Nursing Investigation Results -

Pennsylvania Department of Health
Building Inspection Results

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Severity Designations

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
Inspection Results For:

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WEXFORD HEALTHCARE 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 September 23, 2019, at Wexford Healthcare Center , 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# 231202
Component 01
Main Building

Based on a Medicare/Medicaid Recertification Survey completed on September 23, 2019, it was determined that Wexford Healthcare Center had deficiencies that have the potential for minimal harm as related to 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 (222), fire resistive building, without a basement, that is fully sprinklered.

 Plan of Correction:

NFPA 101 STANDARD HVAC:Least serious deficiency but affects more than a limited number of residents, staff, or occurrences. This deficiency has the potential for causing no more than a minor negative impact on the resident but is not found to be throughout this facility.
Heating, ventilation, and air conditioning shall comply with 9.2 and shall be installed in accordance with the manufacturer's specifications.,, 9.2

Name: MAIN BUILDING 01 - Component: 01 - Tag: 0521

Based on observation and interview, it was determined the facility failed to maintain heating, ventilation and air conditioning (HVAC) requirements in one instance, affecting one of three floors.

Findings include:

1. Observation on September 23, 2019 at 9:00 a.m., revealed the second floor C-Wing egress corridor is being used as a plenum.

Interview with the Facility Administrator and Maintenance Director on September 23, 2019 at 9:00 a.m., confirmed the egress corridor plenum.

 Plan of Correction - To be completed: 10/09/2019


The facility has an approved Plenum Waiver from Michele D. Clinton, from the Division of Survey and Certification dated September 19, 2016. The facility is requesting a continuance of this waiver.

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