Pennsylvania Department of Health
WELLSPAN EVANGELICAL COMMUNITY HOSPITAL
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

WELLSPAN EVANGELICAL COMMUNITY HOSPITAL
Inspection Results For:

There are 111 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.


WELLSPAN EVANGELICAL COMMUNITY HOSPITAL - 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 November 5, 2024, at Wellspan Evangelical Community Hospital, it was determined there were no deficiencies identified with the requirements of 42 CFR 482.15.

Plan of Correction:

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

Facility ID# 570201
Component 01
Main Building

Based on an revisit to an unannounced Medicare Recertification Survey completed November 5, 2024, it was determined that Wellspan Evangelical Community Hospital was in substantial compliance with the requirements of the Life Safety Code for an existing acute care health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 482.41(b).
This is a three story, Type II (222), fire resistive building, with a basement and rooftop mechanical spaces, that is fully sprinklered

Plan of Correction:

Initial comments:Name: NEW PATIENT TOWER - Component: 02 - Tag: 0000

Facility ID# 570201
Component 02
New Patient Tower

Based on an unannounced Medicare Recertification Survey completed November 5, 2024, at Wellspan Evangelical Community Hospital, it was determined there were no deficiencies identified under the requirements of the Life Safety Code for a new acute care health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 482.41(b).
This is a four story, Type II (222), fire resistive building, with a basement and rooftop mechanical spaces, that is fully sprinklered.

Plan of Correction:

Initial comments:Name: BUILDING 02 - Component: 12 - Tag: 0000

Facility ID# 570201
Component 12
South Building

Based on a revisit to an unannounced Medicare Recertification Survey completed November 5, 2024, it was determined that Wellspan Evangelical Community Hospital was in substantial compliance with the requirements of the Life Safety Code for an existing acute care health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 482.41(b).
This is a one story, Type II (222), fire resistive building, with a basement, that is fully sprinklered.

Plan of Correction:

Initial comments:Name: EVANGELICAL AMBULATORY SURGICAL CENTER L.L.C. - Component: 99 - Tag: 0000

Facility ID# 14631501
Component 99
Evangelical Ambulatory Surgical Center

Based on a revisit to an unannounced Medicare Recertification Survey completed November 5, 2024, it was determined that Evangelical Community Hospital was in substantial compliance with the requirements of the Life Safety Code for an existing acute care health care occupancy. Compliance with the National Fire Protection Association's Life Safety Code is required by 42 CFR 482.41(b).
This is a three story, Type II (111), protected, noncombustible building, that is fully sprinklered.

Plan of Correction:

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