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 23, 2026, 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 23, 2026, 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 Doors with Self-Closing Devices:

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.

Doors with Self-Closing Devices
Doors in an exit passageway, stairway enclosure, or horizontal exit, smoke barrier, or hazardous area enclosure are self-closing and kept in the closed position, unless held open by a release device complying with 7.2.1.8.2 that automatically closes all such doors throughout the smoke compartment or entire facility upon activation of:
* Required manual fire alarm system; and
* Local smoke detectors designed to detect smoke passing through the opening or a required smoke detection system; and
* Automatic sprinkler system, if installed; and
* Loss of power.
18.2.2.2.7, 18.2.2.2.8, 19.2.2.2.7, 19.2.2.2.8

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0223

Based on observation and interview, it was determined the facility failed to maintain self-closing doors in two instances, affecting one of four smoke compartments.

Findings include:

1. Observation on February 23, 2026, revealed the following self-closing door deficiencies:

a) 9:00 a.m., the door to the utility room next to the main conference room failed to latch when tested;
b) 10:15 a.m., the door to the kitchen failed to latch when tested.

Interview with the Facility Administrator and Maintenance Director on February 23, 2026, at 12:30 p.m., confirmed the above listed self-closing door deficiencies.

Plan of Correction - To be completed: 04/10/2026

The self-closing device and latch hardware were adjusted/repaired on the cited door on 2/27/26 to ensure the door fully self-closes and positively latches when tested. The door was tested multiple times to confirm proper operation. The cited door is now functioning in compliance with NFPA 101 requirements. There was no resident harm associated with this deficiency.
On 2/25/26, the maintenance team conducted a facility-wide audit of all doors located in exit passageways; stairway enclosures; horizontal exits; smoke barriers; hazardous area enclosures. Each door was tested to verify proper self-closing function; positive latching; no obstructions preventing closure. Any deficiencies identified during the audit were corrected by 2/27/26.
The facility implemented the following corrective measures the preventive maintenance (PM) program has been revised to include monthly documented inspection of all self-closing and fire-rated doors.
The maintenance director re-educated the maintenance team on NFPA 101 requirements regarding self-closing mechanisms; positive latching; and hazardous area enclosure compliance.
Department managers and team members were educated to immediately submit a work orders if a door fails to latch or close properly.
The Maintenance Director or designee will complete and document quarterly inspections of random self-closing doors to ensure self-closing and positive latching occur. Audits will be presented at the quarterly QAPI meeting and any identified deficiencies will result in immediate repair and additional staff re-education as needed.

NFPA 101 STANDARD Electrical Systems - Essential Electric Syste:

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.

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, it was determined the facility failed to maintain and inspect the emergency generator in one instance, affecting the entire facility.

Findings include:

1. Review of documentation on February 23, 2026, at 8:30 a.m., revealed the facility could not produce documentation for the required monthly electrolyte specific gravity or conductance tests.

Interview with the Facility Administrator and Maintenance Director on February 23, 2026, at 12:30 p.m., confirmed the lack of documentation at the time of the survey.

Plan of Correction - To be completed: 04/10/2026

The facility obtained the appropriate conductance testing equipment and completed a conductance test on March 3, 2026 for the generator battery. Results were documented and found to be within manufacturer-recommended ranges.
If any abnormal findings had been identified, corrective action would have included immediate battery servicing or replacement.

No other life safety equipment deficiencies were identified and there were no negative outcomes as a result of the missed conductance tests.
The facility has implemented the

The maintenance supervisor reviewed the requirements for conductance testing and will re-educate the appropriate maintenance team before the next scheduled conductance test.
The Preventive Maintenance (PM) schedule has been updated to specifically include monthly conductance testing of generator batteries and documentation of results in a dedicated log.
A revised Emergency Generator Monthly Maintenance Director and designees have been educated on NFPA 110 requirements for monthly battery testing and documentation.
The Maintenance Director/designee will review and sign off on generator testing logs monthly and address any identified issues at the time of discovery.
The maintenance supervisor/ designee will audit generator documentation and present audit findings at the facility's Quality Assurance and Performance Improvement (QAPI) Committee for oversight. Any identified variances will result in immediate corrective action and re-education.

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

Facility ID# 017202
Component 02
2007 Addition

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

Based on a Medicare/Medicaid Recertification Survey completed on February 23, 2026, 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 two-story, Type II (111), protected non-combustible building, without a basement, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Doors with Self-Closing Devices:

Observations:
Name: ADDITION - Component: 02 - Tag: 0223

Based on observation and interview, it was determined the facility failed to maintain self-closing doors in one instance, affecting one of four smoke compartments.

Findings include:

1. Observation on February 23, 2026, at 10:30 a.m., revealed the door to the housekeeping closet in the basement failed to latch when tested.

