Pennsylvania Department of Health
LONGWOOD AT OAKMONT
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

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LONGWOOD AT OAKMONT - 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 February 14, 2024, at Longwood at Oakmont, 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# 017202
Component 01
Hanna HealthCare Center Main building

Based on a Medicare/Medicaid Recertification Survey completed on February 14, 2024, it was determined that Longwood at Oakmont 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 483.90(a).

This is a one-story, Type V (111), protected wood frame building, with a basement, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Sprinkler System - Maintenance and Testing:

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.

Sprinkler System - Maintenance and Testing
Automatic sprinkler and standpipe systems are inspected, tested, and maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection Systems. Records of system design, maintenance, inspection and testing are maintained in a secure location and readily available.
a) Date sprinkler system last checked _____________________
b) Who provided system test ____________________________
c) Water system supply source __________________________
Provide in REMARKS information on coverage for any non-required or partial automatic sprinkler system.
9.7.5, 9.7.7, 9.7.8, and NFPA 25

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0353

Based on documentation review and interview, it was determined the facility failed to maintain the automatic sprinkler system in one instance, affecting one of eight smoke compartments.

Findings include:

1. Observation on February 14, 2024, at 9:35 a.m., revealed there were multiple unsealed ceiling penetrations in the rehabilitation storage closet on the first floor.

Interview with the Facility Administrator and Maintenance Director on February 14, 2024, at 10:35 a.m., confirmed the automatic sprinkler system deficiency.

Plan of Correction - To be completed: 03/22/2024

Maintenance sealed the identified unsealed penetrations in the rehab department on February 14, 2024. An audit of all other closet areas will be completed by Friday, March 8, 2024.

The maintenance director/designee will re-educate the maintenance team to look for unsealed penetrations during their weekly rounds for six weeks and then monthly for six months with work orders and repairs completed at time of discovery.

Service records will be maintained by the maintenance director to address any
issues or trends related to wall penetrations. The maintenance director will present results of the routine maintenance audits and repairs regarding wall or ceiling penetrations
at the Quarterly Quality Assurance Committee to address and trends that may require further follow up action.

Initial comments:Name: ADDITION - Component: 02 - Tag: 0000

Facility ID# 017202
Component 02
2007 Addition

Based on a Medicare/Medicaid Recertification Survey completed on February 14, 2024, at Longwood at Oakmont it, was determined there were no deficiencies identified under the 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 483.90(a).

This is a two-story, Type II (111), protected non-combustible building, without a basement, that is fully sprinklered.

Plan of Correction:

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