Pennsylvania Department of Health
TRANSITIONS HEALTHCARE AUTUMN GROVE CARE CENTER
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


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

There are 51 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.


TRANSITIONS HEALTHCARE AUTUMN GROVE CARE CENTER - 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 July 14, 2026, at Transitions Healthcare Autumn Grove Care Center, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.

Plan of Correction:

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

Facility ID #022102
Component 01
Main Building

Based on a Medicare/Medicaid Recertification Survey completed on July 14, 2026, it was determined that Transitions Healthcare Autumn Grove Care Center 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 one-story, Type V (000), unprotected, wood frame building, with a basement, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Fire Alarm System - Installation:

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.

Fire Alarm System - Installation
A fire alarm system is installed with systems and components approved for the purpose in accordance with NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm Code to provide effective warning of fire in any part of the building. In areas not continuously occupied, detection is installed at each fire alarm control unit. In new occupancy, detection is also installed at notification appliance circuit power extenders, and supervising station transmitting equipment. Fire alarm system wiring or other transmission paths are monitored for integrity.
18.3.4.1, 19.3.4.1, 9.6, 9.6.1.8

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0341

Based on document review, observation, and interview, the facility failed to meet NFPA 72 fire alarm system requirements, affecting the entire facility.

Findings include:

Observation on July 14, 2026, at 10:33 a.m., revealed the facility's fire alarm system pull stations were mounted above 50 inches from the floor throughout the facility. The fire alarm pull stations must be mounted so that the operable part is located between 42-48 inches above the finished floor.

Interview with the maintenance supervisor on July 14, 2026, at 10:33 a.m., confirmed the pull stations were mounted above 50 inches throughout the facility.

Plan of Correction - To be completed: 07/22/2026

1. A full building walk through was conducted on 7/14/2026 to locate all fire alarm pull stations that did not meet requirement that the operable part is located between 42-48 inches above the finished floor.
2. On 7/22 all fire alarm pull stations have been mounted so that the operable part is located between 42-48 inches above the finished floor.
3.Nursing Home Administrator will ensure any future additions or replacements will meet the requirement.
4. Deficiency and resolution will be reviewed at the next Quality Assurance meeting.

Initial comments:Name: ENTRANCE - Component: 03 - Tag: 0000

Facility ID #022102
Component 03
New Entrance

Based on a Medicare/Medicaid Recertification Survey completed on July 14, 2026, it was determined that Transitions Healthcare Autumn Grove Care Center was not in compliance with 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 V (111), protected, wood frame building, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Fire Alarm System - Installation:

Observations:
Name: ENTRANCE - Component: 03 - Tag: 0341

Based on document review, observation, and interview, the facility failed to meet NFPA 72 fire alarm system requirements, affecting the entire facility.

Findings include:

Observation on July 14, 2026, at 10:33 a.m., revealed the facility's fire alarm system pull stations were mounted above 50 inches from the floor throughout the facility. The fire alarm pull stations must be mounted so that the operable part is located between 42-48 inches above the finished floor.

Interview with the maintenance supervisor on July 14, 2026, at 10:33 a.m., confirmed the pull stations were mounted above 50 inches throughout the facility.

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