Pennsylvania Department of Health
MEADVILLE MEDICAL CENTER, TRANSITIONAL CARE UNIT
Building Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

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MEADVILLE MEDICAL CENTER, TRANSITIONAL CARE UNIT - 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 November 25, 2025, at Meadville Medical Center, Transitional Care Unit, it was determined there were no deficiencies identified with the requirements of 42 CFR 483.475.

Plan of Correction:

Initial comments:Name: MAIN BUILDING 01-GROVE ST. - Component: 01 - Tag: 0000

Facility ID #197102
Component 01
Main Building

Based on a Medicare/Medicaid Recertification Survey completed on November 25, 2025, it was determined that Meadville Medical Center, Transitional Care Unit 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 four-story, Type II (222), fire resistive building, that is fully sprinklered.

Plan of Correction:

NFPA 101 STANDARD Electrical Systems - Receptacles:

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.

Electrical Systems - Receptacles
Power receptacles have at least one, separate, highly dependable grounding pole capable of maintaining low-contact resistance with its mating plug. In pediatric locations, receptacles in patient rooms, bathrooms, play rooms, and activity rooms, other than nurseries, are listed tamper-resistant or employ a listed cover.
If used in patient care room, ground-fault circuit interrupters (GFCI) are listed.
6.3.2.2.6.2 (F), 6.3.2.2.4.2 (NFPA 99)

Observations:
Name: MAIN BUILDING 01-GROVE ST. - Component: 01 - Tag: 0912

Based on observation and interview, the facility failed to maintain electrical systems in wet locations, affecting three of the over thirty rooms.
Findings include:
Observation on November 25, 2025, between 9:40 a.m. and 10:17 a.m., revealed the following deficiencies:
A. (9:40 a.m.) Housekeeping room H-6 had an outlet located within six feet of a sink that was not protected by a ground fault circuit interrupter (GFCI);
B. (10:07 a.m.) Third-floor laundry room washing machine was not protected by a GFCI;
C. (`10:17 a.m.) Third-floor nutrition room had an outlet located within six feet of a sink that was not protected by a GFCI.
Interview with the maintenance supervisor on November 25, 2025, at 10:17 a.m., confirmed the receptacle deficiencies.

Plan of Correction - To be completed: 12/31/2025

Findings A, B & C being the same deficiency type will be accounted for in all aspects of this POC.

The 3 non-GFIC outlets identified will be replaced with GFIC compliant outlets. In order to ensure these types of deficiencies are identified and addressed the facility director or designee will conduct annual facilities inspections. Powered outlets within a 6' proximity to a water source will be added to this inspection process. Non-compliant outlets will be replaced immediately. Additionally, the results of these inspections will be shared with our physical environment committee which is a multi-disciplinary group that has the responsibility to identify trends and take appropriate actions to resolve.

NFPA 101 STANDARD Electrical Equipment - Power Cords and Extens:

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 Equipment - Power Cords and Extension Cords
Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assembles that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension cords are not used as a substitute for fixed wiring of a structure. Extension cords used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4.
10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70), TIA 12-5

Observations:
Name: MAIN BUILDING 01-GROVE ST. - Component: 01 - Tag: 0920

Based on observation and interview, the facility failed to maintain electrical power cords in one of over thirty rooms.

Findings include:

Observation on November 25, 2025, at 9:24 a.m., revealed the first-floor TCU mechanical room M-2 had an extension cord powering an auto-blown-down switch.

Interview with the maintenance supervisor on November 25, 2025, at 9:24 a.m., confirmed the power cord usage.

Plan of Correction - To be completed: 12/31/2025

The extension cord providing power to the automatic blowdown has been removed. An appropriate power outlet has been installed as needed. In order to ensure these types of deficiencies are identified and addressed the facility director or designee will conduct annual facilities inspections. Extension cord use will be added to this inspection process. The results of these inspections will be shared with our physical environment committee which is a multi-disciplinary group that has the responsibility to identify trends and to take appropriate actions to resolve.

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