Pennsylvania Department of Health
LIBERTY POINTE REHABILITATION AND HEALTHCARE CENTER
Building Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

There are 42 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.


LIBERTY POINTE REHABILITATION AND 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 December 28, 2023, at Liberty Pointe Rehabilitation and 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 (STATION 4 , 5, AND DIALYSIS) - Component: 01 - Tag: 0000

Facility ID# 331402
Component 01
Station 4, 5, and Dialysis Unit

Based on a Revisit to a Medicare/Medicaid Recertification Survey completed on January 8, 2024, it was determined that Liberty Pointe Rehabilitation And Healthcare Center was not in compliance with the following requirements of the Life Safety Code for an existing Nursing 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 V(III), protected wood frame building, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Subdivision of Building Spaces - Smoke Barrie:

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.

Subdivision of Building Spaces - Smoke Barrier Construction
2012 EXISTING
Smoke barriers shall be constructed to a 1/2-hour fire resistance rating per 8.5. Smoke barriers shall be permitted to terminate at an atrium wall. Smoke dampers are not required in duct penetrations in fully ducted HVAC systems where an approved sprinkler system is installed for smoke compartments adjacent to the smoke barrier.
19.3.7.3, 8.6.7.1(1)
Describe any mechanical smoke control system in REMARKS.

Observations:
Name: MAIN BUILDING 01 (STATION 4 , 5, AND DIALYSIS) - Component: 01 - Tag: 0372

Based on observation and interview, it was determined the facility failed to maintain the fire resistance of smoke barriers, affecting one of four levels in the component.

Findings include:

Observation on December 28, 2023, at 10:42 a.m., revealed, on the third floor, an open penetration by a data wire, which was above the smoke barrier doors near resident room 305.

Exit Interview with the Administrator and the Director of Maintenance, on December 28, 2023 at 11:00 a.m., confirmed the open penetration.

*************************************
Based on an Onsite Revisit conducted on February 20, 2024, between 9:00 a.m. and 10:30 a.m, it was determined the facility failed to maintain the following:

Not Completed. On the third floor, there was an open penetration by a data wire, which was above the smoke barrier doors near resident room 305.

Exit Interview with the Director of Maintenance, on February 20, 2024, at 10:30 a.m., confirmed the open penetration.

Plan of Correction - To be completed: 02/28/2024

Open penetration above the smoke barrier near room 305 on the third floor was repaired using a stop gap penetration system.

Maintenance team to be educated on the smoke barrier requirements & will be monitored monthly for 2 months. Findings will be brought to the QAPI committee.

Administrator to monitor.

Initial comments:Name: BUILDING 02 (1966 BUILDING) - Component: 02 - Tag: 0000

Facility ID# 331402
Component 02
1966 Building

Based on a Revisit to a Medicare/Medicaid Recertification Survey completed on January 8, 2024, it was determined that Liberty Pointe Rehabilitation And Healthcare Center was not in compliance with the following requirements of the Life Safety Code for an existing Nursing 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 four story, Type II (222), fire resistive building, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Rubbish Chutes, Incinerators, and Laundry Chu:

Rubbish Chutes, Incinerators, and Laundry Chutes
2012 EXISTING
(1) Any existing linen and trash chute, including pneumatic rubbish and linen systems, that opens directly onto any corridor shall be sealed by fire resistive construction to prevent further use or shall be provided with a fire door assembly having a fire protection rating of 1-hour. All new chutes shall comply with 9.5.
(2) Any rubbish chute or linen chute, including pneumatic rubbish and linen systems, shall be provided with automatic extinguishing protection in accordance with 9.7.
(3) Any trash chute shall discharge into a trash collection room used for no other purpose and protected in accordance with 8.4. (Existing laundry chutes permitted to discharge into same room are protected by automatic sprinklers in accordance with 19.3.5.9 or 19.3.5.7.)
(4) Existing fuel-fed incinerators shall be sealed by fire resistive construction to prevent further use.
19.5.4, 9.5, 8.4, NFPA 82

Observations:
Name: BUILDING 02 (1966 BUILDING) - Component: 02 - Tag: 0541

Based on observation and interview, it was determined the facility failed to maintain the fire resistance of rubbish chutes, affecting one of four levels in the component.

Findings include:

Observation on December 28, 2023, at 10:01 a.m., revealed, in the Basement, the rubbish chute door lacked a fusible link.

Exit Interview with the Administrator and the Director of Maintenance, on December 28, 2023 at 11:00 a.m., confirmed the lack of fusible link.

*******************************
Based on an Onsite Revisit conducted on February 20, 2024, between 9:00 a.m. and 10:30 a.m., it was determined the facility failed to maintain the following:

Not Completed. The Basement rubbish chute door lacked a fusible link.

Exit Interview with the the Director of Maintenance on February 20, 2024, at 10:30 a.m., confirmed the lack of a fusible link.

Plan of Correction - To be completed: 02/28/2024

The fusible link for basement chute door was repaired.

Maintenance team to be educated on the Rubbish Chutes requirements & will be monitored monthly for 2 months. Findings will be brought to the QAPI committee.

Administrator to monitor.

Back to County Map

Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance

Copyright � 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement