Pennsylvania Department of Health
Building Inspection Results

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Inspection Results For:

There are  36 surveys for this facility. Please select a date to view the survey results.

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Number of Residents Affected
By Deficient Practice
Initial comments:Name: MAIN BUILDING - Component: 01 - Tag: 0000

Facility ID #720502
Component 01
Main Building

Based on an Abbreviated survey, as part of a complaint investigation completed on April 9, 2024, it was determined that Kadima Rehabiitation & Nursing at Campbelltown was not in compliance with the following requirements of the Life Safety Code for existing health care occupancy.

This is a one-story, Type V (111), protected wood frame structure, without a basement, which is fully sprinklered.

 Plan of Correction:

NFPA 101 STANDARD Building Rehabilitation: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.
Building Rehabilitation
Repair, Renovation, Modification, or Reconstruction
Any building undergoing repair, renovation, modification, or reconstruction complies with both of the following:
* Requirements of Chapter 18 and 19
* Requirements of the applicable Sections 43.3, 43.4, 43.5, and 43.6,,
Change of Use or Change of Occupancy
Any building undergoing change of use or change of occupancy classification complies with the requirements of Section 43.7, unless permitted by or (4.6.7 and 4.6.11), (4.6.7 and 4.6.11), (43.7)
Any building undergoing an addition shall comply with the requirements of Section 43.8. If the building has a common wall with a nonconforming building, the common wall is a fire barrier having at least a 2-hour fire resistance rating constructed of materials as required for the addition.
Communicating openings occur only in corridors and are protected by approved self-closing fire doors with at least a 1-1/2-hour fire resistance rating. Additions comply with the requirements of Section 43.8. (4.6.7 and 4.6.11), (8.3),,, (4.6.7 and 4.6.11), (8.3),,,
Name: MAIN BUILDING - Component: 01 - Tag: 0111

Based on observation and interview, it was determined the facility failed to submit architectural plans and blueprints of a proposed alteration/renovation to the facility, per 28 Pa Code 51.3(d) and 2012 edition of the NFPA 101, Chapter 43, affecting one of three smoke zones within the component.

Findings include:

1. Observation on April 9, 2024, between 10:30 AM and 11:30 AM, revealed the facility had begun renovation and alterations of the Personal Care Wing, in preparation to convert it to Long Term Care, without submitting architectural plans and blueprints.

Interview at the time of the exit conference with the Maintenance Director on April 9, 2024, at 11:30 AM, confirmed the facility did not have approved drawings and had begun the renovation.

 Plan of Correction - To be completed: 05/30/2024

1. Facility cannot retroactively correct. Kadima at Campbelltown will consult an architect to submit plans compliant with 28 PA Code 51.3(d).

2. Wall painting and floor tiling were completed. No major construction or renovations have occurred. Legal entities of both parties are currently discussing.

3. Kadima's Governing Body will be educated on 28 PA Code 51.3. This is an isolated incident. Moving forward, the governing body will provide notifications consistent with 28 Pa Code 51.3 when such notices are required.

4. NHA or designee will complete a one-time audit to ensure compliance with 28 PA Code 51.3. Results will be submitted to QAPI committee for review for ongoing compliance

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