Pennsylvania Department of Health
YORKVIEW NURSING AND REHABILITATION
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

There are 46 surveys for this facility. Please select a date to view the survey results.

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YORKVIEW NURSING AND REHABILITATION - 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 17, 2024, at Yorkview Nursing and Rehabilitation, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.

Plan of Correction:

Initial comments:Name: 63 BUILDING - Component: 01 - Tag: 0000

Facility ID #033402
Component 01
A, B, C, and Service Wings
(1963 Building)

Based on a revisit to a Medicare/Medicaid Recertification Survey completed on June 17, 2024, it was determined that Yorkview Nursing and Rehabilitation was in substantial compliance with the requirements of the Life Safety Code for an existing healthcare occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a two-story, Type V (111), protected wood frame structure, with a basement, which is fully sprinklered.

Plan of Correction:

Initial comments:Name: 73 BUILDING - Component: 02 - Tag: 0000

Facility ID #033402
Component 02
D, E, F East & F West Building
(1973 Building)

Based on a revisit to a Medicare/Medicaid Recertification Survey completed on June 17, 2024, it was determined that Yorkview Nursing and Rehabilitation was in substantial 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 two-story, Type III (200), unprotected ordinary structure, without a basement, which is fully sprinklered.

Plan of Correction:

Initial comments:Name: SUBACUTE BLDG - Component: 03 - Tag: 0000

Facility ID #033402
Component 03
Subacute Care Building
(1989 Building)

Based on a revisit to a Medicare/Medicaid Recertification Survey completed on June 17, 2023, it was determined that Yorkview Nursing and Rehabilitation was not in compliance with the following requirements of the Life Safety Code for an existing healthcare occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 483.90(a).

This is a two-story, Type III (211), protected ordinary structure, without a basement, which is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Stairways and Smokeproof Enclosures:

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.

Stairways and Smokeproof Enclosures
Stairways and Smokeproof enclosures used as exits are in accordance with 7.2.
18.2.2.3, 18.2.2.4, 19.2.2.3, 19.2.2.4, 7.2

Observations:
Name: SUBACUTE BLDG - Component: 03 - Tag: 0225

Based on observation and interview, it was determined the facility failed to maintain stairtower doors, to be within the allowed gap margins, on one of two floors within the component.

Findings include:

1. Observation on June 17, 2024, at 1:00 PM, revealed the 2nd floor stairtower doors, by resident room 808, had gaps, greater than 3/16 of an inch, top.

Interview with the Administrator and Director of Maintenance on June 17, 2024, at 2:45 PM, confirmed the doors exceeded the allowed gap margins.
*************************
Observation and interview on August 12, 2024, at 11:10 AM, determined item 1 was not complete.

Interview with the Administrator on August 12, 2024, at 11:30 AM, confirmed item 1 was not complete.

Plan of Correction - To be completed: 08/29/2024

Development and/or execution of this plan of correction does not constitute admission or agreement by this provider of the truth in the statement of deficiency. This plan of correction is prepared and/or executed by provision of Federal or State Law.

1 The 2nd floor stair tower door gap by resident room 808 was fixed with door gap solution and reduced the gap of this door.

2 Additional Stair tower door gaps will be assessed to ensure they are within the allowed gap margins to maintain the door rating.

3 Maintenance will check stairwell doors during routine rounds monthly to ensure gaps are within allowed gap margins to maintain the door rating.

4 The Maintenance Director/Designee will audit stairwell door gaps in the facility weekly for 4 weeks, then monthly thereafter, to ensure gaps do not exceed the allowed gap margin and report findings to QAPI committee for further review and/or recommendations.

5 Date of Compliance 8/29/24.

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