Pennsylvania Department of Health
OIL CITY NURSING AND REHAB
Building Inspection Results

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OIL CITY NURSING AND REHAB
Inspection Results For:

There are  45 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.
OIL CITY NURSING AND REHAB - 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, 2025, at Oil City Nursing and Rehab, 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 #331502
Component 01
Main Building

Based on a Medicare/Medicaid Recertification Survey completed on March 18, 2025, it was determined that Oil City Nursing and Rehab 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 483.70(a).

This is a one-story, Type V (000), unprotected, wood frame building, with a partial basement, that is fully sprinklered.




 Plan of Correction:


NFPA 101 STANDARD Means of Egress Requirements - Other: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.
Means of Egress Requirements - Other
List in the REMARKS section any LSC Section 18.2 and 19.2 Means of Egress requirements that are not addressed by the provided K-tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included on Form CMS-2567.
18.2, 19.2




Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0200

Based on observation and interview, the facility failed to maintain evacuation diagrams for ten of over ten diagrams.

Findings include:

Observation on March 18, 2025, between 9:33 a.m. and 10:17 a.m., revealed the evacuation diagrams throughout the facility did not display a prominent viewer's location.

Ref: NFPA 170 - 11.2.4 & 11.3.2

Interview with the maintenance supervisor on March 18, 2025, between 9:33 a.m. and 10:17 a.m., confirmed the diagram deficiencies.





 Plan of Correction - To be completed: 04/30/2025

Maintenance Director or designee will update egress exiting diagrams to show prominent viewers location using a "star" symbol on all egress diagrams displayed in facility.
NFPA 101 STANDARD Exit Signage: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.
Exit Signage
2012 EXISTING
Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system.
19.2.10.1
(Indicate N/A in one-story existing occupancies with less than 30 occupants where the line of exit travel is obvious.)
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0293

Based on observation and interview, the facility failed to maintain exit signs for one of over forty signs.

Findings include:

Observation and interview on March 18, 2025, at 10:17 a.m., revealed the exterior door to the pavilion and courtyard was missing a "No Exit" sign at the time of the survey.

Interview with the maintenance supervisor on March 18, 2025, at 10:17 a.m. confirmed the exit sign deficiency.





 Plan of Correction - To be completed: 04/30/2025

Maintenance Director or designee will order and install an EXIT sign for the exterior door to pavilion and courtyard.
NFPA 101 STANDARD Subdivision of Building Spaces - Smoke Compar: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.
Subdivision of Building Spaces - Smoke Compartments
2012 EXISTING
Smoke barriers shall be provided to form at least two smoke compartments on every sleeping floor with a 30 or more patient bed capacity. Size of compartments cannot exceed 22,500 square feet or a 200-foot travel distance from any point in the compartment to a door in the smoke barrier.
19.3.7.1, 19.3.7.2
Detail in REMARKS zone dimensions including length of zones and dead-end corridors.
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0371
Based on observation and interview, the facility failed to maintain, inspect, and test fire doors, in accordance with regulations, for one of over ten doors.

Findings include:

Observation on March 18, 2025, at 9:43 a.m., revealed the facility failed to maintain the D wing corridor fire door. The door failed to positively latch in the frame.
Interview with the maintenance supervisor on March 18, 2025, at 9:43 a.m., confirmed the fire door deficiency.


 Plan of Correction - To be completed: 04/30/2025

Maintenance Director or designee will schedule service to inspect and test D wing fire door.
Maintenance Director or designee will audit D Wing fire door to ensure a complete latch once weekly for 4 weeks and then monthly thereafter.

NFPA 101 STANDARD Electrical Systems - Essential Electric Syste: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.
Electrical Systems - Essential Electric System Maintenance and Testing
The generator or other alternate power source and associated equipment is capable of supplying service within 10 seconds. If the 10-second criterion is not met during the monthly test, a process shall be provided to annually confirm this capability for the life safety and critical branches. Maintenance and testing of the generator and transfer switches are performed in accordance with NFPA 110.
Generator sets are inspected weekly, exercised under load 30 minutes 12 times a year in 20-40 day intervals, and exercised once every 36 months for 4 continuous hours. Scheduled test under load conditions include a complete simulated cold start and automatic or manual transfer of all EES loads, and are conducted by competent personnel. Maintenance and testing of stored energy power sources (Type 3 EES) are in accordance with NFPA 111. Main and feeder circuit breakers are inspected annually, and a program for periodically exercising the components is established according to manufacturer requirements. Written records of maintenance and testing are maintained and readily available. EES electrical panels and circuits are marked, readily identifiable, and separate from normal power circuits. Minimizing the possibility of damage of the emergency power source is a design consideration for new installations.
6.4.4, 6.5.4, 6.6.4 (NFPA 99), NFPA 110, NFPA 111, 700.10 (NFPA 70)
Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0918

Based on document review and interview, the facility failed to maintain, inspect, and test the essential electric system for one of one emergency generator.

Findings include:

Document review on March 18, 2025, at 9:38 a.m., revealed the annual fuel analysis report for the emergency generator, dated January 10, 2025, noted "Particle count results exceed acceptable limits."

Interview with the maintenance director on March 18, 2025, at 9:38 a.m., confirmed the annual fuel report noted the sample did not meet specifications for the emergency generator.




 Plan of Correction - To be completed: 04/30/2025

Maintenance Director was educated on Generator Fuel Testing Protocol. Maintenance Director or designee will schedule a test to have fuel tank sample completed and cleaned. This process will be repeated until the fuel sample result is "normal".
Maintenance Director or designee will continue to audit the generator fuel tank annually and will be recorded in TELS for annual compliance. Results of audits will be reported to quality assurance for review and recommendations.


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