Pennsylvania Department of Health
ROLLING FIELDS, INC
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

There are 52 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.


ROLLING FIELDS, INC - 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 September 25, 2025, at Rolling Fields, Inc., 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 #183302
Component 01
Main Building

Based on an Onsite Revisit to a Medicare/Medicaid Recertification Survey completed on September 25, 2025, it was determined that Rolling Fields, Inc. 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 III (200), unprotected, ordinary building, 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 - Component: 01 - Tag: 0345

Based on observation and interview, the facility failed to maintain fire alarm system and testing, affecting the entire building.

Findings include:

Observation and interview on September 25, 2025, at 9:56 a.m., revealed the fire alarm panel read "FAULT RSTRD," and the supervisory and system trouble indicator lights were illuminated, indicating a system malfunction.

Interview with the maintenance supervisor on September 25, 2025, at 9:56 a.m., confirmed the deficiencies at the time of the survey.

***********

Based on document review and interview during an Onsite Revisit Survey conducted on November 25, 2025, at 1:55 p.m., the facility failed to correct the fire alarm panel deficiencies outlined above. The facility was working with a vendor to schedule and complete the inspection.

Interview with the maintenance supervisor on November 25, 2025, at 1:55 p.m., confirmed that the deficiencies were not corrected. As a result, the facility is maintaining a continuous fire watch.

Plan of Correction - To be completed: 12/23/2025

1. Absolute Fire Protection will be contacted to correct the system malfunction and restore the fire alarm panel to "normal" status by 12/25/2025.
2. The Environmental Services Director/designee will perform an audit to ensure that the fire alarm panel reads "normal" status; the audit will be conducted daily for four weeks, weekly for four weeks, and bi-weekly for five weeks.
3. The results of this audit will be reviewed at the facility's next two quarterly Quality Assurance Performance Improvement meetings to ensure compliance.

NFPA 101 STANDARD Sprinkler System - Out of Service:

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 - Out of Service
Where the sprinkler system is impaired, the extent and duration of the impairment has been determined, areas or buildings involved are inspected and risks are determined, recommendations are submitted to management or designated representative, and the fire department and other authorities having jurisdiction have been notified. Where the sprinkler system is out of service for more than 10 hours in a 24-hour period, the building or portion of the building affected are evacuated or an approved fire watch is provided until the sprinkler system has been returned to service.
18.3.5.1, 19.3.5.1, 9.7.5, 15.5.2 (NFPA 25)

Observations:
Name: MAIN BUILDING 01 - Component: 01 - Tag: 0354

Based on observation and interview, the facility failed to remain in compliance with sprinkler system regulations for one of two dry systems.

Findings include:

Observation on September 25, 2025, at 9:57 a.m., revealed system #1, the dry sprinkler system, was out of service due to the malfunctioning air compressor. The back-up air compressor was not operating and was not connected to a power source at the time of the survey. No documentation was provided for the extent and duration of the system being out of operation.

Interview with the maintenance technician on September 25, 2025, at 9:57 a.m., confirmed the dry system #1 was out of service at the time of the survey.

********
Based on document review and interview during an Onsite Revisit Survey conducted on November 25, 2025, at 1:55 p.m., the facility failed to correct the sprinkler system deficiencies outlined above. The facility had an accepted bid with a vendor and was awaiting approval to schedule and complete the inspection.

Interview with the maintenance supervisor on November 25, 2025, at 1:55 p.m., confirmed that the above deficiencies were not corrected. As a result, the facility is maintaining a continuous fire watch.

Plan of Correction - To be completed: 12/23/2025

1. Absolute Fire Protection has been contacted to ensure that any and all necessary parts needed to fix the malfunctioning air compressor will be ordered and installed, so that the dry sprinkler system can be turned back on prior to the "substantial compliance" date of 12/25/2025. Documentation WAS provided to the extent and duration of the dry system being out of operation in the form of "fire walk" documentation, from the day the system went down through present day.
2. The Administrator will assist the Environmental Services Director in ensuring that Absolute Fire Protection is contacted for service and that payment will be secured for any and all necessary parts to ensure the malfunctioning air compressor is operational, which will then allow for the dry sprinkler system to be turned back on.
3. The results of these corrective actions will be reviewed at the facility's next two quarterly Quality Assurance Performance Improvement meetings to ensure compliance.

NFPA 101 STANDARD Subdivision of Building Spaces - Smoke Barrie:

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 - Component: 01 - Tag: 0372

Based on document review and interview, the facility failed to meet smoke barrier construction requirements for 18 of 18 fire/smoke dampers.

Findings include:

Document review on September 25, 2025, at 10:22 a.m., revealed the smoke damper report completed on July 29, 2024, failed to note if the smoke dampers passed inspection or if any deficiencies were present in accordance with NFPA 80 19.3.4. The damper number, inspector, and the date of the inspection under the comment section of the report was noted "NA."

Interview with the administrator and maintenance supervisor on September 25, 2025, at 10:22 a.m., confirmed the lack of documentation at the time of the survey.

***********

Based on document review and interview during an Onsite Revisit Survey conducted on November 25, 2025, at 1:55 p.m., the facility failed to correct the damper deficiencies outlined above. The facility was working with a vendor and an inspection is scheduled for December 9, 2025.

Interview with the maintenance supervisor on November 25, 2025, at 1:55 p.m., confirmed that the deficiencies were not corrected at the time of the revisit survey.

Plan of Correction - To be completed: 12/23/2025

1. The Director of Environmental Services/designee will re-do the smoke damper inspection to include the damper number, inspector, and the date of the inspection, and the inspection is scheduled for 12/9/2025.
2. The Administrator/designee will audit the completed smoke damper inspection report to ensure the accuracy and completeness in the report.
3. The result of this audit will be reviewed at the facility's next quarterly Quality Assurance Performance Improvement meeting to ensure compliance.

NFPA 101 STANDARD Electrical Systems - Essential Electric Syste:

Least serious deficiency but affects more than a limited number of residents, staff, or occurrences. This deficiency has the potential for causing no more than a minor negative impact on the resident but is not found to be throughout this facility.

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, the facility failed to meet essential electrical requirements for four of twelve months.

Findings include:

Document review on September 25, 2025, at 11:09 a.m., revealed the generator monthly conductance testing was not completed for June, July, August, and September 2025.

Interview with the administrator and maintenance supervisor on September 25, 2025, at 11:09 a.m., confirmed the lack of documentation at the time of the survey. The facility is in the process of ordering a new conductance tester.

********

Based on document review and interview during an Onsite Revisit Survey conducted on November 25, 2025, at 1:55 p.m., the facility failed to correct the generator deficiencies outlined above. The facility received approval for funding and has purchased a conductance meter for testing that will be shipped to the facility.

Interview with the maintenance supervisor on November 25, 2025, at 1:55 p.m., confirmed that the deficiencies were not corrected at the time of the revisit survey.

Plan of Correction - To be completed: 12/23/2025

1. The Director of Environmental Services/designee will ensure that a new conductance tester is bought/received so that the monthly generator conductance testing can resume; the new conductance tester has been purchased and is now in the facility and being put to use.
2. The Environmental Services Director/designee will perform an audit to ensure the generator conductance testing is completed each month; this audit will be conducted monthly for three months.
3. The results of this audit will be reviewed at the facility's next quarterly Quality Assurance Performance Improvement meeting to ensure compliance.

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