Pennsylvania Department of Health
MORAVIAN MANOR
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.


MORAVIAN MANOR - 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 August 3, 2026, at Moravian Manor, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.73.

Plan of Correction:

Initial comments:Name: MAIN BUILDING - Component: 01 - Tag: 0000
Facility ID #135202

Component 01

Building 01

Based on a Medicare/Medicaid Recertification Survey completed on August 3, 2026, it was determined that Moravian Manor 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 (222), fire resistive structure, with a basement, which is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Hazardous Areas - Enclosure:

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.

Hazardous Areas - Enclosure
Hazardous areas are protected by a fire barrier having 1-hour fire resistance rating (with 3/4 hour fire rated doors) or an automatic fire extinguishing system in accordance with 8.7.1 or 19.3.5.9. When the approved automatic fire extinguishing system option is used, the areas shall be separated from other spaces by smoke resisting partitions and doors in accordance with 8.4. Doors shall be self-closing or automatic-closing and permitted to have nonrated or field-applied protective plates that do not exceed 48 inches from the bottom of the door.
Describe the floor and zone locations of hazardous areas that are deficient in REMARKS.
19.3.2.1, 19.3.5.9

Area Automatic Sprinkler Separation N/A
a. Boiler and Fuel-Fired Heater Rooms
b. Laundries (larger than 100 square feet)
c. Repair, Maintenance, and Paint Shops
d. Soiled Linen Rooms (exceeding 64 gallons)
e. Trash Collection Rooms
(exceeding 64 gallons)
f. Combustible Storage Rooms/Spaces
(over 50 square feet)
g. Laboratories (if classified as Severe
Hazard - see K322)

Observations:
Name: MAIN BUILDING - Component: 01 - Tag: 0321 Based on observation and interview, it was determined the facility failed to maintain the rating of hazardous area doors, affecting one of twelve smoke compartments within the component. Findings include: 1. Observation on August 3, 2026, at 12:30 PM, revealed unprotected penetrations of the door, to the 1st floor Soiled Utility Room, across from Resident Room 175, at the top hinge, where screws were loose and missing. Interview with the Director of Building and Grounds on August 3, 2026, at 12:30 PM, confirmed the compromised smoke resistance of the hazard area enclosure.

Plan of Correction - To be completed: 08/24/2026

K0321 – NFPA 101 Hazardous Areas – Enclosure
On 8/3/26, the first-floor soiled utility room door was found unable to self-close because screws were missing from the self-closing hinge. The door remains functional but must be closed manually.
On 8/12/26, the screws were replaced, and the door is now self-closing.
Beginning 8/17/26 and continuing through October 2026, Maintenance will complete weekly checks of all self-closing doors in Worxhub. This will be documented in the Worxhub system, and the Maintenance Director will audit monthly for the next 3 months and quarterly there after. The audit will be reviewed with the QAPI committee to ensure there is compliance.

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: MAIN BUILDING - Component: 01 - Tag: 0541 Based on observation and interview, it was determined the facility failed to maintain the fire resistance of linen chutes, affecting one of twelve smoke compartments within the component. Findings include: 1. Observation on August 3, 2026, at 12:05 PM, revealed the access door, to the linen chute within the 2nd floor Soiled Utility Room, across from Resident Room 275, contained unprotected penetrations and was equipped with unrated aftermarket latching hardware, which did not automatically positively latch within the door frame. Interview with the Director of Building and Grounds on August 3, 2026, at 12:05 PM, confirmed the compromised fire resistance of the linen chute.

Plan of Correction - To be completed: 08/21/2026

On 8/3/26, the laundry chute door in the second-floor soiled utility room was found to have a new lock that was not securing properly, compromising the door.
On 8/3/26, Complete Door was contacted to replace the laundry chute door. Complete Door assessed the door on 8/10/26, and a replacement was ordered. Installation is expected in 8 to 10 weeks. Until the replacement is complete, Maintenance will check the chute daily through a Worxhub work order system. Maintenance Director will audit the orders weekly. TLW letter submitted on 8/21/26 to the DOH for an extension of time of 10/30/26 to obtain the custom chute door.

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