Pennsylvania Department of Health
SIMPSON HOUSE INC
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

There are 49 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.


SIMPSON HOUSE 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 April 28, 2025, at Simpson House, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.

Plan of Correction:

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

Facility ID# 192802
Component 01
Old Flanagan Building

Based on a Medicare/Medicaid Recertification Survey completed on April 28, 2025, it was determined that Simpson House Inc -Old Flanagan Building had deficiencies that have the potential for minimal harm as related to the following requirements of the Life Safety Code for an existing Nursing 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 four-story, Type II (000), unprotected non-combustible building, with a basement, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Building Construction Type and Height:

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.

Building Construction Type and Height
2012 EXISTING
Building construction type and stories meets Table 19.1.6.1, unless otherwise permitted by 19.1.6.2 through 19.1.6.7
19.1.6.4, 19.1.6.5

Construction Type
1 I (442), I (332), II (222) Any number of stories
non-sprinklered and sprinklered

2 II (111) One story non-sprinklered
Maximum 3 stories sprinklered

3 II (000) Not allowed non-sprinklered
4 III (211) Maximum 2 stories sprinklered
5 IV (2HH)
6 V (111)

7 III (200) Not allowed non-sprinklered
8 V (000) Maximum 1 story sprinklered
Sprinklered stories must be sprinklered throughout by an approved, supervised automatic system in accordance with section 9.7. (See 19.3.5)
Give a brief description, in REMARKS, of the construction, the number of stories, including basements, floors on which patients are located, location of smoke or fire barriers and dates of approval. Complete sketch or attach small floor plan of the building as appropriate.

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0161

Based on observation, document review, and interview, it was determined the facility failed to maintain the fire-resistance rating for the building construction, affecting the entire facility.

Findings include:

Observation and document review on April 28, 2025, between 8:30 a.m. and 10:15 a.m., revealed the building was a four-story, Type II (000), unprotected noncombustible construction, with a basement, which is fully sprinklered. The story height exceeds the maximum allowed for this type of construction, Old Flanagan.

Exit Interview with the Administrator and Maintenance Director on April 28, 2025, at 10:15 a.m., confirmed the story height exceeds the maximum allowed for this type of construction.

Plan of Correction - To be completed: 05/30/2025

1: The FSES will be updated by Lenhardt Rodgers Architecture and a copy will be forwarded to Life Safety as well as DOH Harrisburg and the Local Field office in Norristown.
2: FSES will be updated yearly.

Initial comments:Name: BUILDING 02 (PHYSICAL THERAPY) - Component: 02 - Tag: 0000

Facility ID # 192802
Component 02
Physical Therapy, Multi-purpose/Meeting Room

Based on a Medicare/Medicaid Recertification Survey completed on April 28, 2025, at Simpson House - Physical Therapy, Multi-purpose/Meeting Room, it was determined there were no deficiencies identified under the requirements of the Life Safety Code for an existing Nursing 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 (000), unprotected, non-combustible building, that is fully sprinklered.

Plan of Correction:

Initial comments:Name: BUILDING 03 (NEW FLANAGAN BUILDING) - Component: 03 - Tag: 0000

Facility ID # 192802
Component 03
New Flanagan Building

Based on a Medicare/Medicaid Recertification Survey completed on April 28, 2025, it was determined that Simpson House - New Flanagan Building was not in compliance with the following requirements of the Life Safety Code for an existing Nursing 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 four-story, Type II (222), fire resistive building, with a basement, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Portable Fire Extinguishers:

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.

Portable Fire Extinguishers
Portable fire extinguishers are selected, installed, inspected, and maintained in accordance with NFPA 10, Standard for Portable Fire Extinguishers.
18.3.5.12, 19.3.5.12, NFPA 10

Observations:
Name: BUILDING 03 (NEW FLANAGAN BUILDING) - Component: 03 - Tag: 0355

Based on observation and interview, it was determined the facility failed to ensure that portable fire extinguishers were inspected, affecting one of four levels in the component.

Findings include:

Observation on April 28, 2025, at 8:55 a.m., revealed a fire extinguisher was not mounted in medical records room.

Exit interview with the Administrator and Maintenance Director, on April 28, 2025, at 10:30 a.m., confirmed unmounted fire extinguisher.

Plan of Correction - To be completed: 05/30/2025

1: The fire extinguisher was mounted in medical records with signage.

2: The Director of Facilities/ Designee will perform random monthly audits times 4 then quarterly audits to ensure all fire extinguishers are properly mounted.

3- The Facilities Director/Designee will report audit findings in the quarterly QA meeting and or the Facilities Governing Body meetings.

NFPA 101 STANDARD Rubbish Chutes, Incinerators, and Laundry Chu:

Rubbish Chutes, Incinerators, and Laundry Chutes
2012 EXISTING
(1) Any existing linen and trash chute, including pneumatic rubbish and linen systems, that opens directly onto any corridor shall be sealed by fire resistive construction to prevent further use or shall be provided with a fire door assembly having a fire protection rating of 1-hour. All new chutes shall comply with 9.5.
(2) Any rubbish chute or linen chute, including pneumatic rubbish and linen systems, shall be provided with automatic extinguishing protection in accordance with 9.7.
(3) Any trash chute shall discharge into a trash collection room used for no other purpose and protected in accordance with 8.4. (Existing laundry chutes permitted to discharge into same room are protected by automatic sprinklers in accordance with 19.3.5.9 or 19.3.5.7.)
(4) Existing fuel-fed incinerators shall be sealed by fire resistive construction to prevent further use.
19.5.4, 9.5, 8.4, NFPA 82

Observations:
Name: BUILDING 03 (NEW FLANAGAN BUILDING) - Component: 03 - Tag: 0541

Based on observation and interview, it was determined the facility failed to maintain the fire protection rating for linen chutes, affecting one of four levels.

Findings include:

Observation on April 28, 2025, at 9:35 a.m., revealed, on the first floor, the soiled utility room chute door failed to self-close, due to door being wedged into drywall when fully opened.

Interview with the Administrator and Maintenance Director on April 28, 2025, at 10:30 a.m., confirmed the chute door failed to self close.

Plan of Correction - To be completed: 05/30/2025

1: A wall stop was placed to ensure the soiled utility room chute door can self-close.

2: The Director of Facilities/ Designee will perform random monthly audits times 4 then quarterly audits to ensure all utility room chute doors self-close.

3: The Facilities Director/Designee will report audit findings in the quarterly QA meeting and or the Facilities Governing Body meetings.

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