Pennsylvania Department of Health
HARBORVIEW REHABILITATION AND CARE CENTER AT LANSDALE
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

HARBORVIEW REHABILITATION AND CARE CENTER AT LANSDALE
Inspection Results For:

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HARBORVIEW REHABILITATION AND CARE CENTER AT LANSDALE - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:
Based on an Abbreviated Survey in response to a complaint, completed on June 11, 2024, it was determined that Harborview Rehabilitation and Care Center, was not in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations related to the health portion of the survey process.

Plan of Correction:

483.90(i) REQUIREMENT Safe/Functional/Sanitary/Comfortable Environ:

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.

§483.90(i) Other Environmental Conditions
The facility must provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public.

Observations:

Based on observation, resident and staff interviews and review of facility documentation, it was determined that the faciltiy failed to ensure that air conditioning units (PTAC units) were in functioning condition in 3 of 3 nursing units (1st, 2nd and 3rd floor)

Findings include:

Observations conducted with the Maintenance Director, Employee E1 on June 10, 2024 from 4:10 p.m. to 4:45 p.m. revealed that the following PTAC (Package Terminal Air Conditioning- a self contained heating and air condition system designed to be mounted through a wall) units in resident rooms and dining areas were non-functioning:

Room 116- PTAC unit in the room was not working and floor fan was placed in room.
Room 216- PTAC unit was on but not blowing cool air.
Room 209- PTAC unit was on but not blowing cool air.
Room 203- PTAC unit non-functioning. Resident R1 and Resident R2 confirmed that their room felt warm.
Room 309- 82- PTAC unit the front panel hanging off the unit and resting on the floor. The PTAC unit was non-functioning.
Room 312- PTAC unit non-functioning, a floor fan was placed in the room.
Room 311- PTAC unit was on but not blowing cool air.

1st Floor Dining Room 2 of 3 PTAC units were non-functioning.

Review of facility documentation of PTAC units revealed the following:

Room 215- cooling section was non-functioning.
Room 211- needs control box.
Room 212- cooling section was non-functioning.
Room 209- cooling section was non-functioning, front cover needs repair and control box
Room 205- cooling section was non functioning and control box
Room 303- needs cooling section, control box, fan deck with heat and front cover.
Room 315- needs cooling section and control box.
Room 317- needs cooling section and control box.
Room 319- needs cooling section and control box.

2nd Floor Dining Room 1 of 2 PTAC units were non-functioning.

3rd Floor Dining Room 1 of 3 PTAC unit was non-functioning.

3rd floor Hallway 1 of 2 ceiling air conditioning unit was non functioning.

The above finding were confirmed with the Maintenance Director, Employee E1 at the time of the observations on June 10, 2024.

28 Pa Code 201.14 (a) Responsibility of licensee

28 Pa. Code 201.18(b)(1) Management

Plan of Correction - To be completed: 06/25/2024

1. Facility immediately contacted a HVAC company to complete an on-site visit to review PTAC units throughout the facility. The HVAC company arrived and completed an audit of the PTAC Units on 6-11-24.
2. In the interim the facility arranged for supplemental AC units to be added to the rooms listed.
3. Maintenance staff will be re-educated on maintaining a PM process for PTAC units.
4. Facility will conduct an audit of PTAC units to ensure function 3x week for 2 weeks, then weekly x 2 weeks. All results will be reported to the QAPI Committee.

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