Pennsylvania Department of Health
KITTANNING HEALTH & REHAB CENTER
Building Inspection Results

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KITTANNING HEALTH & REHAB CENTER
Inspection Results For:

There are  43 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.
KITTANNING HEALTH & REHAB CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Name: - Component: -- - Tag: 0000


Based on a Revisit to an Emergency Preparedness Survey completed on February 29, 2024, it was determined that Kittanning Health and Rehab Center was in substantial compliance as related to the requirements of 42 CFR 483.73.







 Plan of Correction:


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


Facility ID 234802
Component 01
Main Building

Based on a Revisit to a Medicare/Medicaid Recertification Survey completed on February 29, 2024, it was determined that Kittanning Health and Rehab Center 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 483.9 (a).

This is a one-story, Type II (000), unprotected, non-combustible building, with a partial basement, that is fully sprinklered.








 Plan of Correction:


NFPA 101 STANDARD Fire Alarm System - Testing and Maintenance:This is a less serious (but not lowest level) 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 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.
Fire Alarm System - Testing and Maintenance
A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available.
9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0345

Based on document review and interview, the facility failed to maintain fire alarm system testing, affecting the entire building.

Findings include:

Document review on February 29, 2024, revealed the facility lacked two-year smoke detector sensitivity testing documentation at the time of the survey.

Interview with the maintenance supervisor on February 29, 2024, confirmed the missing documentation.

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Based on observation and interview during an Onsite Revisit Survey conducted on April 16, 2024, it was determined that the facility completed the two-year smoke detector sensitivity testing. However, there were deficiencies on the report that were not corrected and need addressed.









 Plan of Correction - To be completed: 05/04/2024

The smoke detectors that were on back order arrived. The Facility has had the defective smoke detectors replaced by Alta Protection Services on Tuesday April 30th, 2024. At this time, all smoke detectors are in compliance with the two-year sensitivity testing.
NFPA 101 STANDARD Smoke Detection:This is a less serious (but not lowest level) deficiency and is isolated to the fewest 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.
Smoke Detection
2012 EXISTING
Smoke detection systems are provided in spaces open to corridors as required by 19.3.6.1.
19.3.4.5.2
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0347

Based on observation and interview, the facility failed to provide smoke detectors and alarms in eleven of over fifty rooms.
Findings include:

Observation on February 29, 2024, at 9:04 a.m., revealed the main floor administration offices failed to have smoke detection devices installed in eleven rooms, potentially causing a delay in facility alarm activation during unoccupied time periods.

Ref: NFPA 101 - 9.6.1.8

Interview with the maintenance supervisor on February 29, 2024, at 9:04 a.m., confirmed the lack of smoke detectors in the administration offices.
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Based on observation and interview during an Onsite Revisit Survey conducted on April 16, 2024, it was determined that the facility installed battery-operated smoke detectors throughout the administration offices. However, the facility failed to provide a written policy or alternative method to addresses alarm notifications during unoccupied time periods.










 Plan of Correction - To be completed: 05/05/2024

Facility will have Alta Protection Services replace the battery-operated smoke detectors, with ones that are hard-wired, and also connect them to the fire alarm panel so that we no longer have unoccupied periods of time. Alta has already inspected the work that needs to be done and will submit a quote consisting of the cost and the date of installation. Facility cannot guarantee that the completion of this job will be done by 5/5/24 due to the fact this work has to be done by a qualified professional contractor.

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