Pennsylvania Department of Health
ACCELA REHAB AND CARE CENTER AT SOMERTON
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 57 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.


ACCELA REHAB AND CARE CENTER AT SOMERTON - 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 24, 2026, at Accela Rehab and Care Center at Somerton, 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 (A, B, C WINGS) - Component: 01 - Tag: 0000

Facility ID #131602

Component 01

A, B, and C Wings
Based on a Revisit to a Medicare/Medicaid Recertification Survey completed on February 24, 2026, it was determined that Accela Rehab and Care Center at Somerton was not in substantial 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 two-story, Type III (200), unprotected, ordinary building, with three separate basements, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Fire Alarm System - Testing and Maintenance:

This is a less serious (but not lowest level) 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 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.

Fire Alarm System - Testing and Maintenance
A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available.
9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72

Observations:
Name: MAIN BUILDING 01 (A, B, C WINGS) - Component: 01 - Tag: 0345 Based on observation, document review and interview, it was determined the facility failed to maintain fire alarm system components in operable condition, affecting the entire facility. Findings Include: 1. Documentation reviewed on February 24, 2026, at 9:15 a.m., revealed the fire alarm report dated October 21, 2025, listed devices that were not tested but were also not listed in the Deficiency/ Fail results. Verification of testing or repair was not available at the time of survey a) Smoke Detector, 1st floor by medical supply, device not found. b) Fire hat, Maintenance does not have key to reset elevator. c) Primary Recall, Maintenance does not have key to reset elevator. d) Smoke Detector, by house laundry, device not found. e) Shunt trip, Elevator control, not tested. Exit Interview with the Administrator and Maintenance Director on February 24, 2026, at 2:00 p.m., confirmed the fire alarm deficiencies. ***************************************************** Observation during an Onsite Revisit Survey conducted on April 30, 2026, between 11:30 a.m. and 1:15 p.m., revealed the following: Item 1a and item 1d was replaced with a battery-operated smoke detector and was not installed onto the facility fire alarm notification system. All items are not corrected. Exit interview with the Administrator and Maintenance Director on April 30, 2026, at 1:30 p.m., confirmed the above items were not corrected.

Plan of Correction - To be completed: 05/18/2026

Preparation and /or execution of this plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed with federal and state law requirements.
Identification of other residents or areas having the potential to be affected due to the nature of the deficiency:
The deficient practice has the potential to affect all residents.
Corrective action
1. Smoke detectors by medical supply room and laundry room have been replaced and hard wired 5/18/26. Facility retrieved and in possession of fire hat and elevator recall key. Shunt trip, Elevator control, tested 4/13/26.Plan Review Department will be contacted for installation of new fire alarm component.
2. Maintenance director or designee to re-educate maintenance staff on the importance of maintaining smoke detectors and ensuring elevator testing is maintained.
3.Maintenance director or designee to audit laundry rooms and medical supply rooms for smoke detectors weekly X4 monthly X2
4.Maintenance director or designee to audit elevator inspections weekly X4 monthly X2
5.Results will be reviewed at the quarterly QAPI meeting.

NFPA 101 STANDARD Sprinkler System - Installation:

Spinkler System - Installation
2012 EXISTING
Nursing homes, and hospitals where required by construction type, are protected throughout by an approved automatic sprinkler system in accordance with NFPA 13, Standard for the Installation of Sprinkler Systems.
In Type I and II construction, alternative protection measures are permitted to be substituted for sprinkler protection in specific areas where state or local regulations prohibit sprinklers.
In hospitals, sprinklers are not required in clothes closets of patient sleeping rooms where the area of the closet does not exceed 6 square feet and sprinkler coverage covers the closet footprint as required by NFPA 13, Standard for Installation of Sprinkler Systems.
19.3.5.1, 19.3.5.2, 19.3.5.3, 19.3.5.4, 19.3.5.5, 19.4.2, 19.3.5.10, 9.7, 9.7.1.1(1)

Observations:
Name: MAIN BUILDING 01 (A, B, C WINGS) - Component: 01 - Tag: 0351 Based on observation, document review and interview, it was determined the facility failed to provide complete sprinkler coverage, affecting the entire facility. Findings include: 1. Observation made on February 24, 2026, at 12:15 p.m., revealed inside the 1st floor dining room, floor to ceiling millwork cabinetry, with doors, was installed and in use without interior sprinkler coverage. Document review of approved DOH renovation plan H-22-0980 and Sprinkler Plan H-24-1079 shows that all built in millwork was not shown or depicted on plans. Subsequently, DOH Plan Review cannot accurately verify conditions for sprinkler coverage within a fully sprinklered facility. Millwork was installed and in use without DOH life safety occupancy approval for use, during survey. Sprinkler Protection is required by one of the following means: a. Protection by heat detection which activates the fire alarm system. b. Protection by automatic sprinkler protection. c. Construction of non-combustible or limited-combustible construction. d. Construction of fire-retardant-treated wood. Exit Interview with the Administrator and Maintenance Director on February 24, 2026, at 2:00 p.m., confirmed the lack of fire protection within the floor to ceiling built-in, closed-door storage cabinetry. **************************************** Observation during an Onsite Revisit Survey conducted on April 30, 2026, between 11:30 a.m. and 1:15 p.m., revealed the following: Item 1 was not corrected. Exit interview with the Administrator and Maintenance Director on April 30, 2026, at 1:30 p.m., confirmed the above item was not corrected.