Interview with the Facility Administrator and Maintenance Director on February 23, 2026, at 12:30 p.m., confirmed the above listed self-closing door deficiency.

NFPA 101 STANDARD Corridor - Doors:

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.

Corridor - Doors
Doors protecting corridor openings in other than required enclosures of vertical openings, exits, or hazardous areas resist the passage of smoke and are made of 1 3/4 inch solid-bonded core wood or other material capable of resisting fire for at least 20 minutes. Doors in fully sprinklered smoke compartments are only required to resist the passage of smoke. Corridor doors and doors to rooms containing flammable or combustible materials have positive latching hardware. Roller latches are prohibited by CMS regulation. These requirements do not apply to auxiliary spaces that do not contain flammable or combustible material.
Clearance between bottom of door and floor covering is not exceeding 1 inch. Powered doors complying with 7.2.1.9 are permissible if provided with a device capable of keeping the door closed when a force of 5 lbf is applied. There is no impediment to the closing of the doors. Hold open devices that release when the door is pushed or pulled are permitted. Nonrated protective plates of unlimited height are permitted. Dutch doors meeting 19.3.6.3.6 are permitted. Door frames shall be labeled and made of steel or other materials in compliance with 8.3, unless the smoke compartment is sprinklered. Fixed fire window assemblies are allowed per 8.3. In sprinklered compartments there are no restrictions in area or fire resistance of glass or frames in window assemblies.

19.3.6.3, 42 CFR Parts 403, 418, 460, 482, 483, and 485
Show in REMARKS details of doors such as fire protection ratings, automatics closing devices, etc.

Observations:
Name: ADDITION - Component: 02 - Tag: 0363

Based on observation and interview, it was determined the facility failed to maintain corridor doors in one instance, affecting one of over 20 doors tested.

Findings include:

1. Observation on February 23, 2026 at 9:30 a.m., revealed the door to Resident Room 116 failed to latch when tested.

Interview with the Facility Administrator and Maintenance Director on February 23, 2026, at 1:00 p.m., confirmed the corridor door deficiency.

Plan of Correction - To be completed: 04/08/2026

The latch hardware for the cited doors were adjusted/repaired on the on 2/27/26 to ensure the door positively latches w. The door was tested multiple times to confirm proper operation. The cited door is now functioning in compliance with NFPA 101 requirements. There was no resident harm associated with this deficiency.
On 2/25/26, the maintenance team conducted a facility-wide audit of all doors fire barrier doors. Each door was tested to verify proper positive latching and no obstructions preventing closure. Any deficiencies identified during the audit were corrected by 2/27/26.
The facility implemented the following corrective measures the preventive maintenance (PM) program has been revised to include quarterly documented inspection of all fire rated doors.
The maintenance director re-educated the maintenance team on NFPA 101 requirements regarding the requirement for fire rated doors to completely latch when closed. Department managers and team members were educated to immediately submit a work orders if a door fails to latch or close properly.
The Maintenance Director or designee will complete and document quarterly inspections of random fire-rated doors to positive latching. Audits will be presented at the quarterly QAPI meeting and any identified deficiencies will result in immediate repair and additional staff re-education as needed.

NFPA 101 STANDARD Electrical Systems - Essential Electric Syste:

Observations:
Name: ADDITION - Component: 02 - Tag: 0918

Based on document review and interview, it was determined the facility failed to maintain and inspect the emergency generator in one instance, affecting the entire facility.

Findings include:

1. Review of documentation on February 23, 2026, at 8:30 a.m., revealed the facility could not produce documentation for the required monthly electrolyte specific gravity or conductance tests.

Interview with the Facility Administrator and Maintenance Director on February 23, 2026, at 12:30 p.m., confirmed the lack of documentation at the time of the survey.

Plan of Correction - To be completed: 04/08/2026

The facility obtained the appropriate conductance testing equipment and completed a conductance test on March 3, 2026 for the generator battery. Results were documented and found to be within manufacturer-recommended ranges.
If any abnormal findings had been identified, corrective action would have included immediate battery servicing or replacement.

No other life safety equipment deficiencies were identified and there were no negative outcomes as a result of the missed conductance tests.

The maintenance supervisor reviewed the requirements for conductance testing and will re-educate the appropriate maintenance team before the next scheduled conductance test.

The Preventive Maintenance (PM) schedule has been updated to specifically include monthly conductance testing of generator batteries and documentation of results in a dedicated log.

A revised Emergency Generator Monthly Maintenance Director and designees have been educated on NFPA 110 requirements for monthly battery testing and documentation.

The Maintenance Director/designee will review and sign off on generator testing logs monthly and address any identified issues at the time of discovery.

The maintenance supervisor/ designee will audit generator documentation and present audit findings at the facility's Quality Assurance and Performance Improvement (QAPI) Committee for oversight. Any identified variances will result in immediate corrective action and re-education.

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