Pennsylvania Department of Health
BRIGHTON REHABILITATION AND WELLNESS CENTER
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

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BRIGHTON REHABILITATION AND WELLNESS CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

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

Facility ID# 020802
Component 01
Main Building

Based on an Abbreviated survey, in response to a complaint investigation, completed on May 8, 2025, it was determined that Brighton Rehabilitation and Wellness Center was not in compliance with the following requirements of Title 42, Code of Federal Regulations; the Pennsylvania Code; and the Life Safety Code NFPA 101 for an existing health care occupancy.

This is a six-story, Type II (222), fire resistive building, with a basement and a penthouse, which is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD General Requirements - Other:

General Requirements - Other
List in the REMARKS section any LSC Section 18.1 and 19.1 General Requirements that are not addressed by the provided S-tags, but are deficient.

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0100

28 Pa. Code 201.14(a). RESPONSIBILITY OF THE LICENSEE

(a) The licensee is responsible for meeting the minimum standards for the operation of a facility as set forth by the Department and by other State and local agencies responsible for the health and welfare of residents. This REGULATION has not been met.

35 P.S. 448.808. Issuance of license.

(a)STANDARDS - The Department shall issue a license to a health care provider when it is satisfied that the following standards have been met:

(2) that the place to be used as a health care facility is adequately constructed, equipped, maintained and operated to safely and efficiently render the services offered.

Based on observation and interview, it was determined the facility failed to notify the Division of Safety Inspection that there were replacing emergency generator control panels, affecting the entire facility.

Findings include:

1. Observation on May 8, 2025, at 10:00 a.m., revealed control panels for the facility's emergency generators were being replaced prior to submitting plans and gaining approval from Division of Safety Inspection's Plan Review.

Interview with the Facility Maintenance Director on May 8, 2025, at 10:00 a.m., confirmed that plans had not been submitted and approved prior to installation of the new control panels.

Plan of Correction - To be completed: 05/15/2025

1. The NHA reviewed the upgraded system with the Penn Power vendor and confirmed no change to plant, power, watt. The NHA requested access from the Department to access the Departments portal to submit documents on May 6th, 2025, The NHA submitted these plans to the DOH on May 8th, 2025. The work was completed by Penn power on May 6th 2025.
2. The NHA reviewed the regulation with the dir of plant ops to submit plans to the Department timely for review.
3. The NHA will audit plant changes to ensure plans are submitted to the department for review, prior to work being completed.

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