Pennsylvania Department of Health
HARMONY HILLS HEALTHCARE AND REHABILITATION CENTER
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

There are 18 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.


HARMONY HILLS HEALTHCARE AND REHABILITATION 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 August 31, 2026, it was determined that Harmony Hills Healthcare and Rehabilitation Center had deficiencies that have the potential for minimal harm as related to the requirements of 42 CFR 483.73.

Plan of Correction:

403.748(a)(1)-(2), 416.54(a)(1)-(2), 418.113(a)(1)-(2), 441.184(a)(1)-(2), 482.15(a)(1)-(2), 483.475(a)(1)-(2), 483.73(a)(1)-(2), 484.102(a)(1)-(2), 485.542(a)(1)-(2), 485.625(a)(1)-(2), 485.68(a)(1)-(2), 485.727(a)(1)-(2), 485.920(a)(1)-(2), 486.360(a)(1)-(2), 491.12(a)(1)-(2), 494.62(a)(1)-(2) STANDARD Plan Based on All Hazards Risk Assessment:

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.

§403.748(a)(1)-(2), §416.54(a)(1)-(2), §418.113(a)(1)-(2), §441.184(a)(1)-(2), §460.84(a)(1)-(2), §482.15(a)(1)-(2), §483.73(a)(1)-(2), §483.475(a)(1)-(2), §484.102(a)(1)-(2), §485.68(a)(1)-(2), §485.542(a)(1)-(2), §485.625(a)(1)-(2), §485.727(a)(1)-(2), §485.920(a)(1)-(2), §486.360(a)(1)-(2), §491.12(a)(1)-(2), §494.62(a)(1)-(2)

[(a) Emergency Plan. The [facility] must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least every 2 years. The plan must do the following:]

(1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach.*

(2) Include strategies for addressing emergency events identified by the risk assessment.

* [For Hospices at §418.113(a):] Emergency Plan. The Hospice must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least every 2 years. The plan must do the following:
(1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach.
(2) Include strategies for addressing emergency events identified by the risk assessment, including the management of the consequences of power failures, natural disasters, and other emergencies that would affect the hospice's ability to provide care.

*[For LTC facilities at §483.73(a):] Emergency Plan. The LTC facility must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. The plan must do the following:
(1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach, including missing residents.
(2) Include strategies for addressing emergency events identified by the risk assessment.

*[For ICF/IIDs at §483.475(a):] Emergency Plan. The ICF/IID must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least every 2 years. The plan must do the following:

(1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach, including missing clients.
(2) Include strategies for addressing emergency events identified by the risk assessment.

Observations:
Name: - Component: -- - Tag: 0006

Based on document review and interview, the facility failed to maintain an emergency preparedness plan that included a facility-based and a community-based risk assessment.

Findings include:

Document review on August 31, 2026, at 9:05 a.m., revealed the facility-based and community-based risk assessments, that use an all-hazards approach, were not updated in the emergency preparedness plan within the last twelve months.

Interview with the facility administrator and maintenance director on August 31, 2026, at 12:30 p.m., confirmed the risk assessment was not updated for the emergency preparedness plan within the last twelve months.

Plan of Correction - To be completed: 09/29/2026

Facility-based and community-based risk assessment was updated.

NHA/Designee performed an initial audit ensuring all hazard risk assessments were updated. No issues noted.

NHA/Designee will educate the Maintenance Team on ensuring all hazard risk assessments are updated timely.

NHA / Designee will do Weekly audits x4 and then monthly x1 to ensure all hazard risk assessments are updated. All findings will be brought to QAPI.

Initial comments:Name: 1958 BUILDING - Component: 03 - Tag: 0000

Facility ID #051702
Component 03
B and D Wings

Based on a Medicare/Medicaid Recertification Survey completed on August 31, 2026, it was determined that Harmony Hills Healthcare and Rehabilitation 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 two-story, Type III (211), protected, ordinary building, without a basement, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Sprinkler System - Maintenance and Testing:

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.

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: 1958 BUILDING - Component: 03 - Tag: 0353

Based on observation and interview, the facility failed to maintain the automatic sprinkler system in one instance, affecting B-Wing in Component 3.

Findings include:

Observation on August 31, 2026, at 10:45 a.m., revealed extra pillows were being stored within 18 inches of a sprinkler head in the B-Wing linen closet.

Interview with the facility administrator and maintenance director on August 31, 2026, at 12:30 p.m., confirmed the automatic sprinkler system deficiency.

Plan of Correction - To be completed: 09/29/2026

Pillows were removed from within 18 inches of the sprinkler.

NHA/Designee performed an Initial audit ensuring there is nothing with 18 Inches of a sprinkler. No issues were noted

NHA/Designee will educate Maintenance Team and nursing staff on ensuring all closets do not have anything within 18 inches of a sprinkler.

NHA / Designee will do Weekly audits x4 and then monthly x1 to ensure there is nothing with 18 Inches of a sprinkler. All findings will be brought to QAPI.

Initial comments:Name: 1987 BUILDING - Component: 04 - Tag: 0000

Facility ID #051702
Component 04
A and C Wings

Based on a Medicare/Medicaid Recertification Survey completed on August 31, 2026, at North Hills Health and Rehabilitation Center, it was determined there were no deficiencies identified under 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 II (111), protected, non-combustible building, without a basement, that is fully sprinklered.

Plan of Correction:

Initial comments:Name: SUN PORCH LOUNGE A - Component: 05 - Tag: 0000

Facility ID #051702
Component 05
Sun Porch Lounge

Based on a Medicare/Medicaid Recertification Survey completed on August 31, 2026, at Harmony Hills Healthcare and Rehabilitation Center, it was determined there were no deficiencies identified under 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 (000), unprotected, wood frame building, without a basement, that is fully sprinklered.

Plan of Correction:

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