Pennsylvania Department of Health
 TRANSITIONS HEALTHCARE SHOOK HOME
Building Inspection Results

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TRANSITIONS HEALTHCARE SHOOK HOME
Inspection Results For:

There are  61 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.
TRANSITIONS HEALTHCARE SHOOK HOME - 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 March 18, 2026, at Transitions Healthcare Shook Home, 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 #100902

Component 01

Original Building

Based on a Medicare/Medicaid Recertification Survey completed on March 18, 2026, it was determined that Transitions Healthcare Shook Home 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 three-story, Type II (111), protected noncombustible 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: MAIN BUILDING - Component: 01 - Tag: 0225
Based on observation and interview, it was determined the facility failed to maintain the fire resistance of exit stairtower enclosures, affecting one of three floors within the component.

Findings include:



1. Observation on March 18, 2026, at 10:35 AM, revealed the 1st floor door, to the "Old Stairwell", released from a magnetic hold-open device, but failed to close, due to binding on the carpeted floor.
Interview with the Administrator on March 18, 2026, at 10:35 AM, confirmed the stairtower door did not automatically close and latch within the door frame.




 Plan of Correction - To be completed: 03/31/2026

The 1st floor to the "Old Stairwell" was fixed to close once released from the magnetic hold-open device.

During Monthly fire drills; random stairwell door(s) will be audited by the maintenance Lead/Tech to ensure these doors automatically close and latch within the door frame.

Staff will be educated to report to maintenance when doors do not close.

The audit will be reported at QAPI.
NFPA 101 STANDARD Electrical Equipment - Power Cords and Extens: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.
Electrical Equipment - Power Cords and Extension Cords
Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assembles that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension cords are not used as a substitute for fixed wiring of a structure. Extension cords used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4.
10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70), TIA 12-5
Observations:
Name: MAIN BUILDING - Component: 01 - Tag: 0920
Based on observation and interview, it was determined the facility failed to monitor the use of surge suppressors, affecting one of three floors within the component.

Findings include:



1. Observation on March 18, 2026, at 10:40 AM, revealed a surge suppressor, supplying electrical power to another surge suppressor, within the 1st floor Med Room.
Interview with the Administrator on March 18, 2026, at 10:40 AM, confirmed the daisy-chained surge suppressors.




 Plan of Correction - To be completed: 03/31/2026

The surge suppressor was unplugged from the other surge suppressor and plugged directly into a receptacle.

Maintenance staff was educated and all staff will be trained not to plug surge suppressors into another surge protector.

Maintenance staff will be observant while completing their task to identify that surge suppressors are used correctly.

An audit will be completed quarterly to ensure electrical devices are connected correctly to surge suppressors.

The results of these audits will be reported at QAPI.
Initial comments:Name: PERSONAL CARE BLDG - Component: 02 - Tag: 0000

Facility ID #100902

Component 02

Quarters Building



Based on a Medicare/Medicaid Recertification Survey completed on March 18, 2026, at Transitions Healthcare Shook Home, 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 three-story, Type II (111), protected noncombustible structure, with a basement, which is fully sprinklered.



 Plan of Correction:


Initial comments:Name: PT & NURSING ADDITION - Component: 03 - Tag: 0000
Facility ID #100902

Component 03

PT and Nursing Addition

Based on a Medicare/Medicaid Recertification Survey completed on March 18, 2026, it was determined that Transitions Healthcare Shook Home was not in compliance with the following requirements of the Life Safety Code for a new 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 three-story, Type II (111), protected noncombustible structure, without a basement, which 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 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.
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: PT & NURSING ADDITION - Component: 03 - Tag: 0353
Based on observation and interview, it was determined the facility failed to maintain the automatic sprinkler protection system to be free from extraneous weight, affecting one of three floors within the component.

Findings include:



1. Observation on March 18, 2026, at 1:00 PM, revealed a group of black wires, zip-tied to sprinkler piping, within the 2nd floor Storage Room by the Elevator.
Interview with the Administrator on March 18, 2026, at 1:00 PM, confirmed the wires were supported by the sprinkler system.




 Plan of Correction - To be completed: 03/31/2026

The zip-tie was removed from the sprinkler piping and wiring attached to the ceiling.

Maintenance staff was educated not to attach wires to sprinkler piping and while doing general maintenance to be observant whether any wires are attached or laying on the sprinkler piping.

An audit by the maintenance staff will be completed to check any worked completed above the ceiling to ensure wires are not attached or laying on the sprinkler piping and any penetrations are filled.

The results of these observations will be reported at QAPI.

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