Pennsylvania Department of Health
HOMESTEAD VILLAGE, INC.
Building Inspection Results

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
HOMESTEAD VILLAGE, INC.
Inspection Results For:

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

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HOMESTEAD VILLAGE, INC. - 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 February 13, 2024, at Homestead Village, Inc., it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.



 Plan of Correction:


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


Facility ID #085902
Component 01
Main Building

Based on a Medicare/Medicaid Recertification Survey completed on February 13, 2024, it was determined that Homestead Village, Inc. 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 structure, with a basement, which is fully sprinklered.



 Plan of Correction:


NFPA 101 STANDARD Multiple Occupancies - Construction Type: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.
Multiple Occupancies - Construction Type
Where separated occupancies are in accordance with 18/19.1.3.2 or 18/19.1.3.4, the most stringent construction type is provided throughout the building, unless a 2-hour separation is provided in accordance with 8.2.1.3, in which case the construction type is determined as follows:
* The construction type and supporting construction of the health care occupancy is based on the story in which it is located in the building in accordance with 18/19.1.6 and Tables 18/19.1.6.1
* The construction type of the areas of the building enclosing the other occupancies shall be based on the applicable occupancy chapters.
18.1.3.5, 19.1.3.5, 8.2.1.3
Observations:
Name: MAIN BUILDING - Component: 01 - Tag: 0133

Based on observation and interview, it was determined the facility failed to maintain the 2-hour fire resistance rating of communicating openings, on one of four smoke compartments within the component.

Findings include:

1. Observation on February 13, 2024, at 2:00 PM, revealed the double corridor fire-rated doors, separating Personal Care from Nursing Care, had gaps, greater than 3/16 inch.

Interview with the Director of Facilities on February 13, 2024, at 2:00 PM, confirmed the gaps, greater than 3/16 inch.



 Plan of Correction - To be completed: 04/12/2024

The door separating Nursing Care and Personal Care on the 1st floor by the physical therapy gym was noted with a gap over the allowable measurement, was evaluated by door vendor for replacement on February 19, 2024. Rated door in corridor separating Nursing Care from Personal care, the door separating the Nursing care protected passageway by the therapy gym was evaluated by door vendor for replacement on February 19, 2024. Further action to be taken to request a time-limited waiver to ensure that replacement of the door is completed in an appropriate timeframe.
A memo was issued to all Department Directors on February 28, 2024, to ensure that warped, malfunctioning or gap penetrated doors are reported to the maintenance department for repair/replacement immediately upon finding.
The Maintenance Department will perform random audits of facility compliance with door operation and quality monthly until a compliance threshold is met for three consecutive months. Unfavorable results will be reported to the Performance Improvement Committee upon completion.
Time limited waiver request submitted to allow for additional time to install the new doors by July 15, 2024.

NFPA 101 STANDARD Subdivision of Building Spaces - Smoke Barrie: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.
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 - 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, affecting two of four smoke compartments within the component.

Findings include:

1. Observation on February 13, 2024, at 1:50 PM, revealed the double smoke barrier door, by Resident Room 6, with latching hardware, failed to latch, when closed.

Interview with the Director of Facilities on February 13, 2024, at 1:50 PM, confirmed the doors did not latch, when closed.



 Plan of Correction - To be completed: 04/13/2024

The double smoke barrier door, by resident room 6, with latching hardware, failed to latch, when closed. The corridor double smoke barrier door separating resident room 6 with living room area that failed to positively latch was evaluated by door vendor on February 28, 2024. Further action to be taken to request a time-limited waiver to ensure that replacement of the door is completed in an appropriate timeframe.
A memo was issued to all Department Directors on February 28, 2024, to ensure that warped, malfunctioning or gap penetrated doors are reported to the maintenance department for repair/replacement immediately upon finding.
The Maintenance Department will perform random audits of facility compliance with door operation and quality monthly until a compliance threshold is met for three consecutive months. Unfavorable results will be reported to the Performance Improvement Committee upon completion.
Time limited waiver request submitted to allow for additional time to install the new doors by July 15, 2024.


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