Plan of Correction - To be completed: 05/18/2026

Preparation and /or execution of this plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed with federal and state law requirements.
Identification of other residents or areas having the potential to be affected due to the nature of the deficiency:
The deficient practice has the potential to affect all residents.
Corrective action
1. Plan Review contacted 5/8/26 to acquire appropriate approval for built-in millwork, and for the appropriate means of protection. Cabinet doors removed to ensure compliance. Heat detectors installed 5/18/26
2.Maintenance director or designee to re-educate maintenance staff on the importance of ensuring sprinkler heads or protection by heat detection which activates the fire alarm system are in accordance with NFPA13 standards
3.Maintenance director or designee to audit built in millwork to ensure Protection by heat detection which activates the fire alarm system Weekly X4 monthlyX2
4.Results will be reviewed at the quarterly QAPI meeting.

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 Doors
2012 EXISTING
Doors in smoke barriers are 1-3/4-inch thick solid bonded wood-core doors or of construction that resists fire for 20 minutes. Nonrated protective plates of unlimited height are permitted. Doors are permitted to have fixed fire window assemblies per 8.5. Doors are self-closing or automatic-closing, do not require latching, and are not required to swing in the direction of egress travel. Door opening provides a minimum clear width of 32 inches for swinging or horizontal doors.
19.3.7.6, 19.3.7.8, 19.3.7.9

Observations:
Name: MAIN BUILDING 01 (A, B, C WINGS) - Component: 01 - Tag: 0374 Based on observation and interview, it was determined the facility failed to ensure doors in smoke barrier walls were maintained to resist the passage of smoke, affecting one of two levels within the component. Findings include: 1. Observation on February 24, 2026, at the following times revealed: a) 11:35 a.m., The smoke barrier doors (A09) hallway, outside of nurse's station, failed to close smoke tight when tested due to an unsecured door frame within the wall. b) 11:50 a.m., The smoke barrier doors, A- Wing, outside of lobby, failed to swing and close smoke tight due to a broken door closure. Exit Interview with the Administrator and Maintenance Director on February 24, 2026, at 2:00 p.m., confirmed the smoke barrier door deficiencies listed. ************************* Observation during an Onsite Revisit Survey conducted on April 30, 2026, between 11:30 a.m. and 1:15 p.m., revealed the following: Item 1b was not corrected. Exit interview with the Administrator and Maintenance Director on April 30, 2026, at 1:30 p.m., confirmed the above item was not corrected.

Plan of Correction - To be completed: 05/18/2026

Preparation and /or execution of this plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed with federal and state law requirements.
Identification of other residents or areas having the potential to be affected due to the nature of the deficiency:
The deficient practice has the potential to affect all residents.
Corrective action
1. Smoke barrier door closures repaired and adjusted to ensure appropriate closure 4/30/26.
2.Maintenance director or designee to re-educate maintenance staff on the importance of maintaining facility smoke barrier doors
3.Maintenance director or designee to audit facility smoke barrier doors to ensure appropriate closure. Weekly X4 monthly X2
4.Maintenance director or designee to audit laundry rooms and medical supply rooms for smoke detectors weekly X4 monthly X2
5.Results will be reviewed at the quarterly QAPI meeting.

Initial comments:Name: BUILDING 02 (D WING) - Component: 02 - Tag: 0000
Facility ID# 131602Component 02D WingBased on a Revisit of a Medicare/Medicaid Recertification Survey completed on February 24, 2026, it was determined that Accela Rehab And Care Center At Somerton - D Wing was not in substantial 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 one-story, Type II (000), unprotected non-combustible building, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Fire Alarm System - Testing and Maintenance:

Observations:
Name: BUILDING 02 (D WING) - Component: 02 - Tag: 0345 Based on observation, document review and interview, it was determined the facility failed to maintain fire alarm system components in operable condition, affecting the entire facility. Findings Include: 1. Documentation reviewed on February 24, 2026, at 9:15 a.m., revealed the fire alarm report dated October 21, 2025, listed devices that were not tested but were also not listed in the Deficiency/ Fail results. Verification of testing or repair was not available at the time of survey a) Smoke Detector, 1st floor by medical supply, device not found. b) Fire hat, Maintenance does not have key to reset elevator. c) Primary Recall, Maintenance does not have key to reset elevator. d) Smoke Detector, by house laundry, device not found. e) Shunt trip, Elevator control, not tested. Exit Interview with the Administrator and Maintenance Director on February 24, 2026, at 2:00 p.m., confirmed the fire alarm deficiencies. ***************************************************** Observation during an Onsite Revisit Survey conducted on April 30, 2026, between 11:30 a.m. and 1:15 p.m., revealed the following: Item 1a and item 1d was replaced with a battery-operated smoke detector and was not installed onto the facility fire alarm notification system. All items are not corrected. Exit interview with the Administrator and Maintenance Director on April 30, 2026, at 1:30 p.m., confirmed the above items were not corrected.

Plan of Correction - To be completed: 05/18/2026

Preparation and /or execution of this plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed with federal and state law requirements.
Identification of other residents or areas having the potential to be affected due to the nature of the deficiency:
The deficient practice has the potential to affect all residents.
Corrective action
1. Smoke detectors by medical supply room and laundry room have been replaced and hard wired 5/18/26. Facility retrieved and in possession of fire hat and elevator recall key. Shunt trip, Elevator control, tested 4/13/26. Plan Review Department will be contacted for installation of new fire alarm component.
2. Maintenance director or designee to re-educate maintenance staff on the importance of maintaining smoke detectors and ensuring elevator testing is maintained.
3.Maintenance director or designee to audit laundry rooms and medical supply rooms for smoke detectors weekly X4 monthly X2
4.Maintenance director or designee to audit elevator inspections weekly X4 monthly X2
5.Results will be reviewed at the quarterly QAPI meeting.

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