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

There are 45 surveys for this facility. Please select a date to view the survey results.

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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 June 27, 2024, 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 June 27, 2024, 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 structure.

Plan of Correction:

NFPA 101 STANDARD Means of Egress - General:

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.

Means of Egress - General
Aisles, passageways, corridors, exit discharges, exit locations, and accesses are in accordance with Chapter 7, and the means of egress is continuously maintained free of all obstructions to full use in case of emergency, unless modified by 18/19.2.2 through 18/19.2.11.
18.2.1, 19.2.1, 7.1.10.1

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0211

Based on observation and interview, it was determined the facility was not maintaining means of egress free of obstruction in two locations, affecting one of one floors.

Findings include;

1. Observation on June 27, 2024, between 9:43 a.m., and 10:27 a.m., revealed the following:

a. At 9:43 a.m., Service Wing, Dietary Storage Door, had an L-shaped cart with boxes stored in the corridor, blocking egress from the dietary storage door.
b. At 10:27 a.m., 200 Hall, Med Room door, had a trash can stored in corridor, blocking egress from the med room door.

Interview at exit conference on June 27, 2024, at 11:15 a.m., with the Administrator, Director of Facilities, Maintenance Representative, confirmed the items stored blocking egress.

Plan of Correction - To be completed: 07/08/2024

The cart was removed from in front of the Dietary Storage door that blocked egress from the dietary storage door. The door is now clear for egress.
The trash can was removed from the area in front of the 200 Hall Medication Room. The door is now clear for egress.
Audits will be completed by the Director of Facilities Management for four weeks and monthly for 2 months. The findings of these audits will be reported to the Quality Assurance Performance Improvement Committee for three (3) months.
Completion Date: 07/8/2024

NFPA 101 STANDARD Doors with Self-Closing Devices:

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.

Doors with Self-Closing Devices
Doors in an exit passageway, stairway enclosure, or horizontal exit, smoke barrier, or hazardous area enclosure are self-closing and kept in the closed position, unless held open by a release device complying with 7.2.1.8.2 that automatically closes all such doors throughout the smoke compartment or entire facility upon activation of:
* Required manual fire alarm system; and
* Local smoke detectors designed to detect smoke passing through the opening or a required smoke detection system; and
* Automatic sprinkler system, if installed; and
* Loss of power.
18.2.2.2.7, 18.2.2.2.8, 19.2.2.2.7, 19.2.2.2.8

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0223

Based on observation and interview, it was determined the facility failed to maintain doors with self-closing devices, affecting one of one floors.

Findings include:

1. Observation on June 27, 2024, at 9:40 a.m., revealed the Maintenance office door, was being held open by a rubber wedge.

Interview at exit conference on June 27, 2024, at 11:15 a.m., with the Administrator, Director of Facilities, and Maintenance Representative, confirmed the door being held open by unauthorized means.

Plan of Correction - To be completed: 07/08/2024

The rubber wedge was removed from the Maintenance office door and is now in compliance.
Maintenance was educated on unauthorized devices not permitted to hold open doors. Audits will be completed by the Director of Facilities Management for four weeks and monthly for 2 months. The findings of these audits will be reported to the Quality Assurance Performance Improvement Committee for three (3) months.
Completion Date: 07/8/2024

NFPA 101 STANDARD Hazardous Areas - Enclosure:

Hazardous Areas - Enclosure
Hazardous areas are protected by a fire barrier having 1-hour fire resistance rating (with 3/4 hour fire rated doors) or an automatic fire extinguishing system in accordance with 8.7.1 or 19.3.5.9. When the approved automatic fire extinguishing system option is used, the areas shall be separated from other spaces by smoke resisting partitions and doors in accordance with 8.4. Doors shall be self-closing or automatic-closing and permitted to have nonrated or field-applied protective plates that do not exceed 48 inches from the bottom of the door.
Describe the floor and zone locations of hazardous areas that are deficient in REMARKS.
19.3.2.1, 19.3.5.9

Area Automatic Sprinkler Separation N/A
a. Boiler and Fuel-Fired Heater Rooms
b. Laundries (larger than 100 square feet)
c. Repair, Maintenance, and Paint Shops
d. Soiled Linen Rooms (exceeding 64 gallons)
e. Trash Collection Rooms
(exceeding 64 gallons)
f. Combustible Storage Rooms/Spaces
(over 50 square feet)
g. Laboratories (if classified as Severe
Hazard - see K322)

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0321

Based on observation and interview, it was determined the facility failed to maintain one hazardous area enclosure, affecting one of one floor.

Findings include:

1. Observation on June 27, 2024, at 9:47 a.m., revealed the 300 Hall, Soiled Utility door, required adjustment to fully close and latch.

Interview at exit conference on June 27, 2024, at 11:15 a.m., with the Administrator, Director of Facilities, and Maintenance Representative, confirmed the hazardous area enclosure deficiency.

Plan of Correction - To be completed: 07/08/2024

The latch of the 300 Hall Soiled Utility door was adjusted and now close and latch properly.
Audits will be completed by the Director of Facilities Management for four weeks and monthly for 2 months. The findings of these audits will be reported to the Quality Assurance Performance Improvement Committee for three (3) months.
Completion Date: 07/8/2024

NFPA 101 STANDARD Subdivision of Building Spaces - Smoke Barrie:

Subdivision of Building Spaces - Smoke Barrier Doors
2012 EXISTING
Doors in smoke barriers are 1-3/4-inch thick solid bonded wood-core doors or of construction that resists fire for 20 minutes. Nonrated protective plates of unlimited height are permitted. Doors are permitted to have fixed fire window assemblies per 8.5. Doors are self-closing or automatic-closing, do not require latching, and are not required to swing in the direction of egress travel. Door opening provides a minimum clear width of 32 inches for swinging or horizontal doors.
19.3.7.6, 19.3.7.8, 19.3.7.9

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0374

Based on observation and interview, it was determined the facility failed to maintain the proper fire resistance rating of a smoke barrier door openings, on one of one floors.

Findings include:

1. Observation on June 27, 2024, at 9:47 a.m., revealed the Service Wing, Cross Corridor doors, needs an adjustment of the closure on the right leaf door. Door took an extended amount of time to close into frame, when tested.

Interview at exit conference on June 27, 2024, at 11:15 a.m., with the Administrator, Director of Facilities, and Maintenance Representative, confirmed the smoke barrier door closure deficiency.

Plan of Correction - To be completed: 07/08/2024

The closure on the Service Wing , Cross Corridor door was adjusted and now closes in an acceptable amount of time withing fifteen seconds.
Audits will be completed by the Director of Facilities Management for four weeks and monthly for 2 months. The findings of these audits will be reported to the Quality Assurance Performance Improvement Committee for three (3) months.
Completion Date: 07/8/2024

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