Pennsylvania Department of Health
VALLEY VIEW REHAB AND NURSING CENTER
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

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VALLEY VIEW REHAB AND NURSING 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 May 5, 2025, at Valley View Rehab and Nursing 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# 027602
Component 01
Main Building
Based on a Medicare/Medicaid Recertification Survey completed on May 5, 2025, it was determined that Valley View Nursing 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 483.70(a).
This is a one story, Type V (111), protected, wood frame, fully sprinklered building.

Plan of Correction:

NFPA 101 STANDARD Building Construction Type and Height:

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.

Building Construction Type and Height
2012 EXISTING
Building construction type and stories meets Table 19.1.6.1, unless otherwise permitted by 19.1.6.2 through 19.1.6.7
19.1.6.4, 19.1.6.5

Construction Type
1 I (442), I (332), II (222) Any number of stories
non-sprinklered and sprinklered

2 II (111) One story non-sprinklered
Maximum 3 stories sprinklered

3 II (000) Not allowed non-sprinklered
4 III (211) Maximum 2 stories sprinklered
5 IV (2HH)
6 V (111)

7 III (200) Not allowed non-sprinklered
8 V (000) Maximum 1 story sprinklered
Sprinklered stories must be sprinklered throughout by an approved, supervised automatic system in accordance with section 9.7. (See 19.3.5)
Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate.

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0161

Based on observation and interview, it was determined the facility failed to maintain building construction requirements in one location, affecting one of one floor.

Findings include:

1. Observation on May 5, 2025, at 11:12 a.m., revealed the monolithic portion of the rated ceiling assembly, located within AHU 1, required repair.

Exit interview on May 5, 2025, between 12:30 p.m., and 12:45 p.m., with the Facility Administrator and the Facilities Manager, confirmed the building construction deficiency.

Plan of Correction - To be completed: 06/02/2025

The damaged portion of the rated ceiling was repaired in the AHU #1 room.
There is a Preventative Maintenance request in place through our work order system for Maintenance to inspect all areas once per quarter.
Audits will be completed by the Director of Facilities Management for four weeks and monthly for two months. The findings will be reported to the Quality Assurance Performance Improvement Committee for three (3) months
Completion date: 06/02/2025

NFPA 101 STANDARD Sprinkler System - Maintenance and Testing:

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: MAIN BUILDING 01 - Component: 01 - Tag: 0353

Based on observation and interview, it was determined the facility failed to maintain the automatic sprinkler system in four locations, affecting one of one floor.

Findings include:

1. Observation on May 5, 2025, between 11:20 a.m., and 12:12 p.m., revealed the following:

a. 11:12 a.m., items were located within eighteen inches of a sprinkler head assembly, located within the 400 Dining Room closet.
b. 11:33 a.m., the fire department connection, located at the rear entrance, lacked a "FDC" placard.
c. 11:55 a.m., "loaded" sprinkler head assemblies, located within the Beauty Shop
d. 12:12 p.m., "loaded" sprinkler head assemblies, located within the Soiled Laundry.

Exit interview on May 5, 2025, between 12:30 p.m., and 12:45 p.m., with the Facility Administrator and the Facilities Manager, confirmed the automatic sprinkler system deficiencies.

Plan of Correction - To be completed: 06/02/2025

a. The items located in the 400 Dining room closet within eighteen inches of the sprinkler head were removed.
b. The Fire Department Connection located at the rear entrance now has a placard placed above the connection.
c. The sprinkler heads in the Beauty Shop have been cleaned.
d. The Sprinkler heads in the Soiled Laundry have been cleaned.
Maintenance was educated on these deficiencies.

Completion date: 06/02/2025
Audits will be completed by the Director of Facilities Management for four weeks and monthly for 2 months. The findings will be reported to the Quality Assurance Performance Improvement Committee for three (3) months.

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