Tag: 0363

Based on observation and interview, it was determined the facility failed to maintain corridor doors in two of five smoke compartments.

Findings include;

1. Observation on March 27, 2024 between 12:25 pm, and 12:58 pm, revealed the following corridor doors failed to latch in the corresponding frame when tested.

a. At 12:25 pm, room 219, 2nd floor.
b. At 12:36 pm, room 214, 2nd floor.
c. At 12:58 pm, the double doors across the cooridor from SQ 2 on level 1.

Interview at the time of the exit conference with the facility maintenance representatives on March 27, 2024, at 1:30 pm, confirmed the doors lacked positive latching.




 Plan of Correction - To be completed: 05/10/2024

The facility will make sure to maintain corridor doors that latch in the corresponding frame.

The corridor doors to room 219, 2nd floor, room 214, 2nd floor, and the double doors across the corridor from SQ 2 on level 1 will be adjusted and/or repaired so that the doors latch in the frame.

A facility wide assessment will be conducted to make sure that all corridor doors latch in the corresponding frame. Barnes Kasson will make any corrections identified during this facility wide assessment.

The facility manager will be responsible for continued compliance with this plan of correction.

NFPA 101 STANDARD Electrical Equipment - Power Cords and Extens: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.
Electrical Equipment - Power Cords and Extension Cords
Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assembles that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension cords are not used as a substitute for fixed wiring of a structure. Extension cords used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4.
10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70), TIA 12-5
Observations:
Name: BUILDING 01 - Component: 02 - Tag: 0920

Based on observation and interview, it was determined the facility failed to monitor for the unauthorized use of outlet multipliers on one of two floors.

Findings include;

1. Observation on March 27, 2024, at 12:47 pm, revealed several outlet multipliers were in use in the Rotunda area.

Interview at the time of the exit conference with the facility maintenance representatives on March 27, 2024, at 1:30 pm, confirmed the outlet multipliers were not hardwired outlets.




 Plan of Correction - To be completed: 05/10/2024

The facility will make sure that unauthorized use of outlet multipliers does not occur.

The multipliers that were in use in the Rotunda area have been removed.

A facility wide assessment will be conducted to make sure that there are no unauthorized outlet multipliers utilized in any other areas of the facility. Barnes Kasson will make any corrections identified during this facility wide assessment.

The facility manager will be responsible for continued compliance with this plan of correction.



